ICF-Prezent Si Perspective

8/9/2019 ICF-Prezent Si Perspective

1/43

ICF - Prezent i perspectivICF - Prezent i perspectiv

Adriana Sarah NicaAdriana Sarah Nica


2/43

FuncionareaFuncionarea

Dimensiunea central:Dimensiunea central: la individul sntosla individul sntos la pacienii cu dizabilitila pacienii cu dizabiliti

Ctigarea i meninerea unui nivelCtigarea i meninerea unui nivelfuncional optim =funcional optim = obiectivul pr. alobiectivu

l pr. al M..M..!.!.

"n recuperare# este punctul de plecare"n recuperare# este punctul de plecarepentru evaluarea clinico$funcionalpentru evaluarea clinico$funcional


3/43

Clasificrile OMSClasificrile OMS

%&'( prima clasificare a bolilor %&'( prima clasificare a bolilor International List of Causes ofInternational List of Causes ofDeathDeath adoptata in %&)* adoptata in %&)*%)%( %)%( International Classification of Causes of Sickness and DeathInternational Classification of Causes of Sickness and Death%)*& %)*& International Lists of DiseasesInternational Lists of Diseases

1944 -1944 - A provisional classification of diseases and injuries for use incompiling moridit! statistics

194" -194" - International Classification of Diseases# Injuries# and Causesof Death

%)+& a ,$a editie cuprindea si informatii legate de cauzele de%)+& a ,$a editie cuprindea si informatii legate de cauzele demorbiditatemorbiditate

%)- sc/ema preliminara consecintele functionale si sociale ale%)- sc/ema preliminara consecintele functionale si sociale alebolilor bolilor International Classification of DiseasesInternational Classification of Diseases01CD201CD2%)-* consultare neoficiala a unor grupuri de specialisti in%)-* consultare neoficiala a unor grupuri de specialisti inrecuperarerecuperare%)-+ clasificari separate 0deficiente si /andicapuri2%)-+ clasificari separate 0deficiente si /andicapuri2


4/43

%)-' a )$a revizuire a 1CD%)-' a )$a revizuire a 1CD%)-, clasificarea deficientelor si /andicapurilor %)-, clasificarea deficientelor si /andicapurilor supliment la 1CDsupliment la 1CD%)&( %)&( International Classification of Impairments#Disailities# and $andicaps01C1D32 prima editie01C1D32 prima editie%))( 1CD$%(%))( 1CD$%(%))* revizuita si retiparita 01C1D3 2%))* revizuita si retiparita 01C1D3 2%)), 4eneva proiect 5lfa revizuire completa%)), 4eneva proiect 5lfa revizuire completa

%))- 6roiect 7eta$%%))- 6roiect 7eta$%%))) 8ondra $ 9ersiunea 7eta$%))) 8ondra $ 9ersiunea 7eta$((( versiunea pre$finala a 1C1D3$((( versiunea pre$finala a 1C1D3$


5/43

1C1C

mai ((% ((% la a '+$a 5dunarea Mondial a mai ((% ((% la a '+$a 5dunarea Mondial antii# la 0;35 !esolution '+.%2ntii# la 0;35 !esolution '+.%2## se avizeazase avizeaza1C1D3$ sub denumirea1C1D3$ sub denumirea International Classification ofInternational Classification of%unctioning# Disailit! and $ealth%unctioning# Disailit! and $ealth&IC%'&IC%'

55probatprobatoficial de ctre toate cele %)% de state membreoficial de ctre toate cele %)% de state membre


6/43


7/43

SSnntatea este mai mult dectatea este mai mult dect absent absena bolii, estea bolii, esteasociatasociatcu starea de binecu starea de bine i calitatea viei calitatea vieii.ii.

(Academia Na(Academia Naionala deionala de tiintiinee,,200!200!


8/43

Modelul ultidiensional iModelul ultidiensional iinteractiv !io-psiho-socialinteractiv !io-psiho-social

ntatea# starea funcionalntatea# starea funcional

0funcionarea2 i dizabilitatea sunt privite0funcionarea2 i dizabilitatea sunt priviteca rezultat al interaciunilor dinamiceca rezultat al interaciunilor dinamicedintre:dintre: individindivid

factorii conte?tuali:factorii conte?tuali:factorii personali 0>nc neclasificai de 1C2factorii personali 0>nc neclasificai de 1C2

factorii de mediufactorii de mediufizic i socialfizic i social


9/43

Starea de sntate"tul!urri # !oli$

Factori de ediu Factori personali #individuali

Funciile #Structurileor%anisului

Activiti Participare

De ce ?

Modelul inte%rativ !io-psiho-social alModelul inte%rativ !io-psiho-social alfuncfuncionionriirii i diza!iliti diza!ilitiiii

Pentru a &nele%e FuncFuncionionaarearea i 'iza!ilitateai 'iza!ilitatea

"neclasificai$


10/43

Diagnosticul 01CD2 nu ofer suficienteDiagnosticul 01CD2 nu ofer suficienteinformaii privindinformaii privind e?periena trite?periena tritindividualindividual important pentru important pentruidentificarea nevoiloridentificarea nevoiloruncionarea depinde de individ# deuncionarea depinde de individ# de stareastareade sde sntatentate @@ boal i se modific >n timpboal i se modific >n timp

1C este complentar 1CD1C este complentar 1CD


11/43

A?periena tritA?periena trit

AAste reflectat la nivel de:ste reflectat la nivel de:6articipare6articipare

5ctiviti5ctiviti

uncii ale organismuluiuncii ale organismuluitructuri ale organismuluitructuri ale organismului

== funcionarea i dizabilitateafuncionarea i dizabilitatea

>n interaciune cu mediul>n interaciune cu mediul


12/43


13/43


14/43


15/43

15

Health condition

Environmentalfactors

Personal factors

Example:

Energy and drive functionsSleep functionsEmotional functionsExperience of self and timeSensation of painHaematological system functionsExercise tolerance functionsIngestion functionsSexual functionsMobility of joint functions

Stability of joint functionsMuscle power functionsMuscle endurance functionsGait pattern functionsEye, ear and related structuresStructures of ead and nec! regionStructure of upper extremityStructure of lower extremityStructure of trun!Structure of areas of s!in

"riting#arrying out daily routine$sing communication devices#anging basic body positionsMaintaining a sitting position%ifting and carrying objects&ine and useHand and arm use#arrying, moving and andling objects"al!ingMoving around

Moving around in different locationsMoving around using e'iupment$sing transportation(riving"asing oneself#aring for body parts)oileting(ressingEating(rin!ing%oo!ing after one*s ealt

+c'uisition of goods and servicesreparing meals(oing ousewor!+ssisting oters

&amily relationsipsIntimate relationsips-emunerative employment#ommunity life-ecreation and leisure

Rheumatoid arthritis, ICD M05

(rugs+ssistive devices+ssistive devices for mobilityroducts and tecnology for employment(esign and construction of public buildings#limateImmediate family

Healt professionalsSocietal attitudesSocial security services, systems and policies

+geGenderMarital status%ifestyleGeneral life goalsExpectations+cceptance of situation

Self.esteemSelf.discipline


16/43

16

Health condition

Environmentalfactors

Personal factors

he IC! inte"rative #io$%s&cho$social model of functionin" anddisa#ilit&

Example:

Energy and drive functionsSleep functionsEmotional functionsExperience of self and timeSensation of painHaematological system functionsExercise tolerance functionsIngestion functionsSexual functionsMobility of joint functions

Stability of joint functionsMuscle power functionsMuscle endurance functionsGait pattern functionsEye, ear and related structuresStructures of ead and nec! regionStructure of upper extremityStructure of lower extremityStructure of trun!Structure of areas of s!in

"riting#arrying out daily routine$sing communication devices#anging basic body positionsMaintaining a sitting position%ifting and carrying objects&ine and useHand and arm use#arrying, moving and andling objects"al!ingMoving around

Moving around in different locationsMoving around using e'iupment$sing transportation(riving"asing oneself#aring for body parts)oileting(ressingEating(rin!ing%oo!ing after one*s ealt

+c'uisition of goods and servicesreparing meals(oing ousewor!+ssisting oters

&amily relationsipsIntimate relationsips-emunerative employment#ommunity life-ecreation and leisure

Rheumatoid arthritis, ICD M05

(rugs+ssistive devices+ssistive devices for mobilityroducts and tecnology for employment(esign and construction of public buildings#limateImmediate family

Healt professionalsSocietal attitudesSocial security services, systems and policies

+geGenderMarital status%ifestyleGeneral life goalsExpectations+cceptance of situation

Self.esteemSelf.discipline


17/43


18/43

Structura i codurile ICFStructura i codurile ICF

1)

Descrierea!unc*ion+rii i Di-a#ilit+*ii

#11./0 $#5105

s11000 $s'600

#1100 $#')0

s1100 $s)0

d1550 $d0

e1100 $e55

#110 $#)

s110 $s)

d110 $d

e110 $e5

#1 2 #) s1 2 #) d1 2 d e1 2 e5

IC!

&actorii #ontextuali

&unc/iile 0iStructurile 1rg2

+ctivit3/ile 0iparticiparea

&actorii de mediu &actoriipersonali

&unc/ionarea 0i (i4abilitatea


19/43

1

Starea de sntate

Factorii de ediu Factorii personali

Funciile#structurile

or%anisului

Activitile Participarea

. ).

/5

10

0

Modelul integrativ bio.psio.social 5 ba4a I#&

I#& grupea43 urm3torii factori 6cu excep/ia factorilor personali7

Clasificat+3n ICD

8ody functions

8ody structures

+ctivites 9 participation

Environmental factors


20/43

/0

IC!

&unc/ionarea 0i (i4abilitatea &actorii #ontextuali

&unc/iile 0iStructurile 1rg2

+ctivit3/ile 0iarticiparea

&actorii de mediu &actoriiersonali

8ody

functions

8ody

structures

P+r*iCom%onente

#11./0 $#5105

s11000 $s'600

Clasificarea !ourth$level

#1100 $

#')0

s1100 $

s)0

d1550 $

d0

e1100 $

e55

Clasificarea hird$level

#110 $#)

s110 $s)

d110 $d

e110 $e5

Clasificarea 4econd$level

#1 2 #) s1 2 #) d1 2 d e1 2 e5

Ca%itole

cod IC! 5 refix #od ;umeric #alificatorii I#&

## ss dd ee

Inc+neclasifica*i

Structura ICFStructura ICF

110110 5.00/5.00/ ..01..01 11011101


21/43


22/43

Codificarea Calificatorii 1CCodificarea Calificatorii 1C

//

Com%onent s

Cha%ter

/nd level

0

rd level

/

.th level

0' .

1stualifier

//ndualifier

rdualifier


23/43


24/43

/.

d 505

. Codin" 7ith IC! ualifiers

I#& 'ualifier for activities and %artici%ation

1stualifier 8 Performance

/

Performance

Describes what an individual doesin his current environment. Thistakes into account theenvironmental factors all aspectsof the physical, social andattitudinal world.

/ndualifier 8 Ca%acit&

Ca%acit&

Describes an individualsability to execute a task oran action in a standardenvironment; this indicatethe highest probable levelof functioning that aperson may reach.

Eatingarrying out the coordinated task and actions of eating food that hasbeen served, bringing it to the mouth and consuming it in culturallyacceptable ways, cutting or breaking food into pieces, opening bottlesand cans, using eating implements, having meals, feasting or dinging

===0 :o difficulty

===1 Mild difficulty===/ Moderate difficulty=== 4evere difficulty===. Com%lete difficulty

===) not specified=== not applicable


25/43

/5

. Codin" 7ith IC! ualifiers

I#& 'ualifier for environmental factors

1stualifier 8 E9tent of #arrier or facilitator

e 10 .

Immediate family!ndividuals related by birth, marriage or other relationship recogni"edby the culture as immediate family, such as spouses, partners,parents, siblings, children, foster parents, adoptive parents andgrandparents

===0 :o barrier===1 MI;Dbarrier===/ M=DER>Ebarrier=== 4EEREbarrier===. C=MP;EEbarrier

===) not specified=== not applicable

===@0 :o facilitator===@1 MI;Dfacilitator===@/ M=DER>Efacilitator===@ 4AB4>:I>;facilitator===@. C=MP;EEfacilitator

===@) not specified===@ not applicable

@.e 10


26/43


27/43

uncionarea i dizabilitatea nu suntuncionarea i dizabilitatea nu suntconsecine ale bolii# ci sunt privite >nconsecine ale bolii# ci sunt privite >nrelaie cu:relaie cu: starea de sntatestarea de sntate caracteristicile personalecaracteristicile personale factorii de mediufactorii de mediu


28/43


29/43

InstruentelInstruentele ICFe ICF

IC% Assesement SheetIC% Assesement Sheet

IC% Core SetsIC% Core Sets

IC% Categorical (rofileIC% Categorical (rofileIC% Intervention )ale

IC% *valuation Displa!


30/43

0

ICF Core SetsICF Core Sets

s110

s1/0

s10

s.0

s510

s'10

#110

#11.

#11'

#10#15/

#1..

#'0

d110

d/.0

d.10

d.15

d5/0

d60

d/0

e110

e115

e1/0

e1/5

e10

e150

s110

s.0s'10

#110

#10

#15/

#'0

d/.0

d.10

d.15

d/0

e110e1/0

e10

Health condition$,settin"$ andsituation$s%ecific,Feneric IC! Core4et

=ver 1.00 cate"ories


31/43

Specific ICF Core Sets for the (ealth and,eha!ilitation Services Continuu

Acute contet5cute curative careAcute reha!ilitation

Post-acute contetubacute supportive carePostacute reha!ilitation

.on%-ter contet6rimarE careCounit+-!ased reha!ilitation.ifetie support

Curative Strate%+

,eha!ilitative Strate%+

Stucki + et al,

IC%-ased classification and measurement of functioning, *ur (h!s .ed /ehail, 023 44 516-55


32/43

,. ;/ere to find e?isting 1C Core ets,. ;/ere to find e?isting 1C Core ets

/


33/43

ICF &n Cercetare

/0/0 .iteratur.iteratur

1010 Sta!ilirea tipului de studiuSta!ilirea tipului de studiu

2020 Colectarea datelorColectarea datelor3030 Analiza datelorAnaliza datelor

4040 ,aportarea datelor,aportarea datelor

ICFICF & t l d& t l d


34/43

.

ICFICF&n ana%eentul de&n ana%eentul de,ecuperare,ecuperare

>ssessment

>ssi"nment

Intervention

Evaluation

IC! Cate"oricalProfile

IC! >ssessment4heet

IC! Interventiona#le

IC! EvaluationDis%la&


35/43


36/43

heor& Practice

>ssessment

>ssi"nment

Intervention

Evaluation Reha#$C&cle


37/43


38/43


39/43

Bod& functionsJBod& structures J>ctivities and Partici%ation(

0 8 :o problem 6none, absent2 negligible,?7 0$.K

1 8 Mild problem 6Sligt, low,?7 5$/.K

/ 8 Moderate problem 6medium, fair,?7 /5$.K

8 4evere problem 6ig, extreme,?7 50$5K

. 8 Com%lete problem 6total,?7 6$100K

Environmental factors(

0 8 :o barrier 0$.K @0 8 :o facilitator

1 8 Mild barrier 5$/.K @1 8 Mild facilitator/ 8 Moderate barrier /5$.K @/ 8 Moderate facilitator

8 4evere barrier 50$5K @ 8 4u#stantial facilitator

. 8 Comlete barrier 6$100K @. 8 Com%lete facilitator

Feneric IC! ualifier


40/43

ICF )valuation 'ispla+

'escri!es chan%es in a patient5s functionin% status


41/43


42/43

7ibliografie7ibliografie

;3


43/43

Omul este suma acOmul este suma aciunilor sale, a ceea ceiunilor sale, a ceea ce

a fa fcut, a ceea ce poate face. Nimiccut, a ceea ce poate face. Nimicaltcevaaltceva

("a#atma $#and#i!("a#atma $#and#i!

ICF-Prezent Si Perspective

Documents

Transcript of ICF-Prezent Si Perspective