International classification of functioning disability and health
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The International Classification of Functioning, Disability and Health (ICF) offers a framework for classifying health and related domains, emphasizing the interaction between health conditions and contextual factors. It defines key terms such as body functions, activity limitations, and participation restrictions, and illustrates application in clinical practice for various health conditions. The document provides an example case study to highlight how to assess and apply ICF in a cardio-respiratory context.
International classification of functioning disability and health
- 1. International Classification of Functioning, Disability and Health (ICF) Dr.Nidhi Ahya (Asst Prof) Cardio-Vascular & Respiratory PT DVVPF College of Physiotherapy, Ahmednagar 414111
- 2. Objectives What is ICF? ICF Model Definitions and Terminologies Applying ICF in Clinical Practice Formulating ICF for Cardio respiratory condition
- 3. ICF The International Classification of Functioning, Disability and Health, provides a standard language and framework for classification of health and health-related domains It throws light on certain points- • What changes in body function and structure have occurred in a person with a health condition? • What a person with a health condition can do in a standard environment -their level of function • What can be done to maximize function?
- 4. ICF Model ICF is based on biopsychosocial model- an integration of medical and social models or a synthesis of different perspectives of health: biological, individual and social Thus, ICF views disability and health as an outcome of interactions between health conditions and contextual factors
- 6. This diagram identifies the three levels of human functioning classified by ICF: • Functioning at the level of body or body part- body structure and function • the whole person- activity limitations • the whole person in a social context – participation restriction
- 7. Definitions and Terminologies Body Functions are physiological functions of body systems Body Structures are anatomical parts of the body such as organs, limbs and their components. Impairments are problems in body function or structure such as a significant deviation or loss Activity is the execution of a task or action by an individual.
- 8. Activity Limitations are difficulties an individual may have in executing activities. Participation is involvement in a life situation. Participation Restrictions are problems an individual may experience in involvement in life situations. Environmental Factors make up the physical, social and attitudinal environment in which people live and conduct their lives.
- 9. Applying ICF in Clinical Practice What you know about the patient- Demographic details, signs and symptoms , medical treatment etc. Identification of health condition based on assessment Focus on pathophysiology of the condition • Body structure at fault • Altered physiological functions of that body structure
- 10. Activity Limitations • What the patient is able to do with the health condition? Does he/she face any difficulties in doing so and Level of assistance if required (Use of functional scales- FIM, Barthel Index; or Self-reported Questionnaire Participation Restrictions • Focus on the social role of the patient expected by the family, community or society as a whole
- 11. Environmental Factors • Identification of buffers and barriers based on Age, Level of education, weather, Housing facility, Social Surroundings, Family support, economic background, Medical Services etc.
- 12. • A 60 year old farmer complains of severe breathlessness at rest and small amount of productive cough since 4-5 days. Symptoms are more in the evening and have seasonal variation. He was unable to work due to these complaints; and is presently on bronchodilator treatment with some relief.
- 13. Summary What is ICF? Definitions and Terminologies Application ICF in Clinical Practice Formulating ICF for Cardio respiratory condition
- 14. QUESTION WHAT IS ICF? WRITE ABOUT THE TERMINOLOGY OF ICF. 5MARKS
- 15. • References: ICF Manual- Beginners Guide ICF Practice Manual • Online Resources: http://www.who.int/classifications/icf/en/ THANK YOU