ICF: International Classification of Function, Disability, and Health

ICF measures what

functional domains of health (NOT disabiltiy)

ICF focuses on __________ complementing ICD-__

function; 10

world health organization adopted a system of classifying health conditions to develop what

a common language in describing health conditions where the information can then be stored, analyzed, and interpreted/compared

in 2001 the WHO adopted the ICF as the “basis for the ___________ of data on _______ and ________ worldwide”

standardization; health; disability

the WHO adopting the ICF establishes a common international language to describe what 3 things

function, health, disability

the ICF is a coding system that looks at health, diagnosis, function, and the environment in which one functions. this allows for collegetion of data in terms of how one functions with a health condition. this was developed in more than ___ countries and was developed by health professionals, persons with disability, ___________, and _________________

40; statisticians; gov’t officials

5 applications of the ICF

statistical tool, research tool, clinical tool, social policy, educational tool

in _____ (what year) the APTA endorsed the ICF model for describing ___________ and now PTs are encouraged to use this model now on the daily and it has even been incorporated into the latest version of ____________

2008; function; the guide

why ICF matters in PT:

• moves beyond ________ and gets to ________ care

• integrated 3 factors: list them

• guides clinical reasoning and goal setting

diagnosis; whole-person

physical, psychological, social

ICD-10 vs ICF:

• they are both _________ systems developed by ____ to describe a persons health at a __________

• they are meant to be _______________

classification; WHO; particular point in time

complimentary

ICD-10 provides….

a diagnosis of diseases, disorder, and other health conditions

the ICF enriches the ICD-10 information by providing what

additional information on function

PT Guide to Practice was developed on the ______ model for describing disability

NAGI

NAGI model vs ICF

NAGI looks at active pathology leading to impairments, functional limitations, and disability whereas the ICF model addresses the environment looking into both health structure/body function, activities/participation, and the environment

this diagram shows what model

NAGI’s model

this diagram shows what model

ICF

ICF codes include what 4 things

body structure, body function, activities/participation, environment

(s) code is for what

body structure

(b) code is for what

body function

(d) code is for what

activities/participation

(e) code is for what

environment

body structure (s) and body function (b) work in _______

parallel

body structure (s) refers to what

anatomical parts

body function (b) refers to what

• physiological function

• includes psychological/mental aspects

• assessed via examination and tests/measures

examples of (s) and (b) working together

1. s: eye and related structures correlates to what b

2. b: hypertension correlates to what s

1. seeing functions

2. CV system

__________ is the execution of a task or action by an individual

activity

____________ is the involvement of a life situation

participation

__________________ are difficulties an individual may have in executing activities

activity limitations

___________________ are problems an individual may experience in involvement in life situations

participation restriction

examples of activity and what is the focus for PT

ex: walking, transferring, ADLs

focus: functional limitations

examples of participation and what is the focus for PT

ex: work, school, social roles

focus: reflects patient-centered outcomes

activities/participation includes what 3 things

1. learning/applying knowledge

2. mobility

3. self-care/domestic life

specific coding for ICF has numerical values assigned to body functions, structures, activities/participation, and environment

ex: is 4 means mobility, 50 means walking, and 2 means walking on different surfaces, then the code d4502 means what

remember (d) is environment soooo

walking on sloping, uneven or moving surfaces such as grass, gravel, or ice snow, or moving aboard a ship or train

qualifiers

describe magnitude, severity, and level of function

T/F: without qualifiers the codes have no meaning

true

qualifier numbers and meanings

0: no problem

1: mild problem

2: moderate problem

3: severe problem

4: complete problem

8: not specified

9: not applicable

qualifiers determine ___________ as it relates to body structure (s) and body function (b)

magnitude

qualifiers determine ___________ as it relates to the environment

barrier/facilitator

qualifiers determine ___________ as it relates to activities/participation

capacity and performance

contextual factors such as the environment and personal factors influence what

outcomes and interventions

how to apply ICF in PT practice

• use for evaluation, goal setting, and __________

• link _________ to functional outcome

• enhance _____________

documentation; impairments; interdisciplinary communication

define s, b, e, and d as it relates to gait

s: structures related to lower extremities

b: actual deviation and gait impairment

e: public transportation services

d: distances ambulated, moving around using equipment, ability to walk on various surfaces

define s, b, e, and d as it relates to an ACL tear

s: actual ACL tear

b: decreased strength

e: context- athlete? how is patient doing during practice?

d: activity-difficulty running and participation-cannot play sports

T/F: ICF classifies people

false, ICF does not classify people it classifies function/activities

is ICF an assessment or measurement tool

neither

T/F: ICF is only for people with disabilities

false, it is for all people