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8/9/2019 ICF-Prezent Si Perspective
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ICF - Prezent i perspectivICF - Prezent i perspectiv
Adriana Sarah NicaAdriana Sarah Nica
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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
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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
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%)-' 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$
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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 $ealth&IC%'&IC%'
55probatprobatoficial de ctre toate cele %)% de state membreoficial de ctre toate cele %)% de state membre
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SSnntatea este mai mult dectatea este mai mult dect absent absena bolii, estea bolii, esteasociatasociatcu starea de binecu starea de bine i calitatea viei calitatea vieii.ii.
(Academia Na(Academia Naionala deionala de tiintiinee,,200!200!
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Modelul ultidiensional iModelul ultidiensional iinteractiv !io-psiho-socialinteractiv !io-psiho-social
ntatea# starea funcionalntatea# starea funcional
0funcionarea2 i dizabilitatea sunt privite0funcionarea2 i dizabilitatea sunt priviteca rezultat al interaciunilor dinamiceca rezultat al interaciunilor dinamicedintre:dintre: individindivid
factorii conte?tuali:factorii conte?tuali:factorii personali 0>nc neclasificai de 1C2factorii personali 0>nc neclasificai de 1C2
factorii de mediufactorii de mediufizic i socialfizic i social
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Starea de sntate"tul!urri # !oli$
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$
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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
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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
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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
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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
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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
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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
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/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
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Codificarea Calificatorii 1CCodificarea Calificatorii 1C
//
Com%onent s
Cha%ter
/nd level
0
rd level
/
.th level
0' .
1stualifier
//ndualifier
rdualifier
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/.
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
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/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
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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
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InstruentelInstruentele ICFe ICF
IC% Assesement SheetIC% Assesement Sheet
IC% Core SetsIC% Core Sets
IC% Categorical (rofileIC% Categorical (rofileIC% Intervention )ale
IC% *valuation Displa!
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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$s%ecific,Feneric IC! Core4et
=ver 1.00 cate"ories
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Specific ICF Core Sets for the (ealth and,eha!ilitation Services Continuu
Acute contet5cute curative careAcute reha!ilitation
Post-acute contetubacute supportive carePostacute reha!ilitation
.on%-ter contet6rimarE careCounit+-!ased reha!ilitation.ifetie support
Curative Strate%+
,eha!ilitative Strate%+
Stucki + et al,
IC%-ased classification and measurement of functioning, *ur (h!s .ed /ehail, 023 44 516-55
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,. ;/ere to find e?isting 1C Core ets,. ;/ere to find e?isting 1C Core ets
/
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ICF &n Cercetare
/0/0 .iteratur.iteratur
1010 Sta!ilirea tipului de studiuSta!ilirea tipului de studiu
2020 Colectarea datelorColectarea datelor3030 Analiza datelorAnaliza datelor
4040 ,aportarea datelor,aportarea datelor
ICFICF & t l d& t l d
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.
ICFICF&n ana%eentul de&n ana%eentul de,ecuperare,ecuperare
>ssessment
>ssi"nment
Intervention
Evaluation
IC! Cate"oricalProfile
IC! >ssessment4heet
IC! Interventiona#le
IC! EvaluationDis%la&
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heor& Practice
>ssessment
>ssi"nment
Intervention
Evaluation Reha#$C&cle
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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
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ICF )valuation 'ispla+
'escri!es chan%es in a patient5s functionin% status
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7ibliografie7ibliografie
;3
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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!