FATDS - INTRO ICF

• ICF - International Classification of Functioning, Disability and Health
• Framework for organising and documenting information on functioning and disability (WHO 2001)
• Overall aim:

  • Provide a unified and standard language and framework for the description of health and health-related states
  • Provide a common language for disability
  • Define components of health and some health-related components of well-being
• Belongs to the "family" of international classifications developed by the World Health Organization (WHO)
• How is ICF Organized?

  • 2 parts: Disability and Functioning, Contextual Factors
  • Disability and Functioning includes Body Functions and Structures, Activities, Participation
  • Contextual Factors include Environmental Factors, Personal factors
• Aims of ICF:

  • Provide a scientific basis for understanding and studying health and health-related states, outcomes, and determinants
  • Establish a common language for describing health and health-related states
  • Permit comparison of data across countries, health care disciplines, services, and time
  • Provide a systematic coding scheme for health information systems
• Properties of ICF

  Universe of ICF

  • Encompasses all aspects of human health and some health-relevant components of well-being
  • Does not cover circumstances brought about by socioeconomic factors
  • Has universal application

  Unit of Classification

  • Classifies health and health-related states
  • Does not classify people
  • Provides a framework for the description of human functioning and disability
• Ethical Guidelines for the Use of ICF

  Respect and Confidentiality

  • Should always be used to respect the inherent value and autonomy of individual persons
  • Should never be used to label people or identify them solely in terms of disability categories
  • Should be used with the full knowledge, cooperation, and consent of the persons being classified
• Clinical Use

  • Clinician should explain the purpose of using ICF and invite questions
  • Person being classified should have the opportunity to participate and challenge the assessment
  • ICF should be used holistically
• Social Use

  • Used to the greatest extent feasible; enhance their choices and their control over their lives
  • Used towards the development of social policy and political change
  • Should not employed to deny established rights
  • Should not assume more homogenity; classified are considered as individuals
• Body function are the physiological functions of body systems (including psychological functions).
• 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.
• Participation is involvement in a life situation.
• Activity limitations are difficulties an individual may have in executing activities.
• Participation restriction 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.
• ICF has two parts, each with two components
• Each component can be expressed in both positive and negative terms
• Each component consists of various domains and categories, which are the units of classification
• Health and health-related states of an individual may be recorded by selecting the appropriate category code or codes and then adding qualifiers
• Functioning and Disability Contextual Factors Components include Body Functions and Structures, Activities and Participation, Environmental Factors, and Personal Factors
• Performance qualifier describes what an individual does in his or her current environment
• Capacity qualifier describes an individual’s ability to execute a task or an action
• Contextual Factors represent the complete background of an individual’s life and living
• Barriers qualifier restricts the individual’s performance and hinders performance
• Facilitators qualifier increases performance and improves performance
• Personal Factors comprise features of the individual that are not part of a health condition or health states
• An individual's functioning in a specific domain is an interaction or complex relationship between the health condition and contextual factors
• Medical model views disability as a problem of the person, directly caused by disease or trauma, which requires medical care provided in the form of individual treatment by professionals
• Social model sees the issue mainly as a socially created problem and requires social action for full integration of individuals into society
• Moderate problem with power of muscles in one side of the body falls under the Body Function category of Neuromuscular & movement-related functions with a code of b7302.2
• Medical model

  • views disability as a problem of the person, directly caused by disease, trauma or other health condition, which requires medical care providedin the form of individual treatment by professionals.adjustment and behavior change.
  • Management of the disability is aimed at cure or the individual’s
• Social model

  • sees the issue mainly as a socially created problem, and basically as a matter of the full integration of individuals into society.
  • management of the problem requires social action, and it is the collective responsibility of society at large to make the environmental modifications necessary for the full participation of people withdisabilities in all areas of social life.
• Generic qualifier

  0 - No problem

  1 - Mild problem

  2 - Moderate problem

  3 - Severe problem

  4 - Complete problem

  8 - Not specified

  9 - Not applicable
• Individual - in the immediate environment of the individual, including setting such as home, workplace and school
• Societal - formal and informal social structures, services and overarching approaches or systems in the community or society that have an impact on individuals
• Domains of Body Function

  • b1 - Mental functions
  • b2 - Sensory functions and pain
  • b3 - Voice and speech functions
  • b4 - Cardio, hema, immuno and respi systems
  • b5 - Digestive, metabolic and endocrine systems
  • b6 - Genitourinary and reproductive functions
  • b7 - Neuromusculoskeletal and movement-related functions
  • b8 - Functions of the skin and related structures
• Domains of Body Structures

  • s1 - Nervous system
  • s2 - Eye, ear and related structures
  • s3 - Voice and speech
  • s4 - Cardio, immuno and respi systems
  • s5 - Digestive, metabolic and endocrine systems
  • s6 - Genitourinary and reproductive systems
  • s7 - Related to movement
  • s8 - Skin and related structures