Assessment Flashcards
What are the 6 criteria that make up the ICF assessment?
- Health condition (disease/disorder)
- Body structure and function
- Activity
- Participation
- Environmental Factors
- Personal Factors
Define ICF’s impairment of body structure and function.
Deviation/lots of structures and/or functions
Deviation/loss (e.g. deformity)
Structures (e.g. joints)
Functions (reduce ROM, muscle weakness, pain)
Define ICF’s ACTIVITY restriction?
What level does it represent?
Give examples.
Difficulties performing tasks or actions
Perspective of functioning at the level of the PERSON.
e.g. Climbing stairs, rolling, sitting up, sit to stand.
Define ICF’s PARTICIPATION restriction?
What level of functioning does it represent?
Give examples.
Problems executing involvement in life situations, assessed against a generally accepted population norm.
Level of society.
Community life, recreation, leisure, walking (if needed to participate in a life situation).
What are ICF’s environmental factors?
Physical, social, attitudinal environment in which people conduct their lives.
e.g. physical world and it’s features, different roles and relationships, attitudes
What are PERSONAL factors in the ICF?
Aspects of a person’s life not related to their health condition.
e.g. age, gender, social status, life experience
What are the 13 main categories of a subjective assessment?
- Informed consent
- PC
- HPC
- PMH
- DH
- SH
- Mobility
- Falls
- Environment
- Psychosocial
- Record findings
- Review & record over impression
- Plan objective
Why 4 ICF criteria can you assess in a subjective?
Participation
Environment
Activity
Personal Factors
What is the point of a subjective assessment (4)?
- Identify main problems perceived by the patient
- Assist setting short/long term functional goals
- Develop relevant management plan
- Build rapport
What 5 things can you do to prepare for a subjective?
- Identify the main categories
- Where will I get the information from?
- What might I expect from the referral/diagnosis?
- What might be difficult assessing this patient group?
- How will I overcome these problems?
What 2 things can you assess to determine HOW a patient moves?
- Functional Activities
2. Gait
What 15 things can you assess to determine WHY a patient moves?
Postural Alignment Trunk stability Muscle Tone Myotomes Dermatomes Reflexes Sensation Strength / weakness Vision Coordination AROM/PROM Pain Balance Cognition & perception Falls
What 5 things should you do at the end of your objective assessment?
- Outcome Measures
- Record findings
- Limitations
- Impression
- Problem list & plan
What is a ‘problem’ in the ICF framework?
Anything that causes a concern to a patient and includes factors associated with all levels of ICF.
Patients will consider their problems in a personal, environmental and social context and may he very different to a professional view point.
Why 4 ICF criteria can you assess in a subjective?
Participation
Environment
Activity
Personal Factors