CH 8: Conceptual framework Flashcards
Who needs to consider the purposes of obtaining the measurement in deciding which measure of function to use?
Clinician
-Will the measure be used to determine the destination at discharge, to obtain reimbursement, to meet regulatory requirements, or some combo of reasons?
What is the ultimate objective of any rehabilitation program?
-Return the individual to a lifestyle that is as close to their previous level of function as possible, or, alternatively, to maximize the current potential for function and maintain it
What are the steps the therapist takes when evaluating a patient?
- Describing the problem in functional terms obtained by history
- Performing a review of body systems
- Detailed examination using selected tests and measures
- Evaluating data
- Establishing diagnosis and prognosis
- Implementing interventions to reduce or eliminate problem
- Documenting progress towards desired functional outcome
What encompasses all tasks, activities, and roles that identify a person as an independent adult or as a child progressing toward adult independence?
Function
What does every individual value?
Ability to live independently
What types of activities require the integration of both cognitive and affective abilities with motor skills?
Function
What is patient-referenced concept and is dependent on what the individual self-identifies as essential to support physical and psychological well-being, as well as create a personal sense of meaningful living?
Functional activity
What evolutionary advancements help permit independence in the personal environment?
- Bipedal locomotion
- Complex hand activities
What are examples of functional activities in a social context?
- Work
- Recreational activities
Etiology, pathology, and clinical manifestations are examples of?
Disease
What refers to the personal behaviors that emerge when the reality of having a disease is internalized and experienced by an individual?
Illness
What refers to being limited in their usual activities due to one or more CHRONIC conditions?
Disability
What often plays a key role in determining the success or failure of rehabilitation efforts well beyond the nature of the medical condition that prompted a patient’s referral to physical therapy?
Factors related to illness
Why is a broad conceptual framework necessary?
To fully understand the concept of health and its relationship to function and disability
Well-being, health related quality of life, and functional status often describe what term?
Health status
What term did WHO define as a state of complete physical, mental, and social well-being, and not merely the absence of diseases and infirmity?
Health
What is a classification of diseases, disorders, and other health conditions?
ICD-10 (international classification of diseases)
What attempts to provide a meaningful description of the components of health and its relationship to a person with the health condition?
ICF (international classification of functioning, disability, and health)
What was developed in order to describe the components of health and provide a unified and standard language and framework for the description of health and health-related states?
ICF (international classification of functioning, disability, and health)
In the ICF, what is an umbrella term encompassing all body functions and structures, activities, and participation?
Function
In the ICF, what is the term that encompasses impairments in body functions and structures, activity limitations, and participation restrictions?
Disability
What is represented in the ICF to provide for the description of a continuum of the components of health from positive aspects to items an individual is not able to perform or perform in a limited manner or with assistance?
Function and disability
In the ICF, what is defined as the physiological functions of body systems?
Body functions
In the ICF, what is defined as parts of the body such as organs, limbs, and their components?
Body structures
In the ICF, what is the term used to refer to problems in body function or structure?
Impairment
In the ICF, what is defined as the execution of a task or action by an individual?
Activity
In the ICF, what is defined as involvement of a life situation?
Participation
What is classified as body functions by ICF framework?
- Mental functions
- Sensory functions and pain
- Voice and speech functions
- Functions of cardiovascular system
- Functions of hematologic system
- Functions of immunological system
- Functions of respiratory system
- Functions of digestive system
- Functions of metabolic system
- Functions of endocrine system
- Genitourinary and reproductive functions
- Neuromusculoskeletal and movement related function
- Functions of skin and related functions
What is classified as body structures by ICF framework?
- Structures of nervous system
- Eye, ear, and related structures
- Structures involved in voice and speech
- Structure of cardiovascular system
- Structure of immunological system
- Structure of respiratory systems
- Structures related to digestive system
- Structures related to metabolic system
- Structures related to endocrine system
- Structures related to genitourinary system
- Structures related to reproductive system
- Structures related to movement
- Skin and related structures
What is included in the ICF model to represent the complete background of an individual’s life?
Contextual factors
What factors may interact as facilitators or barriers to the health condition and to the components of function?
Contextual factors
What are the two components of contextual factors?
Environmental and personal factors
What is considered external to the individual and can have positive or negative influences on performance?
Environmental factors (contextual factor)
What is considered features of the individual such as age, gender, and race that are not apart of a health condition or state?
Personal factors (contextual factors)
What emphasizes the interaction between the person and the environment as critical to understanding functioning and disability?
ICF
What provides a classification scheme for coding which may be particularly intriguing in its delineation of actions, tasks, and activities in an implicit hierarchy of functions?
ICF
Rolling, bending, sitting, standing, lifting, and reaching are examples of?
Actions
Bathing, dressing, and grooming are examples of?
Tasks and activities
What are actions constituents of?
Tasks and activities
What are particularly relevant to physical therapy practice, as they capture the complex integration of systems that permits an individual to maintain a posture, transition to other postures, or sustain safe and efficient movement?
Tests and measures of actions
What may incorporate qualifies that describe the performance of the activity, capacity to perform activities, and how the task is performed differently with or without assistance?
Coding of activities and participation
What may be restored without complete resolution of impairments?
Activity
Which are examples of first level classification of environmental factors of products and technology?
- Medications
- Clothes
- Prosthetics
- Walking devices
- Scooters
- Hearing aids
- Ramps
- Assets
What are examples of first level classification of environmental factors of natural environment and human-made changes to environment?
- Geography
- Climate
- Light
- Air quality
What are examples of first level classification of environmental factors of support and relationships?
- Immediate family
- Extended family
- Friends
- Persons in position of authority
- Personal assistants
- Domesticated animals
- Health professionals
What are examples of first level classification of environmental factors of attitudes?
- Societal attitudes
- Attitudes of immediate family members
- Attitudes of health professionals
What are examples of first level classification of environmental factors of services, systems, and policies?
- Housing
- Transportation
- Legal
- Associations
- Health
- Education
- Political
What is included in the first level of classification of activities and participation?
- Learning and applying knowledge
- General tasks and demands
- Communication
- Mobility
- Self care
- Domestic life
- Interpersonal interactions and relationships
- Major life areas
- Community, social, and civic life
What is included in the second level of classification of activities and participation (mobility)?
- Changing basic body position
- Maintaining a body position
- Transferring oneself
- Changing and maintaining body position
- Lifting and carrying objects
- Moving objects with LE
- Fine hand use
- Hand and arm use
- Carrying, moving, handling objects
- Walking
- Moving around
- Moving around in different locations
- Moving around using equipment
- Walking and moving
- Using transportation
- Driving
- Riding animals for transportation
- Moving around using transportation
- Mobility (specified, unspecified)
What is included in the third level of classification of activities and participation (mobility for changing basic body position)?
- Lying down
- Squatting
- Kneeling
- Sitting
- Standing
- Bending
- Shifting COG
- Changing basic body position (specified, unspecified)
