Environmental Factors (RJ) Flashcards
How does the ICF conceptualise Contextual Factors?
The ICF conceptualises functioning and disability as a dynamic interaction between a persons health and their contextual factors.
Contextual factors represent the complete background of s persons life.
The ICF therefore recognised the integral role that environmental and personal factors play in influencing the function of people with communication/swallowing disorders.
Why are Environmental and Personal factors important for SP to recognise?
Howe identifies 3 reasons:
- Therapy aims to improve clients communication in everyday contexts
- Communication is collaborative by nature
- SP have specialist knowledge about communication and communication disorders that can influence a persons functioning
Describe the levels and domains of the ICF Environmental Factors.
There are 2 levels.
- Individual- persons immediate environment eg home, school, work
- Societal - overarching systems such as services and formal and informal rules of which ICF describes 5 domains.
Domains
1. Products and Technology
Eg voice amplifiers, AAC aids, hearing aids, drugs, hydration tx
- Natural Environment
Eg. Sound, temperature, humidity, lighting - Support and Relationships
Eg immed family, health carers, health professionals, communication behaviours of other people, animals - Attitudes
Societal, individuals, awareness - Services, systems and policies
Support groups, driving instructors specially trained, workplace systems
NB factors are described in relation to the client
Barriers are coded from .0 = no barrier to .4 = a complete Barrier
Facilitators are coded from +0= no facilitator to +4=complete barrier
Describe what is encompassed in the ICF under Personal Factors.
Personal Factors are divided into 3 key groups:
1. Potentially changeable
Eg coping styles, personality traits, fitness, lifestyle
- More difficult to change
Gender - Unchangeable
Age, race, ethnicity
