ICF

Question 1

Story about def Health

Answer 1

Everybody has a clear ideau about health

• Healthy/Unhealthy

Definition?

• Many scientist - many disciplies tried to defin e
  
  • Biology, psychology, sociology, history, philosphy

First defintion Grees - Hippocrates

• Balancing bodily fluids

Question 2

WHO Health definition

Answer 2

1948 most known:

Health is a…

• state
• of physical,mental and social
• wel being
• and not merely the absence of disease or infirmity,

Question 3

Problems WHO definition?

State

Answer 3

State: Physical, mental, social = few people will ever be healthy

Social problems= like losing a job? = unhealthy?

There are more features:

Income, personal relationships, poverty

Question 4

Why is the definition for heealth important?

• > scientific purpose

Answer 4

Measuring

How healthy is a person? How healthy is a population?

To show if medical treatment is improving health?

Question 5

Scientific definition of health

At the risk of oversimplification there are two definitions if health:

Answer 5

• Descriptive Defintion
• Normative Defintion

Question 6

Descriptive Approach from ???

Answer 6

Christopher Boorse 1970s

• Biologically normal functioning for the species
  
  • Normal heart rate between 50 - 190 beats
  • 45 / 200 is unhealthy
• • Problem= What is a normal function??
    
    • Variation in functions (population,age)

Question 7

Normative Approach from whom ??

Answer 7

Lennart Nordenfelt

• Chellenged Boorse theory = he leaves out an importan point?
  
  • Why health matterst to us
• Health is important to us because:
  
  • Capacity = to do things we want to do
  • to life a full life
• Holistic, physical and mental state

Problem:

What makes health valuable?

• Individual? Universal? Objective?
  
  • Individual = Can not be compared with other Person = nicht messbar

Question 9

3 other normative approches

Answer 9

Capacity of the body to avoid & fight illness:

• Good immune system = can avoid that we getting sick
• Intact hematological system - stop bleeding

Normal range body functions may be an advantage in one environment but a disadvantage

• Sickle cell anemia increases survival in an environment where Malaria is / otherwise is a debilitating disease

M.Huber proposed: Some people adapt to environmental changes and self-manage their health

Question 10

What means operationalization health?

Answer 10

Operationalize a complex notion (health), identify basic feature of the notion and transform them into variables which are measurable

-> ICF

Question 11

Classifications

(Structures of the ICF - Deutsch)

Answer 11

Question 12

Classifications

(Structures of the ICF - Englisch )

Answer 12

Question 13

WHy do we need to measure health?

Answer 13

• Determining the level of health pf person
• Comparing the health of a person over time
• Comparing the health of more than one person
• Determining whether a health treatment improves health
• Comparing the health one population with another

Question 14

Challenge of measuring?

Answer 14

Waht are your measuring?

How?

How do you caompare things

How do you measure the overall state of health?

—> Daher ICF

Question 15

ICF aims …

Answer 15

• establish a common language
• provide a stematic coding scheme
• provide a scientific basis for understanding health
• enable data comparison
• stimulate the development of services