ICF Framework Flashcards
Why is there a need for ICF framework?
Diagnosis alone is not enough to understand the health status and needs of the patient. ICF framework reflects the interaction between the health condition, environmental and personal factors. Even with the same diagnosis, treatment approach can be very different for different patients.
List the components of the ICF framework.
Impairments in body structure and function, Activity limitation, Participation restrictions, Personal factors, Environmental factors.
Why do we use ICF framework in the clinical setting?
- provides a common language to improve communication between healthcare professionals.
- used to monitor the impact/outcome of health interventions.
- improves data comparability across the world using international standard for recording.
- provide systemic coding scheme for each health condition/ disability.
How is goal setting beneficial for patients?
- enhanced motivation and autonomy
- improved satisfaction with recovery
- Regain valued activities
How is goal setting beneficial for clinicians?
- promote patient-centre care
- promote adherence
- improve outcome
- promote team work and collaboration
- able to evaluate the progress and outcome
Describe some of the strategies used in goal setting.
- patient education to increase the awareness of goal setting process
- breaking down goals into smaller goals.
- linking therapy to goals
- facilitating self-monitoring and self-management
- enabling experiential learning
- flexibility in goal setting
Describe the process of goal setting.
- Goal negotiation (discuss problems & potential goals)
- Goal setting
- Goal planning (what, when, how)
- Appraisal and feedback (evaluate performance and progress)
List some of the factors that can influence behaviour.
- self-efficacy
- outcome expectations
- goal attributes
- evaluation & progress
What is SMART?
Specificity (consider activity and participation limitations, social and environmental context)
Measurable (consider quantity and frequency)
Achievable (realistic and reachable)
Relevant (reflect needs and interest of patient)
Time
Tools used for goal setting
- Goals Attainment Scaling (GAS)
- Canadian Occupation Performance Measure (COPM)
- SMART (informal)
What is the purpose of predicting functional outcomes for post-stroke patients?
- inform patient on prognosis
- make decision on therapy goals, discharge planning, and use of resources
- identify patients for clinical trials and group them in prognosically comparable groups.
What can be used to predict patient’s outcome?
- clinical experience (e.g. common factors seen in patients)
- research evidence (prediction modelling studies and prognostic studies)
What are some of the key predictors for arm and leg recovert after stroke (based on prediction modelling studies)?
Arm: - arm motor function (using FMA-UE) - arm activity (e.g. pour water from glass, place hand on top of head) - age - severity of stroke (NIHSS) - movement of finger extension, shoulder abduction Leg: - leg motor function (using FMA-LE) - Age - severity of stroke (NIHSS) - sitting ability (trunk control test) - muscle strength (motricity index)
What are the effective predictors used to predict walking ability at 6 months?
- patients with indepedent sitting balance (TCT 30s)
- strength of hemiparetic leg (Motricity index - visible contraction)
What are the effective predictors used to predict arm function at 6 months post-stroke?
- exhibit some voluntary extension at the fingers and abduction of hemiparetic shoulder on day 2.
