ICFDH Flashcards
What does ICFDH mean?
International Classification of Functioning, Disability, and Health
Who created the ICFDH?
World Health Organization
What is the ICFDH for?
- It is the conceptual framework and basis of defining, measuring, and policy-formulating health and disability.
- It provides language that OTs can use to explain its services to a broad audience
The ICFDH is used to define and describe changes in:
- Body function and structure
- Person’s capabilities with a health condition in a standard environment
- What person actually does in usual environment
This model is thebasis of the ICFDH
Biopsychosocial Model of Disability, which integrates these 2 other models:
- Medical Model of Disability
- Social Model of Disability
This model views disability as a feature of the person, directly caused by disease, trauma or other health condition, which requires medical care provided in the form of individual treatment by professionals.
Medical Model of Disability
This model views disability as a socially created problem and not at all an attribute of an individual
Social Model of Disability
In the model, Activity is the central point. Activity affects, and is affected by:
- Health Condition (presence of disorder/disease)
- Body Function & Structure
- Participation
In the model, Activity does not affect, but is affected by
Contextual Factors
With the exclusion of Activity, these two factors also affect and are affected by each other
Body Function & Structure and Participation
Impairments, activity limitations, participation restrictions aka
Disability
3 Levels of viewing ICFDH:
- Person level
- Whole Person level
- Actual Participation level
Context isn’t considered a level, but it is still viewed in ICFDH
At this level, people may have:
- Body functions
- Body structures
- Impairments
Person Level
At this level, people may have:
- Activity
- Activity limitations
Whole Person Level
At this level, people may have:
- Participation
- Participation restrictions
Actual Participation Level
This includes environmental and personal factors
Context
These record the presence and severity of a problem in functioning at the body, person, and societal levels.
Qualifiers
For the classifications of body function and structure, the primary qualifier indicates:
- Presence of impairment
- Degree of impairment on a 5-point scale
For the classifications of activity and participation, the primary qualifier indicates:
Performance Qualifier
- Describes what an individual does in their current environment
- Involvement in life situation
For the classifications of activity and participation, the secondary qualifier indicates:
Capacity Qualifier
- Describes an individual’s ability to execute a task or an action
- Shows highest probable level of a person’s functioning in a given domain at a given moment
Interventions and Preventions of Health Condition
Interventions
- Medical treatment
- Medication
Prevention
- Health promotion
- Nutrition
- Immunization
Interventions and Preventions of Impairment
Interventions
- Medical treatment
- Medication
- Surgery
Prevention
- Prevention of further limitations
Interventions and Preventions of Activity limitation
Intervention
- Assistive devices
- Personal assistance
- Rehabilitation therapy
Prevention
- Preventive rehabilitation
- Prevention of participation restrictions
Interventions and Preventions of Participation restriction
Intervention
- Accommodations
- Public education
- Anti-discrimination law
- Universal design
Prevention
- Environmental change
- Employment strategies
- Accessible services
- Universal design
- Lobbying for change