L2 - ICF & Patient-centered care Flashcards
What were the 4 divisions of rehab professionals during WW1?
(+responsibilities)
- Masseuses & masseurs
- light, heat, hydrotherapy, electrical treatments - Muscle function in trainers
- mm test, active, resisted - Occupational therapists
-basketry, carpentry - Sergeants
- led gym classes
When was the Canadian Association of Massage & Remedial Gymnastics founded? What is it called now?
- Now the CPA
In 1929, the first diploma program for PT for women at _______.
University of Toronto
WW2 & _______ increased the need for physiotherapists
poliomyelitis
In 1943, the second diploma in PT at ________.
McGill
Original PT & OT programs were combined. These were called _______.
POTS
When was the first BSc program at McGill (OT & PT separate, first men admitted at UofT?
1954
When was the initiation for first graduate program MSc at McGill for PT?
1972
When was the first intake for a PhD program at McGill
1988
In ______ the CPA Clinical Specialty program began
2011
In ______, were the first graduates from Physiotherapy at Mohawk College. In ______ were the first graduates from MSc(PT) at McMaster.
1974, 1992
In ______, all PT programs in Canada were required to become masters-entry degrees
2010
What was the general & educational evolution of Physiotherapy in Canada?
Hint: ____ –> ____
Technician –> professional
(following doctors’ orders –> making autonomous decisions)
Diploma –> Bachelors –> entry-level Master’s
What is the difference between the Medical & Social Model of disability?
Medical Model:
- disability due to condition/ impairment (ex. broken leg, schizophrenia)
- fix the person/ condition
Social Model:
- disability due to the society & environment
- remove barriers in society
What does ICF stand for?
International Classification of Functioning, Disability & Health
Provide a brief overview of the ICF model
- Universal framework from the World Health Organization (WHO)
- First version: 1980s
- Helps define disability at an individual & population level
- Recognize that a diagnoses alone doesn’t define level of disability
- More comprehensive & holistic view of health & functioning
Key Terms such as:
- Health: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”
- Functioning: “all body functions, activities and participation”
- Disability: “umbrella term for impairments, activity limitations and participation restrictions”
Are part of what framework?
ICF framework
What are the 4 principles underlying the ICF?
- Universality – for everyone
- Parity – no separation between mental & physical disability
- Neutrality - neutral language (includes good & bad)
- Environmental Factors – included for social model of disability
What are the domains of the ICF framework? Provide examples.
- Health Condition: Disorder or disease
- Body Functions & Structures: Cognitive function, physical function, etc.
- Activities: Dressing, bathing, etc.
- Participation: Going to the mall, role as a friend, etc.
- Environmental Factors: Laws, work, physical space, etc.
- Personal Factors: Age, race, religion etc.
All category points for ICF domains can be considered “problems” for a management plan (SMART goals).
True or False?
False.
Eg. personal factors (age, gender), & some environmental (like having a partner/ support system) are not considered problems.
What are the 4 general steps needed to create an effective management plan for a patient?
- Identify WHAT you would like to achieve, based on your assessment, theory, and evidence.
- promote health? restore function? maintain function? prevent further deterioration? - Identify HOW you want to achieve your goals. Use the evidence to guide you!
- Prevention? restore function? compensation/ adaptation? - Implement treatment
- Re-evaluate: measure effectiveness, modify plan, or d/c
(did we achieve it? how effective was the plan? what worked/ didn’t work?)
How do you define disability?
- impairment that alter’s person’s ability to participate in environment
- barriers imposed on someone based on environment that impacts their ability to do things
-visible vs invisible - not synonymous to disease
- it’s the absence of health
Why is the ICF important to use?
- provides context of different levels of variables & barriers that can impact a patient
- standardized model for different care providers to reference when discussing client goals/ challenges, etc.
- Helps HCP to determine environmental factors to keep in mind
What is missing from the ICF framework?
- misses a piece of social stigma that comes along with disability
- doesn’t include piece for psychological barriers (not environment or personal factors necessarily)
ex. fear of doing exercises - difficult to combine person with multiple conditions/ disabilities, becomes very complex to account for everything
- puts people into categories
- no space for patients goals/ priorities
