Chapter 1 Flashcards
(25 cards)
health
state of complete mental, physical and social well-being
function
the ability to fulfill purpose
disablement
sociomedical concept describing disability (medical vs. social construct)
risk factor
personal or environmental factor that diminishes health
Medical model
emphasis on person, impairments, cause of health condition; develop strategies to improve individual’s abilities
Social model
loss of function related to health condition is an attribute of the environment and managed by policy change
ICF
classification system published by the WHO to provide a scientific basis for understanding and studying functional states associated with health conditions with a focus on emphasizing health and de-emphasizing the concept of disability
ICF functional qualifiers
body structure and function; activities and participation
ICF contextual qualifiers
personal and environment
body structure - ICF coding
extent, nature and location; extent of impairment, nature of change (absent, full or partial, aberrant, deviating position), location (right, left, both sides, front)
Body function - ICF coding
referred to as an impairment and qualified by extent; no impairment, mild, moderate, severe, complete
Participation - ICF coding
emphasizes the societal dimension includes things like geography and environment; restrictions = what the participant can or cannot do in performance
Activity - ICF coding
emphasizes the individual perspective - eating, dressing, work, etc.; no difficulty, mild difficulty, moderate difficulty; refers to capacity
if capacity exceeds performance, then examine for ______
barriers (factor which limits the individual’s access to factors that support health)
if performance exceeds capacity, then examine for ______
facilitators (factor that supports healthy participation)
ICF-CY
developmental continuum
ICD-10 codes
tool for classification of diseases, disorders, and other health conditions
household ambulator
- more likely to be d/c to SNF
- high fall to risk
- more likely to dependent in ADLs
community ambulator ++
- likely to be d/c to home
- independent in ADLs and IADLs
top down assessment
one that initiates the assessment process by asking what the outcome should be in terms of participation; how does a client function and participate (FIMS)
what should rehab outcomes focus on?
activity and participation outcomes
USER-Participation Restriction Scale
best responsiveness to participation
age normative influences
chronological development; developmental milestones
history normative influences
development that affects a generational group in time
