Udemko_KDC_OlafKrausCamargo

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Panel: The International Classification of Functioning, Disability and Health (ICF-CY) Establishing Common Language

1Wednesday, 1 February, 12

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Panel: The International Classification of Functioning, Disability and Health (ICF-CY) Establishing Common Language

Outline: Introduction to the ICF - Why is it called a common language?

(Olaf Kraus de Camargo)

The ICF in Early-Aid in Germany: Why do we need a common language in Early Aid and how can the ICF help with that? (Armin Sohns)

Using the ICF for Intervention Planning and Documentation in Transdisciplinary Teams (Manfred Pretis)

The Guide for Monitoring Child Development - an ICF-based tool to assess needs of children with chronic health conditions and disabilities (Ilgi Ertem)


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Disability: Why does it matter? People with disabilities and chronic health conditions are

the largest minority on earth (1 billion people) (WHO and The World Bank (2011). World Report on Disability)

Chronic health conditions affect around 25% of the paediatric patients (http://childhealthdata.org/)

Care for children with disabilities is complex and demanding (Burke, R. T. and B. Alverson (2010). Pediatrics 126(4): 789-790).

Psychosocial factors are of major importance for the wellbeing of children and families (Lach, L. et al. (2009). Disability and rehabilitation 31(9): 741-752.

too much care that is important is often not delivered, and too much care that is delivered is often not important (Institute of Medicine, 2011)


ICF-CYBody Functions

Organ SystemsBody Structures

Organ SystemsActivities and Participation

Learning and Applying KnowledgeGeneral Tasks and DemandsCommunicationMobilitySelf-CareDomestic LifeInterpersonal Interactions and RelationshipsMajor Life AreasCommunity, Social and Civic Life

Environmental FactorsProducts and TechnologyNatural Environment and Human-made Changes to EnvironmentSupport and RelationshipsAttitudesServices, Systems and Policies

1671 items


A person is functioning well, if with regard to the context in which she is living (Concept of Environmental Factors)

Her Body Functions (including the mental functions) and her Body Structures correspond to general accepted norms(Concept of Body Functions and Body Structures),

She is able to perform the type of activities in the same way as a person without a health problem(Concept of Activities),

She is able to develop her existence in all domains that are important to her in the same way and the same extent as it would be expected to be by a person without impairments of body functions or structures or restrictions in activities. (Concept of participation)

Functioning

Bio

Psycho

Social


Contextual factors (Environmental factors, personal factors) influence functioning:

Positively (Facilitators)

Therefore it is always necessary to take into consideration the contextual factors when evaluating functioning.

Negatively (Barriers)

Functioning and Contextual Factors


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Perspectives on the ICF


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Change of the Definition of Disability

"He-Who-Must-Not-Be-Named" In the ICF-language The Disability is an

experience All people can find themselves in disabling life

situations (Disability as a relative term) Disability can be prevented (in relative terms) The relations between Disability and Functioning

are complex


b140-b189 SPECIFIC MENTAL FUNCTIONS b147 Psychomotor functions

b1472 Organization of psychomotor functions b1473 Manual dominance b1474 Lateral dominance

b163 Basic cognitive functionsb167 Mental functions of language

b1670 Reception of languageb16703 Reception of gestural language

b1671 Expression of language b16703 Expression of gestural language

Body Functions


d880 ENGAGEMENT IN PLAYd8800 Solitary play d8801 Onlooker play d8802 Parallel play d8803 Shared cooperative play

d9 COMMUNITY, SOCIAL AND CIVIC LIFEd910 Community life

d9103 Informal community life

Activities and Participation


e1 PRODUCTS AND TECHNOLOGY e110 Products or substances for personal consumption

e1152 Products and technology used for playe11520 General products and technology for playe11521 Adapted products and technology for play

e150 Design, construction and building products and technology of buildings for public usee1503 Design, construction and building products and technology for physical safety of

persons in buildings for public use e155 Design, construction and building products and technology of buildings for private use

e1553 Design, construction and building products and technology for physical safety of persons in buildings for private use

e5 SERVICES, SYSTEMS AND POLICIES e570 Social security services, systems and policies

e5750 General social support servicese57500 Informal care of child or adult by family and friends e57501 Family day care provided in home of service provider e57502 Child or adult care service centre - profit and non-profit

Environmental factors


Common Language

Professionals can communicate across disciplines

Patients can identify common needs across diagnoses - speak with one voice!

Service providers can identify populations for programs and services across diagnoses

Public Health services can identify priorities based on needs

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Acute Care

The ICF and Developmental PaediatricsCultures of Care

Developmental Care/Early Intervention


Acute Care

Strategycurative,cause oriented

optimizing,bio-psycho-social




Acute Care



Patients/Parentspassive,enduring, patient

active, responsible




Acute Care



Patients/Parentspassive,enduring, patient

active, responsible

Physiciangiving orders,in charge

counsellingaccompanyingmember of a team




Acute Care Developmental Care

The ICF and Developmental PaediatricsCulture of Care

Integrated Care

School

Home Family

Work

Finances

Values

Attitudes

Friends

LeisureServices Systems

Policies

NatureSociety


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teekkr ederim!, saol!


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