Documentation + ICF Model

Question 1

ICF model stands for

Answer 1

international classification of function, dsiability, + health

Question 2

what is the ICF model

Answer 2

a holisitic framework for understanding + describing a person’s functioning + disability, rather than focusing on ONLY the diagnosis

Question 3

ICF model

Answer 3

health condition ->
body structure/function, activities, participation ->
environmental factors, personal factors

(see model drawing)

Question 4

ICF model- body structure/function

Answer 4

think of physiological (function) AND anatomical (structure)

Question 5

ICF model- activities

Answer 5

LIMITATIONS of everyday life
-ex: talking, self-care, mobility

Question 6

ICF model- participation

Answer 6

SPECIFIC to patient
-ex: cooking, relationships, leisure

Question 7

ICF model- environmental factors

Answer 7

EXTERNAL
-attitudes, support, accessibility

Question 8

ICF model- personal factors

Answer 8

unique to individual
-age, gender, race, lifestyle, etc.

Question 9

ICF- example of health condition

Answer 9

torn ACL

Question 10

ICF- example of body structure/function

Answer 10

BODY FUNCTION-
-mental functions; sensory + pain perception + interpretation; ability to produce voice + intelligent speech, use language
-neuro-musculoskeletal functions; pain, sensory, weakness, muscle endurance, limited ROM, muscle length, balance, timing of muscles/activation, posture
-functions of the skin + related structures; protects internal structures, stretches easily across internal structures (mobile)
-functions of cardiovascular, respiratory, hematological, immunological, digestive, metabolic, endocrine, genitourinary, + reproductive systems; aerobic capacity, circulation, cardiopulmonary endurance

BODY STRUCTURES-
-structures of nervous system
-eye, ear, related structures; structures of voice/speech
-structures of cardiovascular, respiratory, immunological, digestive, metabolic, endocrine, genitourinary, reproductive systems
-structures related to movement; muscle, tendon; skin-related structures

Question 11

ICF- example of activities (limitations)

Answer 11

ACTIVITIES ARE TASKS THAT EVERYONE DOES
-self care- hygiene teeth + skin, groom, toilet, dress (some things can be identified as participation)
-talk, communicate
-bed mobility- roll, get in/out of bed, sit, stand, walk, move around (crawl, squat, lean, push, pull, bend, stoop, turn, twist)
-reach, grasp, lift, lower, carry, throw, catch
-walk, ascend/descend steps, curbs, kick, swing, hop, jump

Question 12

ICF- which is a negative/positive term for environmental factors
-facilitators (fixed or modifiable)
-barriers (fixed or modifiable)

Answer 12

-facilitators (fixed or modifiable) = positive
-barriers (fixed or modifiable) = negative

Question 12

ICF- example of participation (restrictions)

Answer 12

PARTICIPATION IS USUALLY SPECIFIC TO INDIVIDUAL + THEIR ROLE IN LIFE
-domestic life- manage home indoor (cook, clean, laundry) + outdoor (lawn care, shovel snow)
-mobility in the community (walk outside, stores, crosswalks, run, hop, drive)
-interpersonal interactions + relationships + occupational tasks (compare construction worker to daycare worker)
-school-related tasks
-recreational + leisure activities
-caring for dependents (children, ill, elderly)
-community responsibilities + service
-self-care
-communication

Question 13

ICF- examples of environmental factors

Answer 13

EXTERNAL TO PATIENT
-products/technology
-natural environment, human made changes to environment, accessibility
-attitudes (ex: toward injury, evternal factors that are effected)
-support + relationships
-services, systems, + policies

Question 14

ICF- examples of personal factors

Answer 14

INTERNAL TO PATIENT, UNIQUE TO THE INDIVIDUAL
-age
-gender
-race
-individual psychological assets
-lifestyle
-upbringing
-education
-food preferences
-fitness
-habits
-coping styles
-social background

Question 15

EXAMPLE OF ICF MODEL
(flip card)

Answer 15

-health condition- biceps tendinopathy
-body structure/function- decreased strength, pain
-activities- can’t throw
-participation- can’t play baseball
-environmental factors- practice schedule, school
-personal factors- motivated, previous health was very good

Question 16

ICF components can be expressed in both positive + negative terms

Answer 16

be aware of the langauge we present

Question 17

ICF- which is a negative/positive term for health condition
-function
-disability

Answer 17

-function = positive
-disability = negative

Question 18

ICF- which is a negative/positive term for body functions + structures
-impariment
-functional + structural integrity

Answer 18

-impairment = negative
-functional + structural integrity = positive

Question 19

ICF- which is a negative/positive term for activities
-activities participation
-activity limitation, participation restriction

Answer 19

-activities participation = positive
-activity limitation, participation restriction = negative

Question 20

nonverbal communication is ____% of communication

Answer 20

80%

Question 21

teach-back method

Question 22

informed consent

Question 23

SOAP

Answer 23

S- subjective
O- objective
A- assessment
P- plane

Question 24

SOAP- subjective

Answer 24

patient perception of problem -how they feel -self-reported -signs + symptoms (S/S)

Question 25

SOAP- objective

Answer 25

data measured during encounter -labs/tests/imaging

Question 26

SOAP- assessment

Answer 26

analysis of impairments, limitations, + restrictions based on "S" + "O"

Question 27

SOAP- plan

Answer 27

future interventions based on "A"

Question 28

what information is found in SUBJECTIVE of SOAP

Answer 28

-demographic info -chief complaint (patient perspective) -prior/current level of function -prior medical history/current medications -available resources (support, level of independence, etc.) -diagnostic testing -review body systems

Question 29

what information is found in OBBJECTIVE of SOAP

Answer 29

tests/measures -based on review of body systems -gait/transfers -balance -strength -ROM

Question 30

what information is found in ASSESSMENT of SOAP

Answer 30

diagnosis/prognosis -the WHY -link impairments to activity/participation limitation -prognosis (prediction of level of improvement in activities/participation)

Question 31

prognosis

Answer 31

prediction of level of improvement in activities/participation

Question 32

what information is found in PLAN of SOAP

Answer 32

-anticipated goals -expected outcomes -interventions

Question 33

SIRP

Answer 33

version of SOAP used for follow-up appointments

Question 34

SIRP

Answer 34

S- status I- intervention R- response P- plan