Wheelchairs and seating

2019 ◽  
pp. 305-318
Author(s):  
Manoj Sivan ◽  
Margaret Phillips ◽  
Ian Baguley ◽  
Melissa Nott
Keyword(s):  
Health Condition ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Freedom Of Movement ◽  
Health Model ◽  
The Individual ◽  
And Function ◽  
Life Roles

Freedom of movement is an essential component of independence and mobility is closely associated with quality of life. People who have difficulty with independent walking often require a wheelchair to assist with mobility. The International Classification of Functioning, Disability and Health model can be used to guide the provision of wheelchairs and seating through consideration of the individual personal factors and preferences, environmental limitations, the person’s desired activities and participation in life roles, as well as the person’s health condition or impairments of body structure and function. This chapter describes the steps in prescribing a wheelchair, types of manual and powered wheelchairs, and specialized seating and positioning components.

Personal factors in rehabilitation

2019 ◽  
pp. 339-346
Author(s):  
Manoj Sivan ◽  
Margaret Phillips ◽  
Ian Baguley ◽  
Melissa Nott
Keyword(s):  
Lived Experience ◽  
Belief Systems ◽  
Health Condition ◽  
International Classification Of Functioning ◽  
Personality Factors ◽  
Health State ◽  
Personal Factors ◽  
Health Model ◽  
Patient’S Perception

A patient’s perception of their journey through rehabilitation is based on their personal aspirations and expectations as filtered through the value and belief systems within which they live. From these internal constructs, the uniqueness of an individual’s lived experience emerges and explains how two individuals with the same health condition or health state may respond to their situation very differently. This chapter covers contextual factors within the International Classification of Functioning, Disability and Health model, personality factors, attitudes, skills, and behaviour patterns in the context of how an individual will react to rehabilitation.

scholarly journals Concepts of functioning and health important to people with systemic sclerosis: a qualitative study in four European countries

2011 ◽  
Vol 70 (6) ◽  
pp. 1074-1079 ◽  
Author(s):  
Tanja A Stamm ◽  
Malin Mattsson ◽  
Carina Mihai ◽  
Juliane Stöcker ◽  
Alexa Binder ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Hand Function ◽  
Health Condition ◽  
European Countries ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Focus Group Interviews ◽  
Team Care ◽  
Group Interviews

ObjectiveTo describe the experiences of people with systemic sclerosis (SSc) in different European countries of functioning and health and to link these experiences to the WHO International Classification of Functioning, Disability and Health (ICF) to develop a common understanding from a bio-psycho-social perspective.MethodA qualitative multicentre study with focus-group interviews was performed in four European countries: Austria, Romania, Sweden and Switzerland. The qualitative data analysis followed a modified form of ‘meaning condensation’ and the concepts that emerged in the analysis were linked to the ICF.Results63 people with SSc participated in 13 focus groups. In total, 86 concepts were identified. 32 (37%) of these were linked to the ICF component body functions and structures, 21 (24%) to activities and participation, 26 (30%) to environmental factors, 6 (7%) to personal factors and 1 (1%) to the health condition itself. 19 concepts (22%) were identified in all four countries and included impaired hand function, household activities, paid work, drugs, climate and coldness, support from others and experiences with healthcare institutions, non-pharmacological treatment, social security and benefits.ConclusionConcepts identified in all four countries could be used for guiding clinical assessment, as well as interdisciplinary team care and rheumatological rehabilitation for patients with SSc. For a full understanding of the aspects of the disease that were most relevant to people with SSc, people with SSc from multiple countries needed to be involved.

Using the International Classification of Functioning to Conceptualize Quality of Life Among Rehabilitation Services Recipients

2014 ◽  
Vol 28 (1) ◽  
pp. 2-23 ◽  
Author(s):  
Allison R. Fleming ◽  
Michael J. Leahy
Keyword(s):  
Quality Of Life ◽  
Social Impact ◽  
Health Condition ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Her Family ◽  
Relational Support ◽  
The Impact

Researchers and policy makers have proposed that quality of life (QOL) is an important and useful way to measure the impact of services, although practical application of QOL in rehabilitation has been limited. In this study, a comprehensive framework (the International Classification of Functioning [ICF]) is used to compare the relationship between QOL and function in key life areas in a sample of adults with disabilities receiving vocational services (n = 224). Results of a multiple regression analysis indicated that level of education, duration of disability, difficulty with social relationships and inclusion, the impact of the disability or health condition on the person or his or her family, and relational support and attitudes of family, friends, and acquaintances showed significant relationships with QOL. This study highlights the role of the social impact of disability on QOL and provides support for the use of the ICF for conceptualizing disability and its impact in a way that is inclusive of personal and environmental factors.

Neighborly assistance: high expectations of multi-generation cohousing projects

2017 ◽  
Vol 21 (3) ◽  
pp. 133-139 ◽  
Author(s):  
Yvonne Wechuli
Keyword(s):  
Legal Status ◽  
International Classification Of Functioning ◽  
Legal Form ◽  
Content Type ◽  
High Expectations ◽  
Care Recipients ◽  
The Individual

Purpose Multi-generation cohousing projects are loaded with the expectations of inhabitants and planners, as well as political representatives. They are expected to foster a form of neighborly assistance, which is supposed to ultimately unburden social security. But evidence is scarce when it comes to central aspects like long-term development, the influence of context factors, the quality of community living, and the neighborly assistance actually provided. The paper aims to discuss these issues. Design/methodology/approach Hence, this explorative study sought to specify the support activities that neighbors in one cohousing project carried out. A survey was conducted in three survey intervals, with questionnaires structured according to the ”Activities” chapter of the International Classification of Functioning, Disability, and Health (WHO 2002). Findings Respondents reported receiving or providing assistance in all suggested areas of life, but some activities were more common than others. Respondents with long-term support requirements were not assisted by neighbors but by other caregivers. The results indicate that neighborliness depends on the individual activity radius since the scope of assistance varied along with socio-demographic characteristics. Respondents deemed reciprocity important to guarantee the voluntary nature of neighborly support and also to allow care recipients to specify how support should be given. Research limitations/implications The author therefore suggests considering multi-generation cohousing projects as a means to foster Quality of Life rather than to cut costs. Originality/value Findings from this study with a focus on multi-generation cohousing with the legal status of cooperatives and implications for spatial planning were previously published in: Kuhnke, Y. (2015), “Nachbarschaftliche Hilfen. Hohe Erwartungen an Mehrgenerationenwohnprojekte in der Rechtsform der Genossenschaften” (Neighborly Assistance. High Expectations of Multi-generation Cohousing Projects under the Legal Form of Registered Cooperatives), RaumPlanung, Vol. 179 No. 3, pp. 20-6.

Core Self-Evaluations as Personal Factors in the World Health Organization’s International Classification of Functioning, Disability and Health Model: An Application in Persons With Spinal Cord Injury

2017 ◽  
Vol 31 (2) ◽  
pp. 89-104 ◽  
Author(s):  
Rana Yaghmaian ◽  
Susan Miller Smedema ◽  
Kerry Thompson
Keyword(s):  
World Health ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Disability And Health ◽  
Cord Injury ◽  
Icf Model ◽  
Fit Index ◽  
Core Self

Purpose: To evaluate Chan, Gelman, Ditchman, Kim, and Chiu’s (2009) revised World Health Organization’s International Classification of Functioning, Disability and Health (ICF) model using core self-evaluations (CSE) to account for Personal Factors in persons with spinal cord injury (SCI).Method: One hundred eighty-seven adults with SCI were recruited to take an online survey including measurement scales representing each component of the revised ICF model: Functioning, Activities, Participation, Environmental Factors, Personal Factors, and Quality Of Life. Path analysis was used to evaluate the hypothesized relationships among the ICF components.Results: A respecified path model revealed a strong model-to-data fit, χ2(3, N = 187) = 6.84; p = .08; goodness-of-fit index (GFI) = .99; comparative fit index (CFI) = .99; and root mean square error of approximation (RMSEA) = .08. Taking into account all of the ICF components, CSE had the strongest direct effect on life satisfaction (β = .40, p < .01).Conclusion: This study supports CSE as a significant and direct predictor of life satisfaction in persons with SCI, indicating that CSE may be an important target for intervention in a biopsychosocial approach toward SCI rehabilitation. These findings provide a basis for future research to investigate the role of CSE in quality of life among people with varying health conditions.

Resilience, pain and quality of life in people with physical disabilities: A systematic review

2017 ◽  
Vol 41 (S1) ◽  
pp. S733-S733
Author(s):  
P. Aranguren
Keyword(s):  
Quality Of Life ◽  
Physical Disability ◽  
Physical Disabilities ◽  
Health Condition ◽  
Personal Factors ◽  
Pain Beliefs ◽  
Important Relationship ◽  
The Individual ◽  
People With Physical Disabilities

IntroductionMore than a thousand million people live with a certain type of disability over the world (more than a 15% of the population worldwide). In Spain, 2.5 millions of people suffer from a physical disability. Disability can be understood as an interaction of the individual's health condition (disease, illness…) and his/her environmental and personal factors. Resilience could be included as a powerful personal factor, which would play a major role in the individual's quality of life. Resilience can be defined as a universal basic capacity to prevent, minimize or overcome life's adversities, even reaching a change in the life of the individual.AimTo determine the association among resilience, pain and quality of life in people with physical disabilities.Materials and methodsAn electronic search of several databases (Psycinfo, Medline, Pubmed…) was performed using the terms resilience, physical disability, and physical illness among others.Results– Pain and resilience show an important relationship. Factors as acceptance, pain beliefs and self-efficacy are directly related with a lower pain interference.– Resilience and quality of life show a strong positive relationship.ConclusionSeveral factors are related to resilience in people with physical disabilities. Resilience seems to be an important capacity that helps individual with physical disabilities overcome adversities. Further analyses are required.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

scholarly journals PERSONAL FACTORS AND THEIR PERSPECTIVE IN SOCIAL MEDICINE AND REHABILITATION

2017 ◽  
Vol 5 (7) ◽  
pp. 374-389
Author(s):  
Wolfgang Seger ◽  
Sabine Grotkamp ◽  
Wolfgang Cibis
Keyword(s):  
World Health Organisation ◽  
Health Condition ◽  
World Health ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Goal Definition ◽  
Medical Benefits ◽  
Degree Of Participation ◽  
Common Understanding

Motivation / Background: A broad and common understanding of the nature of Personal Factors is deemed to be necessary to gain and assess a comprehensive perspective regarding an individual’s health condition and accurately allocate social and medical benefits and interventions. Personal Factors have an impact on the functioning of individuals as facilitators or barriers. They play an essential role in the International Classification of Functioning, Disability and Health (ICF). To date, the World Health Organisation has not classified Personal Factors for global use. Method: A consensus group representing a broad spectrum of medical and social security professionals, research societies together with representatives of self-help organisations developed and published a proposal to classify relevant Personal Factors. Results: To face ongoing discussions misunderstandings are addressed, critics and suggestions balanced and positions created with pointed explanations and supplemented literature. Core messages summarise each position in a condensed form. Conclusions: Personal Factors may exert a powerful influence on the goal definition, goal achievement and type, complexity and length of necessary medical, social or rehabilitation benefits. Transparency, explicitness, fairness (standardisation) and the possibility for well-founded claims comprise additional arguments for reporting Personal Factors. They may be crucial to reach the goal of the highest degree of participation considering individual resources.

Purposefulness as a critical factor in functioning, disability and health

2016 ◽  
Vol 31 (8) ◽  
pp. 1005-1018 ◽  
Author(s):  
Joshua Y Lee ◽  
Emily A Ready ◽  
Eric N Davis ◽  
Philip C Doyle
Keyword(s):  
Critical Factor ◽  
Severe Trauma ◽  
Health Condition ◽  
International Classification Of Functioning ◽  
Human Beings ◽  
Personal Factors ◽  
Disability And Health ◽  
Theoretical Frameworks ◽  
Rehabilitation Outcomes ◽  
The Individual

Guided by theoretical frameworks of health and illness such as the International Classification of Functioning, Disability, and Health (ICF), we seek to describe the importance of purposefulness in the context of rehabilitation. We argue that ascribing meaning to life events, particularly changes in health, and acting in a manner that is driven by purpose is a universal characteristic of human beings. The ability to contextualize purposefulness within the broader biopsychosocial model of illness may provide a greater understanding of the relationship of purpose in the process of rehabilitation. We support the notion that purposefulness is an ever-present component throughout our lives and it exists as a convergence of personal factors, past experiences, and our personal narrative. Having a sense of purposefulness and being able to understand the meaning of different aspects of our lives is what allows us to find purpose while experiencing a health condition. More importantly, and in the context of rehabilitation efforts, we believe that if purposefulness can be identified or collectively defined by the individual, then rehabilitation outcomes may be enhanced. In a variety of contexts ranging from disease, aging, severe trauma, and even war, purposefulness and its component elements consistently distinguish themselves as being essential for regaining a sense of direction and facilitating one’s response to any health condition.

Sign in / Sign up

Export Citation Format

Share Document