Identifying the long-term needs of stroke survivors using the International Classification of Functioning, Disability and Health

2011 ◽  
Vol 8 (1) ◽  
pp. 31-44 ◽  
Author(s):  
Kethakie Sumathipala ◽  
Eloise Radcliffe ◽  
Euan Sadler ◽  
Charles DA Wolfe ◽  
Christopher McKevitt
Keyword(s):  
International Classification ◽  
International Classification Of Functioning ◽  
Stroke Survivors ◽  
Disability And Health

scholarly journals Participation After Stroke: Do We Understand All the Components and Relationships As Categorised in the ICF?

2012 ◽  
Vol 13 (1) ◽  
pp. 4-15 ◽  
Author(s):  
Melanie Hoyle ◽  
Louise Gustafsson ◽  
Pamela Meredith ◽  
Tamara Ownsworth
Keyword(s):  
Environmental Factors ◽  
Functional Outcomes ◽  
Contextual Factors ◽  
Stroke Care ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Stroke Survivors ◽  
Disability And Health ◽  
Restricted Participation

Although advances in stroke care have been shown to improve functional outcomes and survival, evidence suggests that stroke survivors continue to report restricted participation and dissatisfaction with life after returning home. There remains a need to identify ways to improve participation after stroke, considering the person within their context. The International Classification of Functioning, Disability and Health (ICF) provides a valuable framework that can be useful for categorising key components associated with participation. The two parts of the ICF — (a) Functioning and Disability and (b) Contextual Factors — encourage consideration of the functions/body structures, activity and participation, and personal and environmental factors, respectively. Previous research has identified links between body functions, structures and activity, with increasing attention being given to the ways in which these link with participation. Although some of the components influencing participation poststroke are well defined, there is a need to further develop our understanding of how personal and environmental factors may affect participation. In this article, stroke literature is categorised using the ICF and a range of personal and environmental factors are investigated as potential contributors to levels of participation poststroke. This article concludes that research investigating contextual factors and their interactions with participation is warranted.

scholarly journals Content Comparison of Long-Term Care Instruments Based On The International Classification of Functioning, Disability And Health (ICF)

2022 ◽  
Author(s):  
Yan Gao ◽  
Jingpu Zhao ◽  
Xiangxiang Liu ◽  
Xiaohua Xie ◽  
Yulong Wang
Keyword(s):  
Long Term Care ◽  
Elderly Care ◽  
International Classification ◽  
Assessment Instrument ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Term Care ◽  
Data Set

Abstract Background: Aging crisis is proposing a huge challenge to the whole Chinese social welfare system, however a national Long-term Care (LTC) Instrument has not established yet. The objective of this study was to analyze and compare the content of six selected LTCs based on the linkage of the International Classification of Functioning, Disability and Health (ICF), so as to provide insights for the development of Chinese national LTC instrument in the future. Methods: Two trained health professionals performed the linkage according to the refined ICF linking rules. The main concepts included in the items of three international LTC instruments, namely Minimum Data Set 3.0 (MDS 3.0), Initial Assessment Instrument(IAI), and New Assessment Tool for Determining Dependency on Nursing Care (NBA), as well as three Chinese instruments, namely Disability Assessment of Long-Term Care (DA-LTC), Specification for Elderly Care Unified Need Assessment in Shanghai Version 2.0 (SEC-UNA 2.0), and pictorial-based Longshi Scale (LS) were selected and linked to the ICF categories. The six selected LTC instruments were analyzed and compared at the levels of ICF components, chapters, and categories. Results: The main concepts of 340 valid items of the six LTC instruments were linked to 112 different ICF categories. Within the ICF framework, the “Activities and Participation” component was most frequently addressed in the LTC instruments followed by the “Body functions” component, and the percentages were 0.52 and 0.38, respectively. At the ICF chapters level, “b1 mental functions,” “d4 mobility,” and “d5 self-care” were the core of the LTC instruments. In addition, the contents of the six selected LTC instruments differed greatly. Conclusions: The ICF provides a useful external reference for the analysis and comparison of different LTC instruments. The findings suggest that key elements to determine eligibility for LTC in China need to be further identified. It is anticipated that this study will provide new insights for the development of Chinese national LTC instruments.

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