Evaluation of efficiency of individual complex rehabilitation of patients based on the international classification of functioning

In order to determine the possibility of using a rehabilitation profile to assess the effectiveness of rehabilitation and develop a methodology for quantifying the effectiveness of rehabilitation measures in the short term in inpatients of the State Institution "Ukrainian State Research Institute of Medical and Social Disability of the Ministry of Health of Ukraine" we created a rehabilitation profile of the patient based on the principles of the International Classification of Functioning, Disability and Health (ICF). There were analyzed rehabilitation profiles of 522 patients with therapeutic pathology, musculoskeletal system diseases, and eye diseases. Rehabilitation of patients was comprehensive, with the use of methods of medical, psychological, and physical rehabilitation. The severity of dysfunctions was assessed by a quantitative scale from 0 to 4 points, where "0" – no issues, and "4" – extremely serious issue. The evaluation was performed twice by members of the multidisciplinary team: at the initial examination of the patient and at the discharge from the clinic. The statistical method and the method of expert evaluations were used to process the research results. The licensed software MS Excel for Windows was used. The study found that the proposed method of assessing the effectiveness of short-term rehabilitation is accurate and objective, it considers the initial functional status of the patient and allows to assess the quality and effectiveness of rehabilitation measures at the patient level and at the institution. Its implementation will provide a unified approach to the provision of rehabilitation services and draw conclusions about the effectiveness of rehabilitation activities of the medical institution differentially, considering the type of pathology, leading limitations of life, severity of disorders, age of patients.

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Instrument to Assess the Need of Disabled Persons for Rehabilitation Measures Based on the International Classification of Functioning, Disability and Health

Health Information Science - Lecture Notes in Computer Science ◽

10.1007/978-3-642-37899-7_19 ◽

2013 ◽

pp. 223-231 ◽

Cited By ~ 2

Author(s):

Alexander Shoshmin ◽

Natalia Lebedeva ◽

Yanina Besstrashnova

Keyword(s):

Disabled Persons ◽

International Classification ◽

International Classification Of Functioning ◽

Disability And Health ◽

Rehabilitation Measures

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Application of the International Classification of Functioning, Disability and Health in Assessment of Integrated Rehabilitation of Disabled People

Clinical Psychology and Special Education ◽

10.17759/cpse.2017060307 ◽

2017 ◽

Vol 6 (3) ◽

pp. 116-134 ◽

Cited By ~ 1

Author(s):

V. Lorer ◽

T. Zhukova

Keyword(s):

Single Case ◽

International Classification ◽

International Classification Of Functioning ◽

Disability And Health ◽

Disabled People ◽

Functional Profile ◽

Working Age ◽

Rehabilitation Measures ◽

Comparison Of The Results

The article presents the possibility of applying the International Classification of Functioning, Disability and Health (ICF) in assessing the rehabilitation process in the conditions of the regional center for the social rehabilitation of disabled people and disabled children. Step-by-step algorithm for evaluating the process of integrated rehabilitation is shown on the example of a single case of a disabled working age with consequences of acute cerebral circulation disorder: 1) assessment of the needs and problems of the client; 2) planning of rehabilitation interventions; 3) implementation of rehabilitation measures; and 4) evaluation of the effectiveness of rehabilitation measures. To assess the functioning of the client, standardized methods and scales were used with subsequent translation of the results into the ICF category. On the basis of quantitative data, the functional profile of the client was displayed, which showed the degree of impairment of the body's functions, activity limitations and the possibility of the client's participation in a certain time period. The functional profile was used as a basis for planning and conducting rehabilitation activities. The final evaluation of the effectiveness of rehabilitation was given on the basis of a comparison of the results achieved in the implementation of rehabilitation goals with the initial parameters according to the main categories of restrictions on the activity and participation of the client.

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Holistic Communication Assessment for Young Children With Cleft Palate Using the International Classification of Functioning, Disability and Health:Children and Youth

Language Speech and Hearing Services in Schools ◽

10.1044/2020_lshss-19-00122 ◽

2020 ◽

Vol 51 (4) ◽

pp. 914-938

Author(s):

Anna Cronin ◽

Sharynne McLeod ◽

Sarah Verdon

Keyword(s):

Young Children ◽

Cleft Palate ◽

Case History ◽

Significant Others ◽

International Classification ◽

Assessment Tools ◽

International Classification Of Functioning ◽

Speech Language Pathologists ◽

Holistic Assessment

Purpose Children with a cleft palate (± cleft lip; CP±L) can have difficulties communicating and participating in daily life, yet speech-language pathologists typically focus on speech production during routine assessments. The International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY; World Health Organization, 2007 ) provides a framework for holistic assessment. This tutorial describes holistic assessment of children with CP±L illustrated by data collected from a nonclinical sample of seven 2- to 3-year-old children, 13 parents, and 12 significant others (e.g., educators and grandparents). Method Data were collected during visits to participants' homes and early childhood education and care centers. Assessment tools applicable to domains of the ICF-CY were used to collect and analyze data. Child participants' Body Functions including speech, language, and cognitive development were assessed using screening and standardized assessments. Participants' Body Structures were assessed via oral motor examination, case history questionnaires, and observation. Participants' Activities and Participation as well as Environmental and Personal Factors were examined through case history questionnaires, interviews with significant others, parent report measures, and observations. Results Valuable insights can be gained from undertaking holistic speech-language pathology assessments with children with CP±L. Using multiple tools allowed for triangulation of data and privileging different viewpoints, to better understand the children and their contexts. Several children demonstrated speech error patterns outside of what are considered cleft speech characteristics, which underscores the importance of a broader assessment. Conclusion Speech-language pathologists can consider incorporating evaluation of all components and contextual factors of the ICF-CY when assessing and working with young children with CP±L to inform intervention and management practices.

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