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Lesson 1: International Classification of Functioning, Disability and Health (ICF) Wednesday, 28 August 2024 8:00 am August 28, 2024 Lesson 1: International Classification of Functioning, Disability and Health (ICF) What is ICF? - A framework for organizing and documenting info on functioning and...

Lesson 1: International Classification of Functioning, Disability and Health (ICF) Wednesday, 28 August 2024 8:00 am August 28, 2024 Lesson 1: International Classification of Functioning, Disability and Health (ICF) What is ICF? - A framework for organizing and documenting info on functioning and disability (WHO, 2001) - functioning as a 'dynamic interaction between a person's health condition, environment factors, and personal factors - ICF provides a STANDARD LANGUAGE and conceptual basis for the definition and measurement of disability. - much easier to rely info abt the disability itself What is Disability? - According to the United Nations Convention on Rights of Persons with Disabilities (2006) "Persons with disabilities include those who have long term physical, mental, intellectual, or sensory impairment which in interaction with various barriers may hinder full and effective participation in society on equal basis with others." Conceptual Models of Disability and Functioning 1. Biomedical Model - :cure or treat the condition - focused on pathology/disease and impairment - disability is a consequence of a health condition, disease, injury, or trauma - focus is to prevent or treat the medical condition - decision-makers: physician, families, and caregivers - prevalent during WWI and II: Industrial - the individual is the problem 2. Social Model - :pananaw sa person with disability - ".. loss or limitation of opportunities to take part in the normal life of the community on an equal level with others, due to physical or social barriers -Disability occurs when society discriminates or fails to take account of the individual needs - Restrictions Vs. Accommodations - :discrimination (places w/o wheelchair access) - :problem is the barrier created by society - : kasama yung mga governing bodies 3. Human Development Model - Disability Creation Process - aims to document and explain the causes and consequences of disease to the development of a person - focuses on the adaptation, rehabilitation, social participation, and exercise of human rights of people with disabilities - Rehabilitation is for reinforcing an individual's abilities, with compensating for loss of function and considering their environment. - focus on environment * image In the Venn Diagram, the left is Biomedical, right is Social, and the overlapping area is Biopsychosocial. - overall cia 4. Biopsychosocial Model - "bio", "psycho", "social" - must consider the whole person and ensure a holistic approach to care and service provision HISTORY The International Classification of Impairments, Disabilities, and Handicaps (ICIDH, 1980) Pathology--> Impairment--> Disability--> Handicap - shows the linear relationship of a particular disease or trauma leading to an impairment, disability, and handicap - a health condition or pathology will bring about an impairment which will result to a disability that can eventually cause an individual to have a handicap. Impairment: the immediate physiological consequences Disability: the functional consequences or abilities that were lost Handicap: the social and societal consequences leading to loss of freedom in performance example: Pathology: Ear Infection Impairment: Hearing loss Disability: Communication problems Handicap: No schooling ICF: Bodily function: physiologic functions - Voice and speech functions - mental functions - sensory functions and pain Body structures: anatomical parts - structures involved in voice, ns, eyes, ears, and related structures Impairment: problems in the body function Activity: the execution of task or action, general act Participation: the involvement in life situation, social activity: ginagawa with other people (ex. di makakain) participation: ano di mo magagawa (ex. di makapasok sa restaurant) Environmental Factors: make up physical social and attitudinal environment Personal factors: age, sex, coping styles, social bg, educ, prof, past, behavioral pattern, charac CASE Health Condition: Down Syndrome Bodily Functions and Structures: Heart problems, doesn't speak and uses gestures Activities: difficulties in communication Participation: often with parents, communication is inhibited Environmental Factors: hospitalization, kasama parents Personal Factors: 3 years old, female, watching youtube videos ICF Vs. ICD ICD: International Classification of Diseases - ICD provides an etiological framework, focuses on diagnoses - The ICD and ICF are two complementary WHO reference classifications - Differences: - ICF is not associated with specific health problems or diseases - it describes the associated functioning dimensions in multiple perspective at body, person, and social levels ICF is etiology neutral: - disability is not differentiated by etiology. -we cannot infer participation in everyday life from medical diagnosis alone. - Problems with depending on etiology: -same etiology: different functional recovery -same functional status: Different etiology - Problems with depending on etiology: - Same etiology : different functional recovery Applications 1. Clinical Practice 2. Support services and income support - DSWD - PhilHealth - TESDA - SM Cares 3. Education - DepEd - TESDA 4. Policy and Programs - National Council on Disability Affairs 5. Advocacy and Empowerment