Application of the ICF in the assessment of the RESPIRATORY patient

1. Application of the ICF in the assessment of the RESPIRATORY patient ShamilaManie LunellePienaar UNIVERSITY OF CAPE TOWN

2. Body Function & Structure (Impairment) Activities (Limitation) Participation (Restriction) Environmental Factors Personal Factors Use of ICF Framework Health Condition (disorder/disease) Respiratory system Diagram based on: World Health Organisation (WHO), 2001. International Classification of Functioning, Disability and Health, Geneva, pg 18.

3. Case • Mr. X is a 38 year old asthma sufferer. • Instructions : • Using the case above complete the ICF template on slide 4.

4. Body function(breathing/gas exchange/clearing secretions)&structure (lungs) (Impairment) Activities (Limitation) anything that affects the respiratory system Participation (Restriction) e.grecreational activities. Environmental Factors Personal Factors Use of ICF Framework Health Condition (disorder/disease) respiratory system

5. CPR case study Mr. X is a 38 year old asthma sufferer. In the last 3 months he has become extremely short of breath with activities such as climbing stairs and walking distances longer than 300m. Before this he was actively participating in club soccer which he enjoyed tremendously. He is also a known smoker, smoking at least 10 cigarettes per day. He has hypertension which is controlled with medication. Mr. X works as a construction worker and of late has been off sick due his shortness of breath and a productive cough.

6. Instructions • Complete the assessment of the patient in slide 5 using the ICF framework.

7. Application of ICF Framework Body function&structure(Impairment)respiratory system=damage from smoking, effects of asthma, *increase secretions/bronchospasm* Activities (Limitation) SOB with climbing stairs+walking distances >300m Participation (Restriction)-cannot play soccer anymore Environmental Factors= works as construction person-dust Personal Factors=lack of income if off sick/ work may be at risk with increasing days off Health Condition (disorder/disease =Asthma )

8. Integrate all the data PROBLEM LIST Document FUNCTIONAL problems Prioritise the most important problems and analyse completely, using the following table. FUNCTIONALMISSINGUNDERLYINGINTERVENTION PROBLEMSCOMPONENTSREASONS Usually UsuallyUsually activity or activity impairment participation restriction SHORT TERM AIMS Must be functional aims (likely to be achieved in the next few treatment sessions) LONG TERM AIM Think of ONE function you would like to improve in 1-3 months time. SOAP NOTES Includes daily updates on the Subjective, Objective, Analysis of Problems (SOAP) and treatment plan.

9. Integrate all the data

10. Creative Commons license Application of the ICF in the assessment of the RESPIRATORY patient by Shamila Manie and Lunelle Pienaar Department of Health and Rehabilitation Sciences, University of Cape Town (2010) is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 2.5 South Africa License. Please see http://creativecommons.org/licenses/by-nc-sa/2.5/za/ for terms and conditions. Source work available at vula.uct.ac.za Permissions beyond the scope of this license may be available at www.healthedu.uct.ac.za or healthoer@uct.ac.za

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