The International Classification of Functioning, Disability and Health (ICF) is a World Health Organization’s (WHO) key scientific tool that “provides a standard language and framework for the description of health and health-related states” (WHO, 2002). ICF focusses on health and functioning and not on disability with a goal of always to measure function in the society regardless of an individual’s impairments (WHO, 2002). ICF helps epidemiologists to collect valuable health related information in a consistent manner so that it can be used to compare data internationally and can be applied at an individual, institutional and at the social level (WHO, 2002). The ICF is based on biopsychosocial model which integrates both medical and social …show more content…
Each ICF component has multiple domains and categories at different levels and serves as units of classification (WHO, 2002). ICD-10 (the International Statistical Classification of Diseases and Related Health Problems) also belongs to the WHO family of international classifications and gives etiological framework for the classification, by diagnosis, of diseases, disorders and other health conditions (WHO, 2002). ICF and ICD-10 complement each other and encourages users to use them together to provide a broad and best picture of experience of health of individuals and …show more content…
I choose the above mentioned physical therapy treatment diagnosis due to patient presenting with muscle weakness with manual muscle testing, reported pain during the evaluation on VAS (visual analog scale) numerical pain scale , impaired static and dynamic standing balance measured with functional balance grades (O’Sullivan, & Schmitz, 2007, p. 254). Medical diagnosis of displaced trimalleolar fracture of right lower leg, subsequent encounter for closed fracture with routine healing (S82.851D) was picked from hospital medical records and added to the evaluation. Finally, after the evaluation was completed it was time to set the goals. The patient, herself expressed during the evaluation that she should be at least able to get around in the house in the wheelchair and with front wheeled walker, to be independent with basic functional mobility as she will be NWB for almost 8 weeks. I told my patient that we will work improving lower extremity strength, dynamic standing balance and focus on compensatory strategies with ambulation on even surfaces and to ascend and descend stairs and make her as independent as possible and discharge her
These have help development an intensive rehabilitation program for the patient. It will take an active involvement by the patient to assure optimum recovery.
Several all over changes include using the World Health Organization Disability Assessment Schedule, the WHODAS 2.0, that is used to screen clients for their current level of physical functioning, social life participation, and cognitive functions. Using the WHODAS 2.0 allows clinicians to have more concrete levels of functioning rather than using a broader measure such as the Global Assessment
Carole Lauren is a 44 year old mother of two, a wife, and a school teacher by profession. Her story began 21 months ago when she had a cerebrovascular accident that left her hemiplegic. Almost two years passed since the event. Carole regained most of the lost function in her left leg, ankle, and foot. However, she still has limited function in her left arm and hand. She also has difficulty organizing her thoughts and read her message from a paper. Her story is about a journey through the health care system.
setting and as the patient returns to their home and community. The goal by all involved is to move the patient towards
... middle of paper ... ... After the implementation of the stated interventions, the patient made physical and emotional progress towards the aforementioned goals. The above goals were not only met, but exceeded expectations of the patient and the nurses who provided care.
Morgan read over each patient assessment in their chart, as well as rounding on each patient daily to gather her own assessment. With all of the data, she came up with diagnosis that was required from her. Morgan stated the nursing diagnosis she most frequently uses is risk for falls. Goals are then set depending on individual needs. By collaborating with the interdisciplinary team in a therapeutic way, interventions are implemented to meet each patient’s needs. Evaluations are performed daily by case managers through interdisciplinary rounding and the goals that were made are assessed and any changed to the plan of care are made. Case managers will follow up with outside facilities that patients transfer to after a hospital admission to evaluate their progress. If a patient is readmitted to the hospital within 30 days of discharge, a reevaluation is
The purpose of this clinical journal entry is to elaborate on the details of lab day three. On lab day three, we had check-off for blood pressure and apical pulse. In addition, we took a safety test, and learned about mobility, immobility, how to use ambulatory devices, and reposition (C#4, C#6). Since we will be going to the nursing home, it is imperative that we know how to correctly assist a client with their ambulation. To begin with, Ms. D demonstrated how to use a wheelchair, cane, and walker.
According to the World Health Organisation (2017) the social determinants of health are defined as the conditions where people are born, grown, work and live, which also includes the health system. The social determinants of health determined populations health’s outcomes and therefore linked with health inequalities (WHO, 2017)
The goal for nurses as a profession is not only to be “patient advocates” but also assist the patient to learn and gain the necessary skills to achieve the best level of functioning for the patient based on their current illness. In order to help a patient achieve their optimal level of functioning the nurse must work with the patient and the interdisciplinary team to create a collaborative plan that is logical for the patient. Through examining a musculoskeletal disorder case study #35 from Preusser (2008), one can create a critical pathway for the patient, S.P. a 75 year old female, with severe rheumatoid arthritis (RA) and admitted to the orthopedic ward for a hip fracture status post fall (p. 183). Since the patient’s needs is unique and complex the nurse must tailor a plan with the patient which will include “…assessments, consultations, treatments, lifestyle changes, disease education…” in order for the patient have the most appropriate evidence-based care and make informed decisions when it is necessary (Oliver, 2006, p. 28). The aim for the nurse caring for the S.P. is to help prepare the patient for an upcoming procedure and focus care to the patient by gathering necessary information about her while. Collaboration with the patient, family members, rehabilitation, medical and surgical team about the treatment plans can help us provide proper patient’s care by utilizing actions and interventions within the scope and standards of the nursing practice.
There are many dimensions of inequality, which have the greatest impact on health outcomes. These dimensions are class, sex and gender and ethnicity. The health outcomes are different for each country. World Health Organisation defines 'health ' as "a state of complete physical, mental and social well-being and not merely the absence of disease of infirmity" (1948). John Germov (2013, p. 16) wrote a chapter on ‘Imagining Health Problems as Social Issues’ in Second Opinion: An Introduction to Health Sociology, he mentions the ‘social model of health’ where the social determinants of health, which are economic, social and cultural factors, are being looked at closely to how these factors are linked to focus on preventing the illness.
During my second week at clinical, I cared for a 74 year old female. Mrs. X came to Lake Ridge Health Whitby Hospital due to a right CVA and she was suffering from locked in syndrome. In addition to this Mrs. X’s medical history included, constipation, depression, anxiety, anemia, hypothyroidism, hyperlipidemia, a coccyx wound and dysphasia. Due to the clients diagnosis of locked in syndrome, she was unable to move or communicate verbally because of paralysis of most muscles (Palmieri, 2009). Mrs. X was aware and awake, but was only...
OUTCOME/GOAL STATEMENT: Short Term: Pt will verbalize feelings of concern regarding at home maintenance of self with SO prior to discharge. Long Term: (after discharge) Pt will work with home health care giver to relief frustration and avoid further depression.
While with my patient on the first visit we had set some goals. The goals were for her to walk more with the aid of her walker and for her to recall past events. From the first visit these I identified these issues as problems for the patient. I gave the patient the following nursing diagnoses. Impaired walking R/...
nation’s health issues and address the major challenges that face society in general which justifies the National Women’s Health Policy 2010 as a credible policy document that will improve women’s health. However, the NWHP 2010 does not detail the strategies to be employed in solving health issues experienced by the disabled population (Department of Health and Ageing, 2010). The National Women’s Health Policy outlines statistics of the impact of the key health issues identified namely: prevention of chronic diseases and risk control factors, mental health and wellbeing, sexual and reproductive health and healthy ageing. Chronic diseases with cardiovascular disease being identified as the leading cause of death and a prevalence of 55 percent
Mrs S. is an 88 years old female patient who lives on her own, and was admitted into a rehabilitation ward following a hip operation due to a fall at home. She has a past medical history of Congestive Cardiac Failure (CCF), diverticulitis, and asthma. Also, Mrs S presented with rapid weight loss, palpitation, feeling tired, peripheral oedema, fatigue, difficulty breathing when lying flat in the bed, waking up at night with shortness of breath and anxiety. In addition to all that she had a pressure sore in her bottom that was not broken. In order to have good holistic care of Mrs S, the nursing process was used as identified by Sibson. Sibson (2010) identifies four key steps to the nursing process, which are assessment, planning, implementation and evaluation; which are important for ensuring a quality standard of nursing care.