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

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Abstract

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.

General Information

Keywords: International classification of functioning, complex rehabilitation, invalids, functional profile, individual program

Journal rubric: Methods and Techniques

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2017060307

For citation: Lorer V., Zhukova T. Application of the International Classification of Functioning, Disability and Health in Assessment of Integrated Rehabilitation of Disabled People [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2017. Vol. 6, no. 3, pp. 116–134. DOI: 10.17759/cpse.2017060307. (In Russ., аbstr. in Engl.)

References

  1. Akhutina T.V. Pylaeva N.M. Diagnostika razvitiya zritel'no-verbal'nykh funktsii [Diagnosis of the development of visual-verbal functions]. Mоscоw: Akademiya, 2003. 64 p .
  2. Bodrova R.A. Aukhadeev E.I. Tikhonov I.V. Opyt primeneniya mezhdunarodnoi klassifikatsii funktsionirovaniya v otsenke effektivnosti reabilitatsii patsientov s posledstviyami porazheniya TsNS [Experience in applying the international classification of functioning in assessing the effectiveness of rehabilitation of patients with sequelae of the CNS]. Prakticheskaya meditsina [Practical medicine], 2013, vol. 66, no. 1, pp. 98–100.
  3. Vasserman L.I. Dorofeeva S.A. Meerson Ya.A. Metody neiropsikhologicheskoi diagnostiki. Prakticheskoe rukovodstvo [Methods of neuropsychological diagnosis. A Practical Guide]. Saint-Petersburg: Stroilespechat', 1997. 198 p.
  4. Zhukova T.N. Lorer V.V. Vladimirova O.N. Ispol'zovanie polozhenii Mezhdunarodnoi klassifikatsii funktsionirovaniya, ogranichenii zhiznedeyatel'nosti i zdorov'ya v praktike raboty tsentra sotsial'noi reabilitatsii [Use of the provisions of the International Classification of Functioning, Disability and Health in the Practice of the Center for Social Rehabilitation]. Vestnik Vserossiiskoi gil'dii protezistov-ortopedov (Spetsial'nyi vypusk) [The Bulletin of the All-Russian Guild of Prosthetics-Orthopedists (Special Issue)], 2014, vol. 57,
    no. 3. URL:  http://congress-ph.ru/common/htdocs/upload/fm/ph/14/vestnik%202014 _3(57).pdf (Accessed: 04.09.2017). 
  5. Zakharov V.V. Nervno-psikhicheskie narusheniya: diagnosticheskie testy [Neuropsychiatric disorders: diagnostic tests]. In N.N. Yakhno (ed.). 5th ed. Moscow: MEDpress-inform, 2016. 320 p.
  6. Ibraeva K.B. Otsenka funktsional'nogo statusa bol'nykh neirokhirurgicheskogo profilya s ispol'zovaniem mezhdunarodnoi klassifikatsii funktsionirovaniya, ogranichenii zhiznedeyatel'nosti i zdorov'ya: avtoref. diss. … dok. med. nauk [Evaluation of the functional status of patients with neurosurgical profile using the International Classification of Functioning, Disability and Health: Dr. Sci. (Medicine) Thesis]. Astana, 2011. 27 p.
  7. Kaz'min A.M., Perminova G.A., Chugunova A.I. Prikladnoe znachenie Mezhdunarodnoi klassifikatsii funktsionirovaniya, ogranichenii zhiznedeyatel'nosti i zdorov'ya detei i podrostkov (kratkii obzor literatury) [Application of the International Classification of Functioning, Disability and Health, Children & Youth version (a brief review of the literature)]. Klinicheskaya i spetsial'naya psikhologiya [Clinical and special psychology], 2014, vol. 3, no. 2. URL: https://psyjournals.ru/psyclin/2014/n2/Kazmin_ et_al.shtml (Accessed: 10.08.2017).
  8.  Kompleksnaya reabilitatsiya invalidov v usloviyakh tsentra sotsial'noi reabilitatsii: sbornik nauchnykh trudov, vol. 1 [Complex rehabilitation of disabled people in the conditions of the center of social rehabilitation: a collection of scientific works. vol. 1] / In Z.D. Shchvartsmana, T.N. Zhukovoi, V.V. Lorer (Eds.). Saint-Petersburg: Beresta, 2013.
    128 p.
  9. Mezhdunarodnaya klassifikatsiya funktsionirovaniya, ogranichenii zhiznedeyatel'nosti i zdorov'ya. [International Classification of Functioning, Disability and Health]. Zheneva: WHO, 2001. 342 p.
  10.  Nurgazizova A.K. Sergeeva V.V. Rodionova A.Yu. Primenenie mezhdunarodnoi klassifikatsii funktsionirovaniya, ogranichenii zhiznedeyatel'nosti i zdorov'ya dlya otsenki reabilitatsii bol'nykh serdechno-sosudistymi zabolevaniyami [Application of the international classification of functioning, disability and health for the evaluation of rehabilitation of patients with cardiovascular diseases]. Prakticheskaya meditsina [Practical medicine], 2014, vol. 82, no. 6, pp. 29–36.
  11.  Rubinshtein S.Ya. Eksperimental'nye metodiki patopsikhologii i opyt ikh primeneniya. Prakticheskoe rukovodstvo [Experimental methods of pathopsychology and experience of their application (practical guidance)]. Ternopol': Obrii, 2004, 168 p.
  12.  Smychek V.B. Sovremennye aspekty invalidnosti [Modern aspects of disability]. Minsk: publ. of BGATU, 2012. 268 p.
  13.  Smychek V.B. L'vova N.L. Realizatsiya kontseptsii Mezhdunarodnoi klassifikatsii funktsionirovaniya, ogranichenii zhiznedeyatel'nosti i zdorov'ya v meditsinskoi reabilitatsii patsientov s sakharnym diabetom 2 tipa [Implementation of the concepts of the International Classification of Functioning, Disability and Health in the Medical Rehabilitation of Patients with Type 2 Diabetes]. In Materialy nauchno-prakticheskoi konferentsii s mezhdunarodnym uchastiem v ramkakh meropriyatii gosudarstvennoi programmy «Dostupnaya sreda» (g.Sankt-Peterburg, 24-25 noyabrya 2016 g.) [Materials of the scientific-practical conference with international participation in the framework of the state program "Affordable Environment"]. Saint-Petersburg: OOO «KopiServis», 2016,
    pp. 177–184. 
  14.  Federal'nyi zakon ot 24.11.1995 N 181-FZ "O sotsial'noi zashchite invalidov v Rossiiskoi Federatsii" [Federal Law of 24.11.1995 N 181-FZ "On Social Protection of Persons with Disabilities in the Russian Federation"]. URL: http://www.consultant.ru /document/cons_doc_LAW_8559/ (Accessed:  10.08.2017). 
  15.  Tsvetkova L.S. Akhutina T.V. Pylaeva N.M. Metodika otsenki rechi pri afazii [The technique of speech evaluation in aphasia]. Moscow: publ. of MGU, 1981, 67 p.
  16.  Shkaly, testy i oprosniki v meditsinskoi reabilitatsii: Rukovodstvo dlya vrachei [Scales, tests and questionnaires in medical rehabilitation: a guide for physicians]. In
    A.N. Belova, O.N. Shepetova (Eds.). Moscow: Antidor, 2012.
  17.  Rauch A., Cieza A., Stucki G. How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. European Journal of Physical and Rehabilitation Medicine, 2008, vol. 44, no. 3. URL: https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod= R33Y2008N03A0329 (Accessed:  04.09.2017).

Information About the Authors

Viktoriia Lorer, PhD in Psychology, Head of organizational and methodical department, St. Petersburg State Budgetary Institution of Social Services for Population "Center for Social Rehabilitation of Disabled People and Disabled Children of Nevsky District", Assistant, Department of General and Clinical Psychology, First St. Petersburg State Medical University of I.P. Pavlov, St.Petersburg, Russia, e-mail: vika.lorer@gmail.com

Tatiana Zhukova, PhD in Medicine, Director, St. Petersburg State Budgetary Institution for Social Services of Population "Center for Social Rehabilitation of Disabled People and Disabled Children of the Nevsky District", St.Petersburg, Russia, e-mail: tnzhukova@gmail.com

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