ICF Model

TM
by Taylor McCormick1 view·Updated Jun 14, 2022
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  1. today, I will be talking about the I. C. F. Model,
  2. which is the international classification of functioning, disability and health
  3. developed by the World Health Organization.
  4. So there are five categories body functions. Activities,
  5. participation, environmental factors and personal factors
  6. starting off with
  7. body functions. This covers the patient's pain range of motion,
  8. any muscle weakness is coordination deficits and any problems with energy,
  9. drive or sleep.
  10. Next is activities and activities covers the patient's mobility,
  11. their ability to grasp and handle objects
  12. and activities of daily living such as eating, dressing and bathing,
  13. participation covers vocational or work performance,
  14. family relations, recreation and leisure and social life.
  15. And similarly environmental factors covers the patient's workplace
  16. housing and modes of transportation,
  17. family and friends, their health service, and insurance
  18. and societal attitudes
  19. and finally personal factors covers health behavior,
  20. coping strategies, multi, multi morbidity and the patient's age and gender.
  21. So a little background on my patients injury.
  22. He was running uphill at a sharp angle,
  23. He stepped down and heard a loud pop sound immediately
  24. followed by lower leg ankle pain in the left limb.
  25. He reported pain when walking, especially when pushing off.
  26. He had swelling and discoloration in the back side of the ankle.
  27. There's no history of previous injury,
  28. although the patient reports occasional lower leg pain.
  29. After
  30. playing basketball.
  31. The diagnosis was an achilles tendon rupture.
  32. The patient's pain was an eight out of 10.
  33. He had decreased range of motion but was still able to walk with a limp.
  34. He had a decrease in strength and when the pain is severe it affects his sleep
  35. and again the patient was limping and not putting any weight
  36. on the injury and had pain mostly when pushing off the foot
  37. because of the pain, the patient cannot drive himself.
  38. He doesn't want to stand for extended periods of time,
  39. which makes showering and dressing difficult but not impossible.
  40. He was told to take time off of work and should not be playing basketball,
  41. should not be going on cross country runs and
  42. should not be working out his lower body.
  43. He works as a construction worker,
  44. lives in a two story home on an acre of land with his wife and two year old son.
  45. The patient does have health insurance
  46. And the patient is a 33 year old male who was very active day to day.
  47. He plans on resting his lower body while working
  48. on his upper body and will attend physical therapy.
  49. There are no significant previous injuries besides
  50. a shoulder dislocation that happened five years ago
  51. and once cleared the patient plans on starting back up with family hikes