The ICF model can be used to identified the patient’s impairments, activity limitations, and the participation restrictions. For this patient, his impairments are the inability to achieve full left knee extension and flexion, decrease strength of the lower extremities, decreased kinesthesia of the upper and lower extremities, decreased motor control of the trunk. The activity limitations of the patient are decreased sitting balance, decreased ability to perform sit to stands, poor standing balance, and inability to ambulate independently. The participation restrictions of the patient are the inability to spend quality time with children in the town and the inability to navigate home and community independently. When evaluating this patient,
One of such early interventions may be offered by Roper, Logan, Tierney (1980) called the activities of daily living model. As explained in the presentation, the model consists of an individual’s ability to carry out self-care tasks such as functional mobility, self-feeding, personal hygiene and grooming (Roper, Logan & Tierney, 1980). Thus, any change in these may be considered as a deteriorating patient.
We also evaluated the proportion of residents requiring assistance in their activities of daily living (ADLs) according to the KATZ scale. Within our cohort of residents ≥65 years old, the majority of residents with CHD needed assistance with 3-4 ADLs (p=0.18) (Figure 1). However, this was found this to not be statistically significant.
Creek (2009) states that a healthy person is able to perform their daily occupations effectively and is capable of responding accordingly to any changes in their activities. For adults with a learning disability it can be incredibly challenging to carry out their ADLs effectively or ev...
Sarcopenia is one of many diagnoses from Mr. F’s medical chart. I know the purpose of this assignment isto focus on sarcopenia. However, I have to admit, I find this task quite challenging. The ultimate goal of my treatment is to engage Mr. F in “occupations” and purposeful activities. I not only address one specific diagnosis, but also his individual physical, emotional, cognitive performance as well as his environment. To me the ICF model offers dynamic understanding of disability not as individual diagnosis but an intricate weave of personal, social and environmental factors. I agree that treatment of sarcopenia for Mr. F is important. The changes in muscle properties and performance have significant effects on his ability to engage in meaningful occupations. However, increased muscle mass would never be the primary focus of my treatment. The desired outcome of my intervention would improve his occupational performance in self-care activities and functional mobility allowing him to return to his prior level of function, facilitating his satisfaction with his performance and improving his quality of life through role competence relating to husband and self-caregiver.
19. Binkley JM, Stratford PW, Lott SA, Riddle DL. The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application. North American Orthopaedic Rehabilitation Research Network. Phys Ther. 1999;79:371-383.
Journal of Intellectual & Developmental Disability, by Dillenburger, K., and Keenan M., published in 2009, summarized Nov 19, 2009
The WHO ICF model is being used to provide a common framework to deliver and study the efficacy of rehabilitation outcomes across rehabilitation settings. The WHO ICF model can be used to facilitate for management of professional decision-making, communication, and collaborative efforts among nursing and other interdisciplinary team members and professional colleagues. The WHO ICF model as a framework for management of documentation relating to patient care and determining payment for services required. The WHO ICF is valuable in rehabilitation, research and education. It assists professionals to look beyond their own areas of practice, communicate across disciplines, and think from a functioning perspective rather than the perspective of a health condition of the
The patient must understand the capabilities and limitations for a better adaptation. Additionally, endurance and cardio vascular activities must be address. Also specific muscles strength as the hamstring, gluts and quads. Furthermore, gait training and stair step negotiating. Moving forward on specific interventions we can start training going up/down a 1 inches’ block using parallel bars to increase confidence, progress to higher height of block 2->4->6 inches. To work on endurance and cardio vascular fitness we can start just by walking and assess gait and impairments in the process. Also, to increase intensity UE ergometry can be used, this will help with cardiovascular and endurance. These different and simple exercises will give the patient the confident necessary to progress to more functional activities like using the stairs, and walking on different surfaces. Also, working on weight shifts will allow the patient to get to know his boundaries and how to approach different situations, weight shits might prevent falls. Additionally, working on strengthening quads, gluts and hamstring must be done. AROM with proper body mechanics might be a good starting point and assess the strength of those possible weak muscles. Progress to MREs followed by T-bands-and some cuff weights after endurance and cardio vascular fitness has been
This publication was printed with the generous support of the National Institute on Disability and Rehabilitation Research
Because of the growing concern associated with disability in the elderly, many researchers have examined factors that may be associated with the risk disability in the elderly. These factors have ranged widely, including functional limitations6-9, level of physical activity10, 11, depression12-15, cognitive status13, 16, 17, comorbidities18, 19, falls6, 20, self-rated health21, 22, social interaction23 and others24.
Regular exercise program is known to be beneficial for people with SCI. Exercise program designed for SCI patients is somewhat similar to the program for stroke survivors. However, it should be noted that the concerns for each condition are different, so there must be focus on specific requirements for the individual. Stroke survivors’ disability depends on the area of the brain that is damaged, whereas the disability of individuals with SCI depends on the damage in their spine. Therefore, detailed assessment of the spinal lesion must be carried out before designing exercise program for a person with SCI (Jacobs & Nash, 2004). An exercise program that combines mobility activities, aerobic resistance, strength, coordination, recreation, and relaxation can improve their functionality and fitness (Durán, Lugo, Ramírez & Lic, 2001). The individual should have 3 sessions per week with the total of 120 minutes (Durán, Lugo, Ramírez & Lic, 2001). The duration of each session can be shorter at first and increased over time to avoid injury and overwhelming stress for the patients. Some very common modalities of exercise for this group include arm crank ergometry and swimming. This is because SCI often causes paralysis and weakness in the lower limbs, which makes sense to place more focus on the upper extremity exercise modes in order to achieve the desired fitness level (Nash,
The medical model defines disability as “any restriction or lack of ability (resulting from an impairment of an individual) to perform an activi...
This essay will explore the medical model of disability as well as the social model of disability by providing an in depth analysis of the views and explanations that outline each perspective. It will examine and establish the connection of the two models in relation to Deaf people. Furthermore it will illustrate how Deaf people are defined according to each outlook, as well as the issues and concerns that arise from these perceptions. This essay will consider the medical model and the social model to compare the ideas and objectives of the given articles; Caught in the Deaf Trap by Karen Van Rooyen, A Brave New World of Sound by Thandi Skade, Fake Interpreters: A Violation of Human Rights and lastly Professor Graham Turner’s; 10 lessons from the tale of the ‘fake’ interpreter.
RATIONALE: This aids in defining what the patient is capable of, which is necessary before setting realistic goals. Some aids may require more energy expenditure. Injury may be related to falls or overexertion. Obstacles such as a cluttered environment or a throw rug may impede the patient’s ability to ambulate safely (Gulanick & Myers, 2007, p. 8).
Physiotherapy is the study of the movement and function of the human anatomy and the relationship between the persons’ health and wellbeing (Dhrs.uct.ac.za, 2015). A physiotherapist’s speciality is treating “individuals across the life-span who have illness, injury or disability affecting the neuro-musculoskeletal, cardiopulmonary, vascular, and neurological systems” (Ontario Physiotherapy Association, 2015:3). A physiotherapist’s main goal is for their patient to receive the highest level of independence by educating patients how to “prevent reoccurring injuries” that disrupt their daily routine (Ontario Physiotherapy Association, 2015:3). Physiotherapists would deal with “long term ailments” (Zweigenthal et al., 2009:235) that cannot simply be treated with the dosage of medication but with the dedication from both the physiotherapist and patient in the appointed interactive physical sessions, a treatment plan can be formulated to guarantee the most efficient road to