康复临床决策和计划.ppt

* * * * * * * * * * * * 1 * * * * Add distincition Brief and Comprehensive Core Set * * No problem is coded when the extent of the problem is up to 5% in a scale of total difficulty, total problem or total impairment. Mild is coded when the extent of the problem is up to 25% in the same scale. Moderate is used when the extent of the problem is up to 50%. Severe is coded when the extent of the problem is up to 95%. Complete is coded when the extent of the problem is larger than 95% in the same scale. * Z.B. in Form eines zusammenfassenden Profils, das eine rasche übersicht über die Problembereiche erlaubt. 定量分级(qualifier) 0 没有问题(无、缺乏、可以忽视等) 0-4% 1 轻度问题(轻、低等) 5-24% 2 中度问题(中等、较好等) 25-49% 3 严重问题(高、极端等) 50-95% 4 全部问题(最严重、全部受累等) 96-100% 8 无法特定 (当前的信息无法确定严重程度) 9 无法应用 (不恰当或者不可能使用) 环境因素双向分级 障碍因素Barrier -- 促进因素Facilitator ++ Informal social relationships Relating with strangers Basic interpersonal interaction Complex interpersonal interaction Formal relationship Intimate relationship Acquire place to live Family relationships Human rights Religion spirituality Political life citizenship Acquisition of goods and services Basic economic transactions Looking after ones health Community life Remunerative employment Acquiring, keeping terminating a job Apprenticeship Assisting others Using transportation Driving Moving around using equipment Doing housework Caring for household objects Preparing meals Carrying out daily routine Non-remunerative employment Economic self- sufficiency Emotional functions 使用ICF个例量表的示范病例 Bold letters: Intervention targets; 1,2,3 : Illustrate relation to Cycle goals 1,2,3 ICF Qualifier ICF category reference scale (Interval scale) Clinical Test Patient-oriented Instrument Cieza A et al. Items from patient-oriented instruments can be integrated into interval scales to operationalize categories of the ICF. J Clin Epidemiol 2009 Jun 20. [Epub ahead of print] ICF 评定表 评估 分配 干预 评定 理论?实践 Assessment Assignment Intervention