the ICF and occupational therapy – Flashcards

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OT application and the ICF
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• broad focus on environment- central to OT practice • activities and participation- core OT focus • connection between occupation and health • link between OT models and the ICF
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CMOP-E and the ICF
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• body function/structure concept similar to the performance components (cognitive, affective and physical) in CMOP-E • person component aligns with CMOP-E concept of person • relationship between activity and participation and CMOP-E concepts of occupation and occupational performance
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MOHO and the ICF
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• both recognise centrality of participation and activity as an outcome • both recognise that health outcomes can alter a person's participation individual characteristics and the environment determine participation and activity • all these factors influence each other in a dynamic and non-linear way
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ICF in occupational interventions
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• ICF categories can be used to describe OT interventions in post surgery hand rehabilitation after trauma • use of ICF as a reference framework provides a clear picture of which health domains are addressed • ICF categories facilitates linking between rehabilitation interventions and outcome assessments, increasing the possibility of showing the effects of these interventions
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use in OT practice
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• interprofessional tool • educational tool • clinical use • organisational • research • planning treatment and assessment • comparing OT models
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strengths of the ICF
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• international classification system that transcends professions, professional boundaries, and countries • includes the environment • compatible with many of the concepts in OT models
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weaknesses and the ICF
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• classifies people against what is 'normal • it is not a needs assessment people with disabilities not involved in development • not compatible with a few concepts in OT models • doesn't explain the cause of disease (only categorises) • confusion between activities and participation • no classification system for personal factors • doesn't explain links between components • does not specifically examine pre-morbid functioning • does not capture the complexity of health or quality of life • insufficient framework for some health conditions
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