How+to+use+the+ICF+Framework++to+Guide+Intervention

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Within the ICF there are guidelines applicable to service provision that address a wide range of clinical, research and policy issues ,all of which should be taken into account when planning intervention (WHO, 2002). For the SLT these guidelines are a valuable clinical tool, as they act as a guide for our treatment provision and help us ensure we are upholding the highest standard of ethics at all times. They guidelines also remind the the SLT to not just look at dysphagia as a disability but take a holitic view, which see's safety, nutrition and participation of the patient when setting goals and planning treatment, (WHO,2002). (6;e) ||
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The following table is taken form the World Health organisation's paper " Towards a Common Language for Functioning Disability and Health", (2002). The clinician should review each of these guidelines and use their own clincal judgement to determine which guidelines are relevant to the patient.
 * ICF applications :Service Provision


 * //__At the individual level __//**

· For the assessment of individuals : What is the persons level of functioning?

· For individual treatment planning: What treatments or intervention can maximize functioning?· For the evaluation of treatment and other interventions: What are the outcomes of the treatments? How useful were the interventions?· For communication among physicians, nurses, physiotherapists, occupational therapists and other health workers, social service workers and other community agencies.· For self evaluation by consumers: How would I rate my capacity in mobility or communication?


 * //__At the Institutional level __//**

· For educational and training purposes.

· For resource planning and development. What health care and other services will be needed?

· For quality improvement: how well do we serve our clients? What basic indicators for quality assurance are valid and reliable?

· For management and outcome evaluation: How useful are the services we are providing?· For managed care models of health care delivery: How cost effective are the services we provide? How can the services be improved for better outcomes at a lower cost?


 * //__At the Social level __//**

· For eligibility criteria for state entitlements, such as social security benefits, disability,pensions, workers’ compensations and insurance: Are the criteria for eligibility for disability benefits evidenced based, appropriate to social goals and justifiable?

· For social policy development including legislative reviews, model legislation, regulations and guidelines and definitions for anti- discrimination legislation: Will guaranteeing rights improve functioning at the social level/ Can we measure this improvement and adjust our policy and law accordingly?

· For needs assessments: What are the needs of persons with various levels of disability- impairments, activity limitations and participation restrictions?· For environmental assessment for universal design, implementation of mandated accessability, identification of environmental facilitators and barriers and changes to social policy: How can we make the social and built environment, more accessible for all persons, those with and those without disabilities? Can we assess and measure improvement? ||

Rehabilitative Exercises