Application of the ICF in the
assessment of the RESPIRATORY
patient
Shamila Manie
Lunelle Pienaar
UNIVERSITY OF CAPE TOWN
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Use of ICF Framework
Health Condition
(disorder/disease)
Respiratory system
Body Function &
Structure (Impairment)
Activities
(Limitation)
Environmental
Factors
Participation
(Restriction)
Personal
Factors
Diagram based on: World Health Organisation (WHO), 2001. International Classification of Functioning, Disability and
Health, Geneva, pg 18.
2
Case
 Mr. X is a 38 year old asthma sufferer.
 Instructions :
 Using the case above complete the ICF template on slide
4.
3
Use of ICF Framework
Health Condition
(disorder/disease)
respiratory system
Body
function(breathing/gas
Activities
(Limitation)
exchange/clearing
anything that affects
the respiratory
system
secretions)&structure
(lungs) (Impairment)
Environmental
Factors
Participation
(Restriction) e.g
recreational
activities.
Personal
Factors
4
CPR case study
Mr. X is a 38 year old asthma sufferer. In the last 3
months he has become extremely short of breath with
activities such as
climbing stairs and walking
distances longer than 300m. Before this he was actively
participating in club soccer which he enjoyed
tremendously. He is also a known smoker, smoking at
least 10 cigarettes per day. He has hypertension which
is controlled with medication.
Mr. X works as a construction worker and of late has
been off sick due his shortness of breath and a
productive cough.
5
Instructions
 Complete the assessment of the patient in slide 5 using
the ICF framework.
6
Application of ICF Framework
Health Condition
(disorder/disease
=Asthma )
Body
function&structure
(Impairment)respiratory
system=damage from
smoking, effects of asthma,
*increase
secretions/bronchospasm*
Activities
(Limitation)
SOB with
climbing
stairs+walking
distances >300m
Participation
(Restriction)cannot play soccer
anymore
Environmental Factors=
Personal Factors=lack of income if off
works as construction person-dust
sick/ work may be at risk with increasing days
off
7
Integrate all the data
PROBLEM LIST
Document FUNCTIONAL problems
Prioritise the most important problems and analyse completely, using the following table.
FUNCTIONAL
PROBLEMS
Usually
activity or
participation
restriction
MISSING
COMPONENTS
Usually
activity
UNDERLYING
REASONS
Usually
impairment
INTERVENTION
SHORT TERM AIMS
Must be functional aims (likely to be achieved in the next few treatment sessions)
LONG TERM AIM
Think of ONE function you would like to improve in 1-3 months time.
SOAP NOTES
Includes daily updates on the Subjective, Objective, Analysis of Problems (SOAP) and treatment plan.
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Integrate all the data
Functional
Problem
Usually activity
or participation
restriction
Missing
component
Usual activity
SOB with exertion;
walking > 300m
Able to walk
Damage to lungs
without feeling SOB from smoking/
asthma/ work.
Retained secretions Clear secretions
Underlying Reason Intervention
Impairment
Treatment based
on your problem
Possible chest
infection =green
sputum
Filtered mask/ stop
smoking/ educate
work environment
and employer
regarding patients
condition.
Pulmonary
rehabilitation
Manual chest
physiotherapy to
remove secretions
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Creative Commons license
Application of the ICF in the assessment of the RESPIRATORY patient
by Shamila Manie and Lunelle Pienaar
Department of Health and Rehabilitation Sciences, University of Cape Town (2010)
is licensed under a
Creative Commons Attribution-NonCommercial-ShareAlike 2.5
South Africa License. Please see http://creativecommons.org/licenses/by-nc-sa/2.5/za/
for terms and conditions.
Source work available at vula.uct.ac.za
Permissions beyond the scope of this license may be available at www.healthedu.uct.ac.za or
healthoer@uct.ac.za
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The End
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