Fdrg bcn-016 - ichi report (andrea martinuzzi)
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Development of functioning interventions-ICHI Alpha2 Updated 2014 Almborg AH, Cumerlato M, Salvador-Carulla L, Sykes C, Berg L, Madden R, Martinuzzi A
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Transcript of Fdrg bcn-016 - ichi report (andrea martinuzzi)
Development of functioninginterventions-ICHI Alpha2
Updated 2014
Almborg AH, Cumerlato M, Salvador-Carulla L,
Sykes C, Berg L, Madden R, Martinuzzi A
Path walked from Bejingduring 2014
Comments on Alpha 2
Meetings
FreiburgLondonChicago
Activity of the f-TWG
What has been achieved?
Status at ICHI Alpha2 Updated 2014
Way forward
Comments on Alpha2 2013
Comments fromO Speech therapists - Italy
O World Federation of Occupational therapists (9 countries)
O Physiotherapists - Iceland
O RTT research team
O Mental health – Italy
O Child rehabilitation – Canada (FDRG)
O Dietitian – New Zealand
O ICHI functioning – France (FDRG)
O Social care – Sweden (FDRG)
Meeting in FreiburgJanuary 2014
O Implications for fTWG of the suggested path of ICHI development with AMA partnershipO CPT present structure and content in the functioning area
O Review of all received comments
O Target Axis re-organization (structures & functions ordered by body system)
O Enrichment of axes
O Functioning content
O • Nursing interventions
O • Public health
O Mental health
O Extension codes
Meeting in LondonMay 3-5
O Discussion of specific items (e.g. exercise,
extension codes)
The role of the FDRG in the development of
ICHI is to:
O Provide expert opinion on functioning
interventions through field trials
O Develop common strategies to include useful
functioning targets in the ICF foundation layer
(e.g. behaviours, caregivers, other environmental
factors)
O Provide review expertise for the next version of
ICHI
Meeting in Chicago
O Future work between WHO, American Medical
Association (AMA) and Stanford University
O Development of a content model
O Exercises to link interventions (ICHI and CPT) to
content model
O Expansion of exercise interventions
Work done between Beijing toBarcelona
O Revision of axes
O Actions (diagnostic, therapeutic, managing, preventing)
O Revised definitions and titles
O Addition and deletion of some actions
O Targets
O Revision of the codes and hierarchial structure
O Means
O Additional means added
O Addition and revision of interventions
O Development of extension codes
Actions – diagnostic Revised description of actions
OAssessment
OTest
OMonitoring
OObservation
Actions – therapeutic
Revised descriptions or titles of
actions
O Psychotherapy
O Counselling
O Advising
O Training
O Education
O Performing the task
O Practical support
O Emotional support
O Installation of external device
O Management of external device
or environment
O Prescription
O Making external device
O Preparation and planning
New actions
O Change of external device
O Removal of an external device use
O Deconditioning from use of internal or external device
Deleted actions
O Adapting
O Removal and deconditioningfrom use of external device
O Supportive conversation (are included in counselling)
Actions – managingRevised description of actions
OAdvocacy
O Mediating or pleading in favour of a person,
group or issue, in relation to a matter relevant
to health and/or functioning
OBrockerage
O Delegating, managing, coordinating or
monitoring services or care on behalf of a
client
MeansNew means
O Strength techniques
O Endurance techniques
O Movement skills
techniques
O Flexibility techniques
O Multi-faceted
techniques for exercise
O Other exercise
techniques
O Information technology
O Instructional materials
O Economic instruments
O Media campaign
O Curriculum
Extension codes (1) O Quantifiers
O Number of devices inserted
O Initiating
O Maintaining
O Discontinuing
O Topology
O Laterality
O e.g. Right, Left, Bilateral, ......
O Relational
O e.g. External, Internal, Distal,
Proximal, ..........
O Distribution
O e.g. Anterior, Focal, Difusse,
...
O Regional
O e.g. Cranial, Bracial, .........
O Procedure Types
O Standardised
O Non standardised
O Structured
O Unstructured
O With equipment
O Without equipment
O Chemical
O Emotional
O Physical
Extension codes (2) O Recipient/Patient/Client
O Carer
O Community
O Family
O Group
O Individual
O Organisation
O Population group
O Other and unspecified service
provider
O Pathology Test TypesO Bacterial smear
O Cell block and Papanicolaou
smear
O Culture
O Culture and sensitivity
O Other
O Other pathology test
O Unspecified
O Additional Anatomy
O TemporalityO Antenatal
O Pregnancy
O Perinatal
O Puerperium
O Postpartum
O Neonatal
O Early Neonatal
O Late Neonatal
O Infancy
O Child under 5
O Child over 5
O Middle
Childhood
O Early
Adolescence
O Adolescent
O Middle
Adolescence
O Late
Adolescence
O Young Adult
O Adult
O Early Geriatric
O Late Geriatric
O Death
O Unspecified
Functioning interventions in the Alpha2 Updated 2014
version The functioning interventions for:
O specific body functions are now included in the
body systems Section 1 e.g respiratory, digestive,
urogenital
O activities and participation (Section 2) and
environmental factors (Section 3) have a hierarchy
based on types of activity
Status at the moment for ICHI
What is ICHI Alpha2 Updated 2014Upload at the link http://sydney.edu.au/health-
sciences/ncch/resources.shtml
Targets – 633
Actions and meansFinal count of actions: 131
Final count of means: 59
Functioning interventions 1490 functioning interventions in alpha 2013 version
≈ 1790 functioning interventions in Alpha2 Updated 2014
Way forward
O Tests to evaluate and improve the content by
potential users.
O Consultation with stakeholders on critical areas
O Partnership with ICHI project actors and role of
FDRG
O Manage the bi-directional flux of concepts
between ICF and ICHI
From Barcelona to ……….
Thank you for your attention
