Maximizing Function-Goal Setting and the Rehab Perspective Deborah Gaebler-Spira, MD Rehabilitation...
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Transcript of Maximizing Function-Goal Setting and the Rehab Perspective Deborah Gaebler-Spira, MD Rehabilitation...
Maximizing Function-Goal Setting and the Rehab
Perspective
Deborah Gaebler-Spira, MDRehabilitation Institute of Chicago
Partnering for Progress: A Cerebral Palsy Conference for Parents & CaregiversAugust 11,2007, Chicago, Illinois
Goals of Rehabilitation
Prevent secondary complications-deformity Improve and support function/development Promote assets-kids are not a sum of the
deficits
Rehabilitation domains
Self Care-dressing, bathing, toileting Communication Mobility-ambulation, transfers, stairs Continence-bowel and bladder
Developmental perspective
Gross motor Fine motor Personal social language
Developmental Assements
Vineland Peabody Batelle Bailey
Goals change as the child grows
Parent driven Therapist driven Doctor driven! Educationally driven
Mobility just gets you from here to there
National Center for Rehabilitation research model
Pathophysiology Impairment Disability Functional limitation Societal limitation
Adopted as outcome paradigm
Old WHO
Impairment Disability handicap
WHO 2001 model-International classification of function/components of health
Impairment Activities Participation Impact of environment and personal factors
New/WHO/ICF
Body structure and function
Physiologic functions of the body
Anatomical parts of the body
Impairments
Problems in body functions or structure, loss or deviations
Activities
Execution of a task or action by an individual
Participation
Involvement of a life situation
ICF
Functioning and disability -body functions and
structures Activities and
participation
Contextual factors Environmental personal
Environmental factors
External factors Facilitating or hindering
impact of the physical, social and attitudinal world
Personal factors
Internal influences Or attributes of the
individual
Maximizing function
Therapy to Augment Function Compensate for Function Technology to assist function