Based on the assessment of Peter’s functioning status, as documented on the ICF Assessment Sheet, a profile of Peter’s functioning, or ICF Categorical Profile, was created using the standardized language of the International Classification of Functioning, Disability and Health (ICF). The ICF Categorical Profile for Peter visually depicts his functioning status at the time of the assessment using ICF qualifiers, and shows long and short-term goals that the rehabilitation team, with consideration of Peter's perspective, has identified. It was believed that clear and meaningful common goals would help to increase Peter’s intrinsic motivation and foster his feeling of responsibility toward the program.
Just two weeks before completing the Rehab-Cycle® Peter asked to be discharged, and he was released against the recommendations of his rehabilitation team. Unfortunately, he was unable to be dissuaded, and a final evaluation was performed just before he left the clinic – significantly earlier than originally intended.
Real-life outcomes are dependent not only upon the success of medical intervention, but also on the subsequent rehabilitative interventions and the person himself. While it is well-documented that upper extremity surgery is effective for increasing functionality, 8 15 16 surgery and the treatment scheme alone may not guarantee positive results, as was evident three weeks into Peter’s medical management. Outcomes are also affected by the person's level of participation and acceptance of responsibility in the rehabilitation process, as well as the healthcare professional-patient interaction. Peter’s case illustrates this well.
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