04 | Health Behaviour

Assignment and Intervention

Assignment

Monica’s rehabilitation team consisted of her physician, nurse, a physical and an occupational therapist and a psychologist. Each team member was assigned to attend to specific intervention targets.

The ICF Intervention Table (see table 2) depicts the assignment of each rehabilitation team member to the intervention targets identified during the assessment phase and documented on the ICF Categorical Profile.((Anchor ICF Categorical Profile with table 1 on previous page))

In Monica's case, the intervention targets corresponding to personal factors and related to her health behaviour were of special importance. While the psychologist on the team was assigned to address these intervention targets, all of the rehabilitation team members considered these important intervention targets in their five-week treatment program.

"...intervention targets corresponding to personal factors and related to her health behaviour were of special importance...the psychologist on the team was assigned to address these intervention targets..."

Intervention

To improve Monica's ability to look after her health and help transform Monica's personal factors from being a barrier to becoming a facilitator of her health situation, the psychologist implemented specific therapeutic approaches. For example, body awareness exercises intended to help increase Monica's acceptance of her body image. Behavioural therapy, counseling and instruction were provided to help Monica accept her disease more, increase her self-responsibility, improve emotional stability as well as stop or reduce smoking to 3 cigarettes/day. Counseling and instruction focused on strengthening Monica's self management abilities.

In addition to the psychological interventions, treatment that supported the repair functions of the skin was provided. This involved medications, daily wound dressings, skin control and positioning the body on a proper mattress. To improve Monica's mobility, the physical therapist provided muscle power training and transfer training.

Figure 2: ICF Intervention Table

Table 2: ICF Intervention Table: Doc = Physician; PT = Physical Therapist; OT = Occupational Therapist; Psych = Psychologist. The first value refers to the rating at the initial assessment, the goal value refers to the rating that should be achieved after the intervention, and the final value refers to the actual rating at the second assessment or evaluation. ICF qualifiers were used to determine these ratings (0 = no problem to 4 = complete problem) in the intervention targets. For the interventions targets representing environmental (e) and personal factors (pf), the plus sign next to the value indicates a facilitator.

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