The ICF Assessment Sheet provides a comprehensive overview of the person’s functioning state by presenting the assessment results in all the components of functioning, environmental and personal factors with input from both the health professional and the person (patient). The ICF Assessment Sheet can help the rehabilitation team to understand the person's functioning and to identify the needs to be addressed in rehabilitation.
To illustrate the patient’s and health professional’s perspective, the components of functioning are divided into an upper (patient’s perspective) and a lower (health professional’s perspective) section. The environmental and personal factors reflect both the patient's as well as the health professional's perspective.
To describe the person’s experience of functioning, his or her own words are used to fill in the part called "patient’s perspective". To reflect the health professional’s perspective, all results from the clinical assessment relevant to the description of the patient's functioning status at the time of assessment are entered in the lower part of the sheet, ideally using ICF categories. In order to use the common language of the ICF, the original technical terminology of the clinical assessment has to be translated or ‘linked’ to the corresponding ICF categories. Established linking rules can greatly facilitate this process. Environmental factors can also be indicated using ICF categories.
If appropriate, the rehabilitation team can use a relevant ICF Core Set for documentation in the ICF Assessment Sheet, specifically for the health professional perspective and the environmental factors. Each ICF Core Set category can then be rated with an ICF qualifier. This information can serve as the basis for completing the next ICF-based documentation tool - the ICF Categorical profile.
Literature
- Cieza A, Geyh S, Chatterji S, Kostanjsek N, Ustun B Stucki G. ICF linking rules: an update based on lessons learned J Rehabil Med. 2005; 37(4): 212-218.
- Peter C, Rauch A, Cieza A, Geyh S. Stress, internal resources and functioning in a person with spinal cord disease. NeuroRehabilitation. 2012;30(2):119-130.
- Rauch A, Bickenbach J, Reinhardt J, Geyh S, Stucki G. The utility of the ICF to identify and evaluate problems and needs in participation in spinal cord injury. Top Spinal Cord Inj Rehabil. 2010; 15(4); 72-86.
- Rauch A, Cieza A, Stucki G. How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. Eur J Phys Rehabil Med 2008; 44:329-342.
- Rauch A, Escorpizo R, Riddle D, Eriks-Hoogland I, Stucki G, Cieza A. Using a case report of a patient with spinal cord injury to illustrate the application of the International Classification of Functioning, Disability and Health (ICF) during patient management. Phys Therapy. 2010; 90(7): 1039-1052.
- Steiner WA, Ryser L, Huber E, Uebelhart D, Aeschlimann A, Stucki G. Use of the ICF model as a clinical problem-solving tool in physical therapy and rehabilitation medicine. Phys Ther. 2002; 82(11): 1098-1107.
- Stucki G, Ewert T, Cieza A. Value and application of the ICF in rehabilitation medicine. Disabil Rehabil. 2002; 24(17): 932-938.