icf in taking a history 2017

Fakulteit Geneeskunde en Gesondheidswetenskappe Faculty of Medicine and Health Sciences

The F-Words in history taking

26 September 2017

Dr Stefanus Snyman

Write down and discuss

1. 5 months later: What do you remember of the

ICF?

2. Why do you think it is of value to revisit the

ICF when we talk about taking a medical

history?

Outcomes

• Demonstrate how to take a patient’s history by

using the International Classification of

Functioning, Disability and Health (ICF).

Outline of this session

• Recap the ICF

• The ICF as framework to think about your

patient

• Taking a spiritual history

Resources

• Prescribed:

• Notes: Health in Context notes / podcast (ICF

and Worldview).

• Notes: Taking a spiritual history (pdf & mp3)

(SUNLearn)

• Recommended:

• Overview: ICF Practical Manual (see

SUNLearn).

(Read Chapter 1-2)

• ICF Checklist (scan to give you the bigger

picture) (See SUNLearn)

Resources

• Background resources

• Want to know something specific to describe

the various ICF domains:

http://apps.who.int/classifications/icfbrowser/

• Now each chapter up to level 3


Patient-centred

By using ICF, patient outcomes are highlighted

through interprofessional activity that

conceptualises the complex interrelatedness of

functioning as a ‘dynamic interaction between a

person’s health condition, environmental factors

and personal factors.

Body function and structure domains:

Impairment

1. Mental status

2. Sensory functions (vision, hearing, vestibular,

pain)

3. Voice and speech

4. Vascular and circulatory system

5. Respiratory system

6. Endocrine, digestive and metabolic

7. Genito-urinary and reproductive systems

8. Skin and related structures

Activity & Participation domain:

Life areas (tasks and actions)

1. Learning and applying knowledge

2. General tasks and demands

3. Communication

4. Mobility

5. Self care

6. Domestic life

7. Interpersonal interactions

8. Major life

9. Community, social and civic life

Want to know something specific to describe the various ICF domains:http://apps.who.int/classifications/icfbrowser/


Personal factors [Positive / Negative]

• Age

• Gender

• Race

• Education

• Worldview

• Experiences

• Personality

• Aptitude

• Coping styles

• Lifestyle

• Fitness, etc.

Environmental factors

[Barriers or Facilitators]

1. Products and technology

2. Natural environment and man

made changes

3. Support & relationships

4. Attitudes

5. Services, systems & policies

Taking a spiritual history

• Why would you take a spiritual history?

• When would you take a spiritual history?

• Resources:

• Notes on SUNLearn

• Review worldview notes from health in context

• Simply Ask booklet for future reference about

religions

Good opportunity to take a spiritual

history:

• When someone is suffering from major illness,

terminal disease or dying

• In the peri-operative period

• At registration or health maintenance check

• In a social crisis or time of loss

Belief, Practice and Faith Community.

• Belief:

• ‘Do you have a faith which helps you (in a time

like this)?’

• ‘Do you have a personal faith?’

• ‘What is important to you (in life)?’


• Practice:

• ‘How does it affect your life?’

• ‘Have you ever prayed about your situation?’


• Faith Community:

• ‘Do you belong to a faith community?’

• ‘Who gives you support?’

• ‘What keeps you going?’

icf in taking a history 2017

Health & Medicine