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Assessment of Older People's Health and Social Care Needs and ...

Assessment of Older People's Health and Social Care Needs and ...

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Physiotherapy <strong>Needs</strong><strong>Assessment</strong>Emma Stokes, Lecturer, School <strong>of</strong> Physiotherapy, Trinity College, DublinIntroductionIn talking about physiotherapy needs assessment, I will discuss a description <strong>of</strong> physiotherapy <strong>and</strong>consider physiotherapy assessment <strong>and</strong> measurement in the context <strong>of</strong> the InternationalClassification <strong>of</strong> Functioning, Disability <strong>and</strong> <strong>Health</strong> (ICF). These models can inform our practice modelin working with clients who come to the Physiotherapy Department <strong>and</strong> that takes us through theprocess <strong>of</strong> assessment, <strong>of</strong> identifying a client's needs <strong>and</strong> developing an intervention to meet thoseneeds. I will also discuss briefly st<strong>and</strong>ardised outcome measurement.Description <strong>of</strong> PhysiotherapyAt a General Meeting <strong>of</strong> the World Confederation <strong>of</strong> Physical Therapy (WCPT) in Japan in 1999, adescription <strong>of</strong> physiotherapy was agreed as follows:Physiotherapy is providing services to people ... to maintain <strong>and</strong> restore maximum movement <strong>and</strong>functional ability throughout the lifespan. Physiotherapy is concerned with identifying <strong>and</strong> maximisingmovement potential within the spheres <strong>of</strong> promotion, prevention, treatment <strong>and</strong> rehabilitation. Thephysiotherapists'distinctive view <strong>of</strong> the body <strong>and</strong> its movement, needs <strong>and</strong> potential is central todetermining a diagnosis <strong>and</strong> intervention strategy.International Classification <strong>of</strong> Functioning, Disability <strong>and</strong> <strong>Health</strong> (ICF)The International Classification <strong>of</strong> Functioning, Disability <strong>and</strong> <strong>Health</strong> is a classification <strong>of</strong> health <strong>and</strong>health-related domains. The domains focus on the individual <strong>and</strong> society <strong>and</strong> comprise two basiclists: firstly, body structures <strong>and</strong> body functions <strong>and</strong> secondly. activities <strong>and</strong> participation.The following definitions are useful to describe the components that physiotherapists focus on inidentifying client needs. Body functions are the physiological functions <strong>of</strong> the body systems:• body structures encompass the anatomical parts <strong>of</strong> the body, for example, limbs <strong>and</strong> their components• activities relate to the execution <strong>of</strong> a task or action by an individual• participation is the involvement in a life situation.Conference Proceedings

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