PHTY209 Lecture Notes - Lecture 2: Natural Environment, World Health Organization, Biopsychosocial Model
Conceptual frameworks for clinical practice
• A conceptual framework for clinical intervention
o A logical structure that helps organise clinical practices into a cohesive and
comprehensive plan
o Components
• Clinical reasoning process
• Models of disablement
• Clinical reasoning process
o Generate a hypothesis
• Movement science and pathophysiology inform possible constraints on
movement performance
• Informs assessment choices
• Goal setting with SMART Goals
o Specific
o Measurable
o Attainable/achievable
o Realistic
o Timed
• Models of disablement
o All models provide a framework for analysing the effects of acute/chronic conditions
on the systems of the body, during performance of tasks and while executing roles
in society
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• What is the ICF
o International Classification of Functioning, Disability and Health (ICF)
o A model developed by the World Health Organisation (WHO) to describe
functioning, disability and health
o Defines functioning and disability as multi-dimensional concepts relating to the:
• Body functions and structures of people
• The activities people do and the life areas in which they participate
• The factors in their environment that affect these experiences
o A classification system for describing health
o A common, international framework and language
o Effective teamwork needs explicit and shared models and frameworks
• Common analysis of situation
• Consistent approach with clients
• Enhanced communication
• Provides a framework for physiotherapy
▪ Assessment
▪ Goal setting
▪ Treatment planning
▪ Extensively tested and validated across many domains
▪ Trans-cultural
o The bio-psycho-soial odel = itegratio of the edial ad soial odels of
disability and health
o A significant departure from previous models of disablement, which propose a
causal relationship between disease, functional limitations and disability
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Document Summary
The physiological functions of body systems (including psychological functions: body structures, anatomical parts of the body, such as organs, limbs and their components. Intermittent /continuous: not the same as the underlying pathology, but a manifestation of that pathology, the presence of an impairment implies a cause, but the cause may not be sufficient to explain the resulting impairment. Is part of a health condition but does not necessarily indicate that a disease is present and that an individual should be regarded as sick: primary impairment, a manifestation of the underlying pathology. Interpersonal interactions and relationships: general tasks and demands (single task or multiple tasks, communication, mobility. It denotes the positive aspects of the interaction between an individual (with a health (cid:272)o(cid:374)ditio(cid:374)(cid:895) a(cid:374)d that i(cid:374)di(cid:448)idual(cid:859)s (cid:272)o(cid:374)te(cid:454)tual fa(cid:272)tors (cid:894)e(cid:374)(cid:448)iro(cid:374)(cid:373)e(cid:374)tal and personal factors: contextual factors, personal. Lifestyle habits: gender, cultural background, age, other health conditions, upbringing, coping styles, education, profession, past and current experience, overall behaviour pattern and character style.
