Email this article Algorithm for formulation a rehabilitation diagnosis using the international classification of functioning in a patient with a stroke: clinical case
- Authors: Ivanova G.Е.1,2, Bodrova R.A.3, Builova T.V.4, Karimova G.M.3, Komarnitsky V.S.3
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Affiliations:
- The Russian National Research Medical University named after N.I. Pirogov, Department of Medical Rehabilitation
- Federal State Budgetary Institution "Federal center of brain research and neurotechnologies" of the Federal Medical Biological Agency
- Kazan State Medical Academy — branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation
- Lobachevsky State University of Nizhni Novgorod
- Issue: Vol 4, No 1 (2022)
- Pages: 37-54
- Section: CASE REPORT
- URL: https://bakhtiniada.ru/2658-6843/article/view/96918
- DOI: https://doi.org/10.36425/rehab96918
- ID: 96918
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Abstract
Background. The International Classification of Functioning, Disability and Health (ICF) is a universal system for assessing the health of the body as a whole, as well as problems that limit life. Using the ICF, it is possible at the level of the body, personality and society to quite accurately investigate the nature and severity of disabilities. Subsequently, this will make it possible, on a scientific basis, to substantiate the need and volume of rehabilitation measures and social protection. For medical professionals, one of the main criteria for using the ICF is the ability to formulate a rehabilitation diagnosis, which in turn makes it possible to determine the goal, objectives, rehabilitation program, and in the future to assess the effectiveness of rehabilitation measures. In the formulation of a rehabilitation diagnosis, the coding for the ICF domains is used. Rehabilitation diagnosis is a description of structural and functional disorders that have arisen in a patient as a result of a stroke, which entailed a restriction of activity and participation, the possibility of using environmental factors that may facilitate or hinder the performance of the described functions by the patient. Clinical case description. The patient, 65 years old, was admitted to the rehabilitation department with complaints of decreased muscle strength, instability when walking, limited mobility, dizziness, impaired pronunciation of words. Directional diagnosis: Ischemic stroke. After the rehabilitation diagnosis was made, the patient had an average rehabilitation potential and a relatively favorable prognosis. During rehabilitation, medical treatment, individual sessions with a psychologist, methods of rehabilitation of violations of regulatory functions, etc. were used. Upon discharge, the evaluation of the scales revealed the positive dynamics of the medical rehabilitation. Conclusion. The ICF evaluates all components of a post-stroke patient's health. The ICF is used in the preparation of a rehabilitation diagnosis and justifies the use of methods of medical rehabilitation. Formation of a rehabilitation diagnosis based on the principles of ICF is a key point in determining short-term and long-term goals for the patient, as well as assessing the rehabilitation potential and prognosis, drawing up an individual plan for medical rehabilitation and further recommendations upon discharge. Our experience of rehabilitation in the post-stroke period has shown that the use of the international classification of functioning in the formulation of a rehabilitation diagnosis in this category of patients allows for a higher efficiency of medical rehabilitation in general.
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##article.viewOnOriginalSite##About the authors
Galina Е. Ivanova
The Russian National Research Medical University named after N.I. Pirogov, Department of Medical Rehabilitation; Federal State Budgetary Institution "Federal center of brain research and neurotechnologies" of the Federal Medical Biological Agency
Email: reabilivanova@mail.ru
ORCID iD: 0000-0003-3180-5525
SPIN-code: 4049-4581
MD, Dr. Sci. (Med.), Professor
Russian Federation, Moscow; MoscowReseda A. Bodrova
Kazan State Medical Academy — branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation
Email: bodrovarezeda@yandex.ru
ORCID iD: 0000-0003-3540-0162
SPIN-code: 1201-5698
MD, Dr. Sci. (Med.), Assistant Professor
Russian Federation, KazanTatyana V. Builova
Lobachevsky State University of Nizhni Novgorod
Email: tvbuilova@list.ru
ORCID iD: 0000-0003-0282-7207
SPIN-code: 6062-2584
MD, Dr. Sci. (Med.), Professor
Russian Federation, Nizhny NovgorodGuzel M. Karimova
Kazan State Medical Academy — branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation
Email: altermed2004@mail.ru
ORCID iD: 0000-0001-6070-4227
Russian Federation, Kazan
Vasily S. Komarnitsky
Kazan State Medical Academy — branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: vkom85@mail.ru
Assistant
Russian Federation, KazanReferences
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