学士学位课程中的国际功能、残疾和健康分类--在物理治疗师对神经系统患者的临床推理过程中实施国际功能、残疾和健康分类--优化健康课程以全面护理患者

Hannes Aftenberger, Bernhard Taxer
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摘要

众所周知,《国际功能、残疾和健康分类》(ICF)是跨专业神经康复领域的一个重要分类模型,因为它可以使治疗更加以患者为中心,并由患者自主决定。要想在神经康复领域获得实施 ICF 的能力,就必须在医疗保健专业人员的基础培训中培养基本技能。位于奥地利格拉茨的 FH JOANNEUM 物理治疗学院提出了一个概念,帮助学生有计划地学习实施 ICF 的必要技能。在神经康复领域,我们将 ICF 模型与临床推理模型 (CR) 联系起来。通过六个学期的学习,学生掌握了各种能力。除了在第一年教授与 ICF 相关的一般主题(如历史、意图和语言)和 CR 外,我们还在后面的学期中明确将重点放在将这些技能转移到神经康复上。因此,我们将跨专业小组工作和基于问题的课程作为这种技能转移的基本教学要素。本文旨在说明如何在物理治疗学士学位课程以及其他医疗保健课程中实施国际功能、残疾和健康分类。文章介绍了作者的经验,并列举了在这一领域使用《国际功能、残疾和健康分类》的一些最佳实践案例。
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ICF in Bachelor degree programs—the implementation of the ICF in the clinical reasoning process of physical therapists for neurological patients—optimizing the health curriculum for comprehensive patient care
The International Classification of Function, Disability, and Health (ICF) is known to be a valuable classification model in interprofessional neurorehabilitation, as it can lead to more patient-centered and self-determined treatment. To acquire the competencies implementing the ICF in the field of neurorehabilitation, it is important to anchor essential skills in the basic training of healthcare professionals. The Institute of Physiotherapy at FH JOANNEUM in Graz/Austria developed a concept to help students learn the necessary skills for implementing the ICF in a structured way. In the area of neurorehabilitation, we linked the ICF model with the Clinical Reasoning Model (CR). Competences are acquired over six semesters. Besides the general topics relating to the ICF (such as history, intention, and language) and CR that are taught in the first year, we focus in the later semesters explicitly on transferring these skills to neurorehabilitation. Therefore, we use interprofessional group work and problem-based courses as essential didactic elements for this transfer of skills. This article aims to show how the ICF could be implemented in Bachelor's degree programs for physiotherapy as well as in other healthcare programs. The authors’ experiences are described and some best practice examples when working with the ICF in this field are given.
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