通过国际功能、残疾和健康分类分析一个失语症病例

Araceli Aldea Jiménez, Estíbaliz Terradillos Azpiroz, Elisa Terriza Reguillos
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引用次数: 0

摘要

后天性脑损伤对个人、家庭、社会和职业都有重要影响。这一事实是由于认知和运动功能受损的固有后果。对脑损伤患者的治疗方法与跨学科治疗完全匹配,跨学科治疗由不同领域组成:物理治疗、职业治疗、语言治疗、临床心理学家、医学等。世界卫生组织制定的国际功能、残疾和健康分类使用统一的标准语言,允许不同方法之间关于健康和卫生注意的普遍交流。它基于两种不同的概念模型(卫生和社会),这两种模型已被用于理解功能和残疾。本报告通过观察分析,描述了在单个案例中应用该分类的优点和缺点。我们意识到,这种分类的结构化和系统性使用增强了从“生物、社会和社会”角度对患者的描述。因此,它有助于分类受损的认知和运动问题(身体功能和结构)以及属于该改变的功能问题(活动和参与)。此外,它还对对其自主性有积极或消极影响的人的环境特征(环境因素)进行分类。通过这种方式,在每个病例中设置干预路径,成为在获得性脑损伤患者中设置功能目标的有用工具。
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Análisis de un caso de afasia a través de la Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud

A person with an acquired brain injury entails important personal, familiar, social and ocupational implications. This fact is due to the inherent consequences that the damage in cognitive and motoric functions.

The approach to a patient with a brain injury, perfectly matches those in a transdisciplinar treatment, which is composed by different areas: physiotherapy, Occupational Therapy, Speech therapy, Clinical Psychologist, Medicine, etc.

The International Classification Functioning, Disability and Health, developed by World Health Organization, uses an unified standard language, which allows the universal communication about health and sanitary attention between the different approaches. It is based on two different conceptual models (sanitary and social) that have been used to understanding functioning and disability.

This report describes, throughout an observational analysis, the advantages and disadvantages in the application of the Classification in a single case. We realized that the structured and systematic use of this classification enhances the patient description from a “biopsicosocial” view. Therefore, it helps to classificate the cognitive and motoric issues what are damaged (body functions and structures) and also the functional problems that belongs to that alteration (activities and participation). Moreover, it classificates the person environmental characteristics which have a positive or negative influence in his/her autonomy (environmental factors). In this way the intervention path is set in each case, becaming a useful tool to set up functional objectives in acquired brain injury patients.

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