【正文】 rspective Bod y S tructu re s /Fun c tions A c ti v itie s P a rtic ip a tion Health Professional Perspective E nv ironme nt a l fac to rs P e rs ona l fac to rs I have pain in my back I am not able to walk anymore My bowel and bladder do not work anymore To balance my body is really difficult My bodyweight loss bothers me I am not able to sense my body anymore I have spasticity in my legs To transfer myself is quiet difficult I am not able to take a shower by myself My blood pressure decreases very often The pression hosery helps a little bit To dress the lower extremity is impossible, the TShirt, I slowly get under control I am able to catheterize myself, but I need support to purge the bowel I used to work as a mover To move the wheelchair uphill and overing barriers is a problem It is important for me to meet my friends I have to sleep on my back, that bothers me The support of my parents and friends is a very big help for me The flat is not wheelchar accessible My willpower is extremely strong Emotional functions Proprioceptive functions Touch functions Sensory functions Sensation of pain Maintenance of blood pressure Respiratory muscle functions Defecation functions Weight maintenance functions Urination functions Power of isolated muscles… Power of muscles on lower half… Power of muscles of the trunk Tone of muscles of lower half… Involuntary movement reaction functions Changing basic body position Maintaining a sitting position Transferring oneself Walking Moving around using equipment Driving Washing oneself Caring for body parts Regulating defecation Dressing Looking after one‘s health Remunerative employment Recreation and leisure e115+3 Assistive products for personal use e310+4 Immediate family, e320+4 Friends Design, construction of buildings + Health professionals Glo b a l G o a l: S e rv ice P rog ram m e G o a l: Cy cle g o a l 1 : Cy cle g o a l 2 : Cy cle g o a l 3 : ICF ca te g o ri e s ICF Q u a li f ier p rob le m 0 1 2 3 4 Go a l Rela tio n Go a l v a lue b 1 5 2 E m o tio n a l f u n c tio n b 2 8 0 S e n sa tio n o f p a in b 4 4 0 Resp ir a tio n fu n c tio n s b 5 2 5 Def e ca ti o n fu n ctio n s b 6 2 0 Ur ina tio n fu n ctio n s b 7 3 0 M u scle p o w e r fu n cti o n s b 7 3 5 M u scle to n e fu n ctio n s b 8 1 0 P rote ctiv e f u n ctio n s o f th e sk in s1 2 0 S p ina l c o rd a n d rela te d st ruct u r e s s4 3 0 S truct u re o f t h e r e sp ir a to ry s y ste m s6 1 0 S truct u re o f t h e u ri n a ry sy ste m d 4 1 0 Cha n g ing b a sic b o d y p o sition s d 4 2 0 T ran s fe rr ing o n e s e l f d 4 4 5 Han d a n d a rm u s e d 4 5 0 W a l king d 5 1 0 W a s h i n g o n e s e l f d 5 3 0 T o il e ti n g d 5 4 0 Dr e ssing d 5 5 0 E a tin g d 5 6 0 Dr inkin g fa cil ita to r b a rr ier 4+ 3+ 2+ 1+ 0 1 2 3 4 e 1 1 5 P rod u cts a n d t e ch n o lo g y … f o r p e rson a l u se in d a il y livi n g e 1 2 0 P rod u cts a n d t e ch n o lo g y … f o r p e rson a l…m o b il ity … e 3 1 0 Imm e d i a te fa m il y e 3 4 0 P e rson a l ca re p rov ide rs an d p e rso n a l a ssista n ts e 3 5 5 Hea lth p ro f e ssio n a ls Community integration Independence in daily living Mobility SelfCare Vocational reintegration CG1 CG1 CG1 CG1 CG1 1 3 1 0 0 0 1 1 1 4+ Inter v e nt ion tar get s MD Nurs PT OT Psy SW Oth I nterv en t i on Fir st v alue G oa l v alue Final v alue Body function /structure Activity / Participation Environmental factors Personal factors b280 Sensation of pain b710 Mobility of joint functions b7300 Power of isolated muscles b7305 Power of muscles of the trunk b7353 Tone of muscles of lower half b755 Involuntary movement reactions d410 Changing basic body positions d4153 Maintaining a body position d420 Transferring oneself d475 Driving d510 Washing oneself d520 Caring for body parts d540 Dressing d850 Remunerative employment e115 Products and techn. for use in daily e120 Products and techn. for mobility e155 Design, construction of buildings pf Coping with disease pf Acceptance of emotions pf Self petencies X X X Manual therapy Active and passive movement of joints Muscle power training with equipment Muscle power training without equipment Medication, Hippother