Article

This study describes a case formulation approach applying a prospective
ICF derived clinical tool to assess rehabilitation needs for a community dwelling
stroke survivor with care from an outpatient rehabilitation medicine clinic.
METHOD: Case history data on the person were assessed for rehabilitation
management planning using a prospective tool to interlink current with projected
future functional status in everyday settings. Implicit assessment with
reflective action informed decision points at each stage of the rehabilitation
process. RESULTS: As a result of reflective action using the prospective tool,
rehabilitation management led to significant changes in client participation
after limitations to mobility and self care were mapped to the living conditions
of the stroke survivor. The context sensitive rehabilitative plan resulted in
higher subjective health-related quality of life in the stroke survivor and
significant other and enhanced their capacity for participation. CONCLUSIONS:
Reflective action informed assessment applying ICF concepts to clinical problem
solving resulted in positive gains in health-related quality of life in a stroke
survivor.

Langue : ANGLAIS