Talman Lena, Gustafsson Christine, Stier Jonas, Wilder Jenny
a School of Health, Care and Social Welfare , Mälardalen University , Eskilstuna , Sweden.
b School of Health, Care and Social Welfare , Mälardalen University , Västerås , Sweden.
Disabil Rehabil. 2018 Oct;40(21):2527-2537. doi: 10.1080/09638288.2017.1340979. Epub 2017 Jun 21.
This study investigated what areas of International Classification of Functioning, Disability and Health were documented in implementation plans for adults with profound intellectual disability or profound intellectual and multiple disabilities with focus on participation.
A document analysis of 17 implementation plans was performed and International Classification of Functioning, Disability and Health was used as an analytic tool.
One hundred and sixty-three different codes were identified, especially in the components Activities and participation and Environmental factors. Participation was most frequently coded in the chapters Community, social and civic life and Self-care. Overall, the results showed that focus in the implementation plans concerned Self-care and Community, social and civic life. The other life areas in Activities and participation were seldom, or not at all, documented.
A deeper focus on participation in the implementation plans and all life areas in the component Activities and participation is needed. It is important that the documentation clearly shows what the adult wants, wishes, and likes in everyday life. It is also important to ensure that the job description for staff contains both life areas and individual preferences so that staff have the possibility to work to fulfill social and individual participation for the target group. Implications for rehabilitation There is a need for functioning working models to increase participation significantly for adults with profound intellectual disability or profound intellectual and multiple disabilities. For these adults, participation is achieved through the assistance of others and support and services carried out must be documented in an implementation plan. The International Classification of Functioning, Disability and Health can be used to support staff and ensure that information about the most important factors in an individual's functioning in their environment is not omitted in documentation.
本研究调查了《国际功能、残疾和健康分类》中的哪些领域在针对重度智力残疾或重度智力和多重残疾成年人的实施计划中有记录，重点关注参与情况。
对17份实施计划进行了文献分析，并将《国际功能、残疾和健康分类》用作分析工具。
共识别出163个不同的编码，尤其是在“活动与参与”和“环境因素”部分。参与情况在“社区、社会和公民生活”及“自我照料”章节中编码最为频繁。总体而言，结果表明实施计划的重点在于“自我照料”以及“社区、社会和公民生活”。“活动与参与”中的其他生活领域很少或根本没有记录。
实施计划需要更深入地关注参与以及“活动与参与”部分的所有生活领域。重要的是，记录要清楚显示成年人在日常生活中的需求、愿望和喜好。同样重要的是，确保工作人员的工作描述既包含生活领域又包含个人偏好，以便工作人员有可能努力实现目标群体的社会和个人参与。对康复的启示 需要有效的工作模式来显著提高重度智力残疾或重度智力和多重残疾成年人的参与度。对于这些成年人来说，参与是通过他人的协助实现的，并且实施的支持和服务必须记录在实施计划中。《国际功能、残疾和健康分类》可用于支持工作人员，并确保在记录中不遗漏有关个人在其环境中功能最重要因素的信息。
