Icf Case Study Nursing

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As clinicians, we are all challenged every day to demonstrate better assessments and interventions that are making a difference to our patients and families we serve. In effect, this case study enhances our thinking and begin to integrate the International Classification of Functioning, Disability and Health (ICF) framework. The ICF model of disablement goes beyond the impairment level and try to capture and report on the most important performances that truly has an impact for our patients overall functioning. The ICF as we shall see on this discussion will provide a model of functioning and disability and offers a clear picture of the various facets of health at biological, individual and social levels (Steiner et al., 2002). To demonstrate,…show more content…
M.M. a 42-year-old female status post right total hip replacement (THR) on September 28, 2015. Patient have a principal diagnosis of Z47.1 (ICD-10), aftercare following joint replacement (American Health Information Management Association, 2015) upon admission to our rehabilitation facility. Her current medications include Lopressor, Coumadin and Percocet. Patient have reported gradually increasing pain in both hips for the last ten years. Her past medical history includes osteoarthritis of bilateral hips diagnosed ten years ago and controlled hypertension. Patient lives by herself in a mobile home with six steps leading to her entrance. Immediately before surgery patient was using a standard cane for ambulation. Patient reports walking short distances and very slow due to pain in bilateral hips notably more on her right hip. At present patient unable to perform any household chores. Her mother and siblings come and assist her with her household tasks. The patient is currently not employed and stays at home most of the time. Three years ago she was working in a daycare center but due to increasing pain and discomfort in both hips she decided to quit her job. Patient reports that she likes to cook and enjoy travelling with her mother, she has not been able to do all these due to the debilitating pain in both hips. The patient is planning to go back to school and finish her degree after she recovers from her surgery. Objective…show more content…
The patient performs stand pivot transfers from bed to a chair at supervision level. The patient is currently ambulating 125 feet using a rolling walker with a decrease stance phase noted on the right lower extremity. With stair navigation, she requires contact guard assist as the patient is fearful that her knee might give way. As to self-care, she requires the use of adaptive equipment to don/doff socks and shoes. The patient reported that she was using a tub bench when taking her shower in the tub. She is using a sponge with an extended handle to wash her legs and back. As to standing tasks, the patient is tolerating static and dynamic standing activities in the kitchen and bathroom for ten minutes and requires to rest after 10 minutes due to soreness in her bilateral hips. She has no limitations with reaching for objects from waist level to above shoulder level; she is unable to reach for pots, pans and heavy objects below knee level due to her THR precautions. Her right hip flexion is limited to 70 degrees when actively done due to guarding; passive flexion of the right hip is limited to 90 degrees due to THR precautions. Manual muscle test of right hip flexors is graded 3-/5 and right

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