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Projecting and programming rehabilitation based on ICF-CY format in a neuropediatric hospital unit
Anna Maria Salghetti1, Silvana Betto, Emanuela Russo
1E Medea Scientific Institute, Conegliano Pieve di Soligo Research Centre, Conegliano, Italy. annamaria.salghetti@cn.lnf.it
Objective:
To follow-up the impact of a format based upon the International Classification of Functioning Disability and Health, version for children and youth (ICF-CY) as a roadmap for in-hospital pediatric neuro-rehabilitation.
Design:
Longitudinal study in a single Centre testing with impact assessment.
Subjects/Patients:
The team members of a tertiary care pediatric neuro-rehabilitation unit approaching 88 consecutive patients with various physical and/or neurological conditions.
Methods:
A revised version of the protocol ICF-CY based format for rehabilitation projecting and programming was applied for 24 months. Impact on the rehabilitation team was assessed with an ad hoc questionnaire.
Results:
Fifteen questionnaires were returned, all of them reporting strongly positive judgements. Time constraint was no longer considered the main problem, probably because of a learning effect. Ongoing utilization reduced the time needed and the problems perceived in completing the task.
Conclusion:
This application confirmed that ICF contribute to improve the quality of interdisciplinary work and to share the rehabilitation process between team members and family. Indeed ICF-CY works efficiently as a roadmap for in-hospital pediatric neuro-rehabilitation. Its implementation results in perceived improvements in the process, ongoing utilization reduces the time needed and the problems encountered in completing the task.
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