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The Usefulness of the International Classification of Functioning, Disability and Health in Geriatric Assessment

woensdag, 2 mei, 2012 - 17:00
Campus: Brussels Health Campus
Faculteit: Medicine and Pharmacy
auditorium P. Brouwer
Patricia De Vriendt

Assessment is of major importance in geriatrics.
It leads to early detection of health problems,
contributes to the prevention of functional loss
and dependency, to the improvement of quality
of life and it reduces length of stay and hospital
(re)admission. Although the crucial role of
assessment is widely recognised, there is no
unanimity on the way it has to be performed. The
current reference in assessment of human
functioning is the International Classification of
Functioning, Disability and Health (ICF),
developed by the World Health Organization in

This present work focuses on the implementation
of the ICF in geriatric assessment. First, the
Geriatric Minimal Dataset–25 (GMDS-25) was
linked to the ICF, thus providing a more universal
language for research and clinical work. Next, the
Mini Mental State Examination was conversed to
the ICF, by content comparison and by
subsequent translation of the scoring system. In
Mild Cognitive Impairment (MCI), the importance
of the criterion concerning Activities of Daily
Living (ADL) is widely recognised, but there
neither a consensus on the expected ADLlimitation
nor a uniformity in language and
structure in the domain of ADL assessment (e.g.
scale content, items and definitions, scoring
systems). Therefore, an ICF based assessment
tool to evaluate functional status in MCI has been
developed with good psychometric properties.

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