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Domains for Implementation
The ICF is a classification system that underlies definition, measurement, and policy formulations in the fields of health and disability. A hybrid of medical and social models of disability, the framework depicts function and disability as interacting factors that relate to the individual, and contextual factors unique to the individual.
The Framework was developed a priori to conduct of the scoping review, using the rehabilitation goals to guide selection of relevant data elements, data collection, collation, and the data reporting process. The following case examples are intended to assist the reader in understanding how the rehabilitation framework is applied and customized care provided for each individual with SCI.
The Consortium began with 37 domains
Then selected 17 domains, and then paired that down to 11 domains
Defining the Aims for Domain Implementation
Emotional Well Being
To improve the screening and management of depression and anxiety early post injury or disease in order to maximize long-term rehabilitation outcomes.
Sexual Health
To create a permissive environment among regulated healthcare professionals to enable open discussion and individual sexual health inquiry.
Walking
To maximize the recovery of walking for individuals following SCI/D.
Wheeled Mobility
To maximize community wheelchair mobility through the implementation of routine standardized wheelchair mobility assessments.
Tissue Integrity
To reduce the overall incidence and severity of pressure injuries among individuals with SCI throughout their lifetime.
Urinary Tract Infection
To reduce inappropriate antibiotic prescription for UTI in order to reduce the incidence of rising antibiotic resistance and the associated complications among individuals with chronic SCI/D living in the community.
Self-Management
To empower the individuals to manage their health and daily activities toward successful community integration.
Community Participation
To ensure individuals living with SCI/D are healthy, able and empowered to participate fully in the life situations they deem important.
Employment
To provide individuals living with SCI/D effective vocational supports and opportunities to secure and maintain employment post-rehabilitation.