Die Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) in der Dermatologischen Rehabilitation

Abstract

Medical rehabilitation represents the interdisciplinary management of a person's functional health. This term implies concepts of functioning, disability and health and represents the core notion of the international classification of functioning, disability and health (ICF). Four components -- anatomic structure, body functions, activities and participation, environmental factors and personal factors -- make the ICF applicable from a biological, individual and social perspective. At present the ICF is used as a system of classification, a research tool and as a theoretical basis in rehabilitation medicine. Its clinical application will depend on the improvement of its practicability and compatibility with currently used tools in dermatologic rehabilitation. ICF offers the opportunity to define, weight and classify diseases of the skin and their psychosocial consequences.

Classifying functional manifestations of ectodermal dysplasias

“…The universal scope of the ICF and the ICF‐CY provides a standard for classifying dimensions of functioning and disability regardless of underlying cause. The potential contribution of the ICF as a tool for dermatologic rehabilitation has been described by Niederauer et al 2005. The ICF and ICF‐CY can be applied to classify variations of body structures, body functions, activity and participation of persons with the health condition of ED as well as defining environmental factors influencing their condition or indicated in their treatment and care.…”

S1 Guideline: Dermatological inpatient rehabilitation in adult atopic dermatitis*

“…This guideline is intended to help dermatologists, family physicians, and evaluators and insurers in regard to patients with atopic dermatitis who require inpatient medical rehabilitation as opposed to those who receive outpatient services or acute inpatient care. It should also help achieve targeted, optimized, multimodal therapy (Nürnberg 2005) in view of the rehabilitation goal of the patient and his or her functional limitations (ICF; Niederauer et al 2005).…”

“…18 of the DRV papers from January 2000, and for psychology the Psy‐BaDo Manual (Heuft, Senf 1998). The use of the ICF (Niederauer et al 2005) is increasingly necessary.…”

Dermatologisch-psychosomatische Rehabilitation

“…Erweisen sich die dortigen Therapiemaßnahmen im Hinblick auf ein adäquates Coping als nicht ausreichend, weil die psychosoziale Belastung (Ängste, Stigmatisierung, Depression) so gravierend ist, sollte eine psychosomatisch-dermatologische Rehabilitation gewählt werden. Hier zeigt sich jetzt die Stärke und der Sinn einer genauen Spezifizierung der vorliegenden Einschränkungen (dermatologisch und psychisch) anhand der ICF [10], um daraus den spezifischen Rehabilitationsbedarf (somatisch und psychotherapeutisch) ableiten zu können [17]. Der Antrag zur Verordnung von medizinischer Rehabilitation zulasten der GKV Die einzelnen Funktionseinschrän-kungen können anhand der ICF-Terminologie differenziert benannt und zur weiteren Therapieplanung genutzt werden (.…”