International classification of function (ICF) entails a group of components that stipulate the functioning of disabled as revised by WHO.

It deals with the functioning of the body and its structure, the contribution and participation in various tasks and other environmental factors that the handicapped face in their daily activities so that they can come in terms with their condition. ICF takes in consideration such people have to adapt and accept themselves in their new conditions and that they suffer from inferiority complex (Journal 1. Stucki, G. Ewert, T & Cieza, A. 2002) as Value and application of the ICF in rehabilitation medicine: Disability and Rehabilitation states volume 10, (1) 932-938. This means of treatment is advantageous in that it helps to integrate both health and social aspects in treatment. In the case of Garry together with receiving treatment for his brain’s injury he receives social support from both his immediate and extended family.

He is also seen to have a conducive environment where with the family is understanding though he is highly temperament; they have done a diagnosis of his ability since he is seen to work in a machinery shed situated beside their home. This has brought about environmental changes with the brother installing him an airlift since he cannot manage to access some rooms found ten steps ahead in their house such as the bedroom and the bathroom. The aspect of ICF has enabled Garry to be realistic about his current change making it easier for him to adapt though he has faced problems such as dementia and petulance (Journal 2. Ustun, B. Chatterji, S. Bickenbach, J. Kostanjsek, N. and Schneider, M. 2003) The international classification of Functioning, Disability and Health: A new tool for understanding disability and health in Disability and Rehabilitation health states volume 25, 565-571. Though this being the case he needs company so that he does not feel estranged and lacks to communicate enhancing his ability to participate in teamwork activities. This explains the reason why he is highly irritable since he feels as a mockery of the people and does not have enough self esteem.

ICF gives an integrative understanding of the condition an individual is going through other than diverting his attention to the predicament one is experiencing. This is seen by his assessment of how far he can walk before getting fatigue. This shows that his ability to fully accept himself will primarily be dependent on his environment to reduce the impacts which the accident caused him and hence will advance his way of living. ICF has also helped Garry understand his impairments in that he has a damage at the right parietal and frontal robe, quite often fall short of memory, can not do heavy manual activities, is unable to drive and walk for long distances due to his continued  body weakness. With these limitations he has continually gotten restrictions to the usual farming he used to do, his ability to walk, play rugby and also his hobby to spend time and help the destitute have been laid off. With this realization he has to fight with these external factors and also the internal factors of not being able to recall, his high temper and also his restriction to work due to his body malaise. In this case he will be following the basic scheme of ICF management as stipulated by WHO ( Journal 3.Heerkens, J. Yvonne, A. Hendricks, D. Erik, C. Ooostendorp, B. & Rob, T., 2006) Assessment instruments and the ICF in rehabilitation and physiotherapy in medical rehabilitation states Volume 10 (3)1-7. Below is an image representing the how the whole process as conducted to help Garry to accept himself with his current condition as explained above (Journal 4.Ustun, B. Chatterji, S. Bickenbach, J. Kostanjsek, N. and Schneider, M. 2003) The international classification of Functioning, Disability and Health: A new tool for understanding disability and health in Disability and Rehabilitation health states volume 25, 565-571.

Figure 1: Scheme on how to conduct ICF.


 

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