The role of the International classification of functioning in the complex rehabilitation of cardiac patients

BACKGROUND: A new format for assessing impaired functions, disabilities and health in accordance with the international classification (ICF), which is necessary at all stages of rehabilitation, is considered of great importance in the practice of an interdisciplinary rehabilitation team. However, in practice, the use of the ICF is very limited due to a number of organizational reasons.

AIM: To raise awareness among specialists of different fields involved in the rehabilitation of a disabled person, about the main provisions of the ICF; discuss the gradation of rehabilitation potential developed by the authors in cardiac patients.

MATERIALS AND METHODS: An analysis of referrals to the medical and social expertise bureau (form 088 / U) of patients with cardiovascular diseases has been carried out with the allocation of groups of low and high rehabilitation potential.

RESULTS: An analysis of the main provisions of the ICF regulating the section of cardiovascular diseases is presented. This classification is the “gold standard” for assessing the quality of life and medical services provided, substantiating the need, volume and composition of individual rehabilitation measures for a disabled person. The ways of using the principles laid down by the ICF in clinical practice for evaluating the results of complex rehabilitation of patients with cardiac pathology are discussed. The main provisions of the ICF, influencing the quality of rehabilitation measures in patients with cardiological profile, are highlighted. A list of diseases / conditions has been developed and proposed for use, which involves various levels of rehabilitation.

CONCLUSIONS: The authors have developed and proposed for discussion the gradation of the rehabilitation potential of patients with cardiovascular diseases, as well as discussed the general provisions of the international classification of functioning, simplifying and facilitating the use of ICF in practical work, taking into account the standards of examination, treatment and rehabilitation for cardiac patients in accordance with the standards of examination, treatment and rehabilitation of cardiac patients approved in the Russian Federation.