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Assessment

Global Goal:
Serv.-Progr.-Goal: Increase independence in daily routine 2
Cycle goal 1: Mobility 2
Cycle goal 2: Self-Care 2
ICF categories ICF Qualifier Goal Re- Goal
problem lation value
Body functions, body structures, activities and participation
0 1 2 3 4
b152 Emotional functions SPG 1
b280 Sensation of pain CG1 1
b440 Respiration functions
b525 Defecation functions
b620 Urination functions
b710 Mobility of joint functions CG1 1
b730 Muscle power functions CG1 2
b735 Muscle tone functions CG1 1
b810 Protective functions of the skin
s120 Structure of the spinal cord and related structures
s430 Structure of the respiratory system
s610 Structure of the urinary system
s810 Structure of areas of skin
d230 Carrying out daily routine SPG 2
d240 Handling stress and other psychological demands
d410 Changing basic body positions CG1 2
d420 Transferring oneself CG1 2
d440 Fine hand use
d445 Hand and arm use
d455 Moving around
d465 Moving around using equipment CG1 1
d470 Using transportation CG1 2
d520 Caring for body parts CG2 1
d530 Toileting CG2 2
d550 Eating
d570 Looking after one’s health CG2 1
d710 Basic interpersonal interactions
d720 Complex interpersonal interactions
d920 Recreation and leisure
facilitator barrier
Environmental factors
4+ 3+ 2+ 1+ 0 1 2 3 4
e110 Products or substances for personal consumption
e115 Products and techn. for personal use in daily living CG2 +4
e120 Products and techn. for personal…mobility CG1 +4
e150 Design, construction…of buildings for public use
e310 Immediate family
e340 Personal care providers 9
e355 Health professionals
e460 Social attitudes
e580 Health services, systems and policies

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