Assessing Aphasia Within The Constructs Of The Who Icf Model

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Assessing Aphasia within the Constructs of the WHO-ICF Model
Assessing and treating people with health impairments is a challenge faced by health providers throughout the world. In an attempt to create a standardized approach to classifications, terminology, and functional descriptions, the World Health Organization created the International Classification of Functioning, Disability and Health (ICF) first as a trial in 1980 as the International Classification of Impairments, Disabilities, and Handicaps, or ICIDH (Centers for Disease Control and Prevention, 2012), and then fully published it in 2001 under its current title. In what was considered a “radical shift” of focus from the cause of the disease or disorder to the impact of the disease or disorder (World Health Organization, 2002), the ICF is written from the perspective of ability versus disability. Specifically, it looks at health and functioning in society rather than just limitations, or disabilities. To accomplish this, the ICF is structured around four broad components related to health. These components are (a) health conditions (referring to disorders or disease) which then affect (b) body functions and structure (impairment), (c) activities (e.g., tasks and actions by an individual), and (d) participation (involvement in life situations) with additional consideration for the interdependence and impact of (e) environmental factors and (f) personal factors (Chapey, 2008; CDC, 2012). The three aspects of (a)

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