Implementation of the ICF Concept in the Making of Problem Framework based on Comprehensive Geriatric Assessment for Physical Medicine and Rehabilitation Resident of Medical Faculty University of Indonesia

Abstract

: The Comprehensive Geriatric Assessment (CGA) is a multidisciplinary evaluation which the multiple problems of elderly are uncovered, described, and explained, which the resources and strengths of the person are cataloged, assessed and coordinated to make care plan which developed to focus interventions on the person’s problems. In PMR, the International Classification of Functioning, Disability, and Health (ICF) framework is fundamental for analysis and problem intervention. PMR residents expected to have a better guidelines in establishing the CGA program. A Cross-sectional study with a quantitative approach carried at the Medical Faculty University of Indonesia. The objective is to compare the process of making a problem framework using the ICF concept based on a comprehensive geriatric examination with the problem-making process without the use of the ICF concept and to evaluate the effectiveness of the ICF concept uses for making problem framework based on CGA examination. All of the respondents agree that the ICF concept makes an improvement in integrating, understanding, and analytical skills in the geriatric problem; defining rehabilitation target, priority; and simplify communication with other colleagues and patients. On the other hand, it takes more time (28,5%) and difficulty in writing of framework (35,7%). More respondents (85,7%) agree that it facilitates in making functional diagnosis and prognosis. The ICF concept can help to make a better comprehensive assessment of geriatric patients based on CGA.