Use of the ICF in Dysphagia Management

ABSTRACT

The evaluation and intervention of persons with dysphagia represents a significant percentage of speech-language pathologists' caseloads in medical settings. Because of its overtly medical nature, there has been considerable focus dealing with the direct physical health aspects of dysphagia management. This article argues that the use of the World Health Organization's International Classification of Functioning, Disability and Health (ICF) by clinicians can expand and greatly enhance the outcomes for persons with dysphagia. The different components of the ICF are discussed in relation to dysphagia assessment and management. The article concludes by noting that speech-language pathologists can use the ICF framework beneficially to justify and strengthen their role in the management of dysphagia.

KEYWORDS

ICF - dysphagia - outcomes

REFERENCES

• 1 ASHA . ASHA Communication Facts: special populations: dysphagia-2006 Edition.  Available at: http://www.asha.org/members/research/reports/dysphagia.htm June 8, 2007; 
• 2 World Health Organization . Constitution of the World Health Organization.  1948;  http://Available at: www.searo.who.int/Linkfiles/About_SEARO_corst.pdf Accessed August 23, 2007; 
• 3 World Health Organization .International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland; WHO 2001
• 4 DeRenzo E. Ethical considerations in the dysphagia treatment and research: secular and sacred. In: Sonies B Dysphagia: A Continuum of Care. Gaithersburg: MD; Aspen Publishers 1997: 91-106
• 5 Peterson D, Threats T. Ethical and clinical implications of the International Classification of Functioning, Disability and Health (ICF).  Rehabil Educ. 2005;  19(2-3) 129-138
• 6 American Speech-Language-Hearing Association .Preferred practice patterns for the profession of speech-language pathology. 2004. Available at: http://www.asha.org/docs/html/PP2004-00191.html Accessed June 8, 2007
• 7 Sonies B. Assessment and treatment of functional swallowing in dysphagia. In: Worrall LM, Frattali C Neurogenic Communication Disorders: A Functional Approach. New York; Thieme 2000: 262-275
• 8 American Speech-Language-Hearing Association .National Outcomes Measurement System (NOMS): Adult Training Manual. Rockville Pike, MD; ASHA 2003
• 9 Wisconsin Speech-Language and Hearing Association .FOAMS: Functional Outcome Measure of Swallowing Ability. Madison, WI; Wisconsin Speech-Language-Hearing Association 1996
• 10 Skeat J, Perry A. Outcome measurement in dysphagia: not so hard to swallow.  Dysphagia. 2005;  20(2) 113-122
• 11 McHorney A C, Bricker E D, Kramer A E et al.. The SWAL_QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development.  Dysphagia. 2000;  15(3) 115-121
• 12 McHorney C A, Bricker D, Robbins J, Kramer A, Rosenbek J, Chignell K. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: II. Item reduction and preliminary scaling.  Dysphagia. 2000;  15(3) 122-133
• 13 Lovell S, Wong H, Loh K, Ngo R, Wilson J. Impact of dysphagia on quality-of-life in nasopharyngeal carcinoma.  Head Neck. 2005;  27(10) 864-872
• 14 McHorney C A, Robbins J, Lomax K et al.. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity.  Dysphagia. 2002;  17(2) 97-114
• 15 Brush J, Meehan R, Calkins M. Using the environment to improve intake for people with dementia.  Alzheimer's Care Q. 2002;  3(4) 330-338
• 16 Brush J A, Slominski T, Boczko F. Nutritional and dysphagia services for individuals with Alzheimer's disease.  ASHA Leader. 2006;  11(7) 8-9
• 17 Brush J A, Threats T, Calkins M. Influences on perceived function for a nursing home resident.  J Commun Disord. 2003;  36 379-393