ICF-Dietetics English translation of the Dutch ‘ICF-Diëtetiek’ version 2 - September 2017 Terms and conditions for use of the ICF-Dietetics: The ICF-Dietetics is not allowed to be used for commercial purposes. The intellectual property of the ICF-Dietetics remains with the NVD (Dutch Association of Dietitians) / NPI (Dutch Institute of Allied Health Care) at all times. This intellectual property should be made visible (for example, in a contract with a software developer who is implementing the ICF-Dietetics in its software). ICF-Dietetics-English, version 2 - September 2017 ICF-Dietetics, 2017 Clarification The ICF-Dietetics is a classification which can be used by dietitians to describe functioning of the patient/client and the different factors which can influence functioning. During the development of the ICF-Dietetics use has been made of: * the ICF-CY, the ICF for children and youth (WHO, 2007; RIVM, 2008) and the ICF, International Classification of Functioning, Disability and Health (WHO, 2001; RIVM, 2002) * the implemented ICF Update Proposals up to 2016 (can be found on the website of the WHO) * the ICF-Dietetics, version 2012 (NVD/NPi, 2012); the ICF-skin therapy (NVH, 2007) and the ICF- speech therapy (NVLF, 2009) * the classification personal factors of Elisabeth Badley (2008) * the aspects of positive health of Machteld Huber (www.ipositivehealth.com) * the expertise of a group of dietitians and others working in the dietetic field (primary and secondary, third care, research). procedure All items of ICF/ICF-CY which are of no importance for dietitians are omitted. If relevant for dietetic practice details, extra categories or extra qualifiers are added (these are coloured red). A part of the addition are from the ICF-Speech therapy (these items are coloured blue) and from ICF- Skin therapy (these items are coloured green). Several times additional codes can be added from the (Dutch) food composition database (NEVO- table) or the Classification Assistive Products for Dietetics (CAP-Dietetics). Where this is relevant a reference to NEVO-table and CAP-Dietetics is made. 2 ICF-Dietetics-English, version 2 - September 2017 Within the classification Activities & Participation, the activity items are indicated with an ‘a’ and participation items with a ‘p’. A list with personal factors is developed. For an introduction on the ICF, a clarification of the terms, the ICF-diagram, the ICF types and the possibilities for use, consult the website of the WHO. Version 2017 By applying the ICF-Dietetics in practice (such as dietetic registration in electronic health care records and dietary treatment guidelines), it became apparent that a number of additions / changes were necessary to connect the ICF-Dietetics better to dietetic practice. Therefore the Classifications and Code lists for Dietetics Committee (CCDC) was established in 2014. This committee has revised the ICF-Dietetics, version October 2012. This resulted in the Dutch ICF-Dietetics, version September 2017, which is available on the website of the NVD (Dutch Association of Dietitians) (www.nvdietist.nl).1 The Dutch ICF-Dietetics is not only translated in English but is also being translated German. Three dietitians from English speaking countries (Michaela Noreik, Constantina Papoutsakis and Nina van der Linden) have given feedback on the English terminology in the ICF- Dietetics. Technical instructions Efforts have been made to prevent that codes in this new version of the ICF dietetics-2017 have a different meaning than the same codes in the ICF dietetics 2012. For that reason, some codes have been changed. Therefore the numbering does not always seem ‘logical’ because codes seem to be missing. By integrating categories from the ICF-CY in ICF by the WHO, it was inevitable that some codes that were used by ICF dietetics 2012 are reused in this new version. This concerns the following codes: b51060, b51061, b4500, b4501, b4502, a132 and a133. Codes found in the inclusions and exclusions have a link to the online ICF. Information about the codes is visible by clicking on the link. This is only done for codes from the ICF, not for the added dietetic and speech therapy and skin therapy codes (these codes and terms respectively have the colours red, blue and green). 1 The ICF-Dietetics is freely available after a declaration that 1) the ICF-Dietetics will not be used for commercial purposes and 2) the intellectual property of the ICF-Dietetics remains with the NVD (Dutch Association of Dietitians) / NPI (Dutch Institute of Allied Health Care) at all times. 3 ICF-Dietetics-English, version 2 - September 2017 The commission that was involved in the development of the ICF-Dietetics version 2017 consisted of: Laura van den Bogaard, Bernhoven Medical Center Claudia Bolleurs, Dutch Association of Dietitians Suzan de Bruijn, lecturer at the education Nutrition & Dietetics of the HAN University of Applied Sciences Yvonne Heerkens, Dutch Institute of Allied Health Care & HAN University of Applied Sciences Iris Princen, VGZ Healthcare Insurer, part of Coöperatie VGZ U.A Sytske Runia, Department of Dietetics, University Medical Center Utrecht José Tiebie, Dieet Compleet, Dietitians Practice West-Friesland Willy Visser, Department of Dietetics , Leiden University Medical Center For recommendations and questions about this classification please contact: Dutch Association of Dietitians NVD, [email protected] Yvonne Heerkens / NPi, [email protected] 4 ICF-Dietetics-English, version 2 - September 2017 b Body functions Body functions are the physiological functions of body systems (including psychological functions). Impairments are problems in body functions or structure as significant deviation or loss. Note: During childhood and adolescence, impairments may also take the form of delays or lags in the emergence of body functions during development. Severity of impairment To determine the severity (degree or extent) of the impairment, a qualifier after the decimal point is used. xxx.0 NO impairment (none, absent, negligible,… ) 0-4 % xxx.1 MILD impairment (slight, low,…) 5-24 % xxx.2 MODERATE impairment (medium, fair,...) 25-49 % xxx.3 SEVERE impairment (high, extreme,…) 50-95 % xxx.4 COMPLETE impairment (total,…) 96-100 % xxx.8 not specified xxx.9 not applicable Nature of impairment Although the ICF comprises ‘neutral’ terms, examples of ‘impairments’ are used at some parts of the Classification of Functions. This is done by using a second qualifier behind the decimal (placed behind the code of the ICF-category. For example: b130200.x1 Reduced desire for food, in general b130200.x2 Increased desire for food, in general In the above mentioned example, ‘1’ explains the nature of the impairment. The first qualifier defines the state of the impairment (in this case, the degree of loss of appetite). The state in the given examples is not determined and therefore an ‘x’ is filled out. If the desire for food is neither reduced nor increased (so normal), this can be indicated as: b130200.x0 Normal desire for food, in general As this is almost the same as b130200.0 No impairment in desire for food, in general the .x0 codes are not used in the Classification of Body functions. 5 ICF-Dietetics-English, version 2 - September 2017 b1 MENTAL FUNCTIONS This chapter is about the functions of the brain: both global mental functions, such as consciousness, energy and drive, and specific mental functions, such as memory, language and calculation mental functions. b110-b139 GENERAL MENTAL FUNCTONS b110 Consciousness functions General mental functions of the state of awareness and alertness, including the clarity and continuity of the wakeful state. Inclusions: functions of the state, continuity and quality of consciousness; loss of consciousness, coma, vegetative states, fugues, trance states, possession states, drug- induced altered consciousness, delirium, stupor Exclusions: orientation functions (b114); energy and drive functions (b130); sleep functions (b134) b1100 State of consciousness Mental functions that when altered produce states such as clouding of consciousness, loss of consciousness, stupor or coma. b1101 Continuity of consciousness Mental functions that produce sustained wakefulness, alertness and awareness and, when disrupted, may produce fugue, trance or other similar states. b1102 Quality of consciousness Mental functions that when altered effect changes in the character of wakeful, alert and aware sentience, such as drug-induced altered states or delirium. b1103 Regulation of states of wakefulness Mental functions regulating the organization of stable states of wakefulness and awareness. b1108 Consciousness functions, other specified b1109 Consciousness functions, unspecified b114 Orientation functions General mental functions of knowing and ascertaining one's relation to self, to others, to time, to place, to objects and to one's surroundings. Inclusions: functions of orientation to time, place and person; orientation to self and others; disorientation to time, place and person Exclusions: consciousness functions (b110); attention functions (b140); memory functions (b144) b1140 Orientation to time Mental functions that produce awareness of time of the day, day of the week, today, tomorrow, yesterday, date, month and year. b1141 Orientation to place 6 ICF-Dietetics-English, version 2 - September 2017 Mental functions that produce awareness of one's location, such as one's immediate surroundings, one's town or country. b1142 Orientation to person Mental functions