Utilization of the International Classification of Functioning, Disability and Health in Patients with Advanced Cancer Under Palliative Care

• Autor(a) principal: Carvalho, Andreza Marques
• Data de Publicação: 2023
• Outros Autores: Lucena, Nahãmi Cruz de, Portela, Catharina Machado
• Tipo de documento: Artigo
• Idioma: por; eng; spa
• Título da fonte: Revista Brasileira de Cancerologia (Online)
• Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/4016
• topic: cuidados paliativos; Classificação Internacional de Funcionalidade, Incapacidade e Saúde; neoplasias; palliative care; International Classification of Functioning, Disability and Health; neoplasms; cuidados paliativos; Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud; neoplasias

Introduction: The principles and guidelines that govern palliative care state that a comprehensive assessment of the patient is essential and that, in addition, it is important to perceive the individual in all its dimensions. Corroborating the principles of palliative care, the International Classification of Functioning, Disability and Health (ICF) is an instrument that enables a biopsychosocial approach. Objective: To evaluate the functionality, symptoms and social and environmental aspects of cancer patients under palliative care utilizing an ICF-based checklist. Method: Quantitative, observational and cross-sectional study. The 14 categories ICF-based checklist was previously developed by the investigators having as reference the main assessment instruments commonly adopted in palliative care. Patients admitted to a palliative care ward, diagnosed with cancer and with PPS (Palliative Performance Scale) scores greater than or equal to 30% were submitted to an assessment based on the aforementioned checklist. Results: There were 21 patients with different cancer diagnoses that participated in the study. More than 50% of the patients reported mild, moderate, severe, or total disability in seven categories of the components activity and participation. For two categories of the body function component, more than 50% of the patients reported mild, moderate, severe or complete disability. Conclusion: The ICF-based checklist can provide an assessment that considers the different dimensions of health, from a physical, biological and psychosocial perspective.