Contributo para a classificação da funcionalidade na população com mais de 65 anos, segundo a Classificação Internacional de Funcionalidade

Abstract

Purpose Identification of categories of the International Classification of Functioning (ICF), disability and health, for the classification of functioning in the population over 65 years of age. Objective To identify the more referred areas and ICF categories to classify the population over 65 years of age. Methodology Literature review performed in CINAHL (Plus with Full Text, MEDLINE with Full Text). We searched scientific papers published in Full Text (February 2010) between 01.01.2000 and 31.01.2010, using the IP [C] O. Of 505 articles retrieved, 17 articles were selected because they were the ones who made reference to the most representative ICF categories for the population over 65 years. Results We identified 252 categories that characterize the functionality of the population over 65 years of age. With the frequency description of ≥ 30%, 79 categories were observed, which are divided into three of the four ICF components. In the Body Functions component the identified categories were: Global mental functions (b110, b114, b130, b134); Specific mental functions (1–40, b144, b152, b167); Vision and related functions (b210); Hearing and vestibular functions (b230); Pain (b280); Voice and Speech Functions (b310); Cardiovascular functions (b410, b420); Haematological and immunologic functions (b430, b435); Respiratory system functions (b440); Digestive system related functions (b510, b525). In the Body Structures component the identified categories were: Nervous system structures (s110) Cardiovascular, immune and respiratory system structures (s410, s430); Movement related structures (s760). In the Activities and Participation component the identified categories were: Intentional sensory experiences (d110); Basic learning (d155); Knowledge application (d160, d166, d170, d175, d177); Tasks and general demands (d220, d230, d240); Communicate and receive messages (d310, d315); Communicate and produce messages (d330, d335, d345); Conversation and use of communication devices and techniques (d350, d360); Changing and maintaining body position (D410, d415, d420) Transporting, moving and handling objects (d430, d440, d445); Walking and travel (d450, d460, d465); Self care (d540, d550, d560, d570); Providing for the bare necessities of life (d620); Housekeeping (d640); Interpersonal relationships (d760); Community, social and civic life (d910). The most often mentioned categories in the environmental factors component were: Products and Technology (e110, e115, e120, e125, e150); Natural and man-made environmental changes (e260); Support and relationships (e310, e315, e320, e355, e360); Attitudes (e410, e415, e420, e450, e455, e465); Services, systems and policies (e570, e575, e580). Conclusions The total of identified categories are distributed as follows: 83 categories of Body Functions component (32.93%); 12 articles, 30 categories of Body Structures component (11.90%); 7 articles, 82 categories of Activities and Participation component (32.53%); 16 articles, 57 categories of Environmental Factors component (22.61%) in 15 articles. The identification of these categories provides a working base to start the population over 65 year's characterization process in the national context.