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PT Modules \u000DTarget problem /symptom \u000D1 \u000DICF code\u000DIntervention \u000D3\u000DIntended global outcome  \u000DPreventive shoulder  rehabilitation \u000DHigh risk profile for shoulder pain and  disability after neck dissection, as indicated  by e.g. scapular instability \u000DS710 Structure of the head and neck region   S720 Structure of the shoulder region   B2801 Pain in body part  B710 Mobility of joint functions   B715 Stability of joint functions \u000DProgressive Resistance training,  education on risk reducing behavior  and advice on movement strategies  that protect the shoulder in ADL.  \u000DLow risk profile for shoulder pain  and disability, optimal functioning  of the shoulder in ADL \u000DCurative shoulder  rehabilitation \u000DPresent shoulder pain and/ or Pdisability  after neck dissection and/or other surgical  procedure in the head and neck region,  interfering with activities of daily living \u000DS710 Structure of the head and neck region   S720 Structure of the shoulder region   B2801 Pain in body part  B710 Mobility of joint functions   B715 Stability of joint functions   D5 SelfPcare  \u000DD6 Domestic life  D9 Community, social and civic life  D850P855 Employment \u000DProgressive resistance exercise  therapy, mobilizing exercises,  education, and practicing movement  strategies that protect the shoulder  in ADL \u000DImproved shoulder function,  reduced pain and disability in  specific areas of ADL \u000DExercise tolerance \u000DLimited exercise tolerance (aerobic  capacity/ muscle power/ flexibility/  coordination) as a consequence of  oncologic treatment for a tumor in the  head and neck region, resulting in disability  in ADL \u000DB455 Exercise tolerance functions   B4550 General physical endurance  B4551 Aerobic capacity   B730 Muscle power functions   D400 Mobility  \u000DD5 SelfPcare   D6 Domestic life  D920 Recreation and Leisure  \u000DCircuit training aimed at improving  aerobic capacity, muscle power,  coordination, agility and flexibility,  related to target activities. Practicing  functional movements related to  ADL.  Behavioral components to reinforce  exercise behavior.  \u000DReduction in specific ADL  limitations, gaining (more) active  lifestyle, improve overall exercise  tolerance, improve exercisePself  efficacy.  \u000DLymphedema \u000DImpairments in structure of the skin and  function of the lymphatic system as a result  of treatment for malignancies in the head  and neck region \u000DS810 Structure areas of the skin   B4352P4353 Functions of lymphatic system  D400 Mobility  \u000DD5 SelfPcare  \u000DD6 Domestic life \u000DManual lymph drainage, exercise,  compression, lymph taping, selfP management skills, education. \u000DReduction of swelling,  improvement of tissue compliance,  reduction of symptom burden,  improvement of selfPmanagement  skills and knowledge. \u000D4 Trismus  \u000DLimited mouth opening due to impairments  in structure of the mouth and/or jaw, or  related to muscle tone or power functions. \u000DS320 Structure of the mouth   B280 Sensation of pain   D330 Speaking    D5201 Caring for teeth   D550 Eating \u000DMouth opening exercises. Advice on  pain and oral hygiene. \u000DIncreased mouth opening.  Reduction of pain. Increased oral  hygiene/oral intake. Improved  communication \u000D  \u000DOT Modules \u000DTarget problem/symptom \u000D1 \u000DICF code\u000DIntervention \u000D3\u000DIntended global outcome  \u000DDaily functioning \u000DLimitations in ADL due to mental functions,  or due to pain and functions related to  movement in the head and neck region.  Restrictions in activities and participation in  community, social, domestic and civic life. \u000DB1 Mental functions   B280 Sensation of pain   D4 Mobility   D5 SelfPcare   D6 Domestic life \u000DHealthPcounseling, adjustments in  daily activities, providing selfP management strategies. Body  protecting principles and  ergonomics in activities of daily  living. \u000DOptimal daily functioning.  Increased activity level. Effective  coping with physical and cognitive  impairments. Improved selfP management. \u000DEnergy conservation \u000DLimitations in activities and participation in  community, social, domestic and civic life.  Functions of amount of sleeping, and  onset, maintenance and quality of sleep;  functions involving the sleep cycle, such as  in insomnia, hypersomnia and narcolepsy \u000DB134 Sleep functions  B4552 Fatigability   D6 Domestic life   D9 Community, social and civic life \u000DHealthPcounseling, motivational  interviewing, advice on alternative  action strategies.  \u000DObtaining optimal daily  functioning. Increased energy  level. Effective coping with fatigue  related impairments.  \u000DShoulder and neck  functioning \u000DLimitations or pain in shoulder and neck  region after treatment for head and neck  cancer. Raising up an object or taking  something from one place to another.  Carrying out the coordinated tasks of  activities of daily living. \u000DS710 Structure of the head and neck region   S720 Structure of the shoulder region   B2801 Pain in body part \u000DD5 SelfPcare  \u000DD6 Domestic life  D9 Community, social and civic life  D850P855 Employment \u000DEducation, and practicing movement  strategies that protect the shoulder  in ADL \u000DImproved shoulder function,  reduced pain and disability in  specific areas of ADL \u000DReturn to work \u000DProblems with or support needed with  work and employment. Seeking, finding  and choosing employment, being hired and  accepting employment, maintaining and  advancing through a job, trade, occupation  or profession. \u000DD840P859 Employment   D9 Community, social and civic life   E3 Support and relationships \u000DHealthPcounseling, returnPtoPwork  schedule, providing selfP management strategies, workP related advice on ergonomics.  \u000DObtaining and/ or maintaining  employment. Adjusting workP related activities to alterations in  body structure and functioning. \u000DSW Modules \u000DTarget problem /symptom \u000D1\u000DICF code  \u000DIntervention \u000D3\u000DIntended global outcome  \u000DGuidance coping &  adjustment \u000DHigh levels of \u2018distress\u2019, ineffective coping,  and/ or limitations related to e.g. handling  stress and other psychological demands,  anxiety, communication, or nonPhelping  illness beliefs.  \u000DB152 Emotional functions.   B1602 Content of thought  B162 Temperament and personality functions  D240 Handling stress and other psychological  demands \u000DPsychoPeducation, coaching and/or  mindfulness training  \u000DDiminished \u2018distress\u2019 and/or  anxiety, effective coping, improved  selfPmanagement and/ or  communication. \u000DAT Modules \u000DTarget problem /symptom \u000D1 ICF code  \u000DIntervention \u000D3 Intended global outcome  \u000DActivity therapy \u000DProblems with engaging in any form of  play, recreational or leisure activity. \u000DD920 Recreation and leisure \u000DPlanning, perform and implementing  recreational activities in daily life.  \u000DSuccessful experiences, social  contact, relaxation. \u000DArt therapy   \u000DHigh levels of \u2018distress\u2019 or anxiety. \u000DB152 Emotional functions.   D240 Handling stress and other psychological  demands \u000DPsychoPtherapy with creative  expression. \u000DDiminished \u2018distress\u2019 and/or  anxiety and effective coping. \u000D1  http://apps.who.int/classifications/icfbrowser/;  2  General  ICF  codes  are  applied  for  the  HNN  and  RS,  individual  problems  have  to  be  defined;  3  Patient  specific  outcome  goals  are  formulated  in  SMART  terms,  relating  to  personal rehabilitation needs and objectives. 4 trismus prevention and treatment by SLP and PT \u000D141\u000D


































































































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