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Cards In This Set
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What are the levels in the NAGI model? (4)
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Pathology -> Impairment -> Functional Limitation -> Disability
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What kind of model is NAGI? (2 classifications)
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Medical model - based on a medical Dx
It's also a linear model, that assumes one thing predictably leads to another.
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What is the primary criticism of NAGI?
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It is linear and tries to clearly define a pt and prognosis simply w/ the pathology. But there are many factors that lead to disability/outcome; not just the pathology. NAGI doesn't take these factors into account.
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What factors other than pathology impact the outcome of a patient, that NAGI doesn't consider, according to the ICF model?
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Environmental and personal factors
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How is the ICF different from the NAGI model? (6 major ways)
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1. Allows more consideration for individuals. 2. The arrows are bidirectional, so they're not cut and dry as cause and effect. 3. More focus on the positive than the negative (what pt CAN do vs what they can't) 4. Gives us more places to intervene. 5. Considers environmental and personal factors, and NAGI does not. 6. More wholistic - pictures whole pt vs. just their pathology -> disability.
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What are the categories in the ICF model? (6)
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1. Health condition (disorder/disease) 2. Body Functions and Structures 3. Activities 4. Participation 5. Environmental Factors 6. Personal Factors
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What does the "Activities" category of the ICF model encompass, and how does it relate to the NAGI model?
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Activities = Execution of a task or action by an individual. What they are capable of. This is the inverse of NAGI's functional limitation category, which considers what the pt CAN'T do.
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What does the "Participation" category of the ICF model encompass, and how does it relate to the NAGI model?
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Participation = Involvement in a life situation. The inverse of NAGI's Disabiliy, which considers DISinvolvement in life situations.
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What is the biggest difference between the Gordon model, and NAGI?
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Gordon looks from top down. NAGI ends with disability, and roles the pt can't fulfill. But that's what the top down model starts with.
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What are the 4 categories in the top-down (gordon's enablement) model?
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Roles, Skills, Resources and Recovery
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What does the "Roles" category encompass in the top-down model? What category in the NAGI model does it correlate with, and how?
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Participation in necessary and desired roles; includes self care, social, occupational and recreational roles. It correlates with the NAGI disability category, in that it looks at the pt's relation to society.
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What does the "Skills" category in the top-down model encompass? What NAGI category does it correlate with, and how?
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Ability to achieve meaningful goals with consistency, flexibily and efficiency. correlates w/ NAGI's functional limitation category, in that it looks at the whole person.
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What does the "Resources" category encompass in the top-down model? What category in the NAGI model does it correlate with, and how?
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Everything the pt has working in their favor; family, strength, coordination, ROM, community, etc... It correlates w/ the NAGI Impairment category in that it looks at the organ/system level.
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What does the top-down model's Recovery category correlate with in the NAGI model, and how?
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It correlates with pathology, in that it looks at the cellular or tissue level.
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