Application of the ICF in Communication after Total Laryngectomy

Tanya L. Eadie

doi:10.1055/s-2007-986526

Seminars in Speech and Language, Table of Contents

Semin Speech Lang 2007; 28(4): 291-300
DOI: 10.1055/s-2007-986526

Application of the ICF in Communication after Total Laryngectomy

Tanya L. Eadie¹

¹Assistant Professor, Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington

Abstract

ABSTRACT

The World Health Organization's International Classification of Functioning, Disability and Health (ICF) provides a conceptual framework for assessing and treating individuals with communication disorders. This article provides an explanation and application of the ICF to communication after total laryngectomy. To evaluate outcomes associated with total laryngectomy, common assessment tools used in speech-language pathology are described in relation to communication at the levels of Body Functions and Structures, and Activities and Participation. Assessments for Contextual Factors also are discussed. Post-laryngectomy outcomes, including those related to quality of life, also are described relative to the ICF framework. In particular, the role of Environmental and Personal Factors is summarized, and implications are presented for approaches to assessment and treatment of this clinical population. A concluding case example illustrates how all of these concepts can be applied by speech-language pathologists who provide post-laryngectomy rehabilitation.

KEYWORDS

Laryngectomy - assessment - rehabilitation - ICF

Full Text

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Tanya L EadiePh.D. CCC/SLP

Department of Speech and Hearing Sciences, University of Washington

1417 NE 42nd St., Seattle, WA 98105

Email: teadie@u.washington.edu