Functional limitations are best understood by using the framework of the World Health Organization’s International Classification of Functioning, Disability, and Health (ICF). The limitations experienced may be temporary or may result in permanent disability. In addition, such an approach does not embrace PFCC principles of incorporating the preferences, experiences, and psychosocial needs of the family.ĬMC have functional limitations, specifically, limitations in their ability to do the things typically developing children of the same age can do in their day-to-day lives. 20, 21 Limiting the construct of complexity to high health care resource use or multiple diagnosed medical conditions that are easily identified through administrative records, without considering associated social or functional issues, may hamper the development of resources and policies needed to address complexity. 20 Because no consensus yet exists on recognizing complexity on the population level, multiple tools, such as a diagnosis classification scheme and a questionnaire, may be needed to recognize the multiple attributes of complexity. Clinicians may subjectively identify complexity on the basis of consequences of medical and/or behavioral conditions, social context, or family stressors that influence health, relevant items that may not be available in population-level data sources. 3, 19 However, different constructs of complexity may exist at the individual as well as the population level, which makes consistent and reliable recognition of complexity difficult. Our team will partner with you to explore the root causes of your illness and create a personalized plan to treat your mind, body and spirit.Medical complexity is conceptually regarded as a combination of multiorgan system involvement from chronic health condition(s), functional limitations, ongoing use of medical technology, and high resource need/use. If you struggle with a complex or chronic illness or simply want a personalized approach to optimal health, functional medicine offers you a powerful option.
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