VARIA - New consideration of the degree of dependence for care benefit purposes in persons after cerebrovascular accidents as of January 2012

Libuše Čeledová1, 3, Rostislav Čevela1, Eva Vaňásková2, Miloš Velemínský3
1Department of Assessment Service, Ministry of Labour and Social Affairs, Prague 2, Czech Republic 2Rehabilitation Clinic of the Medical Faculty of Charles University, Hradec Králové, Czech Republic 3University of South Bohemia, Faculty of Health and Social Studies, České Budějovice, Czech Republic

Korespondenční autor: Libuše Čeledová (libuse.celedova@mpsv.cz)

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:4. 8. 2012
Accepted: 7. 5. 2013
Published online: 28. 6. 2013

Summary

The article introduces new medical assessment criteria for consideration of the degree of dependence for care benefit purposes pursuant to the Social Services Act in neurological diseases, e.g. in persons after cerebrovascular accidents. The principle of the new consideration method effective as of 1/1/2012 is an improvement of the existing system for consideration of the degree of dependence. The assessment process associated with consideration of the degree of dependence aggregated the tasks of selfcare and the tasks of self-sufficiency into ten higher units. They cover basic personal needs, such as mobility, orientation, communication, food intake, putting on clothes and shoes, personal hygiene, using the toilet, health care, personal activities, and household cleaning. These facts are based on the general principles of the International Classification of Functioning, Disability and Health (ICF) and internationally used ADL (Activities of Daily Living) system. Through this method, a comprehensive overview of everyday and vital needs that are a prerequisite in every physical person to have the ability for a self-sufficient living is obtained. The new method of dependence consideration is a contribution to application of the personalised assessment medicine.

Keywords: Medical Assessment Service; degree of dependence; neurological diseases; cerebrovascular accident

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