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In Australia's largest home of 625 available beds, coding has been undertaken for 102 residents, using the International Classification of Impairments. Disabilities, and Handicaps (ICIDH). This has proved simple and effective as a means of categorising impairments and disabilities, with a few modifications to meet local needs. A computer program allows storage and retrieval of up to 8 ICD diagnoses, 6 impairments, 30 disabilities, and 6 handicaps. Experienced nurses can code a dependent person in 30 minutes or less, and periodic review every 6 months is now planned. This system will allow efficient surveillance of progress of individual residents, will highlight those calling for clinical review, and will identify those who may be suitable for specific management and research programmes.
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P.M. Last (1985) studied this question.
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