Interviewer instructions
<span class="em">Columns P13, P14 and P16 for All 5 Years Old and Over</span>
<br />Columns P13, P14 and P16 are to be accomplished only for household members five years old and over. Thus, if a household member is less than five years old leave columns P13, P14 and P16 blank.</p>
<p><span class="em">P13-Functional Difficulty</span>
<br />As defined by the International Classification of Functioning, Disability, and Health (ICF) of the World Health Organization, functioning is an umbrella term for body functions, body structures, activities, and participation. It denotes the positive aspects of the interaction between an individual (with a health condition) and that individual's contextual factors (environmental and personal factors). Environmental factors include the physical world and its features, the human-made physical world, other people in different relationships and roles, attitudes and values, social systems and services, and policies, rules and laws. Personal factors are factors that relate to individual such as age, gender, social status, life experiences, and so on.
<br />A person with difficulty in functioning may have activity limitations, which means difficulties an individual may have in executing activities. An activity limitation may range from a slight to a severe deviation in terms of quality or quantity in executing the activity in a manner or to the extent that is expected of people without the health condition. In general, functional difficulties experienced by people may have been due to their health conditions. Health conditions refer to diseases or illnesses, other health problems that may be short
<br />or long lasting injuries, mental or emotional problems, and problems with alcohol or drugs. A health condition may also include other circumstances such as pregnancy, ageing, stress, congenital anomaly, or genetic predisposition. Difficulty is usually manifested when a person is doing an activity with increased effort, discomfort or pain, slowness, or changes in the way he/she does the activity.
<br /><span class="pg">[pg. 119]</span>
<br />For the purpose of this census, functional difficulty is classified into six core categories. The concepts and definitions are based on ICF. These difficulties are the following:</p>
<p>Difficulty in self-caring (bathing or dressing)</p>
<div class="i1">Bathing refers to the process of cleaning one's entire body (usually with a soap and water). The washing activity includes cleaning hair down to the feet, as well as gathering any necessary items for bathing such as soap, shampoo, washcloth, or water.<br />Dressing refers to all aspects of putting clothing or garments on the upper and lower body, including the feet. Gathering clothing from storage areas (such as closet or dressers), securing buttons, tying knots, zipping, and others, should be considered part of the dressing activity.<br />This question refers not only to the washing of one's entire body but also includes all aspects of dressing the upper or lower body.<br />The purpose of this item is to identify persons who have problems with taking care of basic daily activities required for independent living. Bathing and dressing represent two of the very basic activities that occur on a daily basis.<br />Note that if the person is using assistive device or getting help from someone in bathing or dressing, difficulty should be assessed with this help taken into consideration.</div>
