ADL onwards Flashcards

1
Q

What are activities of daily living?

A

Everyday tasks and functional activities that are an essential part of life

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2
Q

What is impairment?

A

A physical loss or functional deficit

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3
Q

What is disability?

A

A restriction or inability to do something considered normal as a result of an impairment

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4
Q

What is a handicap?

A

Disadvantage from impairment that limits the fulfilment of a role that is normal for the individual

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5
Q

What are the major roles of physiotherapists?

A

Impairment assessment

Management of condition

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6
Q

What are the major roles of occupational therapists?

A

Functional assessment

Occupational assessment

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7
Q

Name some measures that assess ADLs?

A

Measures of disability- Barthel index, SF36
Observation
History taking
Clinical examination

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8
Q

What is the biopsychosocial model?

A

individuals must be an active participant in their own rehab and recovery
Management must relieve pain and prevent disability

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9
Q

What is the medical model of disability?

A

Emphasis on what is wrong with the person
Exclusion from society
Views disability as a tragedy
Puts disability between the patient and doctor

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10
Q

Historical factors which led to the development of the medical model are?

A

Industrial revolution
Advances in technology
Social darwinism

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11
Q

Name the criticisms of the medical model of disability?

A

Looks at disability as a tragedy
Doesn’t look at the person as normal in society
Sees disability as a medical problem that doctors need to fix

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12
Q

Outline the social model of disability?

A

Discrimination arises because of the organisation of society

Society fails to make activities accessible

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13
Q

Criticisms of the social model of disability?

A

Looks at disability as though impairment can never cause an individual problem, but society can
Doesn’t fully appreciate the complexity of different disabled peoples lives

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14
Q

What is the interaction model of disability?

A

Looks at interactions between people’s impairments and the environments they live in
Sees disabled persons as individuals
It is person centred

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15
Q

What act gives rights to disabled people?

A

Disability discrimination act 1995

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16
Q

What does equality act 2010 define disability as?

A

A physical or mental impairment that has substantial and long term negative effects on your ability to do normal activities

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17
Q

What are the measures for assessment of disability?

A

Barthel Index
SF36
Functional assessment measure

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18
Q

What is an informal carer?

A

A person, who, without payment, provides help and support to a partner, child, relative, friend or neighbour who could not manage without their help

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19
Q

What is care poverty?

A

Where you can’t work because you are caring of someone

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20
Q

What are the effects of caring on health?

A

High levels of physical/ mental problems

Carers often don’t have enough time to look after their own health

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21
Q

What is some legislation that supports carers?

A

Employment act
Carers and disabled children act
Carers act
Equality act

22
Q

What are the rights of carers?

A

Assessment of needs in their own right
Carers special grant
Made aware of their entitlement in assessment
Assessments must consider carers’ wishes about employment, training etc.

23
Q

What is carers special grant?

A

Funding for respite and short breaks for carers

24
Q

What financial support is there for carers?

A

Carers allowance- for people who regularly care for at least 35 hours a week for someone with a severe disability who receives a qualifying disability benefit.
Disability living allowance
Attendance allowance

25
Q

What are some unmet needs of carers?

A

Information and advice
Practical and emotional support
Training in caring activities
Respite and short breaks

26
Q

What are the needs of specific groups of carers?

A

Parents of disabled children- access to mainstream services
Rural carers- information and advice, transport
Black and ethnic minority carers- language issues, cultural sensitive services
Young carers- information and advice, emotional and practical support

27
Q

What employment policies are there for carers?

A

Time off for dependents
Flexible working regulations
Work and families act 2006

28
Q

What is distributive justice?

A

How we distribute resources that are finite in a fair way

29
Q

What is equality?

A

Being the same in quantity, amount and value

30
Q

What is equity?

A

Fairness or impartiality

31
Q

What is need-based assessment for healthcare?

A

Health care distributed to those who need it most

32
Q

What is the difference principle?

A

Only permits inequalities that work to the advantage of the worse off

33
Q

How can you decide ways to distribute healthcare?

A
QALY calculation
Waiting List
Likelihood of complying with treatment
Lifestyle choices of patient
Ability to pay
34
Q

What is the libertarian argument?

A

Some people are poor because they don’t work hard enough, or cause their own needs e.g. smoking

35
Q

What is a lifestyle based assessment?

A

Allocating resources should take into account lifestyle choices patients make

36
Q

Arguments for lifestyle based assessment?

A

People who contribute to ill health are less deserving of resources for treatment than those who don’t
Deterrence- it is more likely to deter people from damaging their health
You are also more likely to get more benefits from treatment than people who don’t look after their health

37
Q

Arguments against lifestyle based assessment?

A

Unfair to punish people
Not everyone purposely engages in high risk behaviour and is not responsible for their actions
Deemed unacceptable by the GMC to use lifestyle based approach

38
Q

What rights does a person have in relation to resource distribution?

A

Legal rights
Natural moral rights
Human rights

39
Q

What are status theories?

A

Humans have certain qualities that make it fitting to assign rights to them

40
Q

What are instrumental theories?

A

The purpose of rights is to promote a certain state of affairs which is seen as good
If we have a system that recognises rights, it will lead to a much happier society

41
Q

What are active rights?

A

Allow people to act or not act as they choose

42
Q

What are positive rights?

A

Confer some sort of duty to someone

43
Q

What are negative rights?

A

Others have to refrain from doing something

44
Q

Why are rights important?

A

You know where you stand in society as a citizen and you can feel secure
Protective boundaries- limits actions of others
Sets minimal standards

45
Q

What are the 2 main aims of the human rights act?

A

To make it possible for people to directly raise or claim their human rights within complaints and legal systems in the UK
To bring a new culture of respect for human rights within British law

46
Q

What acts from the human rights act are relevant in healthcare?

A

Right to life
Prohibition of torture
Right to liberty and security
Right to respect for private and family life
Prohibition of discrimination
Freedom of thought, conscience and religion
Right to marry and found a family

47
Q

What is risk?

A

Probability that an event will occur during a specific time

48
Q

What is Beck’s risk society?

A

The manner in which modern society organises in response to risk
Risk now viewed as a product of human action

49
Q

What is the precautionary principle?

A

Action shouldn’t be taken if the consequences are uncertain and potentially dangerous

50
Q

What is medicalisation?

A

Non-medical problems become defined and treated as medical problems
e.g. aging, childbirth, menopause

51
Q

What is pharmaceutilisation?

A

Transformation of human condition into opportunities for pharmaceutical intervention