Block 4 Flashcards
What does the UK Equality Act say about disability?
Providers of services and employers need to make reasonable adjustments to allow equal access for people with disabilities.
Human rights and equality legislation (3)
- Human Rights Act (1998)
- European Convention of Human Rights (1953)
- John Rawl’s Theory of Justice (1971)
What is the Accessible information standard?
- all organisations providing NHS care must follow this
- aim to make sure people with disabilities are able to read and understand info and communicate choices.
- Covers clinical record keeping as well
Medical model of disablity?
Disability is intrinsic to the individual. Restrictions experienced are due to their physical or cognitive impairment. Interventions should focus on treatment.
Social model of disability
Disability is extrinsic. We live in a disabling world which is not organised in a way that is inclusive of impairments. Social and attitudinal problems which require a response in policy to solve.
Define systematic review
In relation to a specific question, the auditable, reproducible and explicit search, selection, appraisal and synthesis of al the available evidence.
The methods used include steps to minimize bias in all parts of the process.
3 functions of systematic review
- synthesise evidence
- understand heterogeneity (difference) in treatment effect
- set the research and practice agenda
Role of SR in medicine
Coalface of evidence based medicine
What is PICOS
Population Intervention Comparator Outcomes Study Design
Name the Methodology flowchart?
PRISMA flowchart
5 elements to review in meta-analysis?
Outcome being examined, timeframe, summary effect size, number of trials, heterogeneity = Forest plot
4 limitations of SR
- disguise or oversimplify
- Similar topics find different conclusions die to method
- overgeneralise
- Don’t always that consistent answers with large scale studies
What assesses publication bias?
Funnel plot (triangle shape)
Results of worklessness?
Poor physical, mental health, social interaction, self confidence, money, resources.
More need for medical care
Affects the next generation.
Factors that encourage the ‘sick role’
Culture and beliefs - misconceptions and poor retention for people with disabilities
Inadequate systems - no pathway to help return to work
Lack of primary care involvement - rehab, OH advice
What did the White paper 2017 outline?
Improving lives - Future of Work, Health and Disability. Outlined disability employment gap. Importance of support for people with disabilities in role and support returning
Define occupational health
Promotion and maintenance of the highest degree of physical, mental and social wellbeing of workers in all occupations. Adaptation to the individual.
Work related ill health in the UK today examples?
Mental health, MSK (skin, infection, resp)
5 categories of hazards
Physical, chemical, mechanical, biological, psycho-social/organisational
What disease does asbestos exposure cause?
Mesothelioma
What is a fit note?
Medical certificate showing unfit to work. Enables statutory sick pay and how long sick period will be. Advises employer about adjustments
What does Disability Act 2010 say about disability discrimination?
- ‘physical or mental impairment with substantial and long term effects on ADL’
- Assess without meds/prosthetics/aids
- Employer makes reasonable adjustments
Role of OH Team
Independent and impartial advice for employer and employee. Investigate and diagnoses and help with return to work.
Role of Health and Safety Executive?
- Shape and review regulations
- produce research and stats
- enforce the law
What is ‘Access to Work Scheme’?
Government body that help funds adaptations e.g. aids, travel help, MH support, equipment adaptations
