Ch. 17

Question 1

What are two distinguishing features related to illness and the perception of disease?

Answer 1

chronology and severity of the disease

Question 2

The timing of the onset of the condition

Answer 2

chronology

Question 3

Two types of chronology

Answer 3

acute- time limited, bone fracture due to accident

chronic- expected to continue indefinitely after diagnosis, rheumtoid arthritis

Question 4

the conditions may relate to the magnitude and frequency of symptoms experienced that interfere w/ daily functioning

Answer 4

severity

Question 5

the prospect of survival and recovery from a disease as anticipated from the usual course of that disease or indicated by special features of the case

Answer 5

prognosis

Question 6

recovery with out further impairment expected

Answer 6

acute conditions

Question 7

continued decline is expected. ex. alzheimer’s

Answer 7

chronic conditions

Question 8

Conditions may also be influenced by ____ associated with management of the disorder

Answer 8

lifestyle choices

Question 9

traumatic brain injury or spinal cord injury

Answer 9

acquired limitations

Question 10

cerebral palsy

Answer 10

congenital limitations

Question 11

experience of change in functional ability results in a different way of being in the world

Answer 11

disablement

Question 12

Level of impairment that constitutes disability are influenced by what factors

Answer 12

1. degree of interference with daily activities as experienced by the person
2. chronological age 3. level of intrinsic and extrinsic resources 4. attitudes 5. societal behaviors

Question 13

using a wheelchair lift society views him as ___ he views himself as ___

Answer 13

disabled. not disabled

Question 14

attitudes of others, discrimination in employment, and lack of access to services, spaces, and places in community

Answer 14

society barriers

Question 15

disability status is influenced by…

Answer 15

conditions creating impairments

Question 16

day to day physical & emotional needs of disabled family members; managing their own stress level & emotional responses; care giving results in a level of burden- depression

Answer 16

challenges for family caregivers in disablement

Question 17

______ contributes to personal competence and feelings of mastery in the individual

Answer 17

occupation

Question 18

_____ limitations can impair the person’s ability to be successful in ADLS, IADLS, work, leisure, play, etc.

Answer 18

activity limitations

Question 19

sick role

Answer 19

free from blame for condition (assumed only when 4 condtions are met)

Question 20

4 sick role conditions

Answer 20

1. exempt from normal social role responsibilities
2. will be cared for because cannot “will self well”
3. active in desire to get “well”
4. seek & comply with the expectations of technically competent help

Question 21

• privileges & exemptions may become objects of secondary gain - enjoy exemptions from work & social demands - either exaggerates disability or fails to follow through on intervention strategies to return to workforce

Answer 21

malingering

Question 22

-disincentives & lack of physical access - career path disrupted by disability

Answer 22

significant system barriers to gainful employment

Question 23

Family members often support disabled loved ones ____ which becomes a source of conflict

Answer 23

financially

Question 24

leisure participation barriers

Answer 24

• decreased capability to perform
• discrimination/ lack of access to options
• loss of opportunity/ means to travel
• energy & amount of effort required

Question 25

intrinsically motivating and nonobligatory

Answer 25

leisure

Question 26

loss of previously enjoyed activities represents a loss of ____ & _____

Answer 26

identity and coping

Question 27

• discrimination & stigma experienced

- groups of disability community have organized, advocated for & achieved changes in public policy (ensure rights)

Answer 27

advocating for one’s needs and rights

Question 28

Americans with Disabilities Act

Answer 28

1990 ensures access to public space and employment