Special care Flashcards
- Protects adults at RISK OF HARM
What is harm?
- Harm can take many forms.
where is the most common place for harm to occur?
In the victim’s home.
What act prevents the discrimination of someone based on their age, sex, disability etc?
Equality act 2010.
How does the Equality Act 2010 define disability (2)?
A person has a disability if:
- The have a PHYSICAL or MENTAL impairment.
- The impairment has substantial and long term effect on their ABILITY TO PERFORM NORMAL DAY TO DAY ACTIVITIES.
6 most common impairements?
- Mobility 49%.
- Stamina/breathing/fatigue 37%.
- Dexterity 26%.
- Mental health 25%.
- Hearing.
- Vision.
What percent of the UK population is disabled?
19% (11.9 million).
- 6% children.
- 16% working adults.
- 45% over pension age.
- F > M
What % of people are born with disability?
- Only 17%.
Define physical disability?
Any condition that PERMANENTLY prevents NORMAL BODY MOVEMENT and/or CONTROL.
6 causes of physical disabilities?
- Inherited or genetic disorders.
- Conditions present at birth.
- Serious illnesses affecting brain, nerve or muscles.
- Spinal cord injury.
- Brain injury.
- Accidents.
Name 2 inherited conditions that can cause physical disability?
- Osteogenesis imperfecta.
- Huntington’s disease.
6 potential clinical appearances of a patient with osteogenesis imperfecta?
- Increased bone fractures.
- Collagen defects.
- SHORT stature.
- Hearing loss.
- BLUE sclera.
- DENTINOGENESIS IMPERFECTA (sometimes associated).
How common is osteogenesis imperfecta? How is it inherited?
- 1/15000 people
- Autosomal dominant or recessive.
What condition may osteogenesis imperfecta be associated with? How does this present (6)?
- DENTINOGENESIS IMPERFECTA.
- Discoloured teeth (blue/grey or yellow/brown).
- Translucent
- Weaker teeth.
- Bulbous crowns.
- Pulp chamber obliteration.
- Reduced root length.
How prevalent is Huntington’s disease? How is it inherited?
- 5-10 cases per 100,000.
- Autosomal dominant.
What is huntington’s diseases?
Neurodegenerative genetic disorder.
When does Huntington’s disease typically become noticeable?
- Mid-adult life (age 35-44).
- Usually fatal after 20 years.
7 symptoms/ presentations of Huntington’s disease?
- Earliest symptoms: mood or cognition problems.
- General lack of coordination/ unsteady gait.
- Movement become worse.
- Chorea-writhing movements.
- Decline in mental abilities.
- Behavioral and psychiatric problems.
- Problems swallowing, speaking and breathing.
Name 2 conditions present at birth that cause physical disability?
- Spina bifida.
- Cerebral palsy.
What is spina bifida? What causes it?
- Neural tube defect - tube does not close after 28 days.
- Exact cause unknown, but LACK OF FOLIC ACID before and in early pregnancy increases the risk.
When does the neural tube grow and what does it form?
- 1st month of life embryo grows neural tube.
- Forms SPINE and NERVOUS SYSTEM.
9 clinical presentations of a patient with spina bifida?
- Weakness or total paralysis of the legs.
- Bowel and urinary incontinence.
- Loss of skin sensation.
- Hydrocephalus.
- Usually normal intelligence.
- Repeated fits or seizures.
- Drooling problems and dysphagia.
- Communication and learning difficulties.
- Not progressive, life expectancy not affected.
What is cerebral palsy?
General term for a number of neurological conditions that affect movement and co ordination.
What causes cerebral palsy (2)?
Can occur if:
- Brain develops abnormally.
- Brain is damaged before, during or shortly after birth.