Week 3 lecture Flashcards
What was the “Independent Living Movement International”?
- saw disability as a political phenomena similar to RACISM
- represented STIGMATIZATION, DISADVANTAGED, and CAST ASIDE
- destined to maintain their exclusion
- medical diagnostics were situated within the problem of INDIVIDUAL and encouraged DIVISION
What was the “Independent Living Movement International” known to do?
to get society to see that…
- the PERSON is in control of their life
- the PERSON can make the decision as they possess PERSONAL and ACCURATE information
- to acknowledge that the person with disability has more knowledge about their life than anyone else
What are the 2 systemic Medical-social models?
- ICF
- HDM-DCP
What are the goals of the ICF model?
- provide scientific basis for the study of health states, outcomes, and determinants
- establish a COMMON LANGUAGE to better communicate between users
- permit comparison of data between countries, health care disciplines, and time periods
- provide a SYSTEMIC CODING SCHEME
What does the ICF model look at?
- looks at the HEALTH of a person with a disability instead of looking at them as a disability
What are the “FUNCTIONAL” factors of the ICF model (x3)?
- body functions & structure
- activity
-participation
What consists of the “body functions and structure” of ICF?
- body function = physiological functions
- body structures = anatomical parts
-impairments= problems in body structure or function
BODY —> FUNCTION/STRUCTURE —> IMPAIRMENT
What consists of the “activities” of ICF?
- activity = how you can execute a task on your own
-activity limitation = difficulties one faces when executing a task
INDIVIDUAL –> ACTIVITY –> LIMITATION
What consists of the “participation” of ICF?
- participation = societal role, involvement in a REAL-LIFE situation
- restrictions of participation = problems that an individual may experience in involvement in a real-life situation
SOCIETY–> PARTICIPATION–> RESTRICTION
What are the two QUALIFIERS for activities and participation?
- CAPACITY –> ability to execute task or action in a STANDARDIZED environment
- PERFORMANCE –> what an individual does in his or her current environment , REAL LIFE situation
What are the “CONTEXTUAL”factors of the ICF model (x2)?
- ENVIRONMENTAL (does it limit your daily activity?)
- physical, social, and attitudinal environment
- can be a barrier or facilitator to their functioning
- EXTERNAL
- POSITIVE or NEGATIVE - PERSONAL (what YOU bring with YOU)
- not tied to health problem
- ex: age, gender, race, living conditions, etc…
What is the “HDM-DCP”?
- reduction of the realization of life habits resulting from the interaction between PERSONAL FACTORS and ENVIRONMENTAL factors
What are the “PERSONAL” factors of HDM-HCP (x3)?
- Identity factors –> age , SES, sex, life history, etc
- Organic systems (all organ systems)
measure from integrity <—-> Impairment
integrity = not subjected to an alteration
impairment = subjected to an alteration - capabilities –> possibility for an individual to accomplish a physical or mental activity
measure from OPTIMAL ability <–> TOTAL ability
optimal = able to , total = not able to
What are some “capabilities” of personal factors of HDM-HCP?
- intellectual
- language
- behaviour
- sense and perception
- motor activities
- breathing
- digestion
- excretion
- reproduction
- protection and resistance
What are the ENVIRONMENTAL factors of HDM-HCP? (3x dimensions, 2x categories)
Dimensions
1. MICRO –> personal
2. MESO –> community
3. MACRO –> societal
categories
1. Social factors
2. Physical factors
How do they measure the ENVIRONMENTAL factors of HDM-HCP?
- scale via “Facilitator<—-> Obstacle/Barrier”
facilitator –> PROMOTES LIFE HABITS when interacting with PERSONAL FACTORS
Obstacle/Barrier –> HINDERS LIFE HABITS when interacting with PERSONAL FACTORS
What is the “life-habits” portion of the HDM-HCP model?
- activites of daily living and social roles valued by the individual or the sociocultural environment according to his/her characteristics
- reduction in social participation = DECEASE accomplishing life habits
- disability = RESTRICTION in SOCIAL PARTICIPATION
what are the categories of LIFE HABITS?
- DAILY LIVING ACTIVITIES
- nutrition
- fitness
- personal care
- communication
- housing
- mobility - SOCIAL ROLES
- responsibilities
- interpersonal relationships
- community life
- education
- employment
- recreation
- other habits - SOCIAL ROLES
What is the overall goal of HDM-HCP?
placing the notion of INTERACTION
how rehabilitation approaches can reconcile with the social model of disability
see what life habit is most important –> set goals –> reassess goals
what does ICF and HCM-HCP have in common?
- interactive
- account environmental factors
-remove negative terminology - clearly defined measurable factors
Is dementia a normal part of aging?
NO!
What is the risk of dementia at 65?
14.9%
What is the risk of dementia at 85?
50%
How do you detect dementia clinically?
- not one simple test
- brain imaging
- diagnose by eliminating all other causes
-screening not good in community–> false postiive and negatives
