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HSS3103-Experience of Illness, Impairment and Disability > Week 3 lecture > Flashcards

Week 3 lecture Flashcards

1
Q

What was the “Independent Living Movement International”?

A
  • 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
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2
Q

What was the “Independent Living Movement International” known to do?

A

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
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3
Q

What are the 2 systemic Medical-social models?

A
  • ICF
  • HDM-DCP
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4
Q

What are the goals of the ICF model?

A
  • 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
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5
Q

What does the ICF model look at?

A
  • looks at the HEALTH of a person with a disability instead of looking at them as a disability
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6
Q

What are the “FUNCTIONAL” factors of the ICF model (x3)?

A
  • body functions & structure
  • activity

-participation

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7
Q

What consists of the “body functions and structure” of ICF?

A
  • body function = physiological functions
  • body structures = anatomical parts
    -impairments= problems in body structure or function

BODY —> FUNCTION/STRUCTURE —> IMPAIRMENT

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8
Q

What consists of the “activities” of ICF?

A
  • activity = how you can execute a task on your own
    -activity limitation = difficulties one faces when executing a task

INDIVIDUAL –> ACTIVITY –> LIMITATION

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9
Q

What consists of the “participation” of ICF?

A
  • 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

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10
Q

What are the two QUALIFIERS for activities and participation?

A
  1. CAPACITY –> ability to execute task or action in a STANDARDIZED environment
  2. PERFORMANCE –> what an individual does in his or her current environment , REAL LIFE situation
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11
Q

What are the “CONTEXTUAL”factors of the ICF model (x2)?

A
  1. 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
  2. PERSONAL (what YOU bring with YOU)
    - not tied to health problem
    - ex: age, gender, race, living conditions, etc…
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12
Q

What is the “HDM-DCP”?

A
  • reduction of the realization of life habits resulting from the interaction between PERSONAL FACTORS and ENVIRONMENTAL factors
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13
Q

What are the “PERSONAL” factors of HDM-HCP (x3)?

A
  • 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

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14
Q

What are some “capabilities” of personal factors of HDM-HCP?

A
  • intellectual
  • language
  • behaviour
  • sense and perception
  • motor activities
  • breathing
  • digestion
  • excretion
  • reproduction
  • protection and resistance
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15
Q

What are the ENVIRONMENTAL factors of HDM-HCP? (3x dimensions, 2x categories)

A

Dimensions
1. MICRO –> personal
2. MESO –> community
3. MACRO –> societal

categories
1. Social factors
2. Physical factors

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16
Q

How do they measure the ENVIRONMENTAL factors of HDM-HCP?

A
  • scale via “Facilitator<—-> Obstacle/Barrier”

facilitator –> PROMOTES LIFE HABITS when interacting with PERSONAL FACTORS

Obstacle/Barrier –> HINDERS LIFE HABITS when interacting with PERSONAL FACTORS

17
Q

What is the “life-habits” portion of the HDM-HCP model?

A
  • 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
18
Q

what are the categories of LIFE HABITS?

A
  1. DAILY LIVING ACTIVITIES
    - nutrition
    - fitness
    - personal care
    - communication
    - housing
    - mobility
  2. SOCIAL ROLES
    - responsibilities
    - interpersonal relationships
    - community life
    - education
    - employment
    - recreation
    - other habits
  3. SOCIAL ROLES
19
Q

What is the overall goal of HDM-HCP?

A

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

20
Q

what does ICF and HCM-HCP have in common?

A
  • interactive
  • account environmental factors
    -remove negative terminology
  • clearly defined measurable factors
21
Q

Is dementia a normal part of aging?

22
Q

What is the risk of dementia at 65?

23
Q

What is the risk of dementia at 85?

24
Q

How do you detect dementia clinically?

A
  • not one simple test
  • brain imaging
  • diagnose by eliminating all other causes
    -screening not good in community–> false postiive and negatives
25
Q

What is “mild cognitive impairment”?

A

the stage between the expected decline in memory and thinking that happens with age and the more serious decline of dementia.

26
Q

How can you treat “mild cognitive impairment”?

A
  • healthy diet
  • exercise
  • activities
  • social/mental support –> decreases stress
    -medications (cholinesterase inhibitors, glutamate anatagonists, psychotropics)
27
Q

What is a risk with MCI?

A

POLYPHARMACY!

28
Q

How many people worldwide have dementia?

A

55 million

29
Q

What is the common cause of dementia?

A

Alzheimer’s Disease (60-70%)

30
Q

Is dementia a common cause of disability and dependency among older people?

31
Q

What are symptoms of dementia?

A
  • difficulties with everyday tasks
  • confusion with familiar enironments
  • difficulty with words and numbers
  • memory loss
  • changes in mood and behaviour
32
Q

Can you cure dementia?

33
Q

What can help with lessening symptoms or getting dementia?

A
  • social support can have impact on caregivers

-exercise

34
Q

What is MULTIMORBIDITY ?

A

presence of 2+ morbidities that CO-OCCUR (one is not the index of another)

CHRONIC diseases

As symptom load INCREASES, quality of life DECREASES

35
Q

What influences health in older age?

A
  1. Intrinsic capacities
  2. Functional ability

HSS3103-Experience of Illness, Impairment and Disability (6 decks)

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