Exam 5

• Services nonexistent
• Families responsible
• Workhouses/poorhouses
• Trained

• Restricted marriages
• Mandatory sterilization
• Institutionalism
• Mentally disabled could not be trained/cured, people became scared so they institutionalized them
• Fear of mentally ill- believed that those children that were mentally ill could be trained, cured, and returned to community

• Vocational rehab- war vets (helped view of disability)
• Social Securite Act and benefits
• Hilter- euthinazia

experience disability

• chronic illness
• temporarily incapaciated
• unable to manage daily life

• race
• age
• gender

increasing

3000

diability

1/3

• Africa
• Middle East
• Asia
• Latin America

• 650 million
• 80%

• disability
• (sprained ankle)

15.2%

a communication-related difficulty, mental or emotional condition, difficulty with regular schoolwork, difficulty getting along with other children, difficulty walking or running, use of some assistive device, and/or difficulty with ADLs

disability

• Do not look at people with disabilities as "all the same"
• What disability means to you
• Each person is unique with different goals, knowledge, and experience

• results from an impairment- involves restriction or an inability to perform an activity in a normal manner
• Affects a person on an individual level
• Does not necessarily produce handicaps

• an umbrella term covering impairments, activity limitations, and participation restrictions
• (individual)
• May be objective and measurable

Physical deviation from normal structure, function, physical organization or development

Anatomical, mental or psychological loss or abnormality

(micro)

disabilities

• spina bifida
• spinal cord injury
• amputation
• detatched retina

• physical 
• sensory
• intellectual
• serious emotional distrubances
• learning
• significant chemical and environmental sensitivities
• Health problmes
• Uses crutches/wheelchair
• Blind

difficulty encountered by an individual in executing a task or action

Participation restriction- is anything not allowing the person to participate in activities

• Disadvantage resulting from an impairment or disability that prevents fulfillment of an expected role
• (macro)
• Not objective or measureable 

• Is an experience related to the response of others and reflects physical and psychological characteristics of the person, culture, and specified circumstances
• societal

• Measurement of disability
• Functional ADLS- seeing hearing speaking, walking, using stairs, lifting and carrying items

IADLS- light house cleaning, shopping, preparing meals, going outside the home

Gathers data on if a person uses crutch, cane, or wheelchair for 6 months or more

Impairment that produces work limitations or inability to do housework

• Surveys for disability in six areas 
• 1. Sensory
• 2. PHysical 
• 3. Mental/emotional
• 4. Self-care
• 5. Ability to go outside 
• 6. Employment

• TRANSPORTATION TO A NEEDED SERVICE
• Cost of care
• Appointment challenges
• Language barriers
• Financial issues
• Migrant/noninsured issues

• reduce the occurence of impairment:
• prenantal care
• immunizations
• use of asprin in response to MI

• reduce development into functional limitation:
• reduce obesity that has developed in a quadriplegic

• prevent the transition of functional limitation to disability:
• special education programs
• behavior intervention

• differences in access to care
• provider biases
• poor provider-patient communication
• poor health literacy

• higher rates of chronic illness
• increased risks for medical, physical, social, emotional, and/or spiritual secondary issues

undervalued and disadvantaged

• No discrimination
• Free appropriate public education in least-restrictive setting to children with disabilities 
• IEP
• Equal protection
• Egalitarianism
• Normalization

those with disabilites deserve public protection under the law

regardless of differences in abilities, all people should receive equal treatment through equal opportunities

people with disabilities should be treated like non-disabled people minimizing differences whenever possible

Landmark civil rights legislation that prohibits discrimination toward people with disabilities in every day activities:

• Equal oportunities
• Protections
• "Qualified individual"

a person with a physical or mental impairment that substantially limits one or more major life activities or bodily functions, a person with a record of such an impairment, or a person who is regarded as having such an impairment.

• law in 1999- amended in 2008
• Increases access to vocational services
• provides new methods for retaining health insurance afer returning to work
• Increases available choices when obtaining employment services, vocational rehab services, and other support services needed to KEEP A JOB

Funded through general tax revenues Must have limited income and resources Benefits are payable to adults and children who are disabled or blind Receive Medicaid health benefits Some states may elect to pay a state supplement to some PWD

Funded through fund monies (social security taxes paid by worker, employers, and self employed workers) PWD must be “insured” through FICA Benefits are payable to workers or widowers who are disabled or adults who have been disabled since childhood Receive Medicare health benefits Don’t have state supplements

more health problems in other areas

a defect in need of cure through medical intervention

a defect to be treated by rehab professional

connected with sin and shame

socially constructed. Inability to perform something

PWD

"something is not right"

• Parents
• Nurses

the client and family, not the disability

Parents dont deny disability but dont fully realize full impact

fully realize child has special needs and seek help

try to make difference between their child and other children less apparent and may actually request reduction in services

• being different is not better or worse (high point of Maslows)
• SUpport child in learning about their disability and help them self-advocate

rehab act of 1973 and title II of ADA prohibits any form of disability harassment

• Physical- adequate dwelling for which a person/family has exclusive possession
• Social- being able to maintain privacy and enjoy rel