disability disability 1. consequence of an impairment that may be:- physical cognitive mental...
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Disability 1. Consequence of an impairment that may be:- Physical Cognitive Mental Sensory Emotional Developmental CombinationTRANSCRIPT
Disability
Disability 1.• Consequence of an impairment that may be:-• Physical• Cognitive• Mental• Sensory• Emotional• Developmental• Combination
Disability 2.• Umbrella term:-• Impairment, problem with body function or structure• Activity limitation, difficulty executing a task or action• Participation, limitation in involvement in life situations
Disability 3.• Exclusion from mainstream society
• Eg deafness/ autism
• Disability? Or
• Developmental difficulty unfairly stigmatised by society?
Disability 4.• Impairment in person’s ability to function caused by changes in
various parts of the body
Disability 5.• Inherited• Congenital• Acquired. Prison??• Unknown
Disability 6.• Physical – lifting limbs• Balance• Intellectual• Mental• Pervasive Development disorder:- Autism, Aspergers and others• Non visible
• Diabetes• Fibromyalgia• Epilepsy
The Law• UK Disability Discrimination Act 1995, extended 2005:-
• Unlawful to discriminate (without justification)
• Equality Act 2010.
• Includes Disability, Age, Gender reassignment, Marriage, Race, Sex, Religion, sexual orientation
• Height, Thin, Fat, Not being nice?
Rheumatoid
Rheumatoid
Rheumatoid
Nice Rheumatologist
RA TREATMENTS• Put up with it Advice on joint protection • Analgesics Physio, OT, Hydrotherapy, Podiatry, • NSAIDs Morphine?• DMARDS Steroids• Biologics Steroids• Surgery• Morphine etc• Acupuncture if chronic change
RA Drug treatment (Morphine)
RA DMARDS- time to help 3 months
RA Asessement tool -DAS28• Disease Assesesment Score• Number of swollen joints• Number of tender joints• Patient’s VAS out of 10• ESR• 5.2 eligible for Biologics if hah 2 DMARDS including MTX• ( Europe accept DAS of 3.4 –treating earlier and more aggressively)
RA Biologics-Time to help days to 3/6 mths
RA OA
Osteoarthritis
OA
Osteoarthritis
OA therapy
Acupuncture
OA Treatment• Put up with it• Paracetamol• NSAIDs (?)• Physiotherapy• Glucosamine • Alternative• Cod liver oil• Wheel Chair• Surgery• Lose weight• Don’t play football, ?sport Morphine etc
Osteoporosis
Osteoporosis
Osteoporosis
Osteoporosis
Ankylosing spondylitis
AS BASDAI- Bath ankylosing spondylitis disease activity index • 1-10 of• Fatigue• Spinal pain• Joint swelling• Enthesitis• (morning stiffness)• (MS Severity ) mean of these two• Divide by 5, ie 1-10, >=4 bad
AS
AS drugs
AS Biologics
Fibromyalgia rheumatica
Fibromyalgia
Fibromyalgia
Fibromyalgia treatments
Chronic fatigue syndrome
CFS
Gout
Cook: Mr Spiggott - you are, I believe, auditioning for the part of Tarzan.Moore: Right.Cook: Now Mr Spiggott, I couldn't help noticing - almost at once - that you are a one-legged person.Moore: You noticed that?
Cook: Need I say with over much emphasis that it is in the leg division that you are deficient.Moore: The leg division?Cook: Yes, the leg division, Mr Spiggott. You are deficient in it to the tune of one. Your right leg, I like. I like your right leg. A lovely leg for the role. That's what I said when I saw you come in. I said, "A lovely leg for the role". I've got nothing against your right leg. The trouble is – neither have you.