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
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Disability
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Disability 1.• Consequence of an impairment that may be:-• Physical• Cognitive• Mental• Sensory• Emotional• Developmental• Combination
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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
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Disability 3.• Exclusion from mainstream society
• Eg deafness/ autism
• Disability? Or
• Developmental difficulty unfairly stigmatised by society?
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Disability 4.• Impairment in person’s ability to function caused by changes in
various parts of the body
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Disability 5.• Inherited• Congenital• Acquired. Prison??• Unknown
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Disability 6.• Physical – lifting limbs• Balance• Intellectual• Mental• Pervasive Development disorder:- Autism, Aspergers and others• Non visible
• Diabetes• Fibromyalgia• Epilepsy
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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?
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Rheumatoid
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Rheumatoid
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Rheumatoid
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Nice Rheumatologist
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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
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RA Drug treatment (Morphine)
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RA DMARDS- time to help 3 months
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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)
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RA Biologics-Time to help days to 3/6 mths
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RA OA
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Osteoarthritis
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OA
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Osteoarthritis
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OA therapy
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Acupuncture
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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
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Osteoporosis
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Osteoporosis
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Osteoporosis
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Osteoporosis
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Ankylosing spondylitis
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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
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AS
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AS drugs
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AS Biologics
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Fibromyalgia rheumatica
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Fibromyalgia
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Fibromyalgia
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Fibromyalgia treatments
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Chronic fatigue syndrome
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CFS
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Gout
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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?
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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.