Population Affected By Disabilities, Rural And Migrant Health.

Population Affected By Disabilities, Rural And Migrant Health.

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Population Affected by Disabilities.

Rural and Migrant Health.

Read chapter 21 and 23 of the class textbook (attached) Once done, answer the following questions.

-Mention and discuss the differentiation between the medical model and social construct definitions of disability.

-Identify and discuss selected health care and social issues that influence the ability of people with disabilities to live and thrive in the community.

-Mention and discuss the characteristics of rural community health nursing practice.

-Mention and describe the features of the health care system and population characteristics common to rural aggregates.

Guidelines: APA format word document, Arial 12 font.  A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used, A minimum of 700 words is required (excluding the first and reference page).

Chapter 21

Populations Affected by Disabilities

 

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

 

Most people whose lives do not end abruptly

will experience disability.

– Nies & McEwen (2015)

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Doing a Self-Assessment

What comes to mind when you think of someone with a disability?

Picture yourself as a person with a disability.

Imagine yourself as a nurse with a visible disability, or a client receiving care from a nurse with a disability.

Think about living in a family affected by disability.

What is the experience of living with disability within your community?

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Definitions for Disability

Disability is the interaction between individuals with a health condition and personal and environmental factors.

– World Health Organization, 2012

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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WHO International Classification of Functioning, Disability, and Health

Disability is an umbrella term covering impairments, activity limitations, and participation restrictions (individual level).

An impairment is a problem in body function or structure—activity limitation or participation restriction (micro level).

A handicap is a disadvantage resulting from an impairment or disability that prevents fulfillment of an expected role (macro level).

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Table 21-1

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Characteristic Impairment Disability Handicap
Definition Physical deviation from normal structure, function, physical organization, or development May be objective and measurable Not objective or measurable; is an experience related to the responses of others
Measurability Objective and measurable May be objective and measurable Not objective or measurable; is an experience related to the responses of others
Illustrations Spina bifida, spinal cord injury, amputation, and detached retina Cannot walk unassisted; uses crutches and/or a manual or power wheelchair; blindness Reflects physical and psychological characteristics of the person, culture, and specific circumstances
Level of analysis Micro level (e.g., body organ) Individual level (e.g., person) Macro level (e.g., societal)

 

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National Agenda for Prevention of Disabilities (NAPD) Model

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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Figure 21-1 Reprinted with permission from Pope AM, Tarlov AR, editors: Disability in America: toward a national agenda for prevention, Washington, DC, 1991, Institute of Medicine, National Academy Press. Copyright © 1991 by the National Academy of Sciences. Courtesy National Academy Press, Washington, DC.

 

Quality of Life Issues

Transportation to a needed service

Cost of care

Appointment challenges

Language barriers

Financial issues

Migrant/noninsured issues

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

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