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Arthritis affects one out of every five Americans – an estimated 52.5 million people – and is the leading cause of disability in the nation. The condition itself can make it difficult and painful to conduct even the most mundane daily tasks such as walking, climbing stairs, using a computer, or brushing your teeth. The term “arthritis” encompasses over 100 rheumatic conditions that impact the body’s joints, causing pain and inflammation to those who suffer with it.
June 1, 2018
Historically and across societies people with disabilities have been stigmatized and excluded from social opportunities on a variety of culturally specific grounds. These justifications include assertions that people with disabilities are biologically defective, less than capable, costly, suffering, or fundamentally inappropriate for social inclusion. Rethinking the idea of disability so as to detach being disabled from inescapable disadvantage has been considered a key to twenty-first century reconstruction of how disablement is best understood.
Such ‘destigmatizing’ has prompted hot contestation about disability. Bioethicists in the ‘destigmatizing’ camp have lined up to present non-normative accounts, ranging from modest to audacious, that characterize disablement as “mere difference” or in other neutral terms. The arguments for their approach range from applications of standards for epistemic justice to insights provided by evolutionary biology. Conversely, other bioethicists vehemently reject such non-normative or “mere difference” accounts, arguing instead for a “bad difference” stance. “Bad difference” proponents contend that our strongest intuitions make us weigh disability negatively. Furthermore, they warn, destigmatizing disability could be dangerous because social support for medical programs that prevent or cure disability is predicated on disability’s being a condition that it is rational to avoid. Construing disability as normatively neutral thus could undermine the premises for resource support, access priorities, and cultural mores on which the practice of medicine depends.
The “mere difference” vs. “bad difference” debate can have serious implications for legal and policy treatment of disability, and shape strategies for allocating and accessing health care. For example, the framing of disability impacts the implementation of the Americans with Disabilities Act, Section 1557 of the Affordable Care Act, and other legal tools designed to address discrimination. The characterization of disability also has health care allocation and accessibility ramifications, such as the treatment of preexisting condition preclusions in health insurance. The aim of this conference was to construct a twenty-first century conception of disablement that resolves the tension about whether being disabled is merely neutral or must be bad, examines and articulates the clinical, philosophical, and practical implications of that determination, and attempts to integrate these conclusions into medical and legal practices.
Learn more: http://petrieflom.law.harvard.edu/events/details/2018-petrie-flom-center-annual-conference
India: What is Elder Abuse and How we can Prevent It Sailesh Mishra
June 15 is World Elder Abuse Awareness Day. Elder abuse is a global social issue which affects the health and human rights of millions of older persons around the world, and an issue which deserves the attention of the international community.
The United Nations General Assembly, in its resolution 66/127, designated June 15 as World Elder Abuse Awareness Day. It represents the one day in the year when the whole world voices its opposition to the abuse and suffering inflicted to some of our older generations. #StopElderAbuseChallenge #WEAAD2018 #INPEA
Arthritis affects one out of every five Americans – an estimated 52.5 million people – and is the leading cause of disability in the nation. The condition itself can make it difficult and painful to conduct even the most mundane daily tasks such as walking, climbing stairs, using a computer, or brushing your teeth. The term “arthritis” encompasses over 100 rheumatic conditions that impact the body’s joints, causing pain and inflammation to those who suffer with it.
June 1, 2018
Historically and across societies people with disabilities have been stigmatized and excluded from social opportunities on a variety of culturally specific grounds. These justifications include assertions that people with disabilities are biologically defective, less than capable, costly, suffering, or fundamentally inappropriate for social inclusion. Rethinking the idea of disability so as to detach being disabled from inescapable disadvantage has been considered a key to twenty-first century reconstruction of how disablement is best understood.
Such ‘destigmatizing’ has prompted hot contestation about disability. Bioethicists in the ‘destigmatizing’ camp have lined up to present non-normative accounts, ranging from modest to audacious, that characterize disablement as “mere difference” or in other neutral terms. The arguments for their approach range from applications of standards for epistemic justice to insights provided by evolutionary biology. Conversely, other bioethicists vehemently reject such non-normative or “mere difference” accounts, arguing instead for a “bad difference” stance. “Bad difference” proponents contend that our strongest intuitions make us weigh disability negatively. Furthermore, they warn, destigmatizing disability could be dangerous because social support for medical programs that prevent or cure disability is predicated on disability’s being a condition that it is rational to avoid. Construing disability as normatively neutral thus could undermine the premises for resource support, access priorities, and cultural mores on which the practice of medicine depends.
The “mere difference” vs. “bad difference” debate can have serious implications for legal and policy treatment of disability, and shape strategies for allocating and accessing health care. For example, the framing of disability impacts the implementation of the Americans with Disabilities Act, Section 1557 of the Affordable Care Act, and other legal tools designed to address discrimination. The characterization of disability also has health care allocation and accessibility ramifications, such as the treatment of preexisting condition preclusions in health insurance. The aim of this conference was to construct a twenty-first century conception of disablement that resolves the tension about whether being disabled is merely neutral or must be bad, examines and articulates the clinical, philosophical, and practical implications of that determination, and attempts to integrate these conclusions into medical and legal practices.
Learn more: http://petrieflom.law.harvard.edu/events/details/2018-petrie-flom-center-annual-conference
India: What is Elder Abuse and How we can Prevent It Sailesh Mishra
June 15 is World Elder Abuse Awareness Day. Elder abuse is a global social issue which affects the health and human rights of millions of older persons around the world, and an issue which deserves the attention of the international community.
The United Nations General Assembly, in its resolution 66/127, designated June 15 as World Elder Abuse Awareness Day. It represents the one day in the year when the whole world voices its opposition to the abuse and suffering inflicted to some of our older generations. #StopElderAbuseChallenge #WEAAD2018 #INPEA
Children with disabilities: concept of disability, definitions, categories, causes, rights, health and community care, prevention, community-based rehabilitation.
This PPT aims to help the learner to give insight about Multiple Disabilities, Types of Multiple Disabilities, Causes of Multiple Disabilities, Treatment for Multiple Disabilities, Teaching Method of Multiple Disabilities.
Disability and health kenya union of clinical officers presentation at the ...Emmanuel Mosoti Machani
A presentation by the Secretary General of the Kenya Union of Clinical Offciers of disabilty and health at the 3rd Health Sector Development Partner Forum.
It talks about meaning of disability, impairment, characteristics of both, causes and difference between disability & impairment, DEVELOPMENTAL STAGES, Stages of Growth and Development and yojana and insurance
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What is the international classification of functioningCareInvalids
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Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
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Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
1. Disabilities : Causes , Diagnosis and
Management
February 25, 2017
Category: DISEASES & MANAGEMENT
Comments Offon Disabilities : Causes , Diagnosis and Management
Disability is a global public health problem as people with disability, throughout the life
course, face widespread barriers in accessing health and related services, such as
rehabilitation, and has worse health outcomes than people without disability. Disability is
any continuing condition that restricts everyday activities. The International
Classification of Functioning, Disability and Health (ICF) defines disability as an
umbrella term for impairments, activity limitations and participation restrictions.
Impairment is a problem in body function or structure; an activity limitation is a difficulty
encountered by an individual in executing a task or action; participation restriction is a
problem experienced by an individual in involvement in life situations.
Disability is not just a health problem; it is the interaction between individuals with a
health condition and personal and environmental factors (such as negative attitudes,
inaccessible transportation and public buildings, and limited social supports).
Overcoming the difficulties faced by people with disabilities requires interventions to
remove environmental and social barriers.
Over 1 billion people, about 15% of the world’s population have some form of disability.
Of this number 110 million to 190 million people of 15 years and older have significant
difficulties in functioning and 93 million people less than 15 years of age live with a
moderate or severe disability.
2. In the coming years, prevalence of disability will continue to increase due to increase in
ageing populations and with the global increase in chronic health conditions such as
diabetes, cardiovascular disease, cancer and mental health disorders, injuries, car
crashes, falls, violence.
All people with disabilities have the same general health care needs as everyone else;
however they have greater unmet health care needs than people without disabilities.
Evidence suggests that people with disabilities face barriers in accessing the health and
rehabilitation services they need in many settings. According to World Health
organization (WHO) estimates:
200 million people need glasses or other low vision devices and do not have
access to them.
70 million people need a wheelchair, only 5-15% have access to one.
360million people globally have moderate to profound hearing loss and only 10%
of global needs of hearing aids are met.
Half of the people with disabilities cannot afford health care.
People with disabilities have generally poorer health, lower education levels, fewer
economic opportunities and higher rates of poverty than people without disability. This is
due to many obstacles they face in their everyday life and due to lack of services
available to them.
Disability is now understood to be a human rights issue. People are disabled by society,
not just by their bodies. These barriers can be overcome, if governments,
nongovernmental organizations, professionals and people with disabilities and their
families work together.
Symptoms
General symptoms for a disabled person according to type of disability-
3. i. Disability in seeing/ visual disability: A visually disabled person does not have any
light perception (both eyes taken together) or has light perception but cannot count
fingers of a hand (with spectacles/contact lenses if he/she uses spectacles/contact
lenses) from a distance of 3 meters (or 10 feet) in good day light with both eyes open.
The visually disabled persons may be categorized into two broad groups:
Blindness: A person who does not have light perception and a person who has light
perception but cannot count fingers at a distance of 1 meter even with spectacles are
taken as blind.
Low vision: A person who has light perception but cannot count fingers up to a distance
of 3 meters even with spectacles is taken as a person with Low Vision.
ii. Disability in speech/speech disability: A person is unable to speak like normal
persons.
iii. Disability in hearing/hearing disability: A person may have problem in hearing day
to day conversational speech when hearing aid is not used. A person may have the
following degrees of hearing disability:
A person, who does not hear at all or can only hear very loud sounds like thunder
and crackers, is considered to have profound disability.
A person who can hear speech only when spoken to very loudly, near the ear is
considered to have severe disability.
person often asks for repetitions when spoken to or needs to see the face of the
person who is speaking is considered to have moderate disability.
A person who has difficulty in hearing but it does not interfere in day today
conversation is considered to have mild disability.
(A person who has problem only in one ear is not considered as having hearing
disability).
4. iv. Disability in movement/ locomotor disability
(a) Loss or absence or inactivity of whole or part of hand or leg or both (due to
amputation, paralysis, cerebral palsy, deformity or dysfunction of joints) which affects
his/her “normal ability to move self or objects” and
(b) those with physical deformities in the body (other than limbs), such as, hunch back,
deformed spine regardless of whether the same caused loss or lack of normal
movement of body are considered as disable with locomotor disability. Thus, dwarfs and
persons with stiff neck of permanent nature who generally do not have difficulty in the
normal movement of body and limbs are also to be treated as disabled.
v. Mental disability A mentally disabled person has difficulty in understanding routine
instructions or does not carry out his/ her activities like others of similar age or exhibited
behaviours like talking to self, laughing/crying, staring, violence, fear and suspicion
without reason. The mentally disabled are categorized into two groups viz. mentally
retarded and mentally ill. If persons with mental disability manifests this behaviour since
birth/ childhood but before 18 years of age and the person was late in talking, sitting,
standing or walking, they are classified as ‘mentally retarded’. The remaining mentally
disabled persons are classified as ‘mentally ill’
vi. Leprosy Cured Persons who have been cured of leprosy and are having extreme
physical deformity as well as advanced age which prevents him from undertaking any
gainful occupation.
Causes
Risk factors for the disabilities:
5. Communicable diseases (Infectious diseases) such as lymphatic filariasis,
tuberculosis, HIV/AIDS, and other sexually transmitted diseases; neurological
consequences of some diseases such as encephalitis, meningitis, and childhood cluster
diseases (such as measles, mumps, and poliomyelitis) contribute to disability.
Non communicable diseases (NCDs)–
Chronic diseases such as diabetes, cardiovascular disease, arthritis and cancer
cause the majority of long-term disabilities. The increase in NCDs observed in all
parts of the world, will have a profound effect on disability.
Lifestyle choices and personal behavior such as obesity, physical inactivity,
tobacco use, alcohol consumption, illicit drugs that lead to non communicable
diseases are also becoming major contributing factors;
Air pollution, occupational disease, poor water supply, sanitation, and personal
and domestic hygiene, malnutrition also contribute for disability.
Injuries due to road traffic accidents, occupational injury, violence, conflicts, falls and
landmines have long been recognized as contributors to disability.
Mental health problems– mental health retardation and mental illness are the causes
of mental disability. In more than 50% cases mental retardation has been reported to be
caused by serious illness or head injury in the childhood and birth defects. Mental
retardation was observed mostly at birth or at very early ages of life while the problem of
mental illness is more of an old age problem.
Those with lower education levels, lower incomes, and those who are unemployed were
also more likely to suffer a disability.
There is higher risk of disability at older ages.
Diagnosis
6. Diagnosis of particular disability may be done at health care centre with the help of a
specialist. A concerned medical authority in Government hospital can issue a disability
certificate*.
The disability certificate and/ or Identity card is the basic document that a person with
any disability of more than 40 percent requires in order to avail any facilities, benefits or
concessions under the available schemes.
Management
Increasing evidence suggests that, as a group, people with disabilities experience
poorer levels of health than the general population. By improving access to quality,
affordable health care services, health outcomes for people with disabilities can be
improved. Primary health-care services with the support of specialists can provide
health services to people with disability. Health services should be focused for the
following health conditions:
Primary health conditions: A primary health condition is the possible starting point for
impairment can lead to a wide range of impairments, including mobility, sensory,
mental, and communication impairments.
Secondary conditions: Secondary conditions occur in addition to (and are related to) a
primary health condition, and are both predictable and therefore preventable; such as
depression is a common secondary condition in people with disabilities, osteoporosis is
common in people with a spinal cord injury or cerebral palsy.
7. Co-morbid conditions occur in addition to (and are unrelated to) a primary health
condition associated with disability. One study indicated that adults with developmental
disabilities had a similar or greater rate of chronic health conditions such as high blood
pressure, cardiovascular disease, and diabetes (due to increased physical inactivity)
than people without disabilities.
Age-related conditions: The ageing process for some groups of people with
disabilities begins earlier than usual and they may experience age related health
conditions (such as osteoporosis, loss of strength and balance) more frequently.
Risk behaviours: People with disabilities have higher rates of engaging in risky
behaviours such as smoking, alcohol conumption, poor diet and physical inactivity as
compare to general population.
Violence :People with disabilities are at greater risk of violence than those without
disabilities.
Unintentional injury: People with disabilities are at higher risk of unintentional injury
from road traffic crashes, burns, falls, and accidents related to assistive devices.
Assistive technologies and assistive devices such as crutches, prostheses,
wheelchairs, and tricycles in mobility impairments; hearing aids and cochlear implants
for hearing impairments; ocular devices, talking books, and software for screen
magnification and reading for people with visual impairments may be advised according
to the user and the user’s environment.
Rehabilitation: It is an important aspect of management for people with disability. It
involves combined and coordinated use of medical, social, educational, and vocational
8. measures for training or retraining the individual to the highest possible level of
functional ability.
Community-based rehabilitation (CBR) was initiated by WHO to enhance the quality
of life for people with disabilities and their families; meet their basic needs; and ensure
their inclusion and participation. CBR is implemented through the combined efforts of
people with disabilities, their families and communities, and relevant government and
non-government health, education, vocational, social and other services.