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©2011 Cengage Learning.
                       All Rights Reserved.




PHYSICAL DISABILITIES, HEALTH
DISORDERS, AND TRAUMATIC BRAIN
INJURY
      CHAPTER FOURTEEN
CHAPTER FOCUS POINTS
Focus 1
Identify the disabilities that may accompany cerebral palsy.
Focus 2
What is spina bifida myelomeningocele?
Focus 3
Identify specific treatments for individuals with spinal cord injuries.
Focus 4
Describe the physical limitations associated with muscular dystrophy.



                             ©2011 Cengage Learning.
                                 All Rights Reserved.
CHAPTER FOCUS POINTS
Focus 5
What are some of the key elements of treating adolescents with
HIV and AIDS?
Focus 6
What are the basic interventions in treating individuals with
asthma?
Focus 7
Describe the immediate treatment for a person who is
experiencing a tonic/clonic seizure.
Focus 8
Identify three problems that individuals with diabetes may
experience later in life.
                         ©2011 Cengage Learning.
                             All Rights Reserved.
CHAPTER FOCUS POINTS
Focus 9
Identify present and future interventions for the treatment of
children and youth with cystic fibrosis.
Focus 10
Describe the impact on body tissues of the sickling of red blood
cells.
Focus 11
Describe the focus of educational interventions for individuals with
traumatic brain injuries.


                          ©2011 Cengage Learning.
                              All Rights Reserved.
INTRODUCTION
   IDEA
     Students with physical disabilities = orthopedic impairment
     Students with health disorders = other health impaired

     Medically fragile

     Technologically dependent



   Individuals often require a diverse array of highly
    specialized services to realize their maximum
    potential.

                          ©2011 Cengage Learning.
                              All Rights Reserved.
INTRODUCTION
   Types of Disabilities:
     Physical

     HealthDisorders
     Trauma




                        ©2011 Cengage Learning.
                            All Rights Reserved.
CEREBRAL PALSY
   A group of chronic conditions that affect muscle
    coordination & body movement
     Notcurable
     Carefully targeted interventions & therapies can help

   There are three basic types:
     Diplegia
     Hemiplegia
     Quadriplegia




                        ©2011 Cengage Learning.
                            All Rights Reserved.
CEREBRAL PALSY
   Individuals with cerebral palsy are considered to
    be multi-disabled
     Hearing   deficits
     Speech & language problems

     Intellectual deficits

     Visual disabilities & general perceptual problems




                        ©2011 Cengage Learning.
                            All Rights Reserved.
SPINA BIFIDA
   Abnormal opening in spinal column frequently
    causes some form of paralysis
     May/may       not affect intellectual functioning

   Spina bifida occulta - mild condition in which a small
    slit is present in one or more of the vertebral
    structures
     Little   impact on a developing infant


                            ©2011 Cengage Learning.
                                All Rights Reserved.
SPINA BIFIDA
   Subdivisions of spina bifida cystica
     Spina  bifida meningocele - a tumor‑like sac on the back
      of infant which can be open or closed
         Contains spinal fluid but no nerve tissue
     Spina    bifida myelomeningocele - sac does contain nerve
      tissue
       Paralysis or partial paralysis
       Lack of bowel & bladder control




                              ©2011 Cengage Learning.
                                  All Rights Reserved.
SPINAL CORD INJURY
   Spinal cord is traumatized or severed
     Site& nature of the insult
     Other serious damage to other parts of body

   Paraplegia
   Quadriplegia
   Hemiplegia



                       ©2011 Cengage Learning.
                           All Rights Reserved.
MUSCULAR DYSTROPHY
   Group of inherited & progressive conditions &
    characterized by loss of ability to use arms & to walk
    effectively due to fatty tissues that gradually
    replaces muscle tissue

   Degree of seriousness influenced by heredity, age of
    onset, physical location, nature of onset & rate of
    progression
       Duchenne-type muscular dystrophy (DMD) is most severe
        form of muscular degeneration
                           ©2011 Cengage Learning.
                               All Rights Reserved.
AIDS & HIV-1
   AIDS is an impaired cellular immunity due to infection
    with human immunodeficiency virus type 1(HIV-1) &
    recurrent bacterial diseases
   Series of stages of disease:
     Transmission
     Production of antibodies
     Immune system decline
     Symptoms of damaged immune system
     Recurrent &chronic: immune system fails

   Patterns of disease development in children
                          ©2011 Cengage Learning.
                              All Rights Reserved.
ASTHMA
   Swelling and inflammation of the air passages that
    transport air from the mouth and nose to the lungs
    –   Diminished breathing capacity
    –   Coughing
    –   Wheezing
    –   Tightness in chest
    –   Excessive sputum



                          ©2011 Cengage Learning.
                              All Rights Reserved.
SEIZURE DISORDERS (EPILEPSY)
   “Brain disorder in which clusters of nerve cells, or
    neurons, signal abnormally… causing strange
    sensations, emotions, and behavior or sometimes
    convulsions, muscle spasms, and loss of consciousness”
    (National Institute of Neurological Disorders and Stroke, 2009a, p. 1)

   Types of seizures:
     Tonic/clonic
     Absence




                                       ©2011 Cengage Learning.
                                           All Rights Reserved.
DIABETES
   Developmental or hereditary disorder
    characterized by inadequate secretion of insulin
   There are two types:
     Insulindependant diabetes mellitus, type 1, or juvenile
      diabetes
     Non-insulin-dependant diabetes mellitus (NIDDM) or
      adult onset diabetes



                         ©2011 Cengage Learning.
                             All Rights Reserved.
DIABETES
   Process
     Glucose   builds up in blood, causing extreme hunger,
      thirst, & frequent urination
   Accompanying complications
     Blindness

     Cardiovascular     disease
     Kidney   disease



                           ©2011 Cengage Learning.
                               All Rights Reserved.
CYSTIC FIBROSIS

   Inherited, systemic, generalized disorder of
    secretion glands that begins at conception

   Abnormal secretions obstruct the functions of lungs,
    pancreas, & sweat glands



                       ©2011 Cengage Learning.
                           All Rights Reserved.
SICKLE CELL ANEMIA
   Abnormality of hemoglobin molecule found within red
    blood cells
       Blood oxygen level decreases, red blood cells go through a
        distortion process called sickling

   Anemia:
     Sickled cells block microvascular channels, which can cause
      extreme pain
     May affect any organ system in body
     Significant negative effects on physical growth &
      development
                            ©2011 Cengage Learning.
                                All Rights Reserved.
TRAUMATIC & ACQUIRED BRAIN
INJURY
   IDEA definition:
     An acquired injury to the brain
     Caused by an external force

     Total or partial functional disability, psychosocial
      impairment, or both
     Adversely affects educational performance




                          ©2011 Cengage Learning.
                              All Rights Reserved.
TRAUMATIC & ACQUIRED BRAIN
INJURY
   Impacts:
     Informationprocessing
     Social behaviors

     Memory capacities

     Reasoning & thinking

     Speech & language skills

     Sensory & motor abilities




                        ©2011 Cengage Learning.
                            All Rights Reserved.
TRAUMATIC & ACQUIRED BRAIN
INJURY
Acquired Brain Injury (ABI)
   Traumatic  brain injuries
   Non-traumatic brain injuries: Strokes, vascular
    accidents, infectious diseases, anoxic injuries, illegal
    drug use, poisoning




                        ©2011 Cengage Learning.
                            All Rights Reserved.
TRAUMATIC & ACQUIRED BRAIN
INJURY
   TBI/Closed Head Injury
     Rapid   acceleration & deceleration of brain
       Tearing of nerve fibers
       Bruising of brain tissue against skull
       Brain stem injuries, & swelling

     Primarydamage: direct outcome of initial impact
     Secondary damage: may occur with passage of time




                            ©2011 Cengage Learning.
                                All Rights Reserved.
CHARACTERISTICS
•   Cognition
   Speech
   Language
   Social and behavioral aspects
   Neuromotor and physical disabilities
   Vision and hearing may be impaired
   Physical functioning

                      ©2011 Cengage Learning.
                          All Rights Reserved.
EDUCATIONAL SUPPORTS &
SERVICES
   Appropriate teaching activities
     High expectations
     Positive behavioral support
     Precise feedback
     Organizational strategies & practice


   Educational services
     Problem solving
     Social behaviors
     Expressive &receptive language skills
     Writing skills
     Assistive technology


                          ©2011 Cengage Learning.
                              All Rights Reserved.
EDUCATIONAL SUPPORTS &
SERVICES
   Short IEPs
     Flexibility   & responsiveness are essential

   Interdisciplinary transition teams
     Post-secondary     education
     Employment




                             ©2011 Cengage Learning.
                                 All Rights Reserved.

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Human Exceptionality Chapter 14

  • 1. ©2011 Cengage Learning. All Rights Reserved. PHYSICAL DISABILITIES, HEALTH DISORDERS, AND TRAUMATIC BRAIN INJURY CHAPTER FOURTEEN
  • 2. CHAPTER FOCUS POINTS Focus 1 Identify the disabilities that may accompany cerebral palsy. Focus 2 What is spina bifida myelomeningocele? Focus 3 Identify specific treatments for individuals with spinal cord injuries. Focus 4 Describe the physical limitations associated with muscular dystrophy. ©2011 Cengage Learning. All Rights Reserved.
  • 3. CHAPTER FOCUS POINTS Focus 5 What are some of the key elements of treating adolescents with HIV and AIDS? Focus 6 What are the basic interventions in treating individuals with asthma? Focus 7 Describe the immediate treatment for a person who is experiencing a tonic/clonic seizure. Focus 8 Identify three problems that individuals with diabetes may experience later in life. ©2011 Cengage Learning. All Rights Reserved.
  • 4. CHAPTER FOCUS POINTS Focus 9 Identify present and future interventions for the treatment of children and youth with cystic fibrosis. Focus 10 Describe the impact on body tissues of the sickling of red blood cells. Focus 11 Describe the focus of educational interventions for individuals with traumatic brain injuries. ©2011 Cengage Learning. All Rights Reserved.
  • 5. INTRODUCTION  IDEA  Students with physical disabilities = orthopedic impairment  Students with health disorders = other health impaired  Medically fragile  Technologically dependent  Individuals often require a diverse array of highly specialized services to realize their maximum potential. ©2011 Cengage Learning. All Rights Reserved.
  • 6. INTRODUCTION  Types of Disabilities:  Physical  HealthDisorders  Trauma ©2011 Cengage Learning. All Rights Reserved.
  • 7. CEREBRAL PALSY  A group of chronic conditions that affect muscle coordination & body movement  Notcurable  Carefully targeted interventions & therapies can help  There are three basic types:  Diplegia  Hemiplegia  Quadriplegia ©2011 Cengage Learning. All Rights Reserved.
  • 8. CEREBRAL PALSY  Individuals with cerebral palsy are considered to be multi-disabled  Hearing deficits  Speech & language problems  Intellectual deficits  Visual disabilities & general perceptual problems ©2011 Cengage Learning. All Rights Reserved.
  • 9. SPINA BIFIDA  Abnormal opening in spinal column frequently causes some form of paralysis  May/may not affect intellectual functioning  Spina bifida occulta - mild condition in which a small slit is present in one or more of the vertebral structures  Little impact on a developing infant ©2011 Cengage Learning. All Rights Reserved.
  • 10. SPINA BIFIDA  Subdivisions of spina bifida cystica  Spina bifida meningocele - a tumor‑like sac on the back of infant which can be open or closed  Contains spinal fluid but no nerve tissue  Spina bifida myelomeningocele - sac does contain nerve tissue  Paralysis or partial paralysis  Lack of bowel & bladder control ©2011 Cengage Learning. All Rights Reserved.
  • 11. SPINAL CORD INJURY  Spinal cord is traumatized or severed  Site& nature of the insult  Other serious damage to other parts of body  Paraplegia  Quadriplegia  Hemiplegia ©2011 Cengage Learning. All Rights Reserved.
  • 12. MUSCULAR DYSTROPHY  Group of inherited & progressive conditions & characterized by loss of ability to use arms & to walk effectively due to fatty tissues that gradually replaces muscle tissue  Degree of seriousness influenced by heredity, age of onset, physical location, nature of onset & rate of progression  Duchenne-type muscular dystrophy (DMD) is most severe form of muscular degeneration ©2011 Cengage Learning. All Rights Reserved.
  • 13. AIDS & HIV-1  AIDS is an impaired cellular immunity due to infection with human immunodeficiency virus type 1(HIV-1) & recurrent bacterial diseases  Series of stages of disease:  Transmission  Production of antibodies  Immune system decline  Symptoms of damaged immune system  Recurrent &chronic: immune system fails  Patterns of disease development in children ©2011 Cengage Learning. All Rights Reserved.
  • 14. ASTHMA  Swelling and inflammation of the air passages that transport air from the mouth and nose to the lungs – Diminished breathing capacity – Coughing – Wheezing – Tightness in chest – Excessive sputum ©2011 Cengage Learning. All Rights Reserved.
  • 15. SEIZURE DISORDERS (EPILEPSY)  “Brain disorder in which clusters of nerve cells, or neurons, signal abnormally… causing strange sensations, emotions, and behavior or sometimes convulsions, muscle spasms, and loss of consciousness” (National Institute of Neurological Disorders and Stroke, 2009a, p. 1)  Types of seizures:  Tonic/clonic  Absence ©2011 Cengage Learning. All Rights Reserved.
  • 16. DIABETES  Developmental or hereditary disorder characterized by inadequate secretion of insulin  There are two types:  Insulindependant diabetes mellitus, type 1, or juvenile diabetes  Non-insulin-dependant diabetes mellitus (NIDDM) or adult onset diabetes ©2011 Cengage Learning. All Rights Reserved.
  • 17. DIABETES  Process  Glucose builds up in blood, causing extreme hunger, thirst, & frequent urination  Accompanying complications  Blindness  Cardiovascular disease  Kidney disease ©2011 Cengage Learning. All Rights Reserved.
  • 18. CYSTIC FIBROSIS  Inherited, systemic, generalized disorder of secretion glands that begins at conception  Abnormal secretions obstruct the functions of lungs, pancreas, & sweat glands ©2011 Cengage Learning. All Rights Reserved.
  • 19. SICKLE CELL ANEMIA  Abnormality of hemoglobin molecule found within red blood cells  Blood oxygen level decreases, red blood cells go through a distortion process called sickling  Anemia:  Sickled cells block microvascular channels, which can cause extreme pain  May affect any organ system in body  Significant negative effects on physical growth & development ©2011 Cengage Learning. All Rights Reserved.
  • 20. TRAUMATIC & ACQUIRED BRAIN INJURY  IDEA definition:  An acquired injury to the brain  Caused by an external force  Total or partial functional disability, psychosocial impairment, or both  Adversely affects educational performance ©2011 Cengage Learning. All Rights Reserved.
  • 21. TRAUMATIC & ACQUIRED BRAIN INJURY  Impacts:  Informationprocessing  Social behaviors  Memory capacities  Reasoning & thinking  Speech & language skills  Sensory & motor abilities ©2011 Cengage Learning. All Rights Reserved.
  • 22. TRAUMATIC & ACQUIRED BRAIN INJURY Acquired Brain Injury (ABI)  Traumatic brain injuries  Non-traumatic brain injuries: Strokes, vascular accidents, infectious diseases, anoxic injuries, illegal drug use, poisoning ©2011 Cengage Learning. All Rights Reserved.
  • 23. TRAUMATIC & ACQUIRED BRAIN INJURY  TBI/Closed Head Injury  Rapid acceleration & deceleration of brain  Tearing of nerve fibers  Bruising of brain tissue against skull  Brain stem injuries, & swelling  Primarydamage: direct outcome of initial impact  Secondary damage: may occur with passage of time ©2011 Cengage Learning. All Rights Reserved.
  • 24. CHARACTERISTICS • Cognition  Speech  Language  Social and behavioral aspects  Neuromotor and physical disabilities  Vision and hearing may be impaired  Physical functioning ©2011 Cengage Learning. All Rights Reserved.
  • 25. EDUCATIONAL SUPPORTS & SERVICES  Appropriate teaching activities  High expectations  Positive behavioral support  Precise feedback  Organizational strategies & practice  Educational services  Problem solving  Social behaviors  Expressive &receptive language skills  Writing skills  Assistive technology ©2011 Cengage Learning. All Rights Reserved.
  • 26. EDUCATIONAL SUPPORTS & SERVICES  Short IEPs  Flexibility & responsiveness are essential  Interdisciplinary transition teams  Post-secondary education  Employment ©2011 Cengage Learning. All Rights Reserved.