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Impact of Chronic Illness and Disability in Life Cycle
Exam 2
24
Medical
Graduate
07/10/2012

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Cards

Term
Is the U.S.'s medical model more temporary or for long-term disability?
Definition
More temporary
Term
When a child becomes ill, does the family and society change age dependent milestones and lower their expected mastery skills?
Definition
yes
Term
This is when a normal person will:
-Develop trust, autonomy, and mastery of their environment
-Social interaction and communication skills
-Need balance of encouragement of initiative and limit setting
Definition
Infancy and Early Childhood
Term
How does a child/infant master their environment?
Definition
By exploring
Term
During infancy and early childhood, what occurs in their life after a disability or prolonged illness?
Definition
1. Repeated hospitalizations (parents may not be around as much so trust is less developed)
2. Physical limitations (language and behavior may not be appropriate)
3. Overprotective family (may not let kid go out and explore like if they were normal)
4. Over sympathetic family (child gets told no less often. may reward kid for everything whether it is appropriate or not)
Term
What is the PT goal for helping disabled infants or kids?
Definition
-Facilitate experiences that foster normal environment
-Equipment to explore environment
-Lowered pool, sports, support groups
-Give child every opportunity possible
-Family training and education (transfers, mobility)
-Accessible playgrounds
Term
These people, when developing normally, will:
-Be exposed to new values, rules, expectations
-Social relationships involve cooperation, industry
-Task completion and self confidence
-Begin to identify self from family
Definition
School Aged Children
Term
How are school aged children affected after disables or a prolonged illness?
Definition
-Peer rejection from outward appearances
-Prolonged absences from school (hard to establish friendships)
-Parents may shield child to protect them from getting injured or sick
-Sympathetic parents - feel sorry for their kid
Term
What is the PT goal for school aged kids after a disability or prolonged illness?
Definition
-Encourage social interactions and activites
-Balance success and failure
-Make therapy fun
-Group activities with other kids their age and maybe with similar disabilities
Term
These people, when developing normally will:
-Further define their identity apart from their family (goals are independence and friends)
-Often rebel against authority and parents to establish independence
-Physical changes (preoccupied with body appearance/image and attractiveness to others is important)
-Coping with sexual feelings)
Definition
Adolescence
Term
How are adolescences affected after a disability or a prolonged illness?
Definition
-Disruption with peers (feel isolated when at school because they aren't there very often)
-Alteration of physical appearance (may not be able to explore sexually)
-Rebel against authority (can't get away as easily; must be taken care of (catheter)
-May not eat/drink well or keep up with their catheter care appropriately
Term
What is the PT goal for disabled adolescents?
Definition
-Encourage independence in areas non critical to treatment, address physical appearance issues, foster peer interactions
-Give pt choices
-Help them find a hobby/outlet
Term
These people, when developing normally, will:
-Be productive members of society (job goals and social responsibility)
-Establish intimate relationships
Definition
Young Adulthood
Term
How might young adults be after a disability or prolonged illness?
Definition
-Limitations may guide choices, not interest (job selection limited)
-Physical limitations may thwart relationships or destroy previously established relationship (inability to have or care for children)
-Sexual identity/expression may be altered (harder to have intimate relationships)
Term
Why do only 40% of disabled ppl return to work?
Definition
Schedule
Fatigue
Not able to meet job requirements
Accessibility
Transportation
Term
These people, when developing normally, will:
-have an established career, committed relationships, guide own children
-care for their own parents possibly
Definition
Middle Age (sandwich generation)
Term
What does "sandwich generation" mean?
Definition
Person in this generation may be taking care of kids and parents at the same time
Term
How are middle aged people changed once they have a disability or prolonged illness?
Definition
-Illness may interfere with career development (early retirement)
-Impacts money, role altering (may be the caregiver and now need to be cared for)
-Partner may leave (divorce rate is high due to finances)
-Sexual expression/identity may be altered (household role may change)
Term
These people, when developing normally, will:
-Often have system breakdown (hearing, visual, stamina, strength) within normal aging process
-Time to accept/adjust to ultimate death of themselves, family, and friends
Definition
Older adulthood
Term
How are older adults affected once disabled or after a prolonged illness?
Definition
-Complication of physical or cognitive limitations
-Spouse may have decreased stamina to help with care
-Surrender lifestyle to a new environment (nursing home or move in with kids)
-Money issues, hospital costs, tight budget
-Sexual identity/expression may be altered
Term
For all age groups, how might family be affected by a disability?
Definition
-Source of emotional support
-Physical care
-Supervision
-Transportation
-Changes in roles of family members
Term
For all age groups, how might siblings be affected by a disability in the family?
Definition
Jealousy (loss of attention)
Neglected or overburdened
Cared for by relatives/friends
Term
For all age groups, how might parents be affected by their child's disability?
Definition
Often travel with sick child
Money stresses
Relationships may be stressed
Term
What is the ultimate PT goal?!
Definition
Find the meaning of living well for each of our clients and to collaborate with them to attain that goal
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