Term
what can we do for teh Unrecognized Health
Disparity Population |
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Definition
– Improve access to health care and human services
• Wheelchair-accessible scales, tables at transfer height
– Improve data collectionàAdvance public health standards
– Strengthen the workforce
• Improved provider or teacher trainingàEarly intervention
– Include people with disabilities in public health programs and practices
• Plan for inclusion from the start
– Prepare for emergencies with people with disabilities in mind |
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Term
| the americans w disabilities act |
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Definition
• Becamelawin1990
• “Civilrightslawthatprohibitsdiscrimination against individuals with disabilities in all areas of public life, including jobs, schools, transportation, and all public and private places that are open to the general public”
• ADAAmendmentAct(ADAAA):1/1/2009, updated the definition of “disability” |
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Term
| 5 titles of the americans w disabilities act |
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Definition
– Title I (Employment)
– Title II (State and Local Government)
– Title III (Public Accommodations and Services Operated by Private Entities)
– Title IV (Telecommunications)
– Title V (Miscellaneous Provisions) |
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Term
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Definition
– 15 or more employees
– Employers must provide reasonable accommodations to qualified applicants or employees
– Regulated and enforced by the U.S. Equal Employment Opportunity Commission (EEOC) |
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Term
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Definition
– Prohibits discrimination by “public entities” like state and local governments
– Public programs must make services and activities accessible
– Regulated and enforced by the U.S. Department of Justice |
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Term
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Definition
– Prohibits discrimination in places of public accommodation
– Sets minimum standard for accessibility for alterations and new construction
– Requires steps taken to communicate effectively with patients with disabilities
– Regulated and enforced by the U.S. Department of Justice |
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Term
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Definition
– Requires telephone and Internet companies to provide services that allow hearing- or speech-impaired individuals
to communicate
– Requires closed captioning on federally funded PSAs
– Regulated and enforced by the Federal Communication Commission |
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Term
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Definition
– Variety of provisions relating to the ADA as a whole
• Relationship to other laws, state immunity, impact on insurance or benefits, etc.
– Provides list of specific conditions that are not considered disabilities
•“These conditions include transvestism, transsexualism, pedophilia, exhibitionism, voyeurism, gender identity disorders not resulting from physical impairments, other sexual behavior disorders, compulsive gambling, kleptomania, pyromania, and psychoactive substance use disorders resulting from current illegal use of drugs. Homosexuality and bisexuality, since they are not impairments, can not be considered disabilities under the ADA. Additionally, people who are currently engaged in illegal drug use are excluded from protection under the ADA.” |
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Term
| The Americans With Disabilities Act Reasonable accommodations |
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Definition
– Accessible route to and through the room (doorway must be at least 32 inches)
– Appropriately placed, accessible examination equipment
– Adequate clear space for side transfers |
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Term
| WHO definition of disability |
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Definition
| “ Any impairment, activity limitation, or participation restriction that substantially affects one or more life activities.” |
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Term
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Definition
| pathology-> impairment -> functional limitations -> disability |
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Term
| developmental disabilities |
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Definition
Intellectual Disability Cerebral Palsy
Autism Spectrum Disorder Epilepsy
Spina Bifida
Significant Learning Disabilities |
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Term
| considerationsin providing care for individuals with disabilities |
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Definition
• Physical accessibility
• Cognitive accessibility
– Language, instructions, & explanation
– Health literacy
• Explaining what you are doing
• Respect for boundaries
• Working across disciplines and services
• Connectingtocommunityresources
• Knowledge resources for you as a provider |
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Term
| Patients with intellectual and developmental disabilities may have: |
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Definition
• Differentialresponsetopain
• Difficultyidentifyingandcommunicatingpain
• Changesinbehaviorthatcouldreflectphysical health conditions, including dental problems
• Importanceofrulingouthealthconditionsas underlying causes of behavior problems or psychiatric symptoms
• Diagnostic“overshadowing” |
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Term
| mild intellectual disability |
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Definition
• Significant disadvantage compared to age peers
• Concretethinking
• Gapsininformation
• Difficultyinprocessing complex information or multiple instructions
• Difficulty in abstract thinking
• Passing&stigma
• Compliance with authority
• Difficulty projecting into future
• Lack of understanding of consequences |
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