Disability, Impairment and Disability, Impairment and Handicap Handicap

Consequences of DiseaseConsequences of Disease

The response to illnessThe response to illness

Concept of disease: pathological Concept of disease: pathological phenomenon unrelated to the ill individualphenomenon unrelated to the ill individual..

Different levels of experienceDifferent levels of experience

Consequences of DiseaseConsequences of Disease

Principle events in the development of illness:Principle events in the development of illness:

1.1. Something abnormal occurs within the individual ( at Something abnormal occurs within the individual ( at birth or acquired later )birth or acquired later )

Aetiology Aetiology pathology pathology manifestation ( symptoms & manifestation ( symptoms & signs)signs)

2.2. Someone becomes aware of such occurrenceSomeone becomes aware of such occurrence

Pathological state is exteriorized Pathological state is exteriorized

Consequences of DiseaseConsequences of Disease

Awareness of disease manifestation is usually by Awareness of disease manifestation is usually by the individual.the individual.

Pathological state is then called ( clinical disease)Pathological state is then called ( clinical disease)

3.3. Performance or behavior of individual may be Performance or behavior of individual may be altered as a result of awarenessaltered as a result of awareness

Change in performance or behavior of the Change in performance or behavior of the individual individual

Common activities may become restricted Common activities may become restricted (objectification).(objectification).

Consequences of AwarenessConsequences of Awareness

Awareness + altered behavior & Awareness + altered behavior & performance performance place the individual at a place the individual at a disadvantage relative to others.disadvantage relative to others.

Socializing of the experience Socializing of the experience handicap handicap

Integration of ConceptsIntegration of Concepts

Disease or disorder Disease or disorder impairment impairment

Distinction illustrates different levels of Distinction illustrates different levels of analysisanalysis

Impairment Impairment Biological Biological Disability Disability Functional Functional Handicap Handicap Social Social

Integration of ConceptsIntegration of Concepts

Impairment: loss or abnormality of Impairment: loss or abnormality of psychological, physiological or psychological, physiological or anatomical structure or function.anatomical structure or function.

Functional limitationFunctional limitation Deviations from some norms in the Deviations from some norms in the

individual biomedical statusindividual biomedical status

Integration of ConceptsIntegration of Concepts

Disability: is any restriction or lack ( resulting Disability: is any restriction or lack ( resulting from an impairment ) of ability to perform from an impairment ) of ability to perform an activity in the manner or within the an activity in the manner or within the range considered normal for a human range considered normal for a human being.being.

Deviation: is any restriction in any terms of Deviation: is any restriction in any terms of performance of the person , not the organ performance of the person , not the organ or mechanism or mechanism

Good Luck To U All Good Luck To U All