insightt 3 Flashcards
(43 cards)
In the uk, every … hours is someone paralysed by spinal cord injury
8
There are …. amputations a year in the UK
5000-6000
Over …. people in the world are disabled, and of these, ….encounter significant difficulties in their daily lives (…)
one billion…110-190 million …..WHO report
Who said “How this (disability definition) is explained and understood is vital for individuals working with disabled people in any context
(Smith & Bundon, 2015)
Two key models:
Medical model
Social model
What is the medical model (reference)
The inability to perform a task considered normal for any person due to impairment (Thomas, 2007).
According to the medical model, disability is described as…
Disability is described as “caused” by parts of the body that do not work “properly” (Smith & Perrier, 2014).
Understanding of disability shaped as a biological product.
What is the social model
Disability as a consequence and problem of society.
Views disabled people as socially oppressed – improvements gained from removing social barriers.
Influenced anti-discrimination legislation – Disability Discrimination Acts
What is the social model
Disability as a consequence and problem of society.
Views disabled people as socially oppressed – improvements gained from removing social barriers.
Influenced anti-discrimination legislation – Disability Discrimination Acts
Issue with tubes for disabled individuals
Either bot accessible at all or roughly 1 in 6 stations
Relates to social model due to people being disabled by society and infrastrutcure
Clean separation between 2 models
Medical model:
The individual is the problem
Social model:
Society is the barriers
People with
a Disability vs Disabled
People
People with a Disability:
Medical model - Promotes the idea that people are disabled by their medical condition
Disabled People:
Social model - People are disabled by the barriers to their full participation in society
What is a Supercrip?
Someone who overcomes their disability in ways that are seen by the public as inspiring
Issue with the term supercrip
Presents disability as a challenge that can be overcome with perseverance
Purportedly positive representation becomes in fact quite problematic in that (most importantly for me) it continues to circulate the discourse of negativity surrounding disability; precisely through the language it uses to appear “positive
Societical expectations - the superscrip
Reinforces low societal expectations for people with disabilities and sets the standard that all people with disabilities should be able to attain similar feat as that of the disabled hero; failing to acknowledge the diverse ways that disability is experienced
Supercrip narratives may have a negative impact on the physical and social development of disabled individuals by reinforcing what could be termed “achievement syndrome” - the impaired are successfulin spiteof their disability
This type of representation may be seen by the able bodied majority as enlightened.
Using “Inspiration” in rehab
(Wadey and Day, 2018)
Inspiration came from:
Looking down to others who were less able yet still living an active life
Witnessing others who are positive, authentic and represent another way of life
However, some found this difficult - comparing themselves who is struggling to a superhero
Inspirational figure issue
Burnout from having to tell inspiring story, always having to smile, put on a positive persona, always having to continually listen toothed peoples negative story
Lower limb amputation level
Transtibial - most common (calf)
Transfemoral - 2nd common (quad)
Double lower amputation i.e. amputation of both lower limbs 3.9% of all amputations
Types of amputation and associated difficulties (physical demands of disability)
Transtibial amputee
Transfemoral amputee
Transtibial amputee
Requires about 30% more energy to walk, compared with a non-amputee.
Retain the knee joint, which enables them to walk more efficiently, with limb strength and proprioception below the knee being retained
Transfemoral amputee
Uses over 70% more energy to walk.
The stump is more difficult to fit comfortably and the resulting gait is less cosmetic, requiring a mechanical knee joint, as well as a prosthetic foot
Physical barrier - Pain/Phantom
Pain from the residual limb or phantom limb (pain experienced as arising from the limb which has been amputated)
Phantom pain occurs in about 30%-50% of amputees.
The pain can manifest as an occasional stab of mild pain or any degree up to severe, intractable, excruciating, continuous pain.
The term ‘phantom’ can be misleading - very real sensation of pain.
Physical barriers
Blistering Phantom limb pain Poorly fitting prosthetic Chronic nature of pain – constant Rest-activity cycle Painkillers causing drowsiness
Potential physical issues with wheelchairs
- Arms and shoulders are constantly taxed
- Over exertion &
pain in the shoulders – the most common problem - Soft tissue injuries, pressure sores
- For those with high Injuries - inability to regulate body temperature
