Week 7 H&S

Question 1

Define disability. What are the two types of disability?

Answer 1

• Impairment/condition that impacts daily activites/mobility/communication, and has lasted/will last 6 months or moe
• Disabilities can be developmental (onset during developmental period; typically lifelong) or acquired (develops after birth due to trauma, toxins etc)

Question 2

List the broad types of disability

Answer 2

• Physical
• Intellectual
• Sensory (e.g. deafness)
• Neurological
• Osychiatric
• Developmental delay
• Brain injury

Question 3

The four levels of disability limitations are…

Answer 3

• Mild
• Moderate
• Severe
• Profound

Question 4

What is the prevalence of disability in Australia?

Answer 4

18% (same as adult age)

Question 5

What are the approximate prevalences of disability in adolescents aged 10-14 vs 15-19? How does the relative distribution of profound/severe vs other differ?

Answer 5

• 10.2% in 10-14
• 10.8% in 15-19
• Severe/profound becomes relatively less common in older adolescents

Question 6

How does health status, more broadly, change in people with disability?

Answer 6

• More likely to have poorer health
• Fewer expected years of life remaining
• Higher prevalence of other comorbidities (incl. anxiety)
• Higher rates of chronic conditions (vascular complications, emphysema, arthritis/back pain)

Question 7

Health risk factors of behaviour with people with/without disability

Answer 7

• Disabled people eat fewer fruits/veg, increased risk of obesity, less exercise, more likely to smoke have hypertension
• Less likely to have too much alcohol, though (can’t get in to the nightclubs as easily)

Question 8

How does health service utilisation of disabled people differ from non-disabled people?

Answer 8

• Higher use of GPs, specialists, mental health professionals, ED, and hospitals
• Also get information care from family and friends

Question 9

What barriers may people with disabilities encounter when accessing healthcare (incl. social determinants)?

Answer 9

• Waiting times
• Cost
• Communication between health professionals
• Lower rates of education, lower income, less likely to have adequate housing

Question 10

Role of disability sector vs health sector in delivering disability care

Answer 10

• Disability sector provides disability-specific support (therapy, OT, David Hobbs tech support, training hospital staff)
• Health sector diagnoses and treats health conditions (including preventitive health, drugs, and hospital care)

Question 11

Funding of healthcare vs disability sector

Answer 11

• Healthcare needed is funded through medicare, care plans, state/federal gvmt, private funding
• Disability sector is funded by NDIS (tax funded by state and federal government)

Question 12

What are the six National Standards for Disability Services (NSDS)?

Answer 12

• Rights
• Participation and inclusion
• Individual outcomes
• Feedback and complaints
• Service access
• Service management

Question 13

What are the 7 parts of the National Safety and Quality Health Service (NSQHS)? How does it differ from NSDS?

Answer 13

• Access
• Safety
• Respect
• Partnership
• Information
• Privacy
• Feedback

Differs in that it only focuses on ACCESS to healthcare for people with INTELLECTUAL disabilities

Question 14

What are the 4 ACSQH steps for clinicians to adjust for disability care?

Answer 14

• Plan
• Understand
• Communicate
• Act

(…with me)