CONCEPTS AND DEFINITIONS OF DISABILITY The contemporary conception of disability proposed in the WHO International Classification of Functioning, Disability and Health (ICF) views disability as an umbrella term for impairments, activity limitations and participation restrictions. Disability is the interaction between individuals with a health condition (e.g. cerebral palsy, Down syndrome or depression) and personal and environmental factors (e.g. negative attitudes, inaccessible transportation, or limited social supports). Long ago there was great confusion over the meaning of terms such as impairment, handicap, or disability. Then, in 1980, the WHO provided great service by offering a clear way of thinking about it all in a little book …show more content…
Measurements of quality of life extend the disability focus beyond the ability to perform "activities of daily living" to include a broad range of functioning (work, home, play) and also the person's feelings of satisfaction and well-being. This is necessarily a qualitative and subjective concept, judged by the patient in terms of the extent to which they are able to do the things they wish to do. In this medical context, quality of life is distinct from wealth or possessions, and to amke this clear you may see the term "health-related quality of life." Reflecting these evolving ideas, the WHO revised its Impairment, Disability and Handicap triad in 2001, re-naming it the International Classification of Function (ICF). This classification system provides codes for the complete range of functional states; codes cover body structures and functions, impairments, activities and participation in society. The ICF also considers contextual factors that may influence activity levels, so function is viewed as an interaction between health conditions (a disease or injury) and the context in which the person lives (both physical environment and cultural norms relevant to the disease). It establishes a common language for describing functional states that can be used in comparing across diseases and countries. The ICF therefore uses positive language, so that "activity" and "participation"
The Medical Model is best summarised by referring to the International Classification of Impairments, Disabilities and Handicaps developed by the World Health Organisation in 1980. The classification makes the following distinctions:
Based on the total literature reviewed, the WHO ICF framework compared to the current VH Case Study format that integrates the “WHO Disablement Model,” represents current, up to date evidence and best practice. The “WHO Disablement Model” aka ICIDH model is outdated. It was published
Society often focuses on what a person lacks in terms of disability and focuses on condition or illness or a person’s lack of ability. Medical model of disability which views adults has having an impairment or lacking in some way
Disability in a socio-cultural context can be defined as "a barrier to participation of people with impairments or chronic illnesses arising from an interaction of the impairment or illness with discriminatory attitudes, cultures, policies or institutional practices" (Booth, 2000). The traditional view of disability often focuses on the individual, highlighting incapacities or failings, a defect, or impairment. This focus creates obstacles to participation on equal terms since an individual who seems to lack certain capacities may not be able to attain autonomy.
The amount of people who live with disabilities is a controversial number. Depending on what law and diagnostic tools used, a person may have a visible disability, or one that may lie beneath the surface of his or her appearance. Some people believe that the term “disability” is merely a label use to hold back, or prescribe helplessness. Meanwhile, individuals who have been properly diagnosed with disabilities struggle to maintain respect and acceptance every day. In plain language, there is a lot of misunderstanding between people with disabilities and those without. It is firstly important to get everyone on the same page regarding the definition of disability.
The degree of ability or disability may vary over time and across different life domains. Furthermore, continued disability has been linked to institutionalization, discrimination and social exclusion as well as to the inherent effects of disorders. Alternatively, functioning may be affected by the stress of having to hide a condition in work or school etc., by adverse effects of medications or other substances, or by mismatches between illness-related variations and demands for
Looking back in the past, there have been many features, and true definitions of the word disability. In the 1970s a group called the Union of the Physically Impaired Against Segregation defined disability as the disadvantage or restriction of activity cased by social organizations. U.S disability activists made efforts during the 1970s to form different alliances with the disability community, that protested for the inclusion of disability discrimination under the Rehabilitation act. Thereafter there was a medial model at looking at disability, that views disability as an individual shortfall. In
expectations, standards and concerns”, P.11 107. While a number of HRQOL definitions have been proposed108-111, these all suggest that biopsychosocial dimensions have a clear impact on individuals’ self-rated health (SRH) and overall well-being in the context of a specific medical condition112. In other words, HRQOL assesses QOL in the clinical medical context113.
A disability may be present from birth, or occur during a person's lifetime. An individual may also qualify as disabled if they have had an impairment in the past or is seen as disabled based on a personal or group standard or norm. Such impairments may include physical, sensory, and cognitive or developmental disabilities. Mental disorders (also known as psychiatric or psychosocial disability) and various types of chronic disease may also qualify as disabilities. Disability is thus not just a health problem.
Hahn defines disability as, “A form of inability or limitation in performing roles and tasks expected of an individual within the social environment” (Hahn 274). Likewise, the ADA Network, a branch of the Department of Health and Human Services describes the word as, “a person who has a physical or mental impairment that substantially limits one or more major life activity.” The definition Hahn fixated more than twenty five years ago and the word’s definition as of today is indistinguishable.
This is exemplified in the World Health Organisation definition of impairment, disability and handicap. Impairment is a physiological, psychological or anatomical abnormality, while disability is the abnormality in terms of activity and handicap is the inability to fill a normal role due to the impairment. (reference required-1) Notice the emphasis on normality and the specified cause of the
ICF stands for International Classification of Functioning, Disability and Health. It views disability in terms of body functions and structures, activities, participation and important contextual factors, as stated in the ICF PowerPoint presentation (Francaviglia). At the top of the diagram, shown in the ICF PowerPoint presentation, the health condition is described as any disability, disorder, injury, or trauma, but also includes important conditions such as pregnancy or aging (Francaviglia). Moving to the next level of the diagram, the body structures may include the specific limb or organ deficiency, functioning defect, or impairment from the health condition. These body structures effect “the execution of a task or action by individual”
“For purposes of nondiscrimination laws (e.g. the Americans with Disabilities Act, Section 503 of the Rehabilitation Act of 1973 and Section 188 of the Workforce Investment Act), a person with a disability is generally defined as someone who (1) has a physical or mental impairment that substantially limits one or more "major life activities," (2) has a record of such an impairment, or (3) is regarded as having such an
The World Health Organization defines quality of life as a person’s perceptions of their position in life in the setting of the culture and value systems in which they live in relation to their goals, expectations, standards and concerns (Krageloh et al., 2011). The WHOQOL-100 was developed by the World Health Organization composed of many different doctors and other healthcare providers in order to develop an assessment that could be used internationally and cross-culturally to measure a person’s overall quality of life and well-being, instead of a specific disease. This assessment led to the development of the WHOQOL-BREF, which is an abbreviated version of the WHOQOL-100 because the WHOQOL-100 is too lengthy for practical use; WHOQOL-BREF includes instructions for administering and scoring the assessment. The purpose of this assessment is to provide quality assessments in healthcare, focus attention on all aspects of health, and produce interventions that increase focus on a patient’s well-being (Harper, 1996). There were three main stages to the development of the WHOQOL assessment. The first stage of development consisted of the establishment of a definition of quality of life and how the assessment would be used internationally. The second stage of development explored the quality of life cross-culturally among different fields to establish relevance to the quality of life assessment. The third stage of
Disability is a human reality that has been perceived differently by diverse cultures and historical periods. For most of the 20th century, disability was defined according to a medical model. In the medical model, disability is assumed to be a way to characterize a particular set of largely static, functional limitations. This led to stereotyping and defining people by condition or limitations.