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36 Cards in this Set
- Front
- Back
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Comparison - rehab act of 1973 vs. ADA of 1990
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Rehabilitation Act of
1973 Target group entities that receive funding from the federal government ADA of 1990 Target group private sector state & local agencies, & governments Affiliate programs |
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Comparison cont....
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Act of 1973
RecipiRehab ents identified as “Handicapped” ADA of 1990 Recipients identified as “Disabled” |
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Comparison cont...
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Rehab Act of 1973
Employment Independent Living ADA of 1990 Targets discrimination |
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comparison cont....
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Civil Rights Act of 1964
Anti-discrimination law Protects the rights of women and minorities. race, color, sex, religion and national origin ADA of 1990 Anti-discrimination law Extension of the Civil Rights Act of 1964 Protects the rights of individuals with disabilities |
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ADA 1990 (3 prong)
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Defines “disability” as:
A physical or mental impairment that substantially limits one or more of a person’s life activities. Has a record of such an impairment. Is regarded as having such an impairment |
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Major Life Activity (n=16)
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Walking
Sitting Seeing Hearing Standing Breathing Reaching Learning Speaking Concentrating Sleeping Performing manual tasks Working Lifting Caring for oneself Interacting with others |
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Definitions related to the ADA
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Individual with a Disability
Life Activities Reasonable Accommodation Undue Burden Qualified individual with a disability – can perform the functions of the job Disability Handicap |
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Titles
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Title I: Employment
Title II: Public Service Title III: Public Accommodations Title IV: Telecommunications Title V: Miscellaneous |
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Title 1 ADA Employment Discrimination
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Application
Hiring Advancement Discharge Compensation Job training |
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ADA : Title 1
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Qualified Individual
One who performs the “essential functions " of a job. Basic job duties that an employee must be able to perform, with or without reasonable accommodations Does not require employers to hire or retain individuals with disabilities who are not qualified. An employee cannot present a direct threat to others or to themselves. |
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Essential Function of ADA title 1
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The job exists to perform the function.
There are a limited number of employees to perform the function, or among whom the function can be distinguished A function is highly specialized, and the person is hired for special expertise or ability to perform the job. |
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Reasonable Accomodation
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Essential function of the job
Equal benefits and privileges Employers must provide reasonable accommodations for qualified applicants or employees with disabilities once the person needs are known unless the accommodations would impose undue hardship. |
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Title 1 Additional Guidelines
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Using selection criteria that exclude individuals with disabilities unless the criteria are job related.
Tests must accurately reflect the skills required for the job rather than the disability. Prohibits pre-employment medical examinations and inquiries. Employers cannot request a medical exam or question applicants about their disability or medical status before offering employment. |
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ADA title 2 Public Services
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Prohibits state and local government from discriminating against qualified individuals with disabilities, and establishes standards for increasing accessibility in public transportation.
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Title 2 Public Services and transportation
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Any service provided by the state and local government
Public transportation buses/rails stations air transportation (not included) Government Buildings Regulated by the Secretary of Transportation |
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Title 3 Public Accommodations
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Individuals with disabilities shall receive full and equal enjoyment of the goods, services, facilities, privileges, advantages, or accommodations of any place of public accommodation. Also prohibits discrimination in public transportation services by private entities.
Covered entities: Hotels Restaurants Laundromats Museums Parks Zoos Private Schools Day Care Centers Theaters/Auditoriums Offices of Health Care Providers Gymnasiums |
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Title 4 telecommunications
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Requires that interstate and intrastate
telecommunications relay services be available to persons with hearing and speech limitations. Ex. Telecommunication Device for the Deaf (TDD) |
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Desires
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Individuals with disabilities desire to
work live independently go to school fully participate in society equal access to attain the “American Dream” |
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Barriers
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Attitudinal
blaming individual has the ability to overcome the disability Public Policy denial of access denial of equal participation Architectural |
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Environmental Assessments
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Residence (Box 13-5)
Workplace (Box 13-6) Community (Box 13-7) |
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Architectural
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Home Modifications – W/C Accessible
General Considerations Kitchen Bathrooms (Tub Seats/Heights/Toilet Seats/Heights) Bedrooms Garage Access to the neighborhood/community Functional Abilities Emergency Escapes |
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Features for indiv with hearing impairments/loss
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Amplified Handset
Text telephone (TTY, TDD) Visual Signals Closed Caption for TVs Others ???? Flashing fire alarms Vibrating bed Writing |
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features for indiv with visual impairments/loss
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Tactile Sensors or labels
Warning Strips Computer or Voice Command Technology Audible Cues Furniture Placement Lighting Intensity Others ????? Brail |
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Standard Adjustable Beds
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http://www.youtube.com/watch?v=MO5NVi0I5Ss&feature=related
Advantages: Pt access to controls Fowler’s and Trendelenberg Positions Disadvantages: Restraint |
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Turning Frame bed
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http://www.youtube.com/watch?v=oaq8a4WrRVM
Advantages: One person can safely turn the pt Allows transportation without removing pt from the frame Unit can be raised or lowered to several heights Extra room space is not required Allows for Trendelenberg positioning Disadvantages: Supine or Prone positions only Difficult to position pts weighting more than 200 lbs or > 6 ft tall Increased risk for skin problems due to shearing |
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Air fluidized support bed (clinitron)
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http://www.youtube.com/watch?v=BpjlMFR1mx4&feature=related
Advantages: Favorable healing environment Temperature is controlled to pt’s needs Reduced friction, shearing and pressure forces on the skin When unit is off, the surface becomes firm. Disadvantages: Puncturing the cover Rapid loss of body fluids (dehydration) Fixed distance from bed to floor Expensive |
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Posttrauma Mobility beds
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http://www.youtube.com/watch?v=cIugYK-GV_4
Advantages: Constant side to side motion assists in improving upper respiratory tract function Eliminates shear and friction forces Environmental stimulation for neurologically impaired pts Improved urinary and bowel functions Disadvantage: Motion sickness, vertigo, nausea and feelings of isolation Limitation of care due to the bolsters and alignment supports A significant amount of room is needed for the bed to allow motion. |
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Low Air Loss therapy bed
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http://www.youtube.com/watch?v=tFGy50g8gYU
Advantage: Pt’s weight is measured. Easy to alter positions in supine Air bladders automatically inflate or deflate to distribute the pt’s wt. Disadvantage: Punctured Air Bladder Numerous steps needed to secure surface when turning or transferring a pt. Decreased rigidity of the surfaces not allowing for effective compressions while administering CPR |
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Lines and Tubes
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Ventilators
Monitors Vital Signs Oximeter Pulmonary Artery Catheter (Swan-Ganz) Arterial Line Indwelling Right Atrial Catheter (Hickman) |
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more lines and tubes
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Feeding Devices
Nasogastric Tube (NG Tube) Gastric Tube (G Tube) Intravenous Feeding Devices Oxygen Therapy Nasal Cannula Oronasal Mask Nasal Catheter Pain-Controlled Analgesia PCA Pump |
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lines and tubes
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Urinary Catheters
Foley Catheter External Catheter Suprapubic Catheter Chest Drainage Tubes Ostomy Devices Stomas Dialysis Shunts (arteriovenous fistula) |
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types of skeletal traction
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Balanced Suspension Traction
Skull Traction External Fixation Internal Fixation |
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template (examination)
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Observation
Posture Integumentary Asymmetries/Boney Alignments Gross A/PROM Gross MMT Bed Mobility Tests and Measures Joint Integrity Goniometry (A/PROM), Muscle Length Testing, End-feels Individual Manual Muscle Tests |
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bed mobility
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Preliminary Activities to
Transfers Ambulation Allows pt to alter activities for Comfort Avoidance of contractures Avoidance of skin breakdown Very important not to overlook these activities. |
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bed mobility activities
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Upward Movement (Figs 8-2, 8-8)
With and Without use of a Draw Sheet Downward Movement (Fig 8-4, 8-9) With and Without use of a Draw Sheet Side to Side Movement (Fig 8-1) Rolling (Fig 8-5) Supine to Sidelying to Prone and back to Supine Log Rolling Supine to Sit (Figs 8-6, 8-7, 8-10, 8-11) Long Sitting Short Sitting |
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Levels of assistance
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Dependent 100 0
Maximum (max.) 75 25 Moderate (mod.) 50 50 Minimal (min.) 25 75 Contact Guard (c.g.) 10 90 Close Guarding Supervision (S) PT observes. Stand by Assist (SBA) Independent (I) No observation or assistance needed |
