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8 Cards in this Set

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Epidemiology

About 10% of the world population are challenged. Also about 10 million Nigerians are disabled. 70 million of the world challenged are below 15 years of age and are found in the developing countries. In Nigeria, over 50,000 challenged children are distributed amongst 500 homes. Majority of these challenged children (about 7 million) are found in the streets with less than 1.5m in schools and 2million on the farms Disease onset > impairment >disability >handicap

Impairment

Any loss or abnormality of psychological, physiological or anatomical structure or function.


Disability

Any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being. Is concerned with functional performance and ability and its limitation as it affects the whole body/person. A mental, physical, medical or social condition that interferes with normal functioning


Handicap

The result when an individual with an impairment cannot fulfill a normal life role. Focuses on the whole person as a social being and reflects on the interaction and adaptation of the person to his/her surrounding. The definition tries to capture the consequences that places the individual at a disadvantage in relation to their peers Normal is defined within the contest of age, gender and socio-cultural factors. There is no universal standard of normal

Types/ classification of disability

Learning disorders: Difficulties in writing,reading,computing Speech or language impairment: Grammar, morphology,semantics Mental retardation: Intellectual ability


Emotional disturbance


Autism Hearing impairment/deaf/hard of hearing


Visual impairment


Deaf-blindness Orthopaedic impairment


Traumatic brain injury (TBI) Other health impairment(OHI) Cancers,SCD,DM


Multiple disabilities ( Mental retardation & physical disabilities Developmental delay(DD) The classification can be used for diagnosis, rehabilitation assessment and monitoring, record keeping and a whole list of possible other functions

Management of the challenged child

The approach to medical management of the challenged child is multidisciplinary in nature. It is important to become familiar with the special needs of the child and the parents’ concerns

Problems of the handicapped child

Stigmatisation/discrimnation/prejudice Lack /poor education


Poor nutrition


Poor health


Physical, emotional & sexual abuse


Child labour & employment/exploitation Lack of training and capacity building


Not considered in humanitarian crises


Not involved in decision making


Live all their lives in institutionalised homes Forced abortions


Forced sterilisation

Needs of the handicapped child

Medical interventions Surgical interventions Assisted devices Environmental modifications


Education Training/ capacity building Sexual and reproductive health needs


Institute their rights ( CRC,CRPD)