ADAPTED PHYSICAL EDUCATION Copyright © 2015. All Rights Reserved.

PRESENTOR PROFILE

• A presentation by Prof. Kris Erwin D. Lugo, a graduate of

Bachelor of Science Major in Psychology from San Beda

College, Manila and finishing Master’s studies in Human

Kinetics at University of the East, Manila.

• A professor of Human Kinetics at San Beda College, Manila.

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A Formal Presentation

about Persons with Disability

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RESOURCES

Websites

• www.worldhealthorganization.com

• www.adaptedphysicaleductaion.com

Journals

• American Society for Disabled Person

• Philippine Journals

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Comparative Definition of Disability • Disabilities is an umbrella term, covering impairments, activity limitations,

and participation restrictions. (ICF)

• A physical or mental condition that limits a person's movements, senses, or activities.

• A disadvantage or handicap. • It is a complex phenomenon reflecting the interaction between features of

a person’s body and features of the society in which he or she lives.

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Types of Disabilities • Attention-Deficit/Hyperactivity Disorders

• Blindness or Low Vision

• Brain Injuries

• Deaf/Hard-of-Hearing

• Learning Disabilities

• Medical Disabilities

• Physical Disabilities

• Psychiatric Disabilities

• Speech and Language Disabilities

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Comparative Basis of Postural Assessment of PWD with the Normal (Global) • According to World Health Organization (WHO, 2012)

• Approximately 15% or over 1 billion people of the world’s population have

some form of disability.

• About 110 to 190 million people (15 years and older) have significant difficulties in functioning.

• About 80% of the world’s PWDs live in low-income countries, wherein majority are poor and cannot access basic services.

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Cont…(Philippines) • According to the 2010 Census of Population and Housing (CPH, 2010)

• With a Household population of 92.1 million, 1.57% or 1.443 million

Filipinos have a disability.

• Region IV-A was recorded to have the highest number of PWD with 193 thousand PWDs among the 17 regions.

• Cordillera Administrative Region (CAR) had the lowest number with 26 thousand PWDs.

• 50.9% were males and 49.1% were females with disability.

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Outline of Neuro-Pathologic and Musculo-skeletal Epidemiology of Disability. Keywords: • Neuropathology - the branch of medicine concerned with diseases of the nervous system. • Musculoskeletal - relating to or denoting the musculature and skeleton together.

• Epidemiology - the branch of medicine that deals with the incidence, distribution, and

possible control of diseases and other factors relating to health.

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Neuro-Pathologic and Musculo-skeletal Problem of Disabled Person • Has a level of severity and combination of symptoms that differ for

each person.

• For example, one person may have a weakness in one hand and find tasks like writing or tying shoelaces challenging. While another person may have little or no control over their movements or speech and require 24 hour assistance.

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Cont… People with disability may experience: • uncontrolled or unpredictable movements • muscles can be stiff, weak or tight (in some cases people have shaky

movements or tremors.) Severe disability may also have difficulties with: • swallowing • breathing • head and neck control • bladder and bowel control • eating • dental • digestive problems.

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Diff. Methods of Treatment Conventional treatment methods • are systems, practices and products that have been researched, tested and

approved by the medical community as acceptable forms of treatment.

Complementary medicine • it has not yet been fully tested or approved, but may be under

consideration. Alternative medicine • is a treatment method that is used to replace conventional medicine.

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Cerebral Palcy (Sample) • Cerebral palsy is a group of disorders usually characterized by some

impairment in motor function, whether it is a slight limp, or an inability to walk.

• Cerebral palsy affects muscle tissue due to its brain malfunction.

• Some people with cerebral palsy have increased muscle tone, while others have a decrease in muscle tone.

• Other persons with cerebral palsy have a type of the movement disorder that fluctuates from increased to decreased muscle tone.

• Often this disorder is most prominently obvious in the legs or the arms.

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CPs Treatment • Therapy and adaptive equipment as a primary treatment

• Drug therapy and surgical interventions.

• Complementary and alternative medicine (for additional assistance.) Overriding Treatment or Goal: Optimize mobility Manage primary conditions Control pain Prevent and manage complications, associative conditions and co-mitigating factors Maximize independence Enhance social and peer interactions Foster self-care Optimize ability to communicate Maximize learning potential Provide quality-of-life

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Neuro-Pathologic and Musculo-skeletal Epidemiology of Disability

Regular exercise Optimize mobility Manage primary conditions Prevent and manage complications, associative conditions and co-

mitigating factors Optimize ability to communicate Maximize healthy food intake

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Intervention Plan by Kalusugan Pangkalahatan/Universal Health Care The Action Plan identified three major objectives: 1. To remove barriers and improve access to health services and

programmes.

2. To strengthen and extend rehabilitation, habilitation, assistive technology, assistance and support services, and community-based rehabilitation.

3. To strengthen collection of relevant and internationally comparable data on disability and support research on disability and related services.

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Subjective, Objective, Assessment and Plan (SOAP) • It is a method of documentation employed by health care providers to

write out notes in a patient's chart. • Documenting patient encounters in the medical record starting with

patient appointment scheduling, to writing out notes, to medical billing.

• Today, It is widely adopted as a communication tool between inter-disciplinary healthcare providers as a way to document a patient’s progress.

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Subjective Component • Initially is the patient's Chief Complaint, or CC.

• This is a very brief statement of the patient as to the purpose of the office

visit or hospitalization.

Such as: • History of Present Illness (HPI) • Body systems. • Pertinent medical history • Surgical history • Family history and social history • Current medications, smoking status, drug/alcohol/caffeine use, level of

physical activity and allergies.

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Assessment • A medical diagnosis or a summary of the patient with main

symptoms/diagnosis and a list of other possible diagnoses. • It is the patient's overall progress since the last visit.

• This will include etiology and risk factors, assessments of the need for

therapy, current therapy, and therapy options.

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Plan • The plan is what the health care provider will do to treat the patient's

concerns. Such as: Ordering further labs Radiological work up Referrals given Procedures performed Medications given and education provided.

• The plan will also include goals of therapy and patient-specific drug and

disease-state monitoring parameters.

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SOAP Model

Surgery Service, Dr. Jones

S: No further Chest Pain or Shortness of Breath. "Feeling better today." Patient reports headache.

O: Afebrile, P 84, R 16, BP 130/82. No acute distress.

Neck no JVD, Lungs clear

Cor RRR

Abd Bowel sounds present, mild RLQ tenderness, less than yesterday. Wounds look clean.

Ext without edema

A: Patient is a 37 year old man on post-operative day 2 for laparoscopic appendectomy. Recovering well.

P: Advance diet. Continue to monitor labs. Follow-up with Cardiology within three days of discharge for stress testing as an out-patient. Prepare for discharge home tomorrow morning.

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Nomenclature Descriptors/Classification Systems used to Describe the Disability • International Classification of Functioning, Disability, and Health (ICF)

• The ICF is a classification of health and health-related conditions for

children and adults that was developed by World Health Organization (WHO) and published in 2001.

• The WHO would like the ICF classification system to be considered a partner to the ICD (International Classification of Diseases and Related Health Problems) system used in the U.S. and abroad.

• Whereas the ICD classifies disease, the ICF looks at functioning.

• Therefore, the use of the two together would provide a more comprehensive picture of the health of persons and populations.

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(Fin)

A

Formal Presentation about

Persons with Disability

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Prof. Kris Erwin D. Lugo Human Kinetics Department San Beda College, Manila kriserwinlugo24@gmail.com kriserwinlugo24.wordpress.com krislugo/personalblog

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ADAPTED PHYSICAL EDUCATION Copyright © 2015. All Rights Reserved.