DISABILITY COMPETENCIES for mbbs nmc.pptx

nmc competency about disability for mbbs

1. DISABILITY COMPETENCIES DR BHARATH S G ASSOCIATE PROFESSOR ORTHOPEDICS SUBBAIAH INSTITUTE OF MEDICAL SCIENCES

2. LEARNING OBJECTIVES At the end of the session, the students should be able to Define disability Classify the types List the health care barriers faced by persons with disability

3. DEFINITIONS what are disability competencies COMPETENCIES abilities and attributes essential to provide effective health care DISABILITY COMPETENCIES skills and attributes essential to provide proper health care to patients with disabilities Or Minimum expected out of Indian Medical Graduate about the disabilities to provide compassionate care to all

4. Why do we need them 1 in 7 or 15% population live with some form of disability Largest minority group Numbers increasing with trama , chronic diseases, lbw , ageing etc 80% in developing countries 70% in rural Understanding these will help us to reduce the burden of disabilities

5. WHO DEFINITIONS A disability is an umbrella term covering IMPAIRMENTS problem with bodily functions or structure ACTIVITY RESTRICTIONS difficulty in executing a task/action PARTICIPATION RESTRICTIONS difficulty involving in life situations

6. CLASSIFICATION PHYSICAL NEUROLOGICAL INTELLECTUAL PSYCHIATRIC VISUAL AUDITORY SPEECH

7. PHYSIACAL DISABILITY

8. NEUROLOGICAL DISABILTY

9. INTELLECTUAL DISABILITY

10. PSYCHIATRIC DISABILITY

11. VISUAL

12. AUDITORY

13. SPEECH

14. BARRIERS TO HEALTH CARE PROHIBITIVE COSTS 33%OF NON DISABLED AND 53%OF DISABLED CANNOT AFFORD LIMITED AVAILABILTY PHYSICAL BARRIERS

15. PROBLEMS FACED HEALTH PROBLEMS secondary complications-sores fractures obesity comorbidities high risk behaviours - smoking alcohol PERSONAL AND SOCIAL PROBLEMS loss of jobs,friends and family social isolation depression

16. COMMUNICATION/ DISABILITY ETIQUETTES Don’t assume they need help, ALWAYS ASK Speak DIRECTLY , not to the caretaker AVOID outdated terms like handicapped, crippled or retarded or physically challenged, differently abled person with a disability rather than disabled person person who uses a wheelchair rather than wheelchair bound AVOID NEGATIVE/DISEMPOWERING words like victim, sufferer person with polio rather than polio victim

17. COMMUNICATION/ DISABILITY ETIQUETTES Don’t touch the crutches or wheelchair, part of personal space While guiding a blind person, offer your arm, don’t take his DON’T OBSCURE your face while talking to a person with hearing impairment RESPECT the privacy , allow him to discuss when he feels comfortable Don’t use BABY TALK to people with developmental disability DON’T TAKE DECISIONS for them Respect diversity, many disabilities are hidden

18. DISABILITY COMPETENCIES OF THE INDIAN MEDICAL GRADUATE The student should be able to define disability according to United Nations Conventions on the RIGHTS FOR PERSONS WITH DISABILITY while demonstrating respect for the differences and capacities of persons with disabilities as part of human diversity and humanity

19. DISABILITY COMPETENCIES OF THE INDIAN MEDICAL GRADUATE 2. The student should be able to compare and contrast medical and social model of disability

20. DISABILITY COMPETENCIES OF THE INDIAN MEDICAL GRADUATE 3. The student should be able to Build an understanding on the disability etiquettes while addressing people with disabilites

21. DISABILITY COMPETENCIES OF THE INDIAN MEDICAL GRADUATE 4. The student should be able to Demonstrate awareness of the disabilities included in the RIGHTS OF PERSONS WITH DISABILITIES ACT 2016

22. DISABILITY COMPETENCIES OF THE INDIAN MEDICAL GRADUATE 5. The student should be able to demonstrate the use of verbal and non verbal empathetic communicationtechniques while communicating with people with disabilities

23. DISABILITY COMPETENCIES OF THE INDIAN MEDICAL GRADUATE 6. The student should be able to Demonstate non discriminatory behaviours towards patients/ caregivers with disabilities

24. DISABILITY COMPETENCIES OF THE INDIAN MEDICAL GRADUATE 7. The student should be able to have an understanding of accessible health care setting for patients with disabilities

25. DISABILITY COMPETENCIES OF THE INDIAN MEDICAL GRADUATE 8. The student should be able to Advocate social inclusion by raising awareness of the human rights of parsons with disabilities

26. RIGHTS FOR PERSONS WITH DISABILITIES ACT 2016 Intentional insult or intimidation with intent to humiliate a person with a disability SECTION 89-92: fines from 10000/- to imprisonment upto 5yrs

27. WHEN TO TEACH DAY 1 we ll be having patients, mates, faculties with disabilities Longitudinally throughout the curriculum 3/4 th year 1 month of electives.

28. WHERE TO TEACH Lecture halls Bedside clinics Interpersonal communication like waiting room, emergency,rehabilitaatin etc

29. HOW TO TEACH ABCDE USED EVERYWHERE A- appropriate ATTITUDE B- ethical and professional BEHAVIOUR C- effective COMMUNICATION D- respect DIVERSITY E- Have EMPATHY