Chapter 9 Medical Functional And Environmental Aspects Of Disability
The 13 BODY SYSTEMS: -integumentary -skeletal -muscular -lymphatic -respiratory -digestive -nervous -endocrine -cardiovascular -urinary -reproductive
-endocannabinoid (appetite, pain perception etc.)
Coronary artery disease (cad) leading cause of death in the US. Plaque accumulates in vessels, stenosis (hardening) ischemia (restricting blood supply), thrombosis (blood clots).
Congestive heart failure (CHF) heart muscle is weakened or damaged over time and can no longer pump an adequate amount of blood.
Dyspnea (difficulty breathing)
Spinal Cord Injuries
Over half occur as a result of vehicle accidents. Damage at cervical level results in damage of upper and lower extremities. Damage at thoracic level will lead to paraplegia. C3 above requiring a ventilator. Accommodations focus on ADLs (work station access, worksite access, travel to
chronic and unpredictable disease that attacks the CNS.
Relapsing-remitting: clearly defined attacks followed by partial or complete recovery.
Secondary progressive: disease worsens more steadily and exacerbations or relapses/plateaus may not occur.
Primary progressive: slowly worsening functioning with no periods of remission.
Progressive-relapsing: steadily worsening disease with periods of exacerbations with or without remissions.
Most common symptoms: fatigue, numbness, walking/balance/coordination issues, bladder dysfunction, bowel dysfunction, vision problems, dizziness, vertigo, sexual dysfunction, emotional changes, depression, and spasticity.
Accommodations: related to weakness/fatigue, motor dysfunction, cognitive problems, sensory problems, heat insensitivity.
3 types: type 1 (insulin-dependent body stops producing insulin after being destroyed by the immune system); type 2 (begins with insulin resistance body fails to use insulin & over time the pancreas fails to properly produce it); gestational diabetes.
Accommodations: allowing storage for meds & consistency of schedule, modifying job tasks for fine finger dexterity, providing a rest area, and potentially time for dialysis in the case of kidney disease.
Liver inflammation & swelling. Immune cells attacking the liver, infection from a virus, damage from alcohol. Major accommodations around fatigue and weakness.