2 Psychosocial Components of Physical Disability

• What is the goal of increasing understanding of psychosocial impact of physical disability?

  To improve intervention strategies and knowledge
• How does WHO define health?

  Complete physical, mental, and social well-being
• What does the biopsychosocial model state about health status?

  It is determined by biological, psychological, and social factors
• How might two people with the same pathology differ in outcomes?

  Different motivation and socioeconomic resources
• What are the contextual factors influencing disability experience?

  • External environmental factors:
  • Social attitudes
  • Architectural characteristics
  • Legal and social structures
  • Climate and terrain
  • Internal personal factors:
  • Gender
  • Age
  • Coping styles
  • Social background
  • Education
  • Profession
  • Past and current experience
  • Overall behavior pattern
  • Character
• What is a potential consequence of loss of income due to disability?

  Decreased self-esteem
• What feelings may increase due to physical disability?

  Feelings of depression and anxiety
• What is a consequence of loss of independence?

  Dependence on others for mobility
• What does the hierarchy of needs include regarding patients?

  Life/death, survival, and quality of life
• What behaviors might indicate acting out in response to disability?

  Anger, sexually inappropriate actions, passive-aggressive behavior
• What psychological issues can arise from disability?

  • Depression:
  • Dysthymia
  • Loss
  • Grief
  • End of life issues
  • Anxiety:
  • Agitation
  • Stress
  • Fear
  • Tension
  • Anger
  • Adjustment disorders with major life changes
• What is a key aspect of identifying patient strengths?

  Recognizing their needs for improvement
• What is important for increasing quality of life for patients?

  Identifying what is important to the patient