II. Definitions
- Impairment (Objective Physiologic Deficit)
- Loss of anatomic, physiologic or psychologic function as defined by medical evaluation
- Example: Lumbar Disc Herniation
- Classifications (e.g. intellectual, language, psychological, ocular, visceral, skeletal, generalized, sensory)
- See Impairment Evaluation
- Disability (Subjective Functional Deficit)
- Activities limited by Impairment (occupation specific)
- Example: Difficulty waiting tables
- Classifications (e.g. behavior, communication, personal care, locomotion, dexterity, skill)
- See Disability Evaluation
- Handicap (Social or Environmental Consequences)
- Impairment limits role fulfillment
- Example: Wheelchair, van or handicapped access required
- Classifications (e.g. Physical independence, mobility, occupation, social integration)
III. Epidemiology
- Americans with ongoing disabling condition: 56.7 million (2013)
- Severe Disability in 38.3 Million adults and 2.6 Million children
- Social security administration Disability benefits
- New applications per year: 2.5 Million
- Disabled workers with benefits in 2012: 8.8 million
- Most common disabilities
- Back or spine conditions
- Arthritis
- Heart conditions
- Most common limitations
- Inability to walk three city blocks
- Inability to climb a flight of stairs
IV. Risk Factors: Groups with disproportionately greater Disability
- Minority ethnic group
- Elderly
- Low socioeconomic group
- Children living in poverty
- Female headed households
V. Risk Factors: Predictors of prolonged recovery
- Behaviors
- Disability out of proportion to diagnosis
- Exaggerated pain behavior or history of Somatization
- Family factors
- Dysfunctional family
- Family History of prolonged Disability
- Comorbid conditions
- Workplace Difficulties
- Occupational dissatisfaction
- Difficulties with coworkers
- Financial or legal hardships
VI. Evaluation
VII. Management
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| Definition (HL7V3.0) | <p>A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization.</p> |
| Definition (MEDLINEPLUS) |
Disabilities make it harder to do normal daily activities. They may limit what you can do physically or mentally, or they can affect your senses. Disability doesn't mean unable, and it isn't a sickness. Most people with disabilities can - and do - work, play, learn, and enjoy full, healthy lives. Mobility aids and assistive devices can make daily tasks easier. About one in every five people in the United States has a disability. Some people are born with one. Others have them as a result of an illness or injury. Some people develop them as they age. Almost all of us will have a disability at some point in our lives. Department of Health and Human Services |
| Definition (NCI) | Any physical or mental impairment that interferes with an individual's ability to perform desired activities. |
| Concepts | Finding (T033) |
| SnomedCT | 138363006, 161049007, 21134002 |
| HL7 | DIS |
| English | Disability NOS, disabilities, disability, Disabilities, Disability NOS (finding), DISABILITY, Disability, Disability (finding), Disability, NOS |
| Italian | Disabilità, Disabilità NAS |
| Dutch | invaliditeit NAO, invaliditeit |
| French | Handicap SAI, Incapacité |
| German | Behinderung NNB, Behinderungen |
| Portuguese | Invalidez NE, Incapacidade |
| Spanish | Discapacidad NEOM, discapacidad, SAI, discapacidad, SAI (hallazgo), discapacidad (hallazgo), discapacidad, Discapacidad |
| Japanese | 障害者, 障害者ＮＯＳ, ｼｮｳｶﾞｲｼｬ, ｼｮｳｶﾞｲｼｬNOS |
| Czech | Postižení, Postižení NOS |
| Hungarian | Rokkantság, Rokkantság k.m.n. |
Ontology: Sick Leave (C0242807)
| Definition (MSH) | An absence from work permitted because of illness or the number of days per year for which an employer agrees to pay employees who are sick. (Webster's New Collegiate Dictionary, 1981) |
| Concepts | Idea or Concept (T078) |
| MSH | D018582 |
| English | Leave, Sick, Sick Leave, sick leave, Sick leave |
| French | Arrêt maladie, Congé de maladie, Absence pour maladie, Arrêt de travail, Congé maladie |
| Swedish | Sjukfrånvaro |
| Czech | pracovní neschopnost |
| Finnish | Sairausloma |
| Russian | BOL'NICHNYE DNI, OTPUSK PO BOLEZNI, OTPUSK PO NETRUDOSPOSOBNOSTI, БОЛЬНИЧНЫЕ ДНИ, ОТПУСК ПО БОЛЕЗНИ, ОТПУСК ПО НЕТРУДОСПОСОБНОСТИ |
| Japanese | 休職-病気, 休業-病気, 無気力休業, 病気休業日, 病気欠勤日, 病気休暇, 病気休業 |
| Croatian | BOLOVANJE |
| Polish | Zwolnienie chorobowe |
| Norwegian | Sykefravær, Sykepermisjon |
| German | Fehlen wegen Krankheit, Fehlen wegen Arbeitsunfähigkeit |
| Italian | Congedo per malattia |
| Dutch | Ziekteverzuim |
| Portuguese | Licença Médica |
| Spanish | Ausencia por Enfermedad |
Ontology: Impaired health (C0684336)
| Concepts | Pathologic Function (T046) |
| SnomedCT | 40226000 |
| LNC | MTHU029814 |
| English | Impaired health, health impairment, health impaired, impaired health, health impairments, Impairments, Impairment, Impairment (finding), Health Impairments, impairment |
| Spanish | daño, debilitamiento, deterioro (hallazgo), deterioro, injuria física |
