Discuss a range of theories and models relevant to disability and how they may help or hinder current real world issues in relation to the topic.

Part one:

1 Identify and explain a range of theories and models relevant to disability.
2 Demonstrate an understanding of inequality and discrimination.
3 Recognise and understand how cultural and social systems can influence personal values.
4 Analyse service user narratives to understand their life experiences.

Part two – Case Study:

5 Critically evaluate approaches and solutions to a given case scenario.
6 Investigate real world issues in supporting service user’s disabilities.

*Harvard Referencing with a mixture of books, journals and credible updated websites to current situation.
*English UK literature writing.

Edna is an older disabled person. She has been registered blind for more than 20 years. She has a guide dog, which she adores and who has been a lifeline for her. As she says, “When I got my first dog I hadn’t been over the door on my own in years. I got my first dog and she and I sailed out, went out into the town. It turned my life around, gave me back my life and gave me back my confidence. ”Recently Edna’s health has declined and she now has to go for dialysis three times a week to her local hospital. She describes her experiences travelling with her dog to and from the hospital as “the most difficult issue of my entire life,” adding that “in my 70 years I have never been treated in this fashion ever before.” Edna was initially taken to and from her home in a taxi, contracted by the local Trust. However Edna felt that the driver made things difficult for her because of the dog, even though, as she points out she has previously travelled on trains, buses and even aircraft with her dog without trouble. “I was treated very well by other taxi companies, on the trains, in restaurants. Never, ever before was I treated like not only a second class citizen but a third class citizen.” When Edna contacted the Trust about the issue, she found them apparently more interested in challenging her complaint than speaking to the taxi firm concerned. In fact, she was told that she could make her own transport arrangements if she so wished. But this would have cost Edna over £5000 per year and she feels that it is wrong for her to be treated differently just because she has a guide dog. Dealing with the attitude and approach of taxi drivers on top of all that left her very upset. “I felt diminished and demeaned, I must confess that I felt really victimised to the extent that I felt that I was being penalised because I had sight loss and I was using a guide dog as my mobility aid.” The Trust seemed unable or unwilling to tackle the matter of the taxi firm’s behaviour. Instead Edna was, as she puts it “bumped onto what was called an ambulance”. Edna is the only renal patient travelling in this fashion. This vehicle is not really suitable -there is no heat in the rear where Edna and her dog have to sit, so she is freezing and there have been a range of other problems. Edna’s beloved dog has also suffered –hyperventilating and shaking whilst in the ambulance. It turns out this may be because the vehicle is being washed out with bleach, which burns the dog’s paws. “So it just goes on and on,” says Edna. “It’s distressing for me but more importantly it’s distressing for my dog and he can’t tell me what’s wrong. I just find it hard to cope with.” Edna believes that the difficulty with the transport has adversely affected upon her health. As she explains: “Dialysis is not an easy treatment to have three days a week; it takes the best part of 5 hours each time and it is very draining and quite debilitating at times. So I was finding this quite distressing.” “If my treatment in the dialysis unit was only for 6 weeks,” she says, “I wouldn’t have bothered even making contact even with regard to the first issue; I would have gone the 6 weeks and thought well thank goodness that’s over. But I have to travel this way for the rest of my natural life and I am not prepared to do that. Why should I be treated like this? Why should I be treated and carried in such a fashion and made to feel that I am just a nobody?” Edna is the only renal patient who is being transported to and from treatment in this fashion: she believes firmly that this is because she travels with a guide dog. The whole experience has greatly distressed Edna and her consultant has noticed an adverse impact on her mood and general health. However, because of the state of her health she feels she has been unable to get the authorities to address the matter. “I can’t because I haven’t got the energy. When your kidneys are not working, you are not working. You are just going from day to day, it’s really hard. I hate stepping out of here in the morning. I am fine when I get to the unit but it’s the getting there and getting home. I just dread it. It is impacting on my dog now, a poor animal who can’t speak and can’t tell me. I depend on him to keep me safe, the poor thing.”

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