Match List - I with List - II and select the correct answer using the code given below the lists:

List - I
A. Disease
B. Impairment
C. Disability
D. Handicap

List - II

1. Unemployment
2. Accident
3. Loss of foot
4. Can not walk

1. A

   A-1, B-2, C-3, D-4

2. B

   A-2, B-3, C-4, D-1

3. C

   A-3, B-4, C-1, D-2

4. D

   A-4, B-1, C-2, D-3

Appeared in: UPPSC 2022

Explanation

• The correct option correctly maps the sequence of events according to the WHO's ICIDH model.
• Disease (A) is the initial event, which is the Accident (2).
• Impairment (B) is the anatomical loss, which is the Loss of foot (3).
• Disability (C) is the functional limitation, which is the inability to walk (4).
• Handicap (D) is the resulting social disadvantage, which is Unemployment (1).

Why Other Options Were Wrong

• Option A: This option incorrectly matches Disease (A) with Unemployment (1) and Impairment (B) with Accident (2). Unemployment is a social handicap, not a disease, and an accident is the initiating event (disease/disorder), not an impairment.
• Option C: This option incorrectly matches Disease (A) with Loss of foot (3). The loss of a foot is an impairment that results from a disease or event, it is not the disease itself.
• Option D: This option incorrectly matches Disease (A) with 'Can not walk' (4). The inability to walk is a functional disability, not the initial disease or event.

Related Visual

Clinical Relevance

• Nursing practice connection: Knowing WHO's International Classification of Impairments, Disabilities, and Handicaps (ICIDH) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
• Understanding the ICIDH framework helps nurses perform holistic assessments, moving beyond the medical diagnosis to understand the functional and social impact on a patient's life.
• This knowledge is crucial for planning comprehensive care, including rehabilitation, patient education, and referrals to social and vocational services to address disabilities and handicaps.
• What if the patient receives a prosthetic foot and vocational training? This would be a form of rehabilitation (tertiary prevention) aimed at reducing the disability (improving mobility) and overcoming the handicap (enabling employment), even though the impairment (loss of foot) remains.

How to Approach the Question

• First, understand the definitions of the four key terms in List-I: Disease, Impairment, Disability, and Handicap. Recall their specific meanings in the context of health classifications.
• Identify the logical starting point in List-II. An 'Accident' is an event that initiates a sequence of health consequences, making it the 'Disease' or disorder.
• Trace the consequences step-by-step. The accident leads to an anatomical 'Impairment' (Loss of foot).
• The impairment leads to a functional 'Disability' (Can not walk).
• The disability leads to a social 'Handicap' (Unemployment).
• Match this logical sequence (A-2, B-3, C-4, D-1) with the given options to find the correct answer.

Concept Tested & Keywords

• Concept Tested: WHO's International Classification of Impairments, Disabilities, and Handicaps (ICIDH)
• Stem keywords: Disease, Impairment, Disability, Handicap, Match List
• Lead-in keywords: select the correct answer

Question ID

Q-enWdnlc-W1ws6Dj-Cn7f

Copy ID

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart A (pp 26-201 of 604) p. 35-37

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 82-84