Disability

impaired body structure and Function

reduction in self care

participation restrictions

employment

social activities

long term

chronic

incurable

fluctuating

family

financial

resources

stigma

discrimination

due to pre existing disability increase co morbidities

community impact

limitation in activities

cultural perceptions

burden of disease

life lost

coping mechanisms

build support networks

creative ways of participation/ ways of adaption

education

spectrum of range ie min to max effect

accessability

socio economic status

rural versus urban

service provision

Biomedical

medication

physical

Pyschosocial

effective/ ineffective coping

life style changes

care giver strain

pertception of self image

empowerment

independence

social impacts

work

family& friends

financial burden

experience of chronic disease/ personalised

exposure to someone with chronic disease

mental health impact

depression

anxiety

isolation especially the vulnerable

support levels

vulnerablity

spirituality