Adults with Developmental Disabilities Flashcards
What are common MS issues with premature aging adults?
Hip dislocation, patella alta, spondylolysis, cervical spine stenosis, osteoporosis
Pain underreported
What are common metabolic issues with premature aging adults?
metabolic syndrome in 20’s-30’s, DM, CAD, HLD
What are common GU issues with premature aging adults?
incontinence, no regular screening screening for cancers
What are common atypical issues with premature aging adults?
chronic fatigue- due to decreased ms mass and force production, poor ability to sleep from pain or GI issues
What was major breakthrough with introduction of special olympics?
increased awareness of for improved health services for people with Intellectual disabilities
When was first SO?
1995 in New Haven, CT
15% of world athletes at SO had to be sent to ER for urgent care
What is connection between ID and mortality?
the more severe the ID the lower life expectancy
mild- 74
mod-66
severe- 64
What is most common secondary disease for ppl with ID?
cardiovascular 31%, next is COPD at 5%
Why is it so important for ID pts to receive medical screening regularly?
they have 4 x preventable mortality but numbers show they get services way less
What was percentage of world athletes who passed hearing test?
70%
What is most common ocular disorder in patients with ID?
astigmatism (37%)
about 33% of athletes fail eye exams
What is major teeth issue facing pts with ID?
gingivitis about double the rate of people w/o ID
What bone disorders affect pts with ID?
osteoporosis and osteopenia, will also occur at a younger age than person w/o ID (less than 40 y.o)
In conjunction with the APTA what screening tool was developed for pts with ID?
FUNfitness
What does FUNfitness screen consist of?
strength, flexibility, strength, balance, aerobic, education
What percentage of athletes had 3 or more limitations?
70%
What are 3 major barriers to obtaining care for pts with ID?
- nature of health care system
- characteristics of providers
- common characteristics among pts with ID
What are issues related to nature of health care system?
inadequate coverage, lack of accessible facilities, poor continuity of care
What are issues in regards to provider characteristics?
lack of primary care provider knowledge, , more pessimistic view on pts with ID, poor documentation of services
What are issues in regards to characteristics of persons with ID?
limited communication skills, physical impairments, trouble adhering to tx regimen, reliance on caregivers, inadequate resources
