Learning Disability Flashcards

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1
Q

how does a learning disability impact life expectancy

A

Females - 18 year lower life expectancy

males - 14 year lower life expectancy

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2
Q

how does learning disability affect future morbidities

A
26x more likely to have epilepsy 
8x more likely to have mental illness 
5x more likely to have dementia 
3x more likely to have hypothyroidism 
2x more likely to have diabetes, heart failure, stroke, CKD
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3
Q

what is a learning disability

A

Condition of arrest or incomplete development of the mind, which is especially characterised by impairment of skills, manifested during the developmental period, which contribute to the overall level of intelligence ie. cognitive, language, motor and social abilities

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4
Q

criteria for a learning disability

A

IQ <70
Developmental aetiology <18 years old
Deficits in adaptive functioning

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5
Q

what is used for psychometric assessment of people with learning disabilities

A

Wechsler adult intelligence scale

Wschsler intelligence scale for children

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6
Q

what percentage of the general population have an IQ <70

A

2.5-3%

Only 20% of these patients are registered as such on their GP

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7
Q

what is the Flynn effect

A

average rate of increase seems to be about 3 IQ points per decade as scaled by Wschsler tests

10 points per generation

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8
Q

how to tell if someone has a learning disability

A

may be immediately apparent
information from self/carers
history of special schooling
behaviour, communication

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9
Q

what is a borderline learning disability

A

IQ range 70-84

Mental age 12-under 15

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10
Q

what is a mild learning disability

A
IQ range 50-69 
mental age 9-under 12
most common 
delayed speech 
full independence 
difficulties reading and writing 
capable of unskilled or semi skilled work 
problems if social or emotional immaturity 
rarely organic aetiology
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11
Q

what is a moderate learning disability

A
IQ range 35-49 
Mental age 6-9 years 
Slow with comprehension and language 
Limited achievements 
Delayed self care and motor skills 
Simple practical tasks - with supervision 
Usually fully mobile 
Discrepant profiles 
Major organic aetiology 
Epilepsy and physical disability common
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12
Q

what is a severe LD

A

1Q range 20-24
mental age 3-6
epilepsy

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13
Q

what is a profound LD

A
IQ <20 
mental age <3 
severe limitation in ability to understand or comply with requests or instructions 
little of no self care 
severe mobility restriction
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14
Q

learning disability vs difficulty

A

disability - generalised lower IQ

difficulty - specific problem eg. dyslexia

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15
Q

What are some associated features of learning disabilities

A
Social impact 
-discrimination 
-family dysfunction 
-sexual abuse
-different appearance 
-poor employment 
-low expectation of success
-stigma 
-poor educational provisions 
-autistic spectrum disorder 
Physical implications 
-physical disability 
-sensory problems 
-mobility problems
Health problems 
-mental illness
-epilepsy 
-substance misuse 
-physical illness
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16
Q

why are psychiatric disorders 3x more common in those with learning disabilities

A

Organic vulnerability - brain damage
Social deprivation/disadvantage
Life events
Psychological reasons - learned helplessness

17
Q

what are behavioural change/challenging behaviour seen in learning disabilities

A

Physical

  • pain - teeth, ear
  • epilepsy
  • constipation

environmental

  • abuse
  • deaths/loss
  • changes

mental

  • depression
  • psychosis
18
Q

management of learning disabilities

A
Therapeutic environment 
Psychoeducation 
Social 
Communication 
Behvaioural 
Cognitive 
Pharmacological 
Physical interventions 
Admission
19
Q

what pharmacological interventions can be used in LDs

A

Antipsychotics
Antidepressants
Stimulants
Anticonvulsants