Diagnosis of sensory impairment in people with intellectual disability in general practice
| Autor: | H. M. Evenhuis, M. Mul, J. P. M. de Wijs, E. K. G. Lemaire |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Visual impairment Vision Disorders MEDLINE Arts and Humanities (miscellaneous) Sensory impairment Acquired immunodeficiency syndrome (AIDS) Intellectual Disability Intellectual disability medicine Humans Child Psychiatry Hearing Disorders business.industry Rehabilitation Infant Newborn Infant Sensory loss medicine.disease Psychiatry and Mental health Neurology Younger adults Child Preschool General practice Neurology (clinical) medicine.symptom Family Practice business |
| Zdroj: | Journal of Intellectual Disability Research. 41:422-429 |
| ISSN: | 1365-2788 0964-2633 |
| Popis: | The present authors have participated in the development of a Dutch consensus on the early detection, diagnosis and treatment of hearing and visual impairment in children and adults with intellectual disability. They argue that the early detection of sensory impairment in babies and children with intellectual disability should primarily be a responsibility of paediatricians and youth health physicians. General practitioners should be aware of the necessity of screening and should check whether this has been done when children visit the surgery. It is stressed that the general practitioner should play a more active role in the detection of age-related sensory loss in older adults with intellectual disability, and the assessment of younger adults whose sensory functions have never or incompletely been evaluated. Annual sensory screening is certainly not necessary, but annual otoscopy to detect impacted earwax or unidentified middle ear infection, as well as checks of the proper use of glasses and hearing aids, are suggested. Most adults with mild or moderate intellectual disability can be assessed with methods that are normally used by general practitioners. Uncooperative people should be referred for screening with specialized methods. A low-threshold referral system (e.g. via district expert teams) has been outlined. |
| Databáze: | OpenAIRE |
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