Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
PRIMARY-CARE OF ADULTS WITH MENTAL-RETARDATION
Autore:
TYLER CV; BOURGUET C;
Indirizzi:
CTR FAMILY MED,18200 LORAIN AVE CLEVELAND OH 44111 CASE WESTERN RESERVE UNIV,SCH MED,DEPT FAMILY MED,FAIRVIEW HLTH SYST CLEVELAND OH 00000 NE OHIO UNIV,COLL MED,DIV COMMUNITY HLTH SCI ROOTSTOWN OH 44272
Titolo Testata:
Journal of family practice
fascicolo: 5, volume: 44, anno: 1997,
pagine: 487 - 494
SICI:
0094-3509(1997)44:5<487:POAWM>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
PSYCHOTROPIC-DRUG USE; DEVELOPMENTAL-DISABILITIES; PREVALENCE; COMMUNITY; PEOPLE;
Keywords:
MENTAL RETARDATION; DEINSTITUTIONALIZATION; PRIMARY HEALTH CARE; PHYSICIANS, FAMILY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
C.V. Tyler e C. Bourguet, "PRIMARY-CARE OF ADULTS WITH MENTAL-RETARDATION", Journal of family practice, 44(5), 1997, pp. 487-494

Abstract

BACKGROUND. There is a national trend to deinstitutionalize mentally retarded adults, placing them in community residential settings, As a result, community-based primary care physicians will assume responsibility for their medical care, Primary care physicians may have uncertainties regarding the medical care of this population. The purpose of this case series is to describe the medical care of a group of adults with mental retardation during their first year of community residence following deinstitutionalization, and to provide practical advice to family physicians who care for these adults. METHODS. Medical diagnoses and medications at the time of deinstitutionalization of a series of 21 adults were abstracted from institutional records and transfer forms, Follow-up data were obtained from office medical records. RESULTS. In the first year following deinstitutionalization, each patient averaged 6.6 office visits to a family physician, Newly identified major health impairments were: chronic persistent hepatitis due to hepatitis B,acid peptic disease, gastroesophageal reflux disease, dysphagia, primary degenerative dementia, absence seizures, bronchiectasis, and idiopathic iridocyclitis. Significant changes in pharmacotherapy included consolidation of multidrug anticonvulsant regimens and discontinuance of psychotropics and laxatives. Health maintenance practices included hepatitis B immunizations, cholesterol determinations, smoking cessation counseling, and calcium supplementation. CONCLUSIONS. Newly deinstitutionalized patients require careful diagnostic and therapeutic reassessment. Family physicians assuming their care need to look for conditions common in this population, including dysphagia, seizure disorders,chronic hepatitis B, and sensory impairments. Previously neglected health maintenance practices need to be instituted, Pharmacotherapies, particularly anticonvulsants, psychotropics, and laxatives, may be amenable to dosage reduction or discontinuance.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 20:25:53