Health Care

Question 1

People with ID are more likely to suffer from health issues related to being:

Answer 1

• Inactive, less fit

- Overweight/underweight

Question 2

T/F People with ID die prematurely from preventable causes

Answer 2

TRUE

Question 3

Seizures affect what % of people with ID?

Answer 3

9-32%

Question 4

When ID & CP are together seizure risk increases to:

Answer 4

50%

Question 5

People with ID are more or less likely to receive regular immunizations.

Answer 5

LESS

Question 6

People with complex neurological problems are at higher risk of:

Answer 6

Dysphagia & GERD

-High risk for under-nutrition

Question 7

Predisposing factors for Reflux? (4)

Answer 7

Scoliosis
CP
Anticonvulsants/Benzos
IQ Below 35

Question 8

Bone disorder common in ID?

Answer 8

Osteoperosis

Question 9

Children c ID are _ times more likely to be abused

Answer 9

4

Question 10

__% of women with ID are sexually assaulted in their lifetime.

Answer 10

70

Question 11

Mental health problems are experience at _____ the rate as in the general population

Answer 11

Twice

Question 12

Despite these findings, we know what about people with ID & health care?

Answer 12

They have challenges in getting appropriate health care

Question 13

T/F Individuals with severe ID have often been denied status as organ transplant recipients.

Answer 13

TRUE - cardiac especially

Question 14

Most health care practitioners report that their education..,

Answer 14

Didn’t prepare them to work with persons with ID

Question 15

Practitioners often have feelings of:

Answer 15

Discomfort & lack of competence
Absence of interest in working with ID
Absence of positive attitude towards ID

Question 16

Assessment for psychiatric disorders in ID is..

Answer 16

Difficult!

Question 17

In dx mental illness in ID we need information from..

Answer 17

Multiple Sources

Question 18

If we have a well-conceived dx then we can move to treatment with..

Answer 18

Prescription

Question 19

Persons with ID have ____________ risk factors for mental illness.

Answer 19

Increased

Question 20

The trouble with dx mental illness c ID is that (DSM)

Answer 20

Variations in expression

Question 21

In treating persons with ID and mental illness we need to use a _________ approach beyond _____ & ___________.

Answer 21

Comprehensive

Pills & Therapy

Question 22

The inability of persons with ID to do this can interfere with diagnosis and treatment. (3)

Answer 22

Interpret & communicate discomforting symptoms
*
identify/label distress
*
make contact with health care providers
*
(Dependence on others for last 2)

Question 23

Causes of anxiety at the point of care?

Answer 23

Change in routine
Unfamiliar environment/interaxns/procedures
Undesirable procedures

Question 24

Three things health care professionals need to know?

AID

Answer 24

• Aberrant behaviour can be mode of communication
• Info from multiple sources
• Differentiate illness from baseline

Question 25

The "_______" of the illness is crucial to dx

Answer 25

History

Question 26

We need to ensure the following are accurately communicated & understood: (5)

Answer 26

``` Symptoms/Signs Onset & Duration Comparison to baseline Previous/Antecedents Co-Morbidities ```

Question 27

In speaking to persons with ID in a healthcare setting we should speak:

Answer 27

TO the person, not to support.

Question 28

We should speak in a:

Answer 28

Clear, non-jargonistic manner & confirm understanding.

Question 29

To verify the accuracy of responses:

Answer 29

Ask opposing questions and look for inconsistencies

Question 30

If the individual doesn't speak?

Answer 30

Make an effort to understand signs, gestures, boards

Question 31

Support providers can do 4 things to facilitate a healthy outcome. They are: DESC (sitting across from physician)

Answer 31

Compare to baseline c data Suggest interaction methods Enlighten HCP DEMAND attention if deteriorating

Question 32

Prev MH probs in non-institutionalized with ID?

Answer 32

20-35%

Question 33

Prev MH probs in gen pop?

Answer 33

15-19%