SW 644: Issues in Developmental Disabilities Health Promotion for People with Developmental Disabili

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SW 644 Issues in Developmental
DisabilitiesHealth Promotion for People with
Developmental Disabilities

• Lecture Presenter
• William Schwab, M.D.

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Video of Don Anderson
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Video of William Schwab
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Introduction

• Physician Education Project - Goals

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Clinical Care

• Story Jennifer
• Actively resistant client
• Healthy background
• Strategies
• Provider(s) question of quality /
  appropriateness of care

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Medical Screening and Preventative Care

• Discussion - What is Right for Jennifer?

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Provider Options - Summary

• General anesthesia
• Practical sedation
• Physical compulsion
• Modify testing
• Affect change in person
• Affect change in environment
• Defer screening

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Advantages of Screening

• Advantages and disadvantages

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Goals

• Universal v. same screening

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Values

• Personal autonomy vs. substituted judgment (legal
  framework)

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Impact

• Effectiveness of early detection
• Efficacy of screening test

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Individualized Risk

• Example(s)
• Screening for cervical cancer
• Screening for breast cancer

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Invasiveness

• Active submission vs. passive participation

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Alternatives

• Adherence to standard methodology vs. acceptance
  of modified regimen

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Physicians Perspective
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Health Promotion

• Access
• Informed decision making
• Values person circles of support