ABSTRACT

Care of adults with intellectual disability in the UK has relocated from long-stay hospitals to small community homes and family placements. This has led to GPs' increasing responsibility for the care of a group with particularly high rates of morbidity and mortality. This key book is the first in the UK to describe and advise on the medical care of adults with intellectual disability in primary care and in the community. It is a practical handbook, written by clinicians with regular involvement in the care of adults with intellectual disability, and is based on current practice and international evidence bases. Numerous conditions - from autism spectrum disorders to Williams syndrome - are explored, the complex problems they can present examined, and the need to offer annual health checks and implement practices to comply with QOF requirements addressed. A glossary and a list of useful electronic resources is also included. The book's content reflects the RCGP curriculum, and the Curriculum Guardian has been responsible for much of the editing. It will be informative reading for GPs, practice nurses, GP registrars, medical students, district nurses, physiotherapists and occupational therapists, as well as for the families and friends of adults with intellectual disability.

part |2 pages

Part One: Overview of intellectual disability care

chapter 2|5 pages

Care and the carers and families

chapter 3|8 pages

Common presentations

chapter 4|5 pages

How to communicate with your patient

chapter 5|5 pages

Methods of communication

chapter 6|6 pages

Assessment of intellectual disability

part |2 pages

Part Two: Routine care

chapter 8|11 pages

Adult healthcare

chapter 9|13 pages

Aged care

chapter 10|4 pages

Preventive healthcare and health promotion

chapter 11|9 pages

Annual health checks

chapter 12|10 pages

Challenging behaviour

chapter 13|8 pages

Medication and challenging behaviour

chapter 14|10 pages

Assessment of psychiatric disorders

chapter 15|16 pages

Management of psychiatric disorders

chapter 16|9 pages

Epilepsy

chapter 17|8 pages

Nutritional disorders

chapter 18|6 pages

Dysphagia

chapter 19|3 pages

Oral health

chapter 20|6 pages

Sexuality

chapter 21|9 pages

Women’s health

chapter 22|5 pages

Men’s health

chapter 23|10 pages

Legal issues: the Mental Capacity Act 2005

part |2 pages

Part Three: Specific disorders associated with intellectual disability

chapter 24|6 pages

Down syndrome

chapter 25|9 pages

Cerebral palsy

chapter 26|6 pages

Autism spectrum conditions

chapter 27|8 pages

Fragile X syndrome

chapter 28|9 pages

Prader-Willi syndrome

chapter 29|3 pages

Tuberous sclerosis

chapter 30|3 pages

Rett syndrome

chapter 31|3 pages

Williams syndrome

chapter 32|3 pages

Angelman syndrome

chapter 33|3 pages

Noonan syndrome

chapter 34|3 pages

Neurofibromatosis type 1

chapter 35|4 pages

Foetal alcohol syndrome