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Dive into the complexities of health promotion for individuals with developmental disabilities. Join Dr. William Schwab as he discusses clinical care goals, medical screening considerations, preventative care strategies, and the importance of personalized risk assessment. Explore the challenges and advantages of screening, provider options, and the impact of early detection on overall health outcomes. Gain insights into enhancing access, informed decision-making, and aligning values to support individuals with developmental disabilities effectively.
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SW 644: Issues in Developmental DisabilitiesHealth Promotion for People with Developmental Disabilities Lecture Presenter: William Schwab, M.D.
Introduction • Physician Education Project - Goals
Clinical Care • Story – “Jennifer” • Actively resistant client • Healthy background • Strategies • Provider(s) – question of quality / appropriateness of care
Medical Screening and Preventative Care • Discussion - “What is Right for Jennifer?”
Provider Options - Summary • General anesthesia • Practical sedation • Physical compulsion • Modify testing • Affect change in person • Affect change in environment • Defer screening
Advantages of Screening • Advantages and disadvantages
Goals • Universal v. same screening
Values • Personal autonomy vs. substituted judgment (legal framework)
Impact • Effectiveness of early detection • Efficacy of screening test
Individualized Risk • Example(s): • Screening for cervical cancer • Screening for breast cancer
Invasiveness • Active submission vs. passive participation
Alternatives • Adherence to standard methodology vs. acceptance of modified regimen
Health Promotion • Access • Informed decision making • Values – person & circles of support