Medical Care of Developmentally Disabled Individuals By Joseph Cook, MD, FAAFP and Steven Monson, MD General Considerations If you asked a group of medical professionals to describe how rewarding it is to care for patients who are developmentally disabled, you would get a wide variety of answers. Many would likely focus on the characteristics of these individuals, describing a patient population that is often surprisingly open and says exactly what they think. They would describe several patients who are genuine, without pretense or hidden agendas. These medical providers would also describe the challenge and the satisfaction of making difficult diagnoses and providing complex treatment. They would notice the loving, innovative, and compassionate care provided by parents, guardians, families, and friends. Patients with developmental disabilities have much in common with neurotypical patients. They benefit from the same activities and conditions. They need an appropriate diet as well as adequate sleep and exercise. Friendships and special interests have significant meaning in their lives. A full range of personalities is represented within this population. Some are mischievous and love to tease. Others have an affinity for music. Some are gifted with good memories or special abilities. The importance of variety and satisfaction in their lives should not be underestimated. It is a challenge to care for people who are developmentally disabled. Our ability to obtain an adequate history is impaired when a patient is unable to verbalize their own 29 |
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