Division of Gerontology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Mayo Clin Proc. 2013 Aug;88(8):831-40. doi: 10.1016/j.mayocp.2013.04.024. Epub 2013 Jul 10.
Adults with intellectual and developmental disabilities (I/DD) are increasingly presenting to their health care professionals with concerns related to growing older. One particularly challenging clinical question is related to the evaluation of suspected cognitive decline or dementia in older adults with I/DD, a question that most physicians feel ill-prepared to answer. The National Task Group on Intellectual Disabilities and Dementia Practices was convened to help formally address this topic, which remains largely underrepresented in the medical literature. The task group, comprising specialists who work extensively with adults with I/DD, has promulgated the following Consensus Recommendations for the Evaluation and Management of Dementia in Adults With Intellectual Disabilities as a framework for the practicing physician who seeks to approach this clinical question practically, thoughtfully, and comprehensively.
患有智力和发育障碍(I/DD)的成年人越来越多地向他们的医疗保健专业人员提出与年龄增长相关的担忧。一个特别具有挑战性的临床问题与评估智力和发育障碍的老年人中疑似认知能力下降或痴呆有关,大多数医生都觉得自己对此准备不足,无法回答。成立国家智力残疾和痴呆症实践问题特别工作组,旨在帮助正式解决这一在医学文献中仍未得到充分体现的主题。该工作组由与智力和发育障碍成年人广泛合作的专家组成,发布了《智力残疾成年人痴呆评估和管理共识建议》,作为寻求实际、周到和全面地处理这一临床问题的执业医师的框架。