成人智障和发育障碍的初级保健：2018 年加拿大共识指南。
Primary care of adults with intellectual and developmental disabilities: 2018 Canadian consensus guidelines.
机构信息
Associate Professor in the Department of Family and Community Medicine at the University of Toronto in Ontario, a staff physician in Medical Services at Surrey Place Centre and the Family Practice Unit at St Michael's Hospital, and Director of the Developmental Disabilities Primary Care Program at Surrey Place Centre.
Research associate at Surrey Place Centre.
出版信息
Can Fam Physician. 2018 Apr;64(4):254-279.
OBJECTIVE
To update the 2011 Canadian guidelines for primary care of adults with intellectual and developmental disabilities (IDD).
METHODS
Family physicians and other health professionals experienced in the care of people with IDD reviewed and synthesized recent empirical, ecosystem, expert, and experiential knowledge. A system was developed to grade the strength of recommendations.
RECOMMENDATIONS
Adults with IDD are a heterogeneous group of patients and have health conditions and factors affecting their health that can vary in kind, manifestation, severity, or complexity from those of others in the community. They require approaches to care and interventions that are adapted to their needs. These guidelines provide advice regarding standards of care. References to clinical tools and other practical resources are incorporated. The approaches to care that are outlined here can be applied to other groups of patients that have impairments in cognitive, communicative, or other adaptive functioning.
CONCLUSION
As primary care providers, family physicians play a vital role in promoting the health and well-being of adults with IDD. These guidelines can aid their decision making with patients and caregivers.
目的
更新 2011 年加拿大关于智障和发育障碍（IDD）成年人初级保健的指南。
方法
有 IDD 患者护理经验的家庭医生和其他卫生专业人员审查并综合了最近的实证、生态系统、专家和经验知识。开发了一个系统来对建议的强度进行分级。
建议
智障成年人是一组异质的患者群体，他们的健康状况和影响其健康的因素在种类、表现、严重程度或复杂性方面可能与社区中的其他人不同。他们需要针对其需求进行调整的护理方法和干预措施。这些指南提供了关于护理标准的建议。纳入了临床工具和其他实用资源的参考资料。这里概述的护理方法可以应用于其他认知、沟通或其他适应功能受损的患者群体。
结论
作为初级保健提供者，家庭医生在促进智障成年人的健康和福祉方面发挥着至关重要的作用。这些指南可以帮助他们在与患者和护理人员一起做出决策。
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