Associate Professor in the Department of Family Medicine at Queen's University in Kingston, Ont.
Advanced practice nurse at the See Things My Way clinic and a faculty member of the Ingram School of Nursing at McGill University in Montreal, Que.
Can Fam Physician. 2018 Apr;64(Suppl 2):S44-S50.
To provide tips and tools for primary care practitioners carrying out health checks for adult patients with intellectual and developmental disabilities (IDD) and for implementing a systematic program of health checks in a group or team practice.
The "Primary Care of Adults with Intellectual and Developmental Disabilities. 2018 Canadian Consensus Guidelines" literature review and interdisciplinary input. Experience in implementing health checks in family practices was obtained through the primary care project of H-CARDD (Health Care Access Research and Developmental Disabilities).
Annual comprehensive health assessments ("health checks") are a recommendation of the 2018 Canadian consensus guidelines for primary care of adults with IDD because of evidence of benefit in this population. Although health checks might require more time to complete for people with IDD than is usual for encounters in primary care, family physicians are in an ideal position to provide this service because of the attributes of family medicine, which include both an orientation to proactive care and the ability to provide continuity of care. Tips and tools are provided for carrying out health checks for adult patients with IDD and for implementing a systematic program of health checks in a group or team practice.
Health checks can help enhance a family physician's approach to providing care for adults with IDD.
为初级保健医生为患有智力和发育障碍(IDD)的成年患者进行健康检查,并在团队实践中实施系统的健康检查计划提供技巧和工具。
《成人智力和发育障碍的初级保健》2018 年加拿大共识指南文献综述和跨学科意见。通过 H-CARDD(医疗保健获取研究和发育障碍)的初级保健项目,获得了在家庭实践中实施健康检查的经验。
年度全面健康评估(“健康检查”)是 2018 年加拿大 IDD 成人初级保健共识指南的建议,因为该人群的获益证据。尽管健康检查可能需要比初级保健中通常的就诊时间更长,但家庭医生由于家庭医学的属性,包括主动护理的方向和提供连续护理的能力,处于提供这项服务的理想位置。为患有 IDD 的成年患者进行健康检查,并在团队或团队实践中实施系统的健康检查计划提供了技巧和工具。
健康检查可以帮助加强家庭医生为患有 IDD 的成年人提供护理的方法。