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Title: The complexity of lifelong comorbidities with severe intellectual disability
Contributor(s): Wark, Stuart  (author)orcid ; Kingstone, Martin  (author)
Publication Date: 2019
Early Online Version: 2018-07-26
DOI: 10.3109/13668250.2018.1481735
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Abstract: Background: This descriptive single-case study reports upon a four-decade history of health care and support provided to one male with life-long intellectual disability and significant comorbidities. Methods: All available paper and electronic documentation from the past 40 years was reviewed, with relevant health and medication information collated and summarised. Results: The collated information notes radical movement in mental health diagnoses and significant emerging physical health issues. There are disparate and sometimes contradictory mental and physical health diagnoses from age 2 years and significant changes in treatment. Conclusions: This case outlines a number of important issues for medical and health care practitioners to consider when supporting individuals with intellectual disability. Clear differentiation between an existing intellectual disability, autism, and emerging mental health concerns has remained problematic over many decades. The lack of effective pain management, when contrasted against comprehensive medication regimes for health issues, is particularly concerning.
Publication Type: Journal Article
Source of Publication: Journal of Intellectual and Developmental Disability, 44(4), p. 431-438
Publisher: Routledge
Place of Publication: United Kingdom
ISSN: 1469-9532
Field of Research (FOR): 111703 Care for Disabled
111717 Primary Health Care
111708 Health and Community Services
Socio-Economic Objective (SEO): 920403 Disability and Functional Capacity
920401 Behaviour and Health
920502 Health Related to Ageing
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article
School of Rural Medicine

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