Gastrointestinal and nutritional problems in severe developmental disability

Somerville, Helen; Tzannes, Gloria; Wood, John B.; Shun, Albert; Hill, C S; Arrowsmith, Fiona; Slater, Anne; O’Loughlin, Edward

doi:10.1111/j.1469-8749.2008.03057.x

Cited by 43 publications

(51 citation statements)

References 29 publications

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“…Other common gastrointestinal problems in children and adults with developmental disability include refl ux and chronic esophagitis, sometimes leading to Barrett's esophagus [ 58 ]. These problems are complicated by malnutrition which is an important contributing factor predisposing to infections in this population.…”

Section: Gastrointestinal Issuesmentioning

confidence: 99%

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Infectious Diseases, Immunizations and Universal Precautions

Khasawneh

Wallen²,

Davies³

2016

Health Care for People With Intellectual and Developmental Disabilities Across the Lifespan

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Primary care physicians often have to care for clients with different developmental disabilities. This chapter related to infectious diseases issues in individuals with developmental disability summarizes the main issues to be cognizant of and emphasizes the role of primary care provider following this population. Multidisciplinary approaches are best in managing these individuals with better coordination by primary care providers that have adequate knowledge to manage and advocate for this special population. Anticipatory guidance to address relevant health issues appropriately will enhance opportunities for independent living and even assumption of active roles within their communities.There is a dynamic interaction between infections and outcomes of developmental disabilities. Some perinatal and post natal infections lead to developmental disabilities. In turn, people with developmental disabilities are prone to certain infections based on the underlying pathology and associated anatomical and functional defects or behavioral characteristics. Delivering immunizations for persons with disabilities often necessitates taking into consideration special precautions such as for children with metabolic disorders. Primary care providers should also be aware of the overwhelming evidence supporting the absence of a relationship between autism and immunization with any vaccine. Some underlying conditions are associated with increased frequency of certain respiratory, gastrointestinal, urinary or skin infections. Primary care providers play a pivotal role in guiding and managing dental caries. Individuals with restricted body mobility are at risk of pressure sores that should be examined for during follow up visits. As these individuals grow up, other aspects that should also be addressed by anticipatory guidance include the risk of sexually transmitted diseases and occupational hazards. Judicious use of appropriate antibiotics and application of universal precautions help limit antibiotic exposure and reduce the risk of emergence of resistant pathogens.

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Section: Gastrointestinal Issuesmentioning

confidence: 99%

“…Refl ux also causes aspiration and chronic lung disease. Many patients eventually require gastrostomy or fundoplication surgery to improve their nutrition and decrease aspirations [ 58 ]. The section on respiratory problems explains more about the abnormal gastrointestinal mechanisms causing respiratory problems.…”

Section: Gastrointestinal Issuesmentioning

confidence: 99%

Infectious Diseases, Immunizations and Universal Precautions

Khasawneh

Wallen²,

Davies³

2016

Health Care for People With Intellectual and Developmental Disabilities Across the Lifespan

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“…The disruption of family life by illness, hospitalization, exclusion from normal daily activities, and stressful interaction with their child contribute to this decline in quality of life. These factors should be taken in to account when deciding on therapeutic interventions and all findings of a VFSS should be analyzed carefully [2,4]. …”

Section: Management Of Dysphagiamentioning

confidence: 99%

Contrast pooling in videofluoroscopic swallowing study as a risk factor for pneumonia in children with dysphagia

Kemps

Sewitch

Birnbaum

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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“…30 The reflux can be related to a spectrum of underlying and sometimes uncommon conditions, including anatomic conditions, such as hiatal hernias or structural anomalies. Helicobacter pylori gastritis as a cause remains a point of debate.…”

Section: Children Who Have Neurodevelopmental Disabilitiesmentioning

confidence: 99%

Nonoral Feeding for Children and Youth With Developmental or Acquired Disabilities

Adams¹,

Elias²

2014

Pediatrics

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The decision to initiate enteral feedings is multifaceted, involving medical, financial, cultural, and emotional considerations. Children who have developmental or acquired disabilities are at risk for having primary and secondary conditions that affect growth and nutritional well-being. This clinical report provides (1) an overview of clinical issues in children who have developmental or acquired disabilities that may prompt a need to consider nonoral feedings, (2) a systematic way to support the child and family in clinical decisions related to initiating nonoral feeding, (3) information on surgical options that the family may need to consider in that decision-making process, and (4) pediatric guidance for ongoing care after initiation of nonoral feeding intervention, including care of the gastrostomy tube and skin site. Ongoing medical and psychosocial support is needed after initiation of nonoral feedings and is best provided through the collaborative efforts of the family and a team of professionals that may include the pediatrician, dietitian, social worker, and/or therapists.

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Gastrointestinal and nutritional problems in severe developmental disability

Cited by 43 publications

References 29 publications

Infectious Diseases, Immunizations and Universal Precautions

Infectious Diseases, Immunizations and Universal Precautions

Contrast pooling in videofluoroscopic swallowing study as a risk factor for pneumonia in children with dysphagia

Nonoral Feeding for Children and Youth With Developmental or Acquired Disabilities

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