Prevention of unintentional injury to people with intellectual disability: a review of the evidence

Sherrard, Jennifer; Ozanne‐Smith, Joan; Staines, Carolyn

doi:10.1111/j.1365-2788.2003.00570.x

Cited by 56 publications

(49 citation statements)

References 44 publications

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“…Children with disabilities and behavior problems are at increased risk for unintentional injuries [Sherrard et al, 2004]. The impulsivity, difficulties in behavioral inhibition, and poor judgment often demonstrated by children with FASDs place them in this highrisk group.…”

Section: Safety Skillsmentioning

confidence: 99%

Intervention for individuals with fetal alcohol spectrum disorders: Treatment approaches and case management

Paley¹,

O’Connor²

2009

Dev Disabil Res Revs

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Exposure to alcohol in utero is considered to be the leading cause of developmental disabilities of known etiology. The most severe consequence of such exposure, fetal alcohol syndrome (FAS), is characterized by a distinct constellation of characteristic facial anomalies, growth retardation, and central nervous system (CNS) dysfunction. Some individuals with prenatal alcohol exposure (PAE) do not meet the full criteria for FAS, but instead are diagnosed with partial FAS, alcohol related neurodevelopmental disorder (ARND), or alcohol related birth defects (ARBD). The entire continuum of effects from PAE is increasingly being referred to under the umbrella term of fetal alcohol spectrum disorders (FASDs). An extensive body of research has documented major cognitive, behavioral, adaptive, social, and emotional impairments among individuals with FASDs. Although FAS was identified in the U.S. over 35 years ago, the development, evaluation, and dissemination of evidencebased interventions for individuals with FASDs have lagged behind significantly. Encouragingly, however, in recent years there has been a marked increase in efforts to design and test interventions to remediate the impairments associated with prenatal alcohol exposure. This article will review treatment needs and considerations for individuals with FASDs and their families, current empirically tested treatment approaches, case management issues, and suggestions for future directions in research on the treatment of FASDs. ' 2009 Wiley-Liss, Inc. Dev Disabil Res Rev 200915:258-267.

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Section: Safety Skillsmentioning

confidence: 99%

Intervention for individuals with fetal alcohol spectrum disorders: Treatment approaches and case management

Paley¹,

O’Connor²

2009

Dev Disabil Res Revs

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“…Several studies show that the risk of accidents involving patients with epilepsy is higher than the risk in the general population. The most common accident types are falls, drowning, chocking and burns [2][3][4][5][6][7][8][9] . childhood is an accident-prone age, and epilepsy might increase the likelihood of accidents during childhood.…”

mentioning

confidence: 99%

“…childhood is an accident-prone age, and epilepsy might increase the likelihood of accidents during childhood. The risk of accidental injury in patients with intellectual disabilities is double the risk in the general population, and if psychopathology or epilepsy is associated this risk is even higher 3 . young adults with a prior history of typical absence epilepsy in childhood showed a higher risk of accidents than a disease control group of patients with juvenile rheumatoid arthritis.…”

mentioning

confidence: 99%

Seizure related accidents and injuries in childhood

Buffo

Guerreiro

Tai

et al. 2008

Arq. Neuro-Psiquiatr.

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-Several studies show that the risk of accidents involving patients with epilepsy is much higher compared to the general population. The objective of this study was to identify the frequency and type of seizure related injuries in children diagnosed with epilepsy. In addition we also assessed possible risk factors associated with this seizure related accidents in childhood. This study was conducted at the pediatric epilepsy clinic of UNIcAmp, from January 2005 to August 2006. We evaluated 100 consecutive children with epilepsy. parents were interviewed by one of the authors using a structured questionnaire that included questions about seizure related accidents and related injuries. Forty-four patients reported seizure related accidents. Eighteen patients needed medical assistance at an emergency room due the severity of their seizure related accident. Forty patients reported having a seizure related accident prevented by a bystander. Another 14 patients reported avoiding a seizure related accident by luck alone. contusions and lacerations were the most common type of lesion associated with seizures. patients with symptomatic/probable symptomatic epilepsy and those using higher numbers of anti-epileptic drugs (AEDs) were at greater risk for seizure related accidents (p<0.05). We conclude that patients with symptomatic/probable symptomatic epilepsy and on multiple AEDs are at increased risk of seizure related accidents. parents and caretakers should be even more cautious about risk of injury in such patients.KEy WorDS: children, epilepsy, accident. acidentes e lesões associados às crises epilépticas na infânciaResumo -Vários estudos mostram que o risco de acidentes envolvendo pacientes com epilepsia é muito maior do que na população geral. o objetivo desse estudo foi identificar a freqüência e tipo de acidentes relacionados a crises epilépticas em crianças com diagnóstico de epilepsia. Além disso, também avaliamos os fatores de risco associados às crises epilépticas na infância. Esse estudo foi realizado em nosso ambulatorio de epilepsia infantil da UNIcAmp, no período de janeiro de 2005 a agosto de 2006. Avaliamos 100 pacientes consecutivos. os pacientes foram entrevistados por um dos autores, utilizando-se um questionário sobre acidentes e lesões associadas às crises epilépticas. Quarenta e quatro pacientes apresentaram acidentes relacionados às crises epilépticas. Dezoito pacientes precisaram assistencia médica em pronto socorro devido à gravidade das lesões. Quarenta pacientes relataram que um acidente foi evitado devido ao socorro de uma outra pessoa. outros 14 pacientes relataram que um acidente foi evitado apenas por sorte. contusões e lacerações foram os tipos de lesão mais comuns. pacientes com epilepsia sintomática ou provavelmente sintomática, e pacientes em uso de politerapia apresentaram maior risco de acidentes relacionados às crises epilepticas (p<0.05). concluímos que pacientes com epilepsia sintomática/provavelmente sintomática em uso de politerapia apresentam risco de acidentes elevado....

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“…Special education classrooms and day-care center studies [33,34] show a pattern of increased injury, especially with respect to head injury. In spite of this, it appears that the majority of unintentional injuries in these children occur in proximity to the home [35]. An increasingly recognized problem [36,37] is the alarming incidence of maltreatment, neglect and nonaccidental trauma in disabled children.…”

Section: Orthopedic Neurosurgical and Traumatic Disordersmentioning

confidence: 99%

Trisomy 21 and the pediatric surgeon

Allshouse¹

2006

Current Opinion in Pediatrics

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There is optimism in the surgical treatment of children with Down syndrome. Improved operations, better anesthetic management and recognition of problems specific to the child with trisomy 21 make it safer and ethical to offer surgical solutions. Societal acceptance and mainstream participation are on the rise. The astute, compassionate pediatric surgeon does much to enhance the quality of life of these children and of the families who love them.

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Prevention of unintentional injury to people with intellectual disability: a review of the evidence

Cited by 56 publications

References 44 publications

Intervention for individuals with fetal alcohol spectrum disorders: Treatment approaches and case management

Intervention for individuals with fetal alcohol spectrum disorders: Treatment approaches and case management

Seizure related accidents and injuries in childhood

Trisomy 21 and the pediatric surgeon

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