The documentation of health problems in relation to prescribed medication in people with profound intellectual and multiple disabilities

Abstract

The best level of documentation was found for anticonvulsants the worst for drugs for peptic ulcer and gastro-oesophageal reflux disease. Lack of documenting an indication may be due to off-label use, inadvertent continuation of no longer indicated medication, inadequate documentation and underdiagnosis. Adequate documentation practices are essential because of the communication problems that are characteristic for persons with PIMD.

Prevalence of reported physical health problems in people with severe or profound intellectual and motor disabilities: a cross‐sectional study of medical records and care plans

“…) and 60% (Van der Heide et al . ) is ascertained for constipation. Furthermore, adults with ID are at high risk for death from respiratory problems (Heslop et al .…”

Prevalence of constipation in people with intellectual disability: A systematic review

“…Gender and age were not significant. The second study found that female gender (OR 2.0; 95% CI 1.1, 3.4), non-ambulancy (OR 3.4; 95% CI 1.6, 7.4), pureed or tube feeding (OR 2.7; 95% CI 1.4, 5.2) and use of medication (nonconstipating OR 3.9 (95% CI 1.8, 8.3); constipating OR 4.0 (95% CI 1.7, 9.2)) were associated with laxative use (Van Winckel, Vander Stichele, De Bacquer, & Bogaert, 1999).…”

Undernutrition in children with profound intellectual and multiple disabilities (PIMD): its prevalence and influence on quality of life

“…Children with profound intellectual and multiple disabilities (PIMD) are extremely dependent and vulnerable. They are prone to orthopaedic deformities, oral motor and swallowing impairments and numerous medical complications such as skin ulcers, osteoporosis, bone fractures, epilepsy, oesophageal reflux and constipation (van der Heide et al 2009). The origin of PIMD is variable, most frequently severe neurological diseases that can be acquired or congenital, static or progressive.…”