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Lecture Presenter: William Schwab, M.D.

SW 644: Issues in Developmental Disabilities Health Promotion for People with Developmental Disabilities. Lecture Presenter: William Schwab, M.D. Video of Don Anderson. Video of William Schwab. Introduction. Physician Education Project - Goals. Clinical Care. Story – “Jennifer”

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Lecture Presenter: William Schwab, M.D.

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  1. SW 644: Issues in Developmental DisabilitiesHealth Promotion for People with Developmental Disabilities Lecture Presenter: William Schwab, M.D.

  2. Video of Don Anderson

  3. Video of William Schwab

  4. Introduction • Physician Education Project - Goals

  5. Clinical Care • Story – “Jennifer” • Actively resistant client • Healthy background • Strategies • Provider(s) – question of quality / appropriateness of care

  6. Medical Screening and Preventative Care • Discussion - “What is Right for Jennifer?”

  7. Provider Options - Summary • General anesthesia • Practical sedation • Physical compulsion • Modify testing • Affect change in person • Affect change in environment • Defer screening

  8. Advantages of Screening • Advantages and disadvantages

  9. Goals • Universal v. same screening

  10. Values • Personal autonomy vs. substituted judgment (legal framework)

  11. Impact • Effectiveness of early detection • Efficacy of screening test

  12. Individualized Risk • Example(s): • Screening for cervical cancer • Screening for breast cancer

  13. Invasiveness • Active submission vs. passive participation

  14. Alternatives • Adherence to standard methodology vs. acceptance of modified regimen

  15. Physician’s Perspective

  16. Health Promotion • Access • Informed decision making • Values – person & circles of support

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