A workshop highlighted the need for better clinician training in assessing the capacity of patients with intellectual disabilities.
on how to assess the ability of patients with disabilities to make decisions for themselves, and much of this training is optional, according to aAssessing the capacity of patients with disabilities involves navigating a maze of legal, ethical, and clinical considerations, according to Mary Thomas, MD, MPH, a clinical fellow in geriatrics at Yale University School of Medicine in New Haven, Connecticut, who co-moderated the workshop.
Guardianship, while sometimes necessary, can be overly restrictive and diminish patient autonomy, she said. The legal process — ultimately decided through the courts — gives a guardian permission to manage medical care and make decisions for someone who cannot make or communicate those decisions themselves. . Alternatives such as supported decision making may be less restrictive and can better serve patients, she said.
Sara Mixter, MD, MPH, an assistant professor of medicine and pediatrics at the Johns Hopkins University School of Medicine in Baltimore and a co-moderator of the workshop, called the use of inclusive language in patient communication the"first step toward fostering an environment where patients feel respected and understood."
Thomas and Mixter also called for the directors of residency programs to provide more training on disabilities. They cited a, many of whom said that educational boards do not require training in disability-specific care and that experts in the care of people with disabilities are few and far between.
"Education and awareness are key to overcoming the challenges we face," Thomas said."Improving our training programs means we can ensure that all patients receive the care and respect they deserve." All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC. This website also contains material copyrighted by 3rd parties.
Physician-Patient Decision-Making Patient Counseling Provider-Patient Communication Clinician-Patient Relationship/Counseling Physician-Patient Collaboration Patient Preferences Patient-Centered Care Partners In Care Care Planning Disability Intellectual Disability Intellectual Developmental Disability Mental Retardation Developmental Delay Primary Care Residency
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