With the advent of better treatment, developmentally disabled children with Down's Syndrome are able to become adults with special needs. But a gap in services exists; few evidence-based guidelines are available for those in the medical field who care for aging Down's individuals. The United States Preventative Services Task Force has not issued guidelines. Recommendations come instead from expert opinion and limited studies.
Screening Shouldn't Be the Same as Everyone Else
Some screening might follow the guidelines the general public is subjected to. Regular dental visits, pelvic exams and mammograms might require careful preparation because of they are difficult for some Down's Syndrome patients to tolerate. Infection checks for STDs are important if sexual activity is likely. Care providers should not give light sedation to this population during procedures without an awareness that over half are subject to sleep apnea due to their characteristic facial structure.
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