Developmental medicine and dentistry reviews & reports.Message from the Editor: In this issue of the "Reviews and Reports", Dr. Shobin discusses the risk/benefit analysis that should be applied to the decision of whether annual PAP (1) (Password Authentication Protocol) An access control protocol for dialing into a network that provides only basic functionality. When the client logs onto the network, the network access server (NAS) requests the username and password from the client and and pelvic exams Pelvic Exam DefinitionA pelvic examination is a routine procedure used to assess the well being of the female patients' lower genito-urinary tract. are appropriate for all individuals with intellectual disabilities. This is a difficult topic as contending issues of discomfort and trauma of the exam must be balanced against general population recommendations and personalized care and, frequently, an unreliable sexual history. The most difficult patient with whom one would want this dialogue is often the patient who has the most severe cognitive deficit Cognitive deficit is an inclusive term to describe any characteristic that acts as a barrier to cognitive performance. The term may describe deficits in global intellectual performance, such as mental retardation, or it may describe specific deficits in cognitive abilities and doesn't understand the benefits but clearly perceives the invasion and discomfort. In the past, these issues have been used as excuses to not perform a necessary exam, but this is clearly not optimal medical care. Using the recommendations of the American College American College is the name of:
Medical and surgical specialty concerned with the management of pregnancy and childbirth and with the health of the female reproductive system. and assessing for risk factors is a good place to start. Dr. Shobin provides an experienced clinician's perspective on this difficult task and distinguishes the approach based on whether the exam is for cancer screening or is problem-oriented. --Steven G. Zelenski, D.O., Ph.D. Co-Editor, R&R |
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