Summary - Mentally challenged people
More and more people with a mental disability live at home or in a supervised living situation. Assistants in primary care are therefore increasingly faced with patients with intellectual disabilities. The severity of the limitation is usually indicated with the IQ. People with intellectual disabilities often have many health problems. Common problems are reflux, hearing and vision problems, constipation, epilepsy and spasticity. Psychiatric disorders are also common, just like overweight. There are many caries and gum problems in dental care, due to swallowing and chewing problems, reflux, poor oral care and use of medicines. People with intellectual disabilities often have problems with understanding and difficulty with organizing information. They are often also limited socially self-reliant. With a medical treatment it is important to see the parents or carers of the patient as a partner in the care. Predictability and safety in the treatment give the patient the feeling of control (control). Sometimes sedation is necessary for a dental treatment. GPs can consult a doctor for the mentally handicapped (AVG) for consultation and advice. For involuntary care and freedom-limiting measures in incapable, mentally handicapped people, the Care and Forcible Law is in the making.