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Learning Disability Notes

Medicine Notes > Clinical Psychiatry Notes

This is an extract of our Learning Disability document, which we sell as part of our Clinical Psychiatry Notes collection written by the top tier of Bristol University students.

The following is a more accessble plain text extract of the PDF sample above, taken from our Clinical Psychiatry Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:

Learning Disability
? ? ? ? Definition o Learning disability= People who have ICD 10 diagnosis of Mental Retardation o Moron= 19th century, non-derogatory o Mental deficiency= Legally (and medically) post-1913 o Feeble Minded= 1840s Learning disability o Moral defective= Subgroup- include people above normal intelligence o Mongol= Trisomy 21 (1860s) o Natural innocent= Medieval o Subnormality= Legal/medical term (1959) o Mental handicap= Medical (1970s) o Learning difficulties= Pressure groups, social services o Special needs= Educational authorities
? ? ? ? People with learning disability o Medically heterogenous group; Social & medical o Medical diagnosis
? Reduced level of functioning [IQ <70]
? Impaired adaptive behaviour & therefore need for support
? Occurring before 18 [Not adult head injury]
o Common issues
? Immature thinking
? Communication problems
? Additional handicaps & mental impairments o Additional
? Level of ability
? Associated medical conditions
? Associated psychiatric disorders
? Global assessment of psychosocial disability/abnormal situations
? ? ? ? IQ scores and mental age o IQ/100 x (Age)= Mental age o Children= calculate equivalent mental age from IQ o Adult= Assume average adult has mental age 18
? IQ 50= Mental test age 9
? ? ? ? Definition & grades of learning disability o Diagnosis
? IQ <70
? Need for support
? From childhood (before 18) o 2.5% population IQ <70 BUT only 0.3-0.5% LD (Most not LD) o 4 groups
? MILD IQ 50-69 (Mental age 9-12; 80% LD)
?? ? ?Look after self (no budgeting, plan). Talk about things/read
?? ? ?Problems discussing abstract ideas & think from other PoV
?? ? ?Problems finding way around unfamiliar places
? MODERATE IQ 35-49 (Mental age 6-9; 12% LD)

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