Serving the Underserved: Caring for People Who Are Both Old and Mentally Retarded: A Handbook for Caregivers

By Mary C. Howell; Deirdre G. Gavin et al. | Go to book overview

18
MEDICAL ASSESSMENT

Mary C. Howell

Evaluation of the client's physical and physiological health and wellbeing is the responsibility of the physician. In an Interdisciplinary Team setting there will be an overlap of concerns and competencies for the physician and other professionals such as the nurse, social worker, clinical psychologist, and so on. In the interests of effective teamwork, it is important that the physician resist the temptation to "take over" as spokesperson or summarizer of all accumulated information. Two realms of information are the direct and predominant province of the physician: an overview of the client's past medical history and present physical status, and a physical examination.

The degree to which the physician member of an Interdisciplinary Team intervenes directly with the client depends both on the questions brought to the Team by the client's caregivers and on the availability of physicians in the client's geographical residential area. The physician's role is different when there are questions relating specifically to the client's physical well-being than when the caregivers' queries and concerns are directed solely to matters of housing, work, relations with family members, or other problems affecting well-being aside from physical health. In New England, the geographical residential area of the clients of the Kennedy Aging Project, there is no shortage of physicians; there are many physicians (both generalist and specialist) in most communities. Since every client receiving funds from Medicaid must have a yearly physical examination, most clients referred to the Team will have an identified "regular doctor," and the Team will have access to the local physician's recorded health history and physical examination, performed within the past twelve months.

The first questions to be considered by the examining physician on the Interdisciplinary Team, then, are: (1) Do the client and caregivers feel that they have a troubled relationship with their local physician? (2)

-83-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
Serving the Underserved: Caring for People Who Are Both Old and Mentally Retarded: A Handbook for Caregivers
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen
/ 508

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.