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Disability & Chronic Disease (Hardcover)
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Disability & Chronic Disease (Hardcover)
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Once upon a time, paediatrics was involved with infectious disease
and acute disorders, but a new pattern of morbidity has emerged.
Social difficulties, behavioural problems, developmental
difficulties, disabilities and chronic disease have become main
parts of the scope of paediatric practice. Among adults, multiple
chronic disease is increasingly prevalent, whereas the prevalence
of impairment and disability remain stable, but substantial and
therefore, present day health professionals must be aware of
disability and chronic disease. Just a few decades ago, children
born with significant congenital anomalies or genetic and metabolic
diseases perished at an early age and very few survived into their
teens and even less into adulthood. Congenital heart disease, major
errors in metabolism, cancer, cystic fibrosis and many other major
diseases were fatal. Because of that, many physicians in adult
primary care did not have the opportunity to see patients with
these problems and thus were unable to learn how to care for them.
With major advancements in medical knowledge, technology, imaging
techniques, surgical skills and pharmaceutical products as well as
prosthetic devices, many of these patients now live much longer
lives and sometimes even close to the average life expectancy for
the country, at least in the developed world. With that, a new
medical care challenge has been created and we have to take a life
span approach.
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