MEDICAL CHALLENGES AND CARE

MANNA CHILDREN'S CENTRE

Special Needs:

Definition:

"Special Needs" Mild learning disabilitiesProfound Cognitive impairmentDevelopmental delaysTerminal illness Psychiatric ProblemsFood AllergiesAsthma - Brittle

Causes: Congenital- Downs syndrome, Potter’s

syndromeAcquired- Brain injury, Brain infections –meningitis, cerebral malaria, Hypoxic Ischaemic EncephalopathyKernicterus- severe jaundiceAutistic spectrum disorder

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Statistics

• People with LD have twice as many health problemsPeople with learning disability die 16 years younger than the general populationHealth needs are often unrecognised and unmet

Nigeria- 2006 census:3,253,169 persons39% od school age

Educating Students with Disabilities in Nigeria:

Some Challenges and Policy Implications Oladejo, Maruff Akinwale (PhD)* Oladejo, Sofiyat Abimbo - 2011

Legal & Ethical Framework

• Nigeria with disability decree 1993UNESCOThe Salamanca StatementConvention on the right of the Child -1990Declaration of the Rights of the disabled -1998

Healthcare• Aims:

RecogniseRefer SupportOngoing care

Access to High QualityEvidence based careDiagnosis, assessment, treatment and ongoing care

“Special needs”

• Organised care around needsPromptConvenientResponsiveHigh qualityMulti agency

Challenges

• DiagnosisComplex healthcare needsCommunications difficultiesUnusual presentationFamily

TrainingFunding

Challenges• Multidisciplinary :Paediatrician, physical therapist, speech

& language therapist, Play therapists, education psychologist, dietitian, counsellors, teacher.

Multiagency Specialist Teams: Government agencies- Education, social / welfare, Voluntary sector, NGO

TrainingChild CentredCo-ordinated

Supporting Parents & Strengthening Families• Parental knowledge & Expertise

Recognise personal & emotional investmentEnsure understandingRespect Differing opinions and needsFlexibility

Supporting Parents & Strengthening Families• Parental Stress

Sleep DeprivationBehaviour problemsMultiple disability

Fathers, Siblings

Supporting Parents & Strengthening Families• Effective support

Home School Hospital Respite care Long term care

Failure to participate• Underestimating the problem• Normalising the problem• Not seeing the child• Considerable source of anxiety/ evokes profound

emotion• Fear of personal consequence of challenging

parents• No medical model• Lack of awareness & inadequate training• Wary of testifying in court

Implications / cost of abuse• Death• Disability• Mild learning difficulties• Poor Mental Health• Poor Educational Outcome• Drug & Alcohol Abuse• Violence – criminal, domestic & violence against

children

Implications / cost of abuse• 30-50% of abused children develop mental health

problems• 50% of psychiatric patients have a history of

abuse

• Safeguarding is everybody’s business!

For individuals, Family, Small Business and Corporate Business:Our patients are at the centre of the care we provide#LifeLongCare

Thank You

For more information please contact: Dr Toyin AdenaikeMBBS, DCH, MRCP, DFFP, MRCGP

Dr Adenaike was the Named General  Practitioner for Child protection ( safeguarding ) for Basildon in Essex UK.She remained the lead safeguarding children & adults until she relocated to Nigeria in 2015.

Niyotmedical.comTel : +234 814-0000-1959 Anthony Etukudo Avenuelekki Phase 1, Lagos, Nigeria

Email: TBADENAIKE@GMAIL.COM

NIYOT MEDICAL CENTRE