Chapter 12. Respiratory Health of People with Profound Intellectual and Multiple Disabilities

  1. Jillian Pawlyn BA (Hons), PGCE, RNLD Specialist Practitioner Lecturer2,3 and
  2. Steven Carnaby BSc. (Hons), MSc., Ph.D., D. Clin. Psy., C. Psychol., ILTM Consultant Lead Clinical Psychologist4
  1. Colin Wallis Consultant Respiratory Paediatrician

Published Online: 17 FEB 2009

DOI: 10.1002/9781444301526.ch12

Profound Intellectual and Multiple Disabilities: Nursing Complex Needs

Profound Intellectual and Multiple Disabilities: Nursing Complex Needs

How to Cite

Wallis, C. (2009) Respiratory Health of People with Profound Intellectual and Multiple Disabilities, in Profound Intellectual and Multiple Disabilities: Nursing Complex Needs (eds J. Pawlyn and S. Carnaby), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444301526.ch12

Editor Information

  1. 2

    Community Learning Disabilities Nursing, ENB 978, UK

  2. 3

    Ridgeway Partnership NHS Trust, Slade, House, Horspath Driftway, Headington, Oxford OX3 7JH, UK

  3. 4

    Westminster Learning Disability Partnership, 215 Lisson Grove, London, NW8 8LW, UK

Author Information

  1. Respiratory Unit, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London WC1N 3JH, UK

Publication History

  1. Published Online: 17 FEB 2009
  2. Published Print: 5 DEC 2008

ISBN Information

Print ISBN: 9781405151702

Online ISBN: 9781444301526

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Keywords:

  • respiratory health of people with profound intellectual and multiple disabilities;
  • predisposition to lung injury in those with profound intellectual disabilities;
  • aspiration into the lungs - aspiration ‘over the top’;
  • child presenting with extreme form of ‘silent’ aspiration;
  • foreign-body aspiration;
  • recurrent chest infections;
  • compliance issues in management of lung disorders;
  • portable continuous positive airway pressure (CPAP) device;
  • invasive (tracheostomy) ventilation;
  • long-term ventilation and improved quality of life

Summary

This chapter contains sections titled:

  • Introduction

  • Learning objectives

  • Aspiration into the lungs: aspiration ‘over the top’

  • Aspiration of oral secretions

  • Gastro-oesophageal reflux

  • Foreign-body aspiration

  • Thoracic cage abnormalities

  • Compliance issues in the management of lung disorders

  • Long-term ventilatory support

  • Chronic changes to lung gas exchange

  • Long-term ventilation

  • Non-invasive (mask) interface

  • Invasive (tracheostomy) ventilation

  • Home ventilation equipment and additional support

  • Conclusion

  • Further reading

  • References