RESUMO
Behavioural disorders in adults with mental disabilities are very common and represent a diagnostic challenge. In fact, they often hide a somatic problem, which is more frequent in this population compared to the general population. These somatic symptoms may cause or enhance psychiatric symptoms. People with mental disabilities often have difficulties expressing their pain, which often manifests itself as mood changes. Consequently, it is important to be able to identify the pain as a priority and to treat it. The general practitioner should therefore check for the most common somatic complaints in people with mental disabilities, with the help of the acronym DODUGO (Dental, Otic, Digestive, UroGenital, Orthopaedic).
Les troubles du comportement chez les adultes en situation de handicap mental sont très fréquents et représentent un défi diagnostique. En effet, ils cachent souvent un problème somatique, par ailleurs plus fréquent dans cette population comparée à la population générale. Ces causes somatiques peuvent provoquer ou aggraver des troubles du comportement. Les personnes en situation de handicap ont souvent des difficultés à exprimer leur douleur, qui peut se manifester par un changement d'humeur. Il est donc important de pouvoir en priorité identifier la douleur et la traiter. Il s'agit aussi pour le médecin de premier recours de rechercher les affections somatiques les plus fréquentes chez les adultes en situation de handicap mental, en s'aidant de l'acronyme DODUGO (Dentaire, ORL, Digestif, Urogénital, Orthopédique).
Assuntos
Deficiência Intelectual , Sintomas Inexplicáveis , Comportamento Problema , Adulto , Humanos , Deficiência Intelectual/complicações , Deficiência Intelectual/psicologia , Dor/complicações , Dor/diagnóstico , Dor/psicologia , Transtornos da Personalidade/complicações , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/psicologiaRESUMO
OBJECTIVE: to measure the effect of training with a virtual patient (VP) simulation system on clinical skills of healthcare professionals in Africa. METHODS: A randomized controlled intervention was carried out at Yaounde Central Hospital (Cameroon). The intervention consisted of two groups training on one of the two clinical vignettes implemented in the VP simulator. Four actors were trained to play standardized patient (SP) roles. The clinical skills (performance score) of participants were assessed on both clinical vignettes using these SPs. RESULTS: Twenty medical students from FMSB were recruited. The difference in overall score was observed between participants who received training from the VP system (higher average) and those who did not receive the training (lower average). This difference is statistically significant, especially when the focus is on participants' scores in the relevant items for proper management of the case. CONCLUSION: This study suggests that the training with a medical consultation VP simulator can develop the operational clinical skills of the user.