Caring for patients with special needs
With a growing number of children between the ages of 3 and 17 being diagnosed with developmental disabilities—up from 16.2% in 2009-2011 to 17.8% in 2015-2017 in a study cited by the Centers for Disease Control and Prevention (CDC)—doctors of optometry have a role to play in providing eye and vision care to children.
For instance, attention-deficit/hyperactivity disorder (8.5% to 9.5%), autism spectrum disorder (1.1% to 2.5%) and intellectual disabilities (0.9% to 1.2%) saw increases, according to the CDC. And visual impairment is often associated with other impairments in children and adults.
“The vision problems in this population are much higher than the typically developing population,” says Catherine Heyman, O.D., who will present a course, “Evaluation and Management of Patients with Special Needs,” June 15 at Optometry’s Meeting® in Chicago. “So, the need for vision care is greater.”
Vision care can potentially positively impact patients’ ability to learn and improve their quality of life, adds Dr. Heyman, who is an associate dean of student affairs and associate professor in the Southern California College of Optometry at Marshall B. Ketchum University.
In her two-hour course, Dr. Heyman covers a number of topics, relying on her years of providing clinical care to patients and as coordinator of the Special Population/Pediatric Visual Impairment Service at the University Eye Center at Ketchum Health. Her research includes the effects of visual impairment in children on accommodation, and she is an active investigator for the Pediatric Eye Disease Investigator Group. Her schedule is booked months in advance, reflecting the demand for her services.
The course is aimed at doctors of optometry looking to build upon their skills in order to care for patients with special needs. Dr. Heyman will offer wisdom such as:
- Sometimes you have to rely on your objective tests more than having the person respond.
- You don’t have to change your skills to care for patients with disabilities. You’re adapting them.
- Practitioners should know what to look for going into the exam. Look up what you might expect to find.
- Create a waiting area environment where they won’t be overstimulated.
- Be prepared to be a part of an interdisciplinary team caring for a patient.
“With a few modifications to your exam room, potentially your waiting room, how you approach the patient, anybody can see this population,” she says. “The course is for anyone who is interested in learning a little bit more about how to reach this population and do it well. The things I am talking about would be translatable to adults or children.”
Register for Optometry’s Meeting, which offers the most pertinent and actionable learning to date! New, revamped educational formats offer interactive, experiential learning that enables doctors to practice at the top of their license. Over 200 hours of expert-led continuing education (CE) and professional development (22 CEE/TQ credits) are available.
What: Evaluation and Management of Patients with Special Needs
When: Wednesday, June 15, 3-5 p.m.
Credit hours: 2 hours CEE, COPE
What: Providing Visual Care to Patients on the Autism Spectrum
When: Friday, June 17, 7-8 a.m.
Who: Doctors and paraoptometrics
Credit hours: 1 hour COPE, CPC
The American Diabetes Association® (ADA) reported, in time for National Diabetes Month in November, that total annual costs of diabetes in 2022 was $412.9 billion, most of it in direct medical costs. How can doctors of optometry help in the fight to lower the prevalence of diabetes?
Doctors of optometry should consider the benefits of adding office-based laser procedures, such as YAG capsulotomy (after cataract surgery) or selective laser trabeculoplasty (SLT, for glaucoma), to their practice.
Doctors of optometry are performing office-based laser procedures in 11 states, as AOA affiliates have seen historic scope expansion wins in the past four years and momentum continues to build. Doctors of optometry are pursuing legislation in other states that would allow them to serve their patients at the highest level of their education and training. Some of these optometrists, who have performed hundreds of laser procedures, share key considerations in providing this care to patients.