Down Syndrome and Quality of Life: A Case Report

  • Hilary L. Schroeder American University of Antigua College of Medicine, US.
  • Marianinha Joanes International American University College of Medicine, Canada
  • Andre Small American University of Antigua College of Medicine, US.
  • Raghu Maramraj, University of Sint Eustatius School of Medicine, US.
Keywords: Down Syndrome, Alzheimer Disease, Early Onset, Heart Defects, Congenital, Quality of Life

Abstract

 

Background: Quality of life is considered a crucial component to the well-being of patients with Down syndrome. The strength of quality care through stable social and psychological interactions has built a framework for a positive well-being for patients with Down syndrome, improving their quality of life. Case: A 55-year-old African American female with a history of Down syndrome, congenital heart disease, and newly-diagnosed early onset Alzheimer’s disease presented with an arm contusion resulting from regular caretaking. The patient’s history was reviewed, and the complexity of her condition was discovered. While a subset of Down syndrome patients have cardiac complications and others have early-onset Alzheimer’s, our patient had both. We believe this complicated her condition. After the diagnosis of Alzheimer’s was made, the caregivers noticed a significant decline in her ability to communicate and continue day-to-day activities. Despite the decline in functions, a positive mood was apparent. Conclusion: Multiple medical interventions, along with strong family support, positively contributed to the patient’s quality of life. Therapies targeting cognition could result in the maintenance of quality of life and, ultimately, lower health care costs.

Author Biography

Hilary L. Schroeder, American University of Antigua College of Medicine, US.

Dr. Hilary Schroeder graduated re¬cently from the American University of Antigua in St. John’s, Antigua, West Indies. She is currently completing her first year of Family Medicine residency at the Institute for Family Health in Kingston, New York.

References

1. Goodman MJ, Brixner DI. New therapies for treating Down syndrome requi¬re quality of life measurements. Am J Med Genet A. 2013 Apr;161A(4):639-41.
2. Felce D, Perry J. Quality of life: the scope of the term and its breadth of measurement. In: Brown RI, editor. Quality of life for people with disabilities: models, research and practice. Cheltenham (UK): Stanley Thornes; 1997. p. 56-71.
3. Raphael D. Quality of life of persons with developmental disabilities: five issues concerning its nature and measurement. J Dev Disabil. 1997;5(2):44-66.
4. Glasson EJ, Sullivan SG, Hussain R, Petterson BA, Montgomery PD, Bittles
AH. The changing survival profile of people with Down’s syndrome: implica¬tions for genetic counseling. Clin Genet. 2002 Nov;62(5):390-3.
5. Smith DS. Health care management of adults with Down syndrome. Am Fam Physician. 2001 Sep 15;64(6):1031-9.
6. Brown RI. Personal Reflections: quality of life research and Down syndro¬me. Int J Disabil Dev Educ. 1998;45(3):323-9.
7. Brown RI, Brown PM, Bayer MB. A quality of life model: new challenges arising from a six-year study. In: Goode D, editor. Quality of life for persons with disabilities: international perspectives and issues. Cambridge (MA): Brookline Books; 1994. p. 39-56.
Published
2015-08-31
How to Cite
L. Schroeder, H., Joanes, M., Small, A., & Maramraj, R. (2015). Down Syndrome and Quality of Life: A Case Report. International Journal of Medical Students, 3(2), 112-114. https://doi.org/10.5195/ijms.2015.128
Section
Case Report