Patient-Centered Strategies to Improve Radiographic Practice for Patients with Down Syndrome: A Systematic Review.

Area of Science:

• Medical Imaging
• Radiography
• Genetics

Background:

• Down syndrome, a genetic disorder from trisomy 21, presents diverse health issues requiring medical imaging.
• Radiographers are crucial in managing and communicating patient care for individuals with Down syndrome.

Purpose of the Study:

• To identify patient-centered strategies for radiographers providing imaging services to Down syndrome patients.
• To address challenges such as limited verbal ability and behavioral issues in Down syndrome patients during imaging.

Main Methods:

• Systematic review of literature following PRISMA guidelines.
• Searches conducted on Ovid and Scopus databases, analyzing 41 of 189 identified articles.

Main Results:

• Down syndrome patients require longer, unhurried imaging procedures and respond better when acknowledged.
• Despite communication challenges, patients understand more than perceived; increased imaging time aids response, especially to pain.
• Caution is advised during spinal imaging due to injury risks; radiographs may indicate physical abuse.

Conclusions:

• Verbal and nonverbal communication strategies reduce anxiety and improve compliance in Down syndrome patients.
• Enhanced care includes extended imaging times and permitting support persons during examinations.