A systematic evidence based literature review of medical and developmental issues of international adoptees with emphasis on the need for immediate and thorough medical attention post-adoption
Bolton, Meredith K.
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Bolton, Meredith K. & David Day. (2007). A systematic evidence based literature review of medical and developmental issues of international adoptees with emphasis on the need for immediate and thorough medical attention post-adoption. In Proceedings : 3rd Annual Symposium : Graduate Research and Scholarly Projects. Wichita, KS : Wichita State University, p.135-136
Over the years, the rate of international adoptions in the United States has increased and continues to steadily rise. A large percentage of these adoptions are from orphanages that are poverty-stricken, with limited food and a high orphan-tocaregiver ratio. These conditions can lead to medical and developmental issues such as malnutrition, failure-to-thrive, infectious disease, developmental delays, and behavioral disorders. Currently, guidelines for the most cost-effective and suitable approaches to medical evaluation of international adoptees has not been determined, but evidence suggests that guidelines regarding medical intervention for this specific population should be developed and uitlized. The purpose of this study is to identify common medical and developmental issues of the internationally adopted and to recognize the necessity for immediate medical attention post-adoption. This is an evidence based literature review with regard to studies of medical and developmental issues seen in children adopted internationally. As the rate of international adoption continues to grow, so does the probability of caring for an adopted child in a primary care setting. The medical status of internationally adopted children makes them one of the highest risk pediatric groups in the United States. Evidence shows that there is need for immediate and thorough medical attention post-adoption.
Paper presented to the 3rd Annual Symposium on Graduate Research and Scholarly Projects (GRASP) held at the Hughes Metropolitan Complex, Wichita State University, April 27, 2007.
Research completed at the Department of Physician Assistant, College of Health Professions.