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More About This Textbook
Overview
General Hospital Care for People with Learning Disabilities is a comprehensive resource for those health professionals in a general hospital setting who may come into contact with people with learning disabilities. The book explores the nature of learning disabilities and highlights specific health care needs. It takes the reader through all the key factors in the healthcare process, through pre-admission assessment, care planning, intervention and treatment and liaison and discharge planning while highlighting key areas of healthcare need at each stage.
The Department of Health, the National Health Service Executive and Mencap have all reported that people with learning disabilities have increased health needs to the general population, yet these needs are often poorly met and people experience difficulties in accessing appropriate services. This is a timely and accessible resource for healthcare professionals in need of a general introduction to caring for people with a learning disability.
Relevant to the care of both children and adults with a learning disability
Use of case studies to illustrate examples of situations explored in the main text
Focuses on key areas of communication, understanding behaviour and the often difficult area consent
Editorial Reviews
From The Critics
Reviewer: Josie Martin Bowman, RN, MSN, DSN(East Carolina University )Description: This book addresses the unique challenges of hospital care for people with learning disabilities, both children and adults.
Purpose: The purpose is to present "key factors in the health care process from pre-admission assessment....health needs...leading to a successful treatment plan and intervention."
Audience: The book is written for practitioners who care for individuals who have learning disabilities, such as nurses, nursing students, or physical and occupational therapists. The authors are nurses who have studied the experiences of children and adults with learning disabilities.
Features: The first chapter identifies and discusses learning disabilities. The remaining chapters discuss the process of healthcare, communication, understanding behavior, consent, and ethical or political aspects of care. The chapter on communication defines the concept and process of communication, models of communication, and principles of working with people with disabilities. In addition to case studies to support the discussions, the book uses tables and black-and-white photographs.
Assessment: This is a great reference to use when working with these patients. This is one area that most practitioners have limited preparation. The book focuses on being able to communicate with the individual as well as legal aspects.
From the Publisher
"The text is well laid out and provides a logical journey for the reader, which means it represents an invaluable resource for any service and would provide guidance and ‘food for thought' for any practitioner. The book can be either read in its entirety or dipped in and out of as needed". (Learning Disability Practice, 1 June 2011)
Product Details
Related Subjects
Meet the Author
Lynn Hannon is currently Head of Employment Services at East Lancashire PCT, formerly Nurse Manager of the Specialist Community Nursing Service for people with a learning disability, and a Florence Nightingale Scholar.
Julie Clift is Community Nurse Specialist Learning Disabilities/Acute Liaison at NHS East Lancashire Community Services and Lecturer Practitioner for the University of Cumbria.
Table of Contents
Preface vii
Acknowledgements ix
1 Understanding Learning Disability 1
Introduction 1
Definitions and causes of a learning disability 2
How to establish if your patient has a learning disability 9
Perceptions and attitudes towards people with a learning disability 10
Health needs of people with a learning disability 15
Family/carer's needs 30
Introduction to person-centred approaches 32
Conclusion 35
References 38
2 The Process of Health Care 40
Introduction 40
The patient journey 41
Pre-admission 53
Care planning and developing care pathways 68
Intervention and treatment 71
Liaison and discharge planning 78
Conclusion 80
References 83
3 Communication 85
Introduction 85
What is communication? 86
Models of communication - verbal and non-verbal 90
Developing relationships with people with a learning disability 93
Communicating with people with a learning disability 98
Tools to aid communication 109
Helping people with learning disabilities to make choices 118
Communicating with family and carers 123
Conclusion 124
References125
4 Understanding Behaviour 127
Introduction 127
What do we mean when we say a person displays challenging behaviour? 128
What could different behaviours mean? 130
How hospital admission can affect individual behaviour and ways of overcoming this 135
How to respond to behaviour in health care situations 137
The use of behavioural indicators in the assessment of pain 152
Risk assessment 159
Conclusion 160
References 165
5 Consent 167
Introduction 167
What do we mean by consent? 167
Ethical decision making 169
The law on consent and capacity to consent (in England and Wales) 172
Defining capacity 177
Obtaining consent 181
Advocacy and empowerment 188
Planning for future care 89
Emergency situations 190
What to do when consent is refused 190
Record keeping 193
Conclusion 194
References 197
6 Ethical and Political Aspects of Care 198
Introduction 198
Health care ethics and professional accountability 198
Safeguarding children and vulnerable adults 208
Cost 213
Values and beliefs 214
Political issues affecting service provision in both learning disability and secondary care services 217
Interdisciplinary approaches and partnership working 224
Where do we go from here? 230
Conclusion 232
References 237
Useful Websites and Contacts 239
Index 246