Search results for ‘Subject term:"learning disabilities"’ Sort:
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The utility of the Montreal Cognitive Assessment as a mental capacity assessment tool for patients with a learning disability
- Authors:
- EDGE Daniel, et al
- Journal article citation:
- British Journal of Learning Disabilities, 44(3), 2016, p.240–246.
- Publisher:
- Wiley
Objective: To determine the psychometric properties of the Montreal Cognitive Assessment (MoCA) in patients with a learning disability and examine it's utility for conducting mental capacity assessment. Method: This study was a cross-sectional, instrument validation study in an inpatient hospital setting, located in the East of England. The sample consisted of two groups: (i) 31 consecutively admitted hospital patients and (ii) 10 multidisciplinary team members who served as a comparison group. The MoCA, a 12-item screen for mild cognitive impairment and the Dysexecutive Questionnaire (DEX), were used in this study. Item analysis was conducted by comparing item endorsement for all participants that had a learning disability utilising Difficulty and Discrimination Indices for each item on the MoCA. The authors examined the internal consistency of a revised scale derived from item analysis and used a one-way ANOVA to determine concurrent validity by comparing scores between two patient subgroups and the comparison group. Results: A 7-item scale, ‘MoCA-LD’ (alpha coefficient = 0.82) emerged from item analysis. A statistically significant negative correlation was observed between MoCA-LD and DEX (Pearson correlation = −0.66, P < 0.01). As expected, participants in the borderline category scored higher on MoCA-LD than those with mild learning disability, as did those with no learning disability (P < 0.001). Conclusion: The MoCA-LD has the potential to be a useful tool for mental capacity assessment in patients with a learning disability. (Edited publisher abstract)
Getting better in hospital
- Authors:
- LEEDS ANIMATION WORKSHOP, (Producer)
- Publisher:
- Leeds Animation Workshop
- Publication year:
- 2011
- Pagination:
- (13 mins.), DVD
- Place of publication:
- Leeds
Six short animated films about people with learning disabilities who need to go into hospital for different reasons. The films feature the following situations: going to A&E with a broken arm; going to the Diabetes clinic; needing an eye operation; being rushed to hospital with chest pains and having treatment for breast cancer. An easy read booklet is included in the pack.
The hospital work
- Author:
- ARCHER Phillip
- Journal article citation:
- Community Connecting, 1, Summer 2005, p.15.
- Publisher:
- Community Connecting
Sometimes people with learning difficulties find it very hard if they have to go into hospital when they are unwell. Reports on a book produced by Barnet Hospital, which involved social care services, people with learning difficulties and their families, and aims to help people with learning difficulties to communicate their personal care needs and other information.
“LEARN”ing what is important to children and young people with intellectual disabilities when they are in hospital
- Authors:
- OULTON K., SELL D., GIBSON F.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(5), 2018, pp.792-803.
- Publisher:
- Wiley
Background: The need to review health service provision for children and young people (CYP) with disabilities and their families in the United Kingdom has been expressed in multiple reports: the most consistent message being that services need to be tailored to meet their individual needs. Our aim was to understand the hospital‐related needs and experiences of CYP with intellectual disabilities. Method: An ethnographic study of a neurosciences ward and outpatient department was conducted within a paediatric tertiary hospital setting. Results: Five themes, developed using the acronym LEARN, explained what is important to CYP with intellectual disabilities in hospital: (i) little things make the biggest difference, (ii) eliminate unnecessary waiting, (iii) avoid boredom, (iv) routine and home comforts are key and (v) never assume. Conclusions: It is imperative that the present authors continue to challenge the idea that it is acceptable to exclude CYP with intellectual disabilities from research because of their inability to participate. (Edited publisher abstract)
Hospitals should consistently provide 'reasonable adjustments' for disabled patients
- Authors:
- READ Stuart, et al
- Publisher:
- University of Bristol. Policy Bristol
- Publication year:
- 2018
- Pagination:
- 4
- Place of publication:
- London
Briefing summarising key findings and policy implications from research to explore how hospitals are providing reasonable adjustments for disabled people and how disabled people experience hospital care. Reasonable adjustments are changes to services that disabled people may require which remove any disadvantages they face compared with non-disabled people. The research collected data from an audit of Care Quality Commission hospital inspection reports; Freedom of Information requests to Clinical Commissioning Groups and hospital trusts; surveys of health professionals and representatives; interviews with disabled people; and workshops for professionals and disabled people. The key findings highlight concerns about the gap between Equality Act 2010 legislation and its practical application in NHS hospitals. The research was conducted as part of a large grant, ‘Tackling Disabling Practices: co-production and change’, funded by the Economic and Social Research Council (Edited publisher abstract)
Specialist inpatient services for people with learning disabilities across the four countries of the UK
- Author:
- HATTON Chris
- Journal article citation:
- Tizard Learning Disability Review, 21(4), 2016, pp.220-225.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to compare data from national censuses on specialist inpatient service use by people with learning disabilities across England, Scotland, Wales and Northern Ireland. Design/methodology/approach: National statistics (England, Scotland, Wales, Northern Ireland) reporting inpatient service censuses including people with learning disabilities were accessed, with data extracted on trends over time, rate of service use, young people and length of stay. Findings: The number and rate of people with learning disabilities in specialist inpatient services varied across the UK: 230 people in Scotland (rate 4.88 per 100,000 population); 3,250 people in England (5.48); 183 people in Wales (5.90); 144 people in Northern Ireland (7.82). The number of people in inpatient services in Northern Ireland halved over four years, in other areas reductions were modest. Between 5 and 8 per cent of people in inpatient services were children/young people. Median length of stay in the person’s current inpatient service varied: 19 months in England; 33 months in Scotland; three to five years in Northern Ireland. Social implications: Different parts of the UK vary in the scale of their specialist inpatient services for people with learning disabilities. With the exception of Northern Ireland, which may still be in the last stages of completing a “regular” deinstitutionalisation programme, strong policy prescriptions for substantial reductions in specialist inpatient services are currently only resulting in modest reductions. Originality/value: This paper is a first attempt to compare national inpatient service statistics across the UK. With increasing divergence of health and social service systems, further comparative analyses of services for people with learning disabilities are needed. (Publisher abstract)
All Wales Care Bundle
- Author:
- GRIFFITHS Chris
- Journal article citation:
- Llais, 110, Spring 2014, pp.3-5.
- Publisher:
- Learning Disability Wales
The All Wales Care Bundle for improving hospital care for people with learning disabilities was launched in January 2014. It sets out key steps at various stages of a patient's stay which if carried out consistently for all patients will reduce vulnerability of their stay in hospital. The author provides an overview. (Original abstract)
Leading the resettlement of adults with profound learning difficulties from hospital accommodation to supported housing in the community
- Authors:
- ELLIS Roger, HOGARD Elaine Sylvia, SINES David
- Journal article citation:
- International Journal of Leadership in Public Services, 10(1), 2014, pp.31-43.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide an analytical description of the leadership provided by an official identified as “P” in the resettlement of adults with profound learning difficulties from hospital care to supported housing in the community. His story, presented as a case study, is contextualised in the history of the resettlement and its policy context, and in the evaluation of the resettlement. Design/methodology/approach: This is a case study of the leadership activities and style of an individual based on evidence from a series of interviews; documentary evidence; and the results of a formal evaluation. Findings : The leadership was highly effective in achieving a resettlement which had to overcome numerous hurdles and which achieved externally evaluated outcomes in improving the quality of life of the service users concerned. Research limitations/implications: This is a case study of an individual with the attendant difficulties of scientific generalisation. The achievements of the individual in terms of outcomes were evaluated through the use of valid and reliable measures. Practical implications – The descriptions of leadership behaviour and style and the obstacle overcome should be illuminating to those facing comparable management challenges. Originality/value – This would be the only case study in the literature of leadership in this area. The evaluation which measures its success is also unique. (Edited publisher abstract)
Why do nurses sometimes ask the wrong question?
- Author:
- GORNY Kane
- Journal article citation:
- Nursing Times, 23.10.12, 2012, pp.16-18.
- Publisher:
- Nursing Times
The recent high profile case of Kane Gorny highlighted a number of systemic and individual failures that led to his death by dehydration in a hospital bed. This article asks how it happened and presents some psychological, human aspects that may have contributed to the tragic outcome. He uses the example of 'schemas' or mental representations which can explain how we respond to situations and can also result in prejudice. The author suggests that when a patient is aggressive, nurses should seek a reason for it and act on this, rather than respond to the aggression directly. Reflective practice is one way to help with this issue and to change practice.
Freddie's story
- Authors:
- JESSOP William, (Director)
- Publisher:
- Blue Apple Theatre
- Publication year:
- 2011
- Pagination:
- (20 mins.), DVD
- Place of publication:
- Winchester
A training film for medical and health professionals which looks at people with learning disabilities in a hospital environment. The film follows the story of Freddie, who has learning disabilities, from his arrival in hospital, through to his diagnosis, giving consent and entering a ward. It highlights points of good practice. It also stresses the importance of good communication and treating people with learning disabilities with respect. The film features a mix of learning disabled actors and medical practitioners.