Search results for ‘Subject term:"learning disabilities"’ Sort:
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Future need of ageing people with an intellectual disability in the Republic of Ireland: lessons learned from the literature
- Authors:
- DOODY Catriona M., MARKEY Kathleen, DOODY Owen
- Journal article citation:
- British Journal of Learning Disabilities, 41(1), 2013, pp.13-21.
- Publisher:
- Wiley
This article synthesises current literature regarding ageing and service provision for people with an intellectual disability. It presents the context of intellectual disability in Ireland and ageing for people with intellectual disability in relation to increased longevity and service provision. Searches were conducted through electronic databases (EBSCO and CINAHL) retrieving literature published between 1980 and 2010. Computerised searches using the terms, ‘old age, aged, ageing, ageing, mortality, morbidity’, were used in conjunction with the terms ‘intellectual disability, mental handicap and mental retardation’. The review found that Ireland has and is seeing a dramatic change in the age profile of clients and the support services they require. While Ireland had specifically trained nurses in intellectual disability, they predominately work in residential settings. This can be seen as been at odds with the philosophy of supporting people with intellectual disability live at home with their family and the primary care system. As the ageing population is rising, intellectual disability services need to proactively develop and respond to this changing age profile by reviewing and adjusting the way in which they deliver services, not only in terms of how services develop and respond to a changing age profile but also in terms of collaborative working across all health services. (Edited publisher abstract)
The role of nurses in meeting the health care needs of older people with intellectual disabilities: a review of the published literature
- Author:
- JENKINS Robert
- Journal article citation:
- Journal of Intellectual Disabilities, 16(2), June 2012, pp.85-95.
- Publisher:
- Sage
- Place of publication:
- London
Through medical intervention, people with intellectual disabilities now live longer in the UK and Ireland. As a consequence they are likely to have greater physical and mental health needs when compared to the general population. This review explored whether nurses have a crucial role to play in meeting such needs, and whether nurses are prepared for this role. A search was conducted for relevant English language articles dated between 1990 and 2011. Overall, there was little evidence of nurses undertaking effective interventions in meeting the health needs of older people with intellectual disabilities. Nurses have been alerted to the increase in numbers of older people with intellectual disabilities and offered some direction on their future role in this area. However, most of the current literature is based on informed opinion rather than research.
Staff perceptions of essential prerequisites underpinning end-of-life care for persons with intellectual disability and advanced dementia
- Authors:
- McCARRON Mary, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 7(2), June 2010, pp.143-152.
- Publisher:
- Wiley
The philosophy behind today’s intellectual disability (ID) service system encompasses building independence, promoting skills and empowerment. However it is possible that this approach may be less helpful when supporting person with ID aging and coping with increased disability and the inherent decline evident in dementia. To better address palliative care and end-of-life issues for persons with intellectual disability (ID) and dementia, the authors set out to understand the perspectives of agency staff in both the ID services and specialist palliative care fields in Ireland. Thirteen focus group interviews were conducted involving 50 participants drawn from six ID service providers and seven participants from one specialist palliative care service. Thematic analysis collapsed ideas into two core themes: building upon services' history and personal caring, offering quality and sensitive care; and supporting comfort and optimal death in people with ID and advanced dementia. Challenges were identified for service systems in the areas of; aging in place, person-centred care, and interservice collaboration. The authors recommend both more practice relationship-based and collaborative approaches to care and a stronger evidence-based research program on the timing and the efficacy of palliative care for persons with ID and dementia.
Transition from special education into postschool services for young adults with intellectual disability: Irish parents' experience
- Authors:
- GILLAN Diane, COUGLAN Barry
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 7(3), September 2010, pp.196-203.
- Publisher:
- Wiley
This study aimed to examine parents' experiences of the transition of their child from special education to postschool mainstream services. Specifically, this study sought to explore the parents’ perceptions of the nature, factors, and psychological impact of their child's transition to post-school services, and also their perceptions of facilitative factors and barriers. To achieve these aims, a qualitative, grounded theory approach was employed in which semi-structured interviews were conducted with a small sample of parents (4 married couples and 4 single mothers) of children with mild intellectual disability living in the southern region of Ireland. The results indicated that the transition process was generally experienced as stressful, uncertain, and problematic, particularly in terms of the bureaucratic aspects. The experiential shift from school to vocational training and employment emerged as the most salient in parents' perceptions. Parents also identified a range of factors that served as barriers and supports of the transition process, in which the role of the parent emerged as a key facilitative factor. The findings suggest that considerable gaps remain between policy and service provision in Ireland regarding transition planning and postschool services for young adults with intellectual disabilities and their families, often posing barriers to successful transitions.
Responding to the challenges of ageing and dementia in intellectual disability in Ireland
- Authors:
- McCARRON M., LAWLOR B. A.
- Journal article citation:
- Aging and Mental Health, 7(6), November 2003, pp.413-417.
- Publisher:
- Taylor and Francis
The intellectual disability (ID) population in Ireland is ageing and the number of older persons with the dual disability of ID and dementia is increasing. In spite of these demographic trends, as in other countries adequate policy and service provision for this population are lacking. This paper draws upon data available on the population with ID and dementia, reviews both generic and ID specific literature, considers the policy context and argues for a specific model of service provision. A service model is proposed for the development of multidisciplinary specialist teams within ID, delivered through mobile regional ID dementia clinics.
Marginalization and its effects on the sexuality-related potentials of the learning disabled person
- Authors:
- SHEERIN F., SINES D.
- Journal article citation:
- Journal of Learning Disabilities for Nursing Health and Social Care, 3(1), March 1999, pp.39-49.
The author contends that marginalisation exists in both the UK and Ireland at a functional and attitudinal level, within many contemporary learning disability services. This conceptual paper seeks to examine the effects of marginalisation on the development of learning disabled people in Ireland, within the context of a proposed, integrative approach to personhood.