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Evaluation of a nurse led annual review of patients with severe intellectual disabilities, needs identified and needs met, in a large group practice
- Authors:
- MARTIN Graham, et al
- Journal article citation:
- Journal of Learning Disabilities, 8(3), September 2004, pp.235-246.
- Publisher:
- Sage
A learning disabilities nurse led health review, with doctor backup, was offered to patients with learning disabilities during 2002 in a large general practice. Prior to the check, patients completed an agenda sheet. During the check, the nurse discussed issues with patient and carer and completed a structured questionnaire. Patient and carer were then seen by doctor and nurse and the implementation sheet was completed. Fifty-three patients attended, an uptake of 91 percent. Of these patients and their carers, 34 percent recorded agendas/concerns. The nurse/GP questionnaire identified further interventions in 62 percent. A total of 79 interventions were identified, an average of 1.49 per patient attendance. At 3 months, 84 percent of patients with patient/carer generated, and 88 percent of patients with clinician generated interventions, had had one or more actions implemented. The check met the majority of identified unmet health needs in these adults with learning disabilities. Annual checks will continue to be offered.
Annual health reviews for patients with severe learning disabilities: five years of a combined GP/CLDN clinic
- Author:
- MARTIN Graham
- Journal article citation:
- Journal of Learning Disabilities, 7(1), March 2003, pp.9-21.
- Publisher:
- Sage
From 1997 to 2001 inclusive, annual health checks were offered to patients on the learning disabilities register of a general practice with a total of 14,410 patients. An average of 56 patients were invited each year and the attendance rate was 77.5 percent. The structured health check was administered by the community learning disability team (CLDT) nurse and general practitioner (GP) working together. The intervention rate was 1.56 per patient per year. This included referrals within the CLDT and to other professionals. Over half of all interventions (0.84 per patient per annum) were actioned within primary care. These included lifestyle advice leading to monitoring of obesity; ear and eye checks leading to referral or treatment; review of associated locomotor, hormone, skin, digestive system and CNS conditions resulting in medication changes; and blood tests. The health check highlighted continuing treatable conditions which otherwise might not have received attention.