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A survey of vitamin D level in people with learning disability in long-stay hospital wards in Hong Kong
- Journal article citation:
- Journal of Intellectual Disabilities, 10(1), March 2006, pp.47-59.
- Publisher:
- Sage
- Place of publication:
- London
Serum vitamin D level was measured in 122 patients with learning disabilities in long-term care wards. Such people are at risk of developing vitamin D deficiency. Low vitamin D is often attributed to lack of sunshine, poor dietary intake and the deleterious effect of anticonvulsant therapy. The results of this study confirmed that a low level of vitamin D prevails, regardless of anticonvulsant usage. Sunshine exposure was virtually non-existent for most patients. Research has shown that when sunlight exposure is limited, osteomalacia in the British Asian community is determined by dietary factors. Our subjects had three types of diet: standard, soft and tube feeding. For both males and females, the tube feeding group had a significantly higher mean level of vitamin D than the other groups. Regular sunshine exposure is recommended for people requiring long-term infirmary care; alternatively, dietary supplement of vitamin D should be considered.
Themed visit to hospital units for the assessment and treatment of people with learning disabilities
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2012
- Pagination:
- 33p.
- Place of publication:
- Edinburgh
There has been widespread closure of long stay hospitals for people with learning disabilities. Today, excluding forensic beds, there are fewer than 240 people in acute and longer stay assessment and treatment beds in Scotland. However it is recognised that there is a need for a small number of inpatient beds for those with specialised or complex needs which cannot be met in the community. This report presents the findings of visits from June 2011 to September 2011 to all 20 hospital units (19 NHS and 1 private hospital) for the assessment and treatment of people with learning disabilities. Information was gathered from Clinical Service Managers, staff, service users, care plans and other records, and relatives. The care and treatment of 113 people was looked at. There were 4 general areas of enquiry: health needs; rights and restrictions; quality of life; and participation and involvement. The findings were mainly positive. A number of key messages and recommendations are provided based on these findings, and areas of best practice are highlighted.
Improving services for people with epilepsy: Department of Health action plan in response to the national clinical audit of epilepsy-related death
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2003
- Pagination:
- 14p.
- Place of publication:
- London
The Department of Health is committed to improving standards of care and support for people with epilepsy and their families. The Department hopes this action plan will be the start of a process of improving awareness and understanding of Sudden Unexpected Death in Epilepsy (SUDEP) and will lead to improved care and services for people with epilepsy. It is intended to address the needs of all groups, including those with learning disabilities.
Considerations in care for individuals with intellectual disability with advanced dementia
- Author:
- SERVICE Kathryn Pekala
- Journal article citation:
- Journal of Gerontological Social Work, 38(1/2), 2002, pp.213-223.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A number of physical, psychosocial, or ethical issues related to the care of the individual with advanced dementia are reviewed and related to individuals with intellectual disabilities.The author notes that through anticipation and early planning, advanced directives and service planning (which looks to adaptation of services and other care management interventions), can effectively impact care at the end. Areas that need to be addressed include technical information, including a reviewof and, as appropriate, adaptation of general advanced dementia resources, relief, rest, support, reassurance, receipt of on-going information, participation in planning, a sense of humor, and appreciation. Also noted, are the differences experienced because of the presence of paid staff as carers and residence outside of the family home.
Long-term care: future provision and funding; minutes of evidence, Thursday 14 December 1995
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Health Committee
- Publisher:
- HMSO
- Publication year:
- 1995
- Pagination:
- 163p.
- Place of publication:
- London
Adults with Down Syndrome and Alzheimer's Disease:comparison of services received in group homes and in special care units
- Author:
- CHAPUT Jenifer L.
- Journal article citation:
- Journal of Gerontological Social Work, 38(1/2), 2002, pp.197-211.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
An increasing number of people with Down syndrome are at risk of dementia resulting from Alzheimer's disease. Many reside in community group homes. When they are affected by dementia, the challenge to agencies providing group homes is how to best provide continued housing and provide effective dementia-related care management. In the general population, long term care is typically provided in nursing facilities, often in special care units (SCUs). This study evaluated select factors found in group homes andSCUs to determine which is able to provide a better quality of life for people with Downsyndrome affected by dementia. Results indicate that group homes can provide conditions associated with better quality of life and, additionally, operate with lower staffing costs due to the non-utilization of medical staff.