Search results for ‘Subject term:"severe learning disabilities"’ Sort:
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Abdominal massage for the treatment of idiopathic constipation in children with profound learning disabilities: a single case study design
- Authors:
- MOSS Lucy, et al
- Journal article citation:
- British Journal of Learning Disabilities, 36(2), June 2008, pp.102-108.
- Publisher:
- Wiley
Chronic constipation is a common problem in people with learning disabilities. Treatment often involves dietary changes or long-term laxative use. The aim of this study was to examine the effectiveness of abdominal massage. The participants were five children with profound learning disabilities and additional physical difficulties. Their long-standing idiopathic constipation was managed by laxatives. Intervention lasted up to 35 weeks, during which participants received 20 min of massage at least twice daily. Parents were asked to maintain stable use of laxatives during the intervention phase, although some chose to withdraw laxatives during abdominal massage intervention. Abdominal massage appeared to result in stools of a more ‘normal’ consistency in some cases. However, no significant differences were found in stool frequency. Parents reported that abdominal massage was a positive experience. In addition, they believed that massage was an effective treatment for constipation. As a result, laxative use was reduced in some cases, apparently with no ill-effects. These subjective beliefs were not, however, generally borne out by the objective results.
Access to mainstream health services: a case study of the difficulties faced by a child with learning disabilities
- Authors:
- BROWN Freddy Jackson, COOPER Kate, DIEBEL Tara
- Journal article citation:
- British Journal of Learning Disabilities, 41(2), 2013, pp.128-132.
- Publisher:
- Wiley
People with learning disabilities have higher levels of health needs compared with the general population and these individuals often receive less effective health care. This case study describes the experience of a child with a severe learning disability and his family accessing mainstream health care for a simple medical procedure. Implications for how healthcare services can be organised to meet the needs of learning disabled people are discussed, addressing issues such as physical environment of surgeries and hospitals, communication between staff teams, staff skills and lack of preparedness. (Edited publisher abstract)
Direct payment success comes under threat
- Author:
- -
- Journal article citation:
- Community Care, 23.7.09, 2009, pp.20-21.
- Publisher:
- Reed Business Information
Social workers and a service user offer advice on a case involving a young woman with profound learning and physical disabilities. The direct payments the young woman has been receiving could possibly be under threat if she is successful in obtaining continuing health care funding.
The keys to life: improving quality of life for people with learning disabilities
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2013
- Pagination:
- 178
- Place of publication:
- Edinburgh
‘The same as you?’ (2000) was the original 10-year programme designed to meet the needs of people with learning disabilities in Scotland. It was highly successful in shifting the balance of care to support more people to live in the community. This new 10-year strategy sets out a vision for improved partnership working to deliver better outcomes for people with learning disabilities, and their families and carers. It has more than 50 recommendations, most of which are aimed at health. The strategy also covers commissioning of public services; independent living; shifting the culture and keeping safe; breaking stereotypes; the needs of people with profound and multiple disabilities; criminal justice; and complex care. It includes good practice examples and case studies. Appendices include a glossary and weblinks to key organisations. (Edited publisher abstract)
Measuring general hospital staff attitudes toward people with learning disabilities
- Author:
- GARVEY Frank
- Journal article citation:
- Nursing Times, 10.8.10, 2010, pp.10-12.
- Publisher:
- Nursing Times
People with learning disabilities often experience barriers in accessing health care. A training course for general hospital staff on health care for people with learning disabilities was developed and an attitude questionnaire to measure the impact of this training. The questionnaire developed was the Attitudes of Secondary Healthcare Personnel Toward People with Severe Learning Disabilities (ASH-LD). The article describes the process of designing and piloting the ASH-LD questionnaire and how it will be used to measure the effect of the planned training on staff attitudes.
Profound intellectual and multiple disabilities: nursing complex needs
- Editors:
- PAWLYN Jillian, CARNABY Steven, (eds.)
- Publisher:
- Wiley-Blackwell
- Publication year:
- 2009
- Pagination:
- 362p.
- Place of publication:
- Chichester
This text presents current best practice regarding interventions to meet the complex health needs of a person with profound and multiple learning disabilities. Part one looks at assessing complex needs. Part two looks at meeting the needs. Contents include: quality of life; supporting a person with profound intellectual and multiple disabilities to maintain their health; making sense of communication; promoting the emotional well-being of people with profound and multiple intellectual disabilities; achieving and maintaining health; clinical assessment of people with profound intellectual and multiple disabilities; mental health problems and people with profound intellectual and multiple disabilities; epilepsy; ‘sight is might’ - vision and vision impairment in people with profound intellectual and multiple disabilities; hearing and aural health; respiratory health of people with profound intellectual and multiple disabilities; dental care and oral health; dysphagia and people with profound intellectual and multiple disabilities; nutrition, hydration and weight; continence; mobility, posture and comfort; meeting complex needs through complex means.
Six lives: the provision of public services to people with learning disabilities: part 8: easyread overview and summary investigation reports: second report session 2008-2009
- Authors:
- LOCAL GOVERNMENT OMBUDSMAN, PARLIAMENTARY AND HEALTH SERVICE OMBUDSMAN
- Publisher:
- Stationery Office
- Publication year:
- 2009
- Pagination:
- 35p.
- Place of publication:
- London
Part of the report which responds to complaints brought by the charity Mencap on behalf of the families of six people with learning disabilities who died whilst in NHS or local authority care between 2003 and 2005. It contains the EasyRead version which summarises the individual cases and the recommendations.
Examining outpatient health care utilization among adults with severe or profound intellectual disabilities living in an urban setting: a brief snap shot
- Authors:
- LEVY Joel M., BOTUCK Shelly, RIMMERMAN Arie
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 6(3), 2007, pp.33-45.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study is based on a sample of 52 adults living with their families or in group homes in New York City. Bivariate and regression analyses of demographic variables, medical conditions, health care utilisation and type of living situation were conducted. Demographic and health status factors were similar, regardless of living situation, except in the case of age and Down Syndrome: younger people and people with Down Syndrome were more likely to be living with their families than in group homes. Regardless of where they lived, the majority (70%) were overweight or obese, and the proportion of women receiving routine mammogram or smear testing was much lower than the population average. The mean number of health care utilisations was significantly higher for the group home residents than for those living with their families. Although the majority of the sample were African Americans, there was a statistically significant difference between race and living situation, with fewer white people living in group homes than with their families. Implications for service providers are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Beds, budgets and burdens: learning disability expenditure v. workload across English health authorities: comparative review
- Authors:
- FORSYTH Bunny, WINTERBOTTOM Paul
- Journal article citation:
- British Journal of Psychiatry, 181, September 2002, pp.200-207.
- Publisher:
- Cambridge University Press
This review aims to compare expenditure on learning disability health services across England with the burden of services regionally, as estimated by numbers of people with learning disabilities. A national database was set up using data from the National Audit Commission and the Department of Health. The spend/burden ratio was calculated and correlation tests for likely causes of inequality were applied. Results found widespread discrepancy from the median spend/burden ratio of £10260 per person with learning disability. A positive correlation was found between ratios and levels of net exports of people funded by their local authority social services to reside‘out of area’. Comparative underspending occurs in rural areas. Concludes that health authorities should ensure that population increases are mirrored by appropriate adjustments in expenditure.
The incidence and importance of hearing loss in people with severe learning disability: the evolution of a service
- Author:
- YEATES Sybil
- Journal article citation:
- British Journal of Learning Disabilities, 23(2), 1995, pp.79-84.
- Publisher:
- Wiley
Third and final report on a study of the hearing of people of with severe learning disability in Lewisham and North Southwark. Approximately 50% of the learning disabled population in Lewisham and North Southwark i.e. 500 people, have now been tested and this paper confirms earlier findings and stresses the importance of full audiological examination at key ages. In view of this a service has now been established in order to test the remaining people wherever possible, supervise those already found to have a hearing loss and, most importantly, to train all concerned in caring for the learning disabled who also have a hearing loss.