Care Planning and Delivery in Intellectual Disability by Bob Gates

By Bob Gates

Care making plans and supply shape a vital a part of daily perform for all highbrow incapacity nurses. Care making plans and supply in highbrow incapacity Nursing explores how nurses can allow individuals with highbrow disabilities to acquire quality care, encouraging them to exploit the very best information to plot their specialist care and to mirror on their practice.The first component of Care making plans and supply in highbrow incapacity Nursing explores care making plans, care pathways, person-centred care making plans, lifestyles making plans, felony and moral implications of care making plans and danger review. the second one part explores care making plans for individuals with profound and/or advanced wishes, care making plans for strong wellbeing and fitness, and care making plans and supply in additional professional settings together with forensic, psychological well-being, palliative care, group nursing and home settings.

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Proponents have further described client involvement in the development of, the plan and the sharing of the plan with clients and carers as empowering, providing client-focused care (Walsh, 1998; Kitchiner and Bundred, 1999). The Scottish Executive (2000) has recommended that people with intellectual disabilities are involved in anything that directly affects them. Person-centred planning has a history of use within intellectual disability services (Sanderson, 2003) as has multi-disciplinary working.

Person-centred planning has a history of use within intellectual disability services (Sanderson, 2003) as has multi-disciplinary working. It would appear that the underpinning philosophy and aims of integrated care pathways would readily fit into care planning practice for people with intellectual disabilities. Integrated care pathways help to reduce unnecessary variations in patient care and outcomes. , 2003). These single records have potential to develop into patient-held records. In addition streamlined documentation can reduce duplication and promote seamless patient-focused care (Norris and Briggs, 1999; Middleton and Roberts, 2000).

Scottish Executive, 2000) has suggested that each acute service employ a liaison nurse. Whichever scheme is used, it should mean that individuals will have an identifiable person to whom they can turn to if they have a health problem or need information. Cumella and Martin (2000a, b and 2004) have identified a range of problems that people with intellectual disabilities experience when they are admitted to acute care and these include: • CPAC02 Poor communication — Inadequate information prior to admission — Inadequate information about hospital procedures 32 22/3/06, 5:03 PM Integrated care pathways • • 33 — Poor transmission of information within the hospital — Poor information at discharge — Limited information about choices within the hospital Fear and distress — Traumatic experiences — Unfamiliar environment — Lack of comprehensible information — Lack of support Lack of appropriate care — Difficulty in making ‘concessions’ to the individual needs of the inpatients — Lack of space — Lack of flexibility — Lack of adapted facilities — Lack of responsiveness — Inferior treatment The main solutions identified by Cumella and Martin (2000a, b and 2004) were: • • • • • • Improved communication Patient held data – communication passports Preparation for admission Information to accompany the person into hospital Improved information about choices while in hospital Improved transfer of information within hospital This suggests that the use of a communication passport along with the implementation of a patient advocacy and liaison service scheme or the creation of liaison posts along with the development of more accessible information would improve the healthcare journey for people with intellectual disabilities.

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