Learning Disability Nursing at a Glance

Bob Gates is Professor of and Academic and Professional Lead for Learning Disabilities, University of Hertfordshire and Visiting Professor of Learning Disability, University of West London.  He was Founding Editor and Editor in Chief of Journal of Intellectual Disabilities; Member of the International Editorial Advisory Board for Journal of Intellectual Disabilities; and is consultant editor to Learning Disability Practice magazine. He is Member of the British Institute of Learning Disability and the National Learning Disability Coalition. Debra Fearns is Senior Lecturer, Learning Disability Nursing, University of Hertfordshire. Jo Welch is Senior Lecturer, Learning Disability Nursing, University of Hertfordshire.

Contributors viii

Preface xi

How to use your revision guide xiii

About the companion website xvii

Part 1 Introduction to learning disability nursing 1

1 What is learning disability nursing? 2

2 Nursing and midwifery standards 4

3 The six Cs 6

4 The student nurse perspective 7

Part 2 Exploration of learning disability 9

5 What is a learning disability? 10

6 Causes of learning disability 12

7 Chromosomal disorders 14

8 Genetic disorders 16

9 Other causes of learning disability 18

Part 3 Childhood development 21

10 Screening and genetics 22

11 Developmental milestones 24

12 Common childhood diseases 26

13 Developing communication 28

14 Learning through play 30

15 Education 32

16 Screening for autistic spectrum conditions 34

17 Safeguarding children 36

Part 4 Adolescence 39

18 Puberty 40

19 Bullying 42

20 Child and adolescent mental health services 44

21 Transitions 46

Part 5 Adults with a learning disability 49

22 Working with adults with learning disability 50

23 Communicating with people with learning disability 52

24 Sensory impairment 54

25 Living with Autistic Spectrum Conditions 56

26 Epilepsy in adults with learning disability 58

27 Management of epilepsy 60

Part 6 People with a learning disability and additional mental health needs 63

28 Managing challenging behaviour 64

29 Mental health issues 66

30 Personality disorder 68

31 Offenders with a learning disability 70

Part 7 Vulnerable adults with a learning disability 73

32 Mental Capacity Act 74

33 Human rights 76

34 Equality Act 2010 78

35 Mental Health Act 80

36 Ethics, rights and responsibilities 82

Part 8 Biophysical aspects of learning disability nursing 85

37 Biophysical aspects of learning disabilities 86

38 Common health issues 88

39 The Health Action Plan 90

40 Pain assessment and recognition 92

41 Palliative and end-of-life care 94

42 Dementia in people with Down’s syndrome 96

43 Sexual health issues 98

44 Postural care 100

Part 9 Older people with a learning disability 103

45 Older people with a learning disability 104

46 Dementia care 106

47 The Mental State Examination 108

Part 10 Medication 111

48 Antidepressant and antipsychotic drugs 112

49 Antiepileptic drugs 114

50 Nurse prescribing 116

51 Drug calculations 118

Part 11 The learning disability nurse 121

52 The community learning disability nurse 122

53 Healthcare facilitators 124

54 The health liaison nurse 126

55 The assessment and treatment learning disability nurse 128

56 The prison nurse 130

Part 12 Inclusion 133

57 Person centred planning 134

58 Employment 136

59 Housing and leisure 138

60 Ethnic minorities and learning disability 140

61 Parents with a learning disability 142

62 Family perspectives 144

63 A service user’s perspective 146

64 Advocacy 148

65 Health passports 150

66 Hate crime 151

67 Sex and individuals with a learning disability 152

68 Spirituality 154

69 The twenty-first century: Networking for success 155

Further reading and resources 157

Index 161