learning disabilities

Question 1

what is the 3 bits of criteria for a learning disability patient (LDP)

Answer 1

• a significantly reduced cognition with an IQ < 70
• impaired social function
• started before adulthood (before 18th birthday)

Question 3

What role do physiotherapists play in the community learning disability team?

Answer 3

They are essential in meeting the health and physiotherapy needs of adults with a learning disability.

Physiotherapists work closely with individuals and their care networks to provide tailored support.

Question 4

What do specialist Learning Disability physiotherapists do?

Answer 4

They make adjustments to provide successful physiotherapy that is crucial for effectively addressing the unique needs of individuals with learning disabilities.

Question 5

True or False: All physiotherapy services can adequately meet the needs of adults with a learning disability without adjustments.

Answer 5

False

Question 6

what are lead roles

Answer 6

they are roles that are essential for the learning disability physio to take responsibility for delivering

Question 7

what are contributory roles

Answer 7

they are roles that the learning disability physio will contribute and work in collaboration with members of the MDT or other services

Question 8

what are supporting roles

Answer 8

they are roles that underpin the successful provision of the lead and contributory roles of the physio

Question 9

what are some examples of lead roles

Answer 9

• 24hour postural management
• community level respiratory management
• falls prevention and intervention

Question 10

what are some examples of contributory roles

Answer 10

• complex and therapeutic manual handling
• specialist level resp management
• management of spasticity, hypertonia
• MDT management of dysphagia

Question 11

what are some examples of supporting roles

Answer 11

• training and education of adults with a learning disability
• aid the transition of young people to adult services
• assessment and provision of specialist equipment

Question 12

what is a common cause of death in patients with learning disabilities

Answer 12

respiratory conditions are a common cause of deaths in patients with LD

Question 13

what are some reasonable adjustments made within healthcare appointments

Answer 13

• multiple sessions if needed
• making sessions accessible
• having a calm environment
• allowing a supporting person to aid the LDP if needed
• assuming the LDP has capacity until proven otherwise

Question 14

can a person with learning disabilities give consent

• yes
• no
• sometimes
• carer has to give consent

Answer 14

yes

the answer can be all but the carer giving consent, they cannot give consent for someone else
if a LDP cannot give consent, they are treated in best interest

Question 15

when considering the Mental capacity act and consent (MCA) what aspects should be considered:

Answer 15

• mental capacity act 2005
• assessment of capacity
• relevant information
• best interest decision
• depravation of liberty safeguards (DoLS)

Question 16

what is depravation of liberty safeguards (DoLS) designed for

Answer 16

DoLS is designed to protect individuals who lack the mental capacity to make decisions about their care and treatment, ensuring any restrictions on their freedom are necessary, proportionate, and in their best interests.

Question 17

LDP have a (longer or shorter) life expectancy than people without LDs

Answer 17

lower

Question 18

what is socially common for LDPs

Answer 18

• more likely to live in poverty
• more likely to suffer from chronic illness
• more likely to be bullied or discriminated against
• less likely to have paid employment

Question 19

what does LeDeR stand for

Answer 19

learning from lives and deaths

Question 20

what does LeDeR do

Answer 20

its a service that helps make services better for LDPs and autistic people

it looks into whether their death was due to a deterioration in health or was it due to inadequate care

Question 21

what percentage of deaths were from an avoidable cause which could have been prevented by good quality healthcare

Answer 21

49%

Question 22

what are the 3 main laws and acts to consider

Answer 22

• the Human Rights Act (1998)
• the Equality Act (2010)
• the Health and Care Act (2022)

Question 23

what is the Human Rights Act (1998)

Answer 23

its the main law protecting human rights in the UK, its a legal duty of officials to respect the 16 rights

Question 24

what is the Equality Act (2010)

Answer 24

this is the duty on employers to make reasonable adjustments to ensure equity of access to services is available for people with disabilities

Question 25

what is the Health and Care Act (2022)

Answer 25

this is a requirement that all health and social care providers ensure staff receive training on learning disabilities and autism appropriate to their role

Question 26

what is the training required by healthcare professionals

Answer 26

Oliver McGowan training

Question 27

how are barriers to healthcare split up

Answer 27

they are split into intrinsic and extrinsic

Question 28

what are intrinsic barriers to healthcare

Answer 28

they are barriers to do with the patient themselves that could be cognition, understanding and communication

Question 29

what are extrinsic barriers to healthcare

Answer 29

- a persons network of care, making sure that everyone involved knows what is needed to be done for the individual - the professional that provide the care, making sure that professionals have had training and are working within their scope -health and social organisations, supporting the needs of the LD patients, and just aiding them where possible

Question 30

what are some protective measures

Answer 30

- health action plan - annual health checks - hospital passports - positive behaviour support - Oliver McGowen training - reasonable adjustments

Question 31

what is a health action plan

Answer 31

its a guide to a person’s health, made by the person with a learning disability and the people who know them best. It provides details about the person’s health and the best ways to support them to get the right treatment and health care.

Question 32

what is included in an annual health check for LDPs

Answer 32

a full physical and mental well-being assessment, that may be supported by an LD Nurse

Question 33

what is a hospital passport

Answer 33

a document to assist the best personalised holistic care when admitted to hospital.

Question 34

what is the Oliver McGowen training

Answer 34

it is a nationwide training to be undertaken by all working with those with a learning disability.

Question 35

what are some reasonable adjustments

Answer 35

- clear simple speech - use of easy read - longer appointments - quite areas with appropriate lighting - joined by a LD nurse - better physical access and help to get around

Question 36

what tool is used to screen for a LD

Answer 36

the learning disability screening questionnaire (LDSQ)

Question 37

why is an LDSQ good

Answer 37

its quick and easy to use and requires little demand on anyone and it justifies eligibility to access LD services

Question 38

if people are screened with the LDSQ and they don't have an LD what happens next, what is their pathway

Answer 38

we can refer to social services to possibly provide a POC we have to signpost people

Question 39

how many questions are in the LDSQ

Answer 39

7

Question 40

to validate a learning disability what percentage must be scored

Answer 40

70% - lower score means you have more of a chance of having a LD

Question 41

what is an easy read

Answer 41

it a way to convey info to LDPs. it allows information to be accessible to all people, these are reviewed by a professional with LDs

Question 42

what are chrematistics of an easy read

Answer 42

- simple language - layman's terms - single sentences with no punctuation, italics or underlining - minimum size of 14 - be in a plain font