learning disability awareness

Question 1

what is a learning disability

Answer 1

reduced ability to understand/learn new things and cope independently

• IQ less than 70
• onset before 18
  e.g down syndrome

Question 2

most with learning disability require some level of paid or family supper depending on their needs,

Question 3

learning disability vs difficulty?

Answer 3

A learning difficulty can be overcome with support, whereas a learning disability cannot.

difficulty = obstacle but doesnt affect general intelligence

disability = overall affects their cognitive impairment

e.g ADHD is a difficulty but

Question 4

why are people with learning disabilities likely to die 20-20 yrs younger than normal person

Answer 4

ppl with learning disability tend to have co-morbidities e.g

• Down syndrome and heart difficulty
• cerebral palsy
• poor mental health etc

Question 5

what proportion of ppl with LD have epilepsy

Answer 5

1/3

Question 6

what are some health inequalities face by ppl with LD

Answer 6

hard to access health care

dont know their own health needs

hard to communicate issue across

prejudice

time constraints ( health service not have enough time to make reasonable adjustments) etc

Question 7

what does RCN stand for

Answer 7

royal college of nursing

Question 8

what is RCN 2020’s definition of diagnostic overshadowing

Answer 8

health professional assumes that a behaviour is part of their disability, ignoring the potential for other causes e.g biological illness

Question 9

its vital that behaviour changes are explored by physiological or pathological determinants

ignorance can lead to avoidable death

Question 10

because of health inequalities, LeDeR came into practice, what is this, what does it stand for

Answer 10

Learning from Lives and Deaths – People with a Learning Disability and Autistic People.

national programme aimed to improve lives of people with learning disabilities

Question 11

what are some things done following LeDeR protocol

Answer 11

• review prior deaths (not investigating) to see what could be improved
• identify where things went wrong to learn from it

anyone with LD dies, learning is taken from their death

Question 12

LD isnt a cause of death/reason for DNACPR (DNR)

Question 13

anyone can report death of LD thru LeDeR website

Question 14

what is the 2nd highest cause of death in patients with LD

Answer 14

coronary heart disease

Question 15

GI disorder (70% LD ppl)
GI cancer (x2 more prevelaant)

Question 16

what can we as healthcare professionals do about health inqualities

Answer 16

reasonable adjustments

Question 17

what act is reasonable adjustments under

Answer 17

equality act 2010

Question 18

what is a hospital passprot

Answer 18

tells the hospital about your healthcare, your learning disability, how you like to communicate and how to make things easier for you

Question 19

from what age do yearly checkups on ppl with LD begin

Answer 19

14 onwards

Question 20

e.g of reasonable adjustments = telephone calls along with appointment letter (to be more clear), easy read appointment info

Question 21

who can you go to for help with making reasonable adjustment decisions

Answer 21

community/acute learning disability team

Question 22

what act gives clear guidelines on how capacity test should be done

Answer 22

mental capacity act

Question 23

what 4 things must a patient be able to do in order to be assessed as having capacity under mental capacity act 2005

Answer 23

understand
retain
weigh up
communicate

Question 24

things to consider when communicating with patient with LD

Answer 24

simple sentences
images
technology
signas and gestures
make them feel comfortable/ ask them questions about them

Question 25

what is symbolic development and how is this considering in communication with patient with LD

Answer 25

developmental levels of understanding visual information. - E.G showing works and speaking isnt going to work if patient only comprehends objects/images

Question 26

happy faces or thumbs up/down can be helpful

Question 27

what is a talking mat

Answer 27

a visual communication framework which supports people with communication difficulties to express their feelings and views. (they can point at images to express their thoughts_

Question 28

why's a talking mat helpful

Answer 28

gives ppl time and secure space to think and say

Question 29

5 steps to use of talking mat?

Answer 29

- introduce mat - explain scale - use open questions - leave blanks for patient to add more - check and change

Question 30

what are social stories

Answer 30

improve the social understanding of people with autism spectrum disorder - short description particular situation that include info on what to expect in that event and why

Question 31

what is the accessible information standard

Answer 31

teaches organisations how they should ensure disabled patients receive info in format they can understand and have correct support to help them communicate

Question 32

ppl with LD often struggle with understanding time, visual time table can help to understand the layout of their day