Rose Kennedy ST3. Definition of learning disabilities Mental capacity act Tips for consultations ...
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Transcript of Rose Kennedy ST3. Definition of learning disabilities Mental capacity act Tips for consultations ...
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Learning disabilities Rose Kennedy ST3
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Definition of learning disabilities Mental capacity act Tips for consultations Resources to use
Contents
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Defined as “significantly reduced ability to understand new and complex information, to learn new skills (impaired intelligence) and with a reduced ability to cope independently (impaired social functioning)”
Greater health needs but poorer access ◦ Associated co-morbidities – epilepsy, mental illness and
behavioural issues
Challenging consultations- often involving carers, MDT members
Learning disabilities
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The act assumes mental capacity, and if deemed to lack capacity we act in the best interests of the patient
To have capacity an individual needs to ◦ Understand the information ◦ Retain the information relevant to the decision ◦ Use or weigh the information ◦ Communicate the decision (by any means)
Capacity is time-specific and decision-specific
Mental Capacity Act
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Try to build a rapport and keep continuity
Allow time – offer double appointments
Offer first appointment of the day◦ Less busy waiting area, not having to wait a long time – may
become distressed or upset
Annual health check with an individualised “health action plan” (DoH White paper 2001) Health passport
Demonstrate any procedure/examination before doing it
Tips for consultations
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Always address the patient first before discussing with the carer/relative◦ Important to use the carer’s knowledge ◦ Check for consent to have the carer present (safeguarding)
Use simple language, without medical or abstract words.
Health related books to inform patients about different situations http://www.booksbeyondwords.co.uk/
Use websites such as http://www.easyhealth.org.uk/ 500 easily accessible health information leaflets
Tips continued
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Easyhealth example: Abortion
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GMC – Communication jargon buster tool
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Challenging consultation Important to have a plan in your practice Allow time and be patient Use online resources to aid the consultation
Conclusion
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GMC Learning disabilities http://www.gmc-uk.org/learningdisabilities/302.aspx
GP online – advance consultations http://www.gponline.com/advanced-consulting-consulting-patients-learning-disabilities/article/1157072
References