disability nursing into the future · (2010). stronger together, a new direction for disability...
TRANSCRIPT
Disability Nursing
into the Future
Janice Jankovic. Clinical Nurse Consultant Met North
Sue Crux. Nurse Unit Manager. Norton Road - Specialist Supported Living
Acknowledgement – Geoffrey Lockwood. Learning & Development Officer. Metro Residences.
What is a Nurse?
They are a licensed health-care professional who practices independently or is supervised by a doctor. They are skilled in promoting and maintaining health and work with clients who’s primary diagnosis is Intellectual Disability.
(Webster Dictionary. 2011)
Nurses’ scopes of practice
The role of the nurse is constantly changing and developing in response to the health needs of the population, advancements in nursing knowledge and changes in the health care system.
(NSW Nurses Association. 2011)
Look how much we have changed.
Katherine Apanowicz as Rose & Shirley Cheriton as Katie Smart from TV show from the 70’s Angels.
Higher levels of education in nursing
.
What do Nurses do? They perform comprehensive assessments,
observations and deliver appropriate treatments.
The Nurse understands the diagnosis and implication.
Plans, implements and evaluates. Documents accurately. Legal and social consequences of treatment. They provide holistic management of clients. They liaise with multiple services. Respected.
Disability Community Nurse
Assess Health Care Provides Health Care Planning Supports clients in General / Psychiatric
Hospital settings Education to clients, families, carers and ADHC
staff. Interagency Liaison. Monitors and updates clinical practice.
National Registration
A picture is
a thousand words
(Westmead Children’s Hospital –Community Ventilation flyer. 2011)
Norton Road Specialist Supported Living Service Model - Specialist Supported Living
Norton Road Specialist Supported Living Accommodation Model - Cluster Housing
Value of Nurses
Regulated workforce – National Registration / Enrolment National Professional Standards, Codes and Guidelines Demonstrated competence to practice - knowledge, skills,
attitudes, values and abilities (confidence and capability) Flexible and adaptable to changing society expectations
and knowledge base In high demand worldwide Many Intellectual Disability Nurses have significant
experience and skills to pass on to younger staff
Nurses Roles in Specialist Supported Living Holistic (whole of life) care Identify and meet needs Provide nursing care and support Promote healthy lifestyles Maintain a healthy environment
Whole of life care
Health Self esteem Life purpose Relationships Environment Work, leisure Spirituality Culture Social inclusion Personal development
Identify and meet needs
Challenges Complex communication needs Cognitive impairment Atypical presentations Genetic, physical and physiological abnormalities Multiple medical conditions Multiple medications Behavioural issues (e.g. non-compliance with diagnostic
tests, interventions and treatments)
Provide nursing care and support
Assess, plan, implement and evaluate care Collaborate with residents, families and other
stakeholders Liaise with other health care professionals Provide interventions, treatments and therapies Provide needs-based support Supervise & coordinate the work of other staff
Promote healthy lifestyles Diet, exercise Skills building (personal competence) Good personal hygiene Person Centred Planning (Lifestyle Planning) Facilitate clients to achieve individual goals Promote social contacts and friendships Facilitate participation in recreational and leisure
pastimes Facilitate community participation and integration
Maintain a healthy environment
Normalised (home) environment Minimise stress Consistent routines (flexible when required) Supportive staff Meaningful activities Safety and security (risk management) Least restrictive approach Opportunities for choice & decision making – promote
independence
Norton Road Specialist Supported Living
Conclusion
Intellectual Disability nursing requires a combination of conventional nursing skills and unique skills relating to the needs of our clients.
Multi tasking our practices Provision of skill development These skills are extremely important to the quality of life
for people with a developmental disability and there is a rapidly increasing appreciation of this both in Australia and overseas.
“Owning our practice” Disability Nurses Valued as practitioners, managers,
educators researchers and policy makers
Bibliography An Bord Altranais. (2011). A day in the life: Intellectual Disability Nurse. Retrieved on 25th
September, 2011. From http://www.nursingboard.ie/en/day_life-intel_disability_nurse.aspx Australian Nursing Federation. (2011). Future of Australian Health. Retrieved on 25th
September, 2011. From http://www.anf.org.au/html/topics_futureaus.html Centre for Developmental Disability Studies.(2006). Health Care in People with Intellectual
Disability, Guidelines for General Practitioners, Department of Aging Disability & Home Care. General Practice Queensland. (2011). Nursing in General Practice. Retrieved on 22nd
September. 2011. From: http://www.gpqld.com.au/page/Programs/Nursing_in_General_Practice_/
Harris. P, Nagy. S.,Vardaxis. N. (2010). Mosby’s Dictionary. Elsevier. Sydney NSW Government. (2010). Stronger Together, A new direction for disability services in NSW:
2006-2016. NSW Government. NSW NSW Government.(2009) DADHC PART D Service Specification, DADHC 07.68 Invitation to Pre-qualify: Panel of Providers, Accommodation Support Services for People with a
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Family and Community Services, Ageing Disability and Home Care. NSW Government. NSW NSW Nurses’ Association. (2009). Professional Nursing Practice Fact Sheet Series, Scope of
Practice. Retrieved on 26th August, 2011 from: http://www.nswnurses.asn.au/news/25838.html Professional Association of Nurses in Development Disability Areas (Aust) Inc. (2007). Health
and People with Developmental / Intellectual Disabilities. Position Statement. PANDDA. Parramatta.
Professional Association of Nurses in Development Disability Areas (Aust) Inc., (2002). Standards for D3evelopmental Disability Nursing. PANDDA. Parramatta.
What’s new for Nurses. (2011). The Clinical Ethics Resources. Retrieved on 20th September, 2011. From: http://www.caresearch.com.au/caresearch/tabid/1605/Default.aspx