Rose Kennedy ST3
Definition of learning disabilities Mental capacity act Tips for consultations Resources to use
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
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
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
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 Use websites such as easily accessible health information leafletshttp://
Challenging consultation Important to have a plan in your practice Allow time and be patient Use online resources to aid the consultation
GMC Learning disabilities uk.org/learningdisabilities/302.aspxhttp:// uk.org/learningdisabilities/302.aspx GP online – advance consultations consulting-consulting-patients-learning- disabilities/article/ consulting-consulting-patients-learning- disabilities/article/