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

Disability. NSW Government. NSW   NSW Government. (2011).Innovative Accommodation Support Options for NSW Department of

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