Disability Nursing into the Future

Transcription

1 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.

2 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)

3 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)

4 Look how much we have changed. Katherine Apanowicz as Rose & Shirley Cheriton as Katie Smart from TV show from the 70 s Angels.

5 . Higher levels of education in nursing

6 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.

7 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.

8 National Registration

9 A picture is a thousand words (Westmead Children s Hospital Community Ventilation flyer. 2011)

10 Norton Road Specialist Supported Living Service Model - Specialist Supported Living

11 Norton Road Specialist Supported Living Accommodation Model - Cluster Housing

12 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

13 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

14 Whole of life care Health Self esteem Life purpose Relationships Environment Work, leisure Spirituality Culture Social inclusion Personal development

15 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)

16 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

17 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

18 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

19 Norton Road Specialist Supported Living

20 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

21 Bibliography An Bord Altranais. (2011). A day in the life: Intellectual Disability Nurse. Retrieved on 25th September, From Australian Nursing Federation. (2011). Future of Australian Health. Retrieved on 25th September, From 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 From: 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: NSW Government. NSW NSW Government.(2009) DADHC PART D Service Specification, DADHC 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: 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, From: