We support adults with learning disabilities across Kent.
The community learning disability nurses and community support workers work in a multidisciplinary team to provide nursing care for people with learning disabilities.
We work with individuals, families and carers with a wide range of abilities and needs in a diverse range of settings, providing both general and specialist care.
Healthcare
Promote equal access to healthcare
People who have a learning disability may find it difficult to recognise changes in their health, experience challenges or had previous negative experiences when attending health appointments. This can lead to inequalities and their health needs not being met.
We aim to reduce to those inequalities, reduce barriers and promote equal access to healthcare.
Some of what we do includes:
- helping to identify individual’s health needs, identifying any unmet health needs and helping and accessing healthcare support
- supporting individuals and their carers understanding the person’s health needs and liaison with primary and secondary care (such as doctors and hospitals)
- support annual health checks and health screenings such as dentist, opticians, cervical screening, breast screening
- Helping and advising around reasonable adjustments to access healthcare appointments
- development of hospital passport and distress passports.
We may signpost and make referrals to other professions such as speech and language, physiotherapy, occupational therapy, psychology, social services, other healthcare services and continuing health care.
Attending annual health check
Watch our video about attending a annual health check.
Accessible information
We provide information around health in a range of accessible formats. We develop bespoke information tailored towards the individual’s specific needs.
This can support individuals to make decisions about their healthcare and treatment.
Desensitisation
Some people can find medical interventions and environment difficult. This can be because they have had negative experiences in the past or don’t know what to expect.
We can help identify the cause of the anxiety and the barriers to accessing services.
We can support by liaising with other services to help access to healthcare appointments and environments with reasonable adjustments and developing a person-centred bespoke desensitisation programme.
Examples include:
- blood pressure taken
- having a blood test
- attending the dentist
- accessing healthcare environments.
Liaison with other services
We provide named links to services to help joint working, share expertise and promote the well-being of people with a learning disability. Services include:
- doctor’s surgeries
- mental health teams
- main hospitals
- community healthcare services.
Life changes
Transitions
Throughout a person’s life they can experience many changes, including leaving school, moving from child to adult services, moving home, changes in our health, and changes in family circumstances. Some of the things that we do include:
- support, if required, moving from child to adult healthcare services
- providing accessible information to support understanding of the changes they are experiencing
- following a dementia pathway offering baseline assessment for everyone referred who has Downs Syndrome and is aged 30 and over.
- baseline assessment for people with a learning disability if they are experiencing changes in their memory
- information or advice with appropriate age-related health screening, such as bowel screening, abdomen aortic aneurysm screening (AAA), breast screening, cervical screening etc
End of life and bereavement
Learning disability nurses can support people who are receiving end of life care in several ways:
- support at appointments, to help with asking questions, checking on referrals and follow up support.
- provide accessible information to help someone to understand to the best of their ability what is happening and to enable them to express their views and wishes and choices around their care
- provide practical support with understanding what will happen as someone becomes less well
- work with hospices, multidisciplinary teams, hospitals and community teams to provide co-ordinated care
- support people, their carers and families with Advance Care Planning, where wishes about treatment and preferred place of care can be recorded
- provide support and education to care teams in residential settings and others that live with them provide support to carers and families after death.
Living well
Sex and relationships
We support individuals who are finding maintaining and understanding relationships difficult.
We can do this this by:
- assessing what understanding and support an individual needs
- providing group sessions
- offer individual support
- signpost or make onward referrals to other services such as sexual health
- provide resources to care providers for them to use with individuals they support.
See our Apple tree page for more information.
Healthy lifestyles
Eating a balanced diet, exercising regularly and being a healthy weight can help us to live longer. It also helps to reduce the risk of us getting some diseases including cancer, diabetes, heart disease, having a stroke, osteoporosis and being overweight.
Some people need additional support to understand why a healthy lifestyle is important.
We do this by supporting individuals and carers with the following:
- providing support to help understand why we should and what we need to do to live a healthy lifestyle and what could happen if we chose not to live a healthy lifestyle
- providing sessions around how to live well
- liaison with specialist services such as doctors, diabetic specialist nurses
- signpost to other services such as the One You service. We can also support people when accessing other services.
Mental health and well-being
Sometimes people can experience changes in how they are feeling and they may need additional supporting in identifying and managing it. For some people who cannot tell others how they are feeling this can be shown as behaviours towards themselves or others.
How we can support includes:
- helping individuals to understand and manage their own emotional wellbeing
- carry out functional behaviour assessment and support carers and providers with positive behaviour support
- liaise and work with the mental health experts
- signpost and onward referral to other services.
June 2022
Weald
June 2022
Maidstone
June 2022
Total Health Excellent West PCN
June 2022
Maidstone
June 2022
Deal/Sandwich
June 2022
Paddock Wood
June 2022
Canterbury
June 2022
Tonbridge
May 2022
Tunbridge Wells
June 2022
Folkestone/Hythe/Rural
May 2022
Maidstone
May 2022
Total Health Excellent West PCN
May 2022
Tonbridge
May 2022
Edenbridge
May 2022
Sevenoaks
May 2022
Maidstone
May 2022
Canterbury
April 2022
Sevenoaks
April 2022
Tunbridge Wells
April 2022
Tonbridge
April 2022
Paddock Wood
April 2022
Folkestone/Hythe/Rural
April 2022
Faversham/Whitstable
April 2022
Tunbridge Wells
April 2022
Weald
April 2022
Canterbury
April 2022
Maidstone
March 2022
Tunbridge Wells
March 2022
Thanet
March 2022
Deal/Sandwich
March 2022
Canterbury
March 2022
Herne Bay
March 2022
Total Health Excellent West PCN
February 2022
Weald
February 2022
Tonbridge
February 2022
Westview
February 2022
Folkestone/Hythe/Rural
February 2022
Margate
February 2022
Edenbridge
January 2022
Dover
February 2022
Maidstone
January 2022
Sevenoaks
January 2022
Folkestone/Hythe/Rural
January 2022
Herne Bay
January 2022
Tonbridge
January 2022
Maidstone Weald
November 2022
Deal/Sandwich
November 2022
Canterbury
November 2022
Tonbridge
November 2022
Maidstone
November 2022
Weald
November 2022
Herne Bay
October 2022
Sevenoaks
October 2022
Faversham/Whitstable
October 2022
Tonbridge
October 2022
Deal/Sandwich
October 2022
Dover
October 2022
Ramsgate
October 2022
Maidstone
September 2022
Malling
September 2022
Folkestone/Hythe/Rural
September 2022
Thanet
September 2022
Weald
August 2022
Faversham/Whitstable
August 2022
Dover
August 2022
Tonbridge
August 2022
Sevenoaks
August 2022
Tunbridge Wells
August 2022
Maidstone
August 2022
Weald
July 2022
Canterbury
August 2022
Edenbridge
July 2022
Maidstone
July 2022
Margate
July 2022
Herne Bay
July 2022
Sevenoaks
July 2022
Deal and Sandwich
July 2022
The Marsh
July 2022
Ashford
July 2022
Weald
July 2022
Tonbridge
July 2022
Ashford Rural
July 2022
Folkestone/Hythe/Rural