Health Promotion
This paper will discuss the health promotion role of learning disability nurse when supporting a person with a learning disability to access cancer screening programmes. Barriers to health inclusion will be discussed and how the nurse can assist in reducing these inequalities with the use of current legislation.
The World Health Organisation (1986) defines health promotion as “a process of enabling people to have control over the determinants of their health in order to achieve physical, mental and social well-being”. Health promotion covers a broad spectrum of activities, all working towards achieving positive health and wellbeing of individuals, groups, and communities (Gates & Barr, 2009) . Health promotion encompasses
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Public Health England (PHE) currently have three national cancer screening programs. Bowel screening (PHE, 2015a), breast screening (PHE, 2015b) and cervical screening (PHE, 2015c). However, there is a low uptake of these services from people with learning disabilities (Emerson & Baines, 2010). Joel & Marcellino (2016) research, highlights that people with a learning disability face barriers at cancer screening, at both a national and a local level. Nationally, there is no flagging systems to identify if a person had a learning disability before sending out invitations to screenings. Inclusion may be improved if information was sent in an accessible format to those who require it. At a local level, General Practitioners have no obligation to include cancer screening in the annual health checks, although early detection and treatment could improve outcomes, while potentially saving money (Royal College of General Practitioners, 2012).
Read et al. (2010) discusses obstacles faced by people with a learning disability when receiving a Fecal Occult blood test. It was observed that the test wording was to scientific with limited support to complete the test. Other barriers include, a lack of opportunities to discuss bowel cancer and a lack of staff training in the subject.
Willis (2016) identified several barriers that reduce the participation of women with a learning disabilities in attending breast screening, including ill health and
Valuing People: A New Strategy for Learning Disability in the 21st Century’. Published 2001 The Protection of Vulnerable Adults Scheme (POVA) for England and Wales. Published 2004.
‘Anna Walker and David Behan, Inspectors of the Health and Social Care Commission recently launched an audit of all services for England for people with Learning Disabilities.’
In line with The Data Protection Act 1998 to protect the confidentiality of my service user I will identify her with a different name. Carol is a 28 years old female who was born with Spina bifida which has resulted in her suffering from total paralysis of the legs and has also affected her bowels and ability to urinate leaving her doubly incontinent and dependant on catheterisation, Carol uses an electric wheelchair to enable her mobility and requires 2:1 care with daily living activities involving personal care, as well as her physical disability Carol also has learning disabilities due to a diagnosis of Hydrocephalus which is a result of excess fluid build up on the brain which causes pressure and can damage the brain, this is being treated with a shunt. Carol also has Oral-Dyspraxia and although she is able to communicate well staff need to ensure that they communicate at the required pace for her as she sometimes pauses for a while and speaks slowly, she also has limited vision as she wear a prosthetic eye and when communicating with Carol staff must hold things up to her right eye to enable her to see them properly. Although Carol depends on fulltime support she likes to maintain her independence as much as possible and it is important that staff encourage her to do so.
In the past most of the people with learning disabilities suffered regularly from discrimination. All to often people with learning disabilities aren't considered worth living and they are the subject of
The day to day experiences of individuals with learning disabilities and their families are affected by the policies and legislations in place because it provides rights and entitlements for the individuals and their families. Furthermore, these rights are upheld and protected from discrimination which is very important as it gives them more opportunities. In addition to this, by offering as person-centred care it gives the individual the choice of their care and how they receive it which gives them the freedom of how they would like to live. Moreover, the policies gives the individuals an equal opportunity to access public services, employment and health care which also relates to them being able to live within their community. This is because
OUTCOME 1 Understand the legislation and policies that support the human rights and inclusion of individuals with learning disabilities.
Gurney et al (2006) and Nocon (2006) both acknowledge that children with learning disabilities have a greater need for the health services compared to the general population and this high level of need extends into adulthood. A recent Confidential inquiry into premature deaths of patients with LD has found that the average age of death of people with LD (sixty-five years for males and 63 years for females) as being significantly less than the United Kingdom population of seventy-eight years for men and eighty-three for women (Heslop et al
The National Disability Insurance Scheme (NDIS) is being implemented to provide long term, high quality support to people with a permanent disability that significantly affects their communication, mobility, self-care or self-management. The Scheme focus on intensive early intervention, particularly for people where there is good evidence that it will substantially improve functioning, or delay or lessen a decline in functioning and comprehensive information and referral service, to assist people with a disability who need access to mainstream, disability, specialist and community supports. (Nursing and Midwifery Board of Australia, 2008)
The three health promotion approaches individual, community or organisational and public policy and practice can all be applied in a health promotion setting.
The Ottawa Charter for Health Promotion, 1986, defined Health Promotion as being ‘the process of enabling people to increase control over, and to improve, their health’. There are three key approaches to HP. The first one looks at population subgroups. It is well documented that not all cultures view health as a prime goal. For example, an addict will chose to facilitate his habit over basic sanitary and physical necessities. The ‘population subgroup’ approach looks to focus on targeted solutions for smaller groups
Health promotion is a process that enables clients to control and improve their health. It includes education and preventative medicine. The better educated a client is the more likely they are to take steps to protect their health. The key is to promote wellness and healthy lifestyles especially in the poor and underserved communities who may not have access to adequate healthcare and education. Some examples of health promotion activities would be cholesterol screenings, general health screenings, back injury prevention programs, blood sugar screenings, and hypertension screenings. The health fairs we participate in are perfect examples of health promotion activities in the community that serve people that may not otherwise be screened.
Within the past year, teachers at my little sister’s school have started suspecting that she may have dyslexia. She has yet to be tested, but it will be happening soon. She has always had issues with reading, but never thought this would be why. However, if the tests come back, and they do say that she has dyslexia, that is not going to hold her down. She will still be able to conquer anything that she sets her mind to. Having a disability does not hold any person back from being able to succeed anything they want to. With the proper help, instruction and motivation, any student with a disability can be successful. Being different does not make you incapable. That is also something that I got from the PowerPoints.
The impacts of health promotion are healthy population and healthy environments. People need to commit themselves in strengthening their learning skills and to change their necessary life styles in order to improve their health.
Discuss the effectiveness of a range of health promotion strategies in relation to young people (6 marks)
The central value of equality focuses on the attainment of an inclusive society that enables people with disability to reach their potential as equal, active and participating citizens while promoting equality of opportunities, financial stability, accommodation, employment and social participation. As a result of the value of human equality, social inclusion emerged as an essential value across policies. Social inclusion is recognised across policies as a foundational belief that disabled individual are active, included and valued members of society, therefore strategies have been implemented to increase their involvement in society. For example a central vision of the NDS aims for “people with disability to live in accessible and well designed communities with opportunity