Health Inclusion Issues and Health Promotion Roles for Nurses - Essay Example

? POSTER VISUAL PRESENTATION Number Faculty Lecturer May 31, The Identified Health Inclusion Issue Nursing is a vastand vociferous field whose perpetual importance is indisputable. For this reason, it is important to realize that there are gargantuan amounts of health inclusion issues that arise in the nursing profession for which nurses have to constantly deal with. The health inclusion issue that has been identified is behaviour that challenges among disabled persons. Significance of the health inclusion issue to the public Overview: It is good to indicate now that having a balanced society that encompasses and addresses the needs of all members of the society is paramount. It is vital todeliberate on assistive approaches that learning disability nurses are required to apply when dealing with adults who are slow in grasping important life skills mainly due to challenges in their physical, medical or social-psychological issues. Additionally, it is also important to note that while dealing with these adults, various challenges are bound to occur. Access to medial healthcare: In this poster, there are various facets that emanate and are evidential for which the public needs to know and be educated concerning. To start with, persons with any form of disability have a right to medical care. Therefore, a constant medical check-up is paramount to ascertain their health condition is upbeat. A sluggish or brisk behavioural change in people with physical, mental and/ or socio-psychological is an occurrence that needs consideration and education to the public at large. Learning disability and love: There is no single human being that does not have an inborn urge to be loved and thus inclusion of members of the society by provision of necessary support is tantamount for an all-round social setting. It is important to educate the community on various behavioural changes and challenges that they are bound to encounter while associating with learning disability persons. This category of people is more likely to get easily irritated as they see others looking down on them. Relevance of topic to learning disability nurse Learning disability persons and segregation: When some members of the community find that, there is a retarded person in their neighbourhood, they are more likely to segregate that family and thus depriving that family the much-needed moral support (Wadsworth et al. 2007; Regmi, Naidoo and Regmi 2009). Learning disability nurses have the role of educating the parents as well as the public within the area on this matter and train them on what support they can offer to the individual and family as a whole to avert stigmatization (Purnell 2008). Learning disability persons and violence: Due to potential of this category of persons becoming relatively violent due to notion of segregation, the learning disability nurses therefore need to realise and act accordingly to contain such irritation. On the top right of the poster is a portrait of a nurse who was bitten by an irate individual with learning disability following a brief confrontation and such incidences may be inevitable and might arouse exasperation in health professions leading to negligence by these learning disability professionals as evidenced on the bottom left portrait on the poster. Learning Disability and inclusion: For close to a quarter of a century, UK has seen a gradual but steady rise in poverty level that doubled as of mid-1990s (Purnell 2008) accounting for about 600,000 poverty-stricken families. Of this, 200,000 were families that had their parents possessing some form of disability (Purnell 2008). This gives learning disability nurses a clue of the weight of the issue and devotion it needs by applying necessary skills and tools to avert this trend by empowering people with learning disability. Health Inclusion Issues and Health Promotion Roles Access to proper healthcare and Mental Capacity Act: “Traditional theories in addition to emerging theories” on health and social inclusion issues have been both vivacious as well as robust (Wendy and McIlveen 2009, p. n. pag). Wendy and McIlveen (2009) continue to argue that intervention and health inclusion on this matter is tantamount to propagation and securing future of these adults. According to Michael (2008) on Mental Capacity Act, when a mother is incapacitated due to mental or learning disability, with ample proof from a medical expert, it therefore translates to means that parent lacks adequate ability to support the family as required. Based on Mental Capacity Act of 2005, it is the right of person to have access to proper support in all facets of life. It is the role of learning disability nurses to ensure that despite the prevailing financial and behavioural challenges posited by these individuals, they still get proper medical attention. According to the Mental Capacity Act of 2005, it is the right of persons with mental disability or learning disability to access proper healthcare. Learning disability and irritation: People with learning disability are prone to irritations especially when confronted with questions that are intended to get some details that they ought to know yet they cannot remember. Confrontation only raises tension that can fuel irate behaviours. Properly trained learning disability nurses have a role to know the kind of approach they can use to get information from such persons without necessarily arousing confrontation with these persons. Learning disability and community education: Members of the community may experience challenges associating with such a person due to unpredictable behavioural changes and may be driven to the verge of mob justice. With this in mind, it is therefore the role of a learning disability nurse to teach the community on various aspects that people with learning disability are likely to possess. Learning disability and behaviour changes: Their behaviours may start changing gradually or briskly and may affect members of the community in various levels (Michael 2008). Over time, these behavioural changes may become a hindrance to communication. Take for example; if an individual becomes irritated on being asked a question, s/he may result to violent acts like battering or use of abusive or provocative words that are likely to arouse aggression (Parra-Medina 2011). The learning disability nurse has a role to the community to communicate potential sources of aggression and confrontation while dealing with learning disabled persons within the community as well as ways and means of quelling squabbles. Learning disability and denial of healthcare services: To some extent, it seems like Black and Bahl (2010) advocates for creation of special medical facilities where these category of persons can attend and have their medical care attended there, an issue that Estrada-Hernandez et al. (2008; Wendy and McIlveen 2009), Shasby and Schneck (2005; Zipp and Olson 2010) and Glasgow et al. (2012) vehemently disapprove with. In their reaction, Estrada-Hernandez et al. (2008; Wendy and McIlveen 2009), Shasby and Schneck (2005; Zipp and Olson 2010) and Glasgow et al. (2012) argue that this kind of segregation tends to have a negative effect on the overall attitude of the individuals in as far as relationship and life as a whole is concerned. For this reason, segregation is likely to aggravate the situation since these people will shun attending medical check-up, as the community members will start pointing fingers at them as they attend or leave the segregated health facility. It is the role of learning disability nurses to voice and advocate for the rightful treatment of these people. Learning disability and workplace burnout: The challenges brought about in dealing with people with learning disability can cause burnouts in many institutions where they are attended (Banerji and Krishna 2000; Hollis, 2000; Kuruzm et al. 2008; Gill et al. 2006; Jamal and Baba 2000; Zopiatis and Constanti 2005; Zopiatis and Constanti 2009). This is because, explaining to these people various issues takes time for them to grasp and thus repetition and patience is a virtue that is demanded of all that interact with people with learning disability. Learning disability nurses therefore act as mediators in this regard. For this reason, it is therefore imperative to have trained learning disability nurses in conjunction with behavioural therapist in both community setting and the health facilities at large. The presence of learning disability nurses makes it possible to create innovative as well as effective approaches based on the needs of these individuals that have been identified and thus the individuals can be accommodated in the health facility and at community level(Michael 2008) and (Zipp and Olson 2010). Some conditions may require services of various specialists ranging from “physical therapists (PT) to occupational therapists (OT) to speech language pathologists (SLP) to behavioural change therapist (BCT)” (Zipp and Olson 2010, p. 83) in addition to learning disability nurses. According to Healthcare For All Act of 2008, it is imperative and a right for all persons, including those with learning disability as defined and explicated under Disability Discrimination Act of 2005 and Mental Capacity Act of 2005, to access medical healthcare services (Greater London Authority 2002) and (Michael 2008). Learning disability nurses therefore have the mandate to ensure that individuals with learning disability are not maltreated or neglected while attending healthcare facilities or have appointments as inpatients or outpatients. Learning disability and multifaceted tool for community education: The learning disability nurses are engaged in during their work in these institutions various roles. According to Parra-Medina (2011), learning disability nurses have a mandate of formulating upbeat “low-cost programs” that can be easily adopted and integrated in various healthcare facilities and / or community setting (p. 1915). These programs ought to be “ethically tailored educational materials” which can be in form of CD-ROM with audio-visual capabilities and easy learning tools (Parra-Medina 2011, p. 1916). This multifaceted tool aids in identification of some underlying issue within the community setting as well as any identification of any medical condition that might need specialised care as well as ensure that these people get superfluous medical care. Learning disability and medical follow up: It is also expected under Healthcare For All Act of 2008 that any approach that is so adopted, should be such that it is patient-centred medical-home initiative (Stange et al. 2010; Glasgow et al. 2012, p. 497). In as far as technology and medical care is concerned, United Kingdom holds the record for the most electronically buoyant data capture accounting for over 95 % of their patients that has dramatically improved patient medical attention (Davis et al. 2009; Glasgow et al. 2012, p. 497). Technology aids in easing tutorial and follow-up tool that ease congestion in health institutions as well as personalised medical check-up for people with learning disability that might include home visits by learning disability nurses. Learning disability and associated environmental risks: Kennedy et al. (2010) on ergonomic training posits that these health inclusion issues demand “adjustments in the healthcare environment and thus redesign coupled with clinical interventions like behavioural change therapies in addition to disability management programs” (p. 128, 130). According to Healthcare for All Act of 2008, it is required that paraprofessionals get necessary training that can help in management (Michael 2008). These paraprofessionals can help in risk assessment and alleviation (Michael 2008). Purnell (2008) on health and safety note that individuals with learning disability tend to be brittle in association, conduct, and thus reasonable adjustments with this in mind is important. This calls for involvement of qualified professionals in various fields as per the need in risk mitigation strategies and improvement of living environment for these individuals (Purnell 2008). Learning disability, Love and Law: Additionally, referring to the poster earlier on, a disturbing question emanates asking whether such an individual would be loved more if they were to feed from a dog’s plate, a persuading need to be loved and treated equally like the rest in all facades of life and mostly in healthcare institutions. Negligence by nursing and medical professionals is catastrophic with possible legal ramifications since it is the right of every person to have adequate access to medical services as well as such persons being treated with due diligence without discrimination of any kind whatsoever. Despite these adults with learning disabilities throwing tantrums on relatively petty things, the law is quite clear on the way every person should be treated while neglect of this may lead to stringent legal ramifications. Learning disability and surmounting inclusion: Finally, the learning disability nurse has to educate other medical professionals and the community at large, of the legal requirements in as far as interacting with these individuals is concerned. This warrants an all-round healthy community setting that takes good care of all facades of its entitlement. Conclusion In conclusion, there is overwhelming evidence that the need for learning disability nurses is paramount especially in community education in dealing with persons with learning disability. It is for this reason that learning disability nurses need to be included in community settings to educate the community in as far as dealing with persons with learning disability is concerned. It is also noted that people with learning disability are more susceptible to irritations especially when asked questions that they ought to know but they find that they do not have an answer to such questions. Learning disability nurses have the mandate to teach the community on conflict resolution to ensure subtle living with persons with learning disability. It is the right of every person, with or without any disability, to access proper medical care and to be treated with dignity despite possible miniature intolerance stances by such individuals may portray. 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