Evidence and Practice
Why you should read this article: • To enhance your knowledge of Helicobacter pylori infection and its potential adverse effects • To recognise the signs and symptoms of H. pylori infection which should prompt testing • To learn about a community learning disability team’s experience of H. pylori testing and treatment Helicobacter pylori infection is much more prevalent in people with learning disabilities than in the general population. It can have negative effects on people’s health and well-being, including gastritis, gastric ulcers and gastric cancer. It is also likely to be a precipitating factor in aspiration pneumonia, which is the leading cause of death in the learning disability population. In recent years, a community learning disability team has supported the diagnosis and treatment of H. pylori infection in the people it cares for by identifying signs and symptoms and requesting testing from GPs. This article describes the prevalence, adverse effects, signs and symptoms, testing and treatment of H. pylori infection. It also discusses 14 patients from the team’s caseload and considers unresolved questions about testing and treatment.
Why you should read this article: • To understand the discrimination experienced by people with a learning disability who cross-dress • To learn techniques to support people with learning disabilities who want to cross-dress • To familiarise yourself with gender issues in the context of people with learning disabilities People with a learning disability who identify as lesbian, gay, bisexual, transgender, queer or as a cross-dresser can experience multiple layers of discrimination and experience numerous challenges in having their needs met. This article describes a group that was set up to support five men with learning disabilities who wanted to cross-dress. The aim of the group – called Being Me – was to offer the men support, education and empowerment. The article includes case studies to illustrate the men’s experiences of being part of the support group.
Supporting service users to receive end of life care from people they are familiar with
Identifying areas that can be addressed to reduce the turnover of staff
In this population, functional loss could be an early indicator of dementia
An exploration of the role of the Admiral Nurse in learning disability services
Service-user narratives can support people with learning disabilities to access care
Malnutrition is a serious risk, but is under-recognised in this population
Increase your awareness of how to make venesection a positive experience for service users
Enhance your understanding of the need to reduce the use of restrictive practices
A refresher on nurses’ responsibilities in relation to providing end of life care
Cultural safety and how it can help nurses care for people with a learning disability