Evidence and Practice

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Clinical

Helicobacter pylori testing and treatment: experience and reflections of a community...

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.

Setting up a support group for men with learning disabilities who cross-dress

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.

Preserving familiarity: the care needs of people with intellectual disabilities at the end of life

Preserving familiarity: the care needs of people with intellectual disabilities at the...

Supporting service users to receive end of life care from people they are familiar with

Predicting staff turnover in learning disability social care services

Predicting staff turnover in learning disability social care services

Identifying areas that can be addressed to reduce the turnover of staff

Functional loss in older adults with intellectual disabilities and dementia

Functional loss in older adults with intellectual disabilities and dementia

In this population, functional loss could be an early indicator of dementia

Role of Admiral Nurses in supporting people with learning disabilities and dementia

Role of Admiral Nurses in supporting people with learning disabilities and dementia

An exploration of the role of the Admiral Nurse in learning disability services

CPD articles

Exploring the use of service-user narratives to improve care

Exploring the use of service-user narratives to improve care

Service-user narratives can support people with learning disabilities to access care

Managing malnutrition

Identifying and managing malnutrition in people with learning disabilities

Malnutrition is a serious risk, but is under-recognised in this population

Performing venesection in a person with a learning disability

Performing venesection in a person with a learning disability

Increase your awareness of how to make venesection a positive experience for service users

Reducing the use of restrictive practices by applying a human rights-based approach

Enhance your understanding of the need to reduce the use of restrictive practices

Holding hands

Symptom management at the end of life for people with intellectual disabilities

A refresher on nurses’ responsibilities in relation to providing end of life care

Using cultural safety to enhance nursing care for people with a learning disability

Using cultural safety to enhance nursing care for people with a learning disability

Cultural safety and how it can help nurses care for people with a learning disability

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