Evidence and Practice

Clinical

Learning disability nursing in a remote and rural location: benefits and challenges

Why you should read this article: • To understand the unique demands on learning disability nursing in remote and rural locations • To consider the barriers that can affect care in rural areas, such as lack of access to specialist services • To appreciate the need for innovation and creative solutions when working in remote locations Learning disability nursing in remote and rural locations can often be challenging, in part due to limited resources and access to services, but it can also be highly rewarding. This article describes the benefits and challenges of learning disability nursing in Shetland, a remote and rural location that comprises a group of islands north of the Scottish mainland. It also includes the reflections and insights of a nursing student who completed a nine-week placement on Shetland, to provide another perspective of learning disability nursing in this setting.

Exploring the short-term impact of using the Learning Disability Screening Questionnaire in a service for people experiencing homelessness

Using the Learning Disability Screening Questionnaire for homeless people

Homeless services may not recognise service users’ intellectual disabilities

Forensic risk assessment in people with learning disabilities: principles and process

Forensic risk assessment in people with learning disabilities: principles and process

The process aims to provide a nuanced understanding of factors that may lead to offending behaviour

Promoting oral health for people with learning disabilities

Promoting oral health for people with learning disabilities

How interventions such as desensitisation and reasonable adjustments can address challenges

How to support adherence to medicines among people with learning disabilities

How to support adherence to medicines among people with learning disabilities

A strategy is needed that includes education, reasonable adjustments and medication reviews

Supporting people with learning disabilities and a fear of needles to receive the COVID-19 vaccine

Supporting people with learning disabilities and needle phobia to be vaccinated

How a desensitisation programme was used to prepare people for the COVID-19 vaccination

CPD articles

 Obesity and nutrition: supporting positive dietary behaviour change in people with learning disabilities

Supporting positive dietary behaviour change in people with learning disabilities

The importance of nutrition as a controllable factor in preventing long-term conditions

Rare epilepsy syndromes: understanding treatment goals and management challenges

Rare epilepsy syndromes: understanding treatment goals and management challenges

How nurses can provide adequate care and support to service users, family members and carers

Supporting people with learning disabilities to attend general practice appointments

Supporting people with learning disabilities to attend GP appointments

Learning disability nurses' role in supporting people with learning disabilities in primary care

Responding to distressed behaviour at the intersection of learning disability and neurodivergence

Distressed behaviour at the intersection of learning disability and neurodivergence

The need to reframe behaviours that challenge as expressions of distress or unmet needs

Conducting mental health assessments of people with learning disabilities

Conducting mental health assessments of people with learning disabilities

Advice on overcoming communication issues and cognitive impairments to conduct an effective assessment

Ensuring effective communication when undertaking a systematic health assessment

Ensuring good communication when undertaking a health assessment

How a systematic assessment works in practice and skills nurses use to engage service users

Practice question

Photographs of quilt squares brought together in the form of a mosaic or eQuilt: arts and crafts activities can stimulate discussion on mental health and well-being

Learning disabilities: can arts and crafts help mental health?

Arts and crafts activities can stimulate discussion on mental health and well-being

Illustration of therapeutic untruths shows two seated people talking, the woman has her arm on the man's shoulder and a voice bubble has a tick in it, but her thought bubble has a cross in it

Are therapeutic untruths acceptable when talking to a person with a learning disability?

While no one wants to tell direct lies, therapeutic untruths can be beneficial

Photo shows nurse talking through a health action plan with a woman with learning disabilities and a family member: health promotion can be used collaboratively by nurses and people with learning disabilities to empower and reduce health inequalities

What is health promotion and how can it be used with people with learning disabilities?

Tailoring health education to specific needs can empower people and reduce inequalities

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