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Student number 11005332
PRNG 1001
Summative Assignment on Learning Disabilities Scenario
Word Count 2118

Contents Page
PAGE 1- Title page
PAGE2-Contents page
PAGE 3 Professional values and beliefs
PAGE 5- How best to communicate with James and the interpersonal skills a nurse needs to be able to communicate effectively. PAGE 6- What James needs are in relation to the scenario.
PAGE 7- Promoting James’s health and wellbeing in the scenario. PAGE 8 – Pros and cons of James going into residential care while his mother Betty is in hospital. PAGE 9 - What I have learned in relation to caring for James in the learning disabilities scenario. PAGE 10- Conclusion

PAGE 11- References
Appendix A, Learning disabilities scenario
Appendix B, Maslow’s Hierarchy of Needs.

Introduction
This essay will focus on the Learning Disabilities scenario because I have worked with people with learning disabilities for a number of years. The assignment will focus on why it had been suggested that James goes into a residential care home while his mother is in hospital. (See Appendix A) I will maintain confidentiality throughout my assignment as stated in the Nursing and Midwifery Council Guidelines for Students of Nursing and Midwifery (2009). The assignment will look at the key professional values and beliefs that underpin safe, person centred and evidence based nursing practice. The essay will focus on how I would look at the scenario as a qualified nurse. I will also where possible consider Betty’s rights as my patient and as James’s mother. The values and beliefs of James are, I feel, of paramount importance but I also think his safety is too. The Department of Health, (2009) says that people who have a Specific Learning Disability should have the same human rights as everyone else. Professional values and beliefs in relation to the learning disabilities scenario. The Social Care Institute for Excellence (2007) states that between 12-17% of people with learning disabilities can show behaviours that challenge. These can include self injury/harm, physical aggression, and sexual behaviours and some people even commit crimes that are against the law. Service Users with a specific learning disability can be quite challenging to look after but I feel it is crucial to identify and meet their needs, both in terms of safety and health. Nursing and Midwifery Council (2008) states that nurses have a duty of care to act in the best interests of their patients and work with other’ s to protect and promote health and wellbeing to those in care, their families and the wider community. It is important to ensure that James is kept safe and his health care needs are met. In this scenario, James’s mother is the patient but she is concerned about her son so it is also important that she is reassured about his safety and wellbeing. James’s rights should be taken into account however; his entitlement to be involved in the decision could be over looked by hospital professionals in their need to reassure their patient (Betty) because her needs and wishes also need to be taken into account. This could lead to the view that it would be in James’s best interest to go into care until his mother is better and able to care for him or stay at home with help and support. James has a right to decide where he wants to live. The DH (2009 np) states that: “People with a learning disability and their family should get a say about what support and care they need”. It is important that James’s care needs are taken into consideration and that someone from the multi-disciplinary team takes the time to sit down with James and find out what his views and wishes are and also what capacity he has to understand the situation. THE multi-disciplinary team has a variety of professionals with differing prospective about this scenario. Nurses should be able to provide reasonable services by themselves and as part of a multi-disciplinary team Peate (2012). The Mental...
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