Intellectual Disability: Changes and Considerations
When supporting individuals with intellectual disabilities, various aspects such as assessment, treatment, communication, and healthcare access require careful consideration. Understanding the need for appropriate communication styles, longer time frames, and the complexities of managing comorbidities and polypharmacy is crucial. Additionally, emphasizing regular health assessments and the importance of addressing missed health conditions is key to providing comprehensive care. Explore resources on Medicare item numbers, polypharmacy concerns, and the value of annual health checks to enhance support for individuals with intellectual disabilities.
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Presentation Transcript
What if [Your patient/client/Person s name] has an intellectual disability? What changes? What stays the same?
Changed? The same? complexity? Need for: Assessment Treatment Comorbidity Polypharmacy Presentation Trauma Communicating, rapport and respect Communication style Time frame
Further reflections Missed health conditions are common Value of annual health checks https://eshop.uniquest.com.au/chap/
Resources tg.org.au
Resources Medicare item numbers Item name Health assessment MBS numbers 703 - 30 40 min 705 - 45 60 min - Long 707 - >60 min - Prolonged 721 and 723 732 735 739 - >20 min - Longer 2715 2717 - >40 min - Longer 2712 Frequency 1/yr Care plans New Care plan Review of care plan Case conference 1/yr Every 3 months Every 3 months for Chronic disease Team care Arrangements 1 Mental health Mental health plan Mental health review 2: - 4 weeks after plan is made - 3 months after that Unlimited 1 No limit Mental health consultation Asthma Asthma Home visits (every 4 weeks) Or via telehealth Medication review Home Medicine Review GP item Home Medication Review GP referral to Pharmacist Nurse item Bulk billing Nurse item 2713 2552 24 36 >20 min Longer 900 1/yr or following significant change in person s condition 1 245 10990 Unlimited; add to each appointment
Polypharmacy and restrictive practices Common in people with intellectual disability Consider anti-cholinergic burden: Especially people with Down syndrome What do you do? NHS England Stopping over medication of people with a learning disability, autism or both (STOMP)
