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Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence

OBJECTIVES: People with intellectual disability are vulnerable in terms of health service provision due to increased comorbidity, higher dependency and cognitive impairment. This review explored the literature to ascertain what reasonable adjustments are evident in acute care to support people with...

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Autores principales: Moloney, Mairead, Hennessy, Therese, Doody, Owen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903074/
https://www.ncbi.nlm.nih.gov/pubmed/33619184
http://dx.doi.org/10.1136/bmjopen-2020-039647
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author Moloney, Mairead
Hennessy, Therese
Doody, Owen
author_facet Moloney, Mairead
Hennessy, Therese
Doody, Owen
author_sort Moloney, Mairead
collection PubMed
description OBJECTIVES: People with intellectual disability are vulnerable in terms of health service provision due to increased comorbidity, higher dependency and cognitive impairment. This review explored the literature to ascertain what reasonable adjustments are evident in acute care to support people with intellectual disability, ensuring they have fair access and utilisation of health services. DESIGN: Scoping review. SETTING: Acute care settings. METHODS: Five databases were systematically searched to identify studies that reported on the implementation of reasonable adjustments. Authors worked in pairs to screen studies for inclusion, data were extracted and charted and findings were synthesised according to content and themes. RESULTS: Of the 7770 records identified, six studies were included in the review. The volume of evidence was influenced by specific inclusion criteria, and only papers that reported on the actual implementation of a reasonable adjustment within an acute care setting were included. Many papers reported on the concept of reasonable adjustment; however, few identified its applications in practice. CONCLUSIONS: The scoping review highlights a lack of research on the practice and implementation of reasonable adjustments within acute care settings. There is a need for increased support, education and the provision of intellectual disability specialists across acute care settings.
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spelling pubmed-79030742021-03-09 Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence Moloney, Mairead Hennessy, Therese Doody, Owen BMJ Open Communication OBJECTIVES: People with intellectual disability are vulnerable in terms of health service provision due to increased comorbidity, higher dependency and cognitive impairment. This review explored the literature to ascertain what reasonable adjustments are evident in acute care to support people with intellectual disability, ensuring they have fair access and utilisation of health services. DESIGN: Scoping review. SETTING: Acute care settings. METHODS: Five databases were systematically searched to identify studies that reported on the implementation of reasonable adjustments. Authors worked in pairs to screen studies for inclusion, data were extracted and charted and findings were synthesised according to content and themes. RESULTS: Of the 7770 records identified, six studies were included in the review. The volume of evidence was influenced by specific inclusion criteria, and only papers that reported on the actual implementation of a reasonable adjustment within an acute care setting were included. Many papers reported on the concept of reasonable adjustment; however, few identified its applications in practice. CONCLUSIONS: The scoping review highlights a lack of research on the practice and implementation of reasonable adjustments within acute care settings. There is a need for increased support, education and the provision of intellectual disability specialists across acute care settings. BMJ Publishing Group 2021-02-22 /pmc/articles/PMC7903074/ /pubmed/33619184 http://dx.doi.org/10.1136/bmjopen-2020-039647 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Communication
Moloney, Mairead
Hennessy, Therese
Doody, Owen
Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence
title Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence
title_full Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence
title_fullStr Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence
title_full_unstemmed Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence
title_short Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence
title_sort reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903074/
https://www.ncbi.nlm.nih.gov/pubmed/33619184
http://dx.doi.org/10.1136/bmjopen-2020-039647
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