A change for the better

Article Abstract:

The advent of care in the community has had a radical effect on the nursing professionals who work with the learning disabled. To date, work has been based in institutional settings, with a career structure determined by a hierarchy of grades, with little scope for individualism. Care in the community has changed this. Nurses now work in small care settings with individual management structures and expectations, and they have the opportunity to extend their expertise. These professional opportunities can be used to improve the lives of their patients and the job satisfaction of the nurses.

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The gentle touch

Article Abstract:

Learning disability nurse Gay Simmons employs a range of skills to improve the lives of her adult clients. She may spend several months negotiating guidelines for carers to address the difficult behaviour of one client, or she may be called upon to provide dietary advice or sex education. One important area is facilitating access to medical or dental care. Simmons tries to bridge the gap which may occur between client and professional because clients are unable to express their health problems or because they exhibit challenging behaviour when meeting a health professional.

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Razor sharp memories

Article Abstract:

A nurse who worked with mentally handicapped people 25 years ago revisited the hospital and relates what it was like to work there. The training focused on syndromes rather than people but the nurses viewed the patients as individuals and were caring towards them. Many of his patients were still living in the hospital and he remembered them. The nurse considers how nursing practice has changed over the years and regrets the informal relationship he had with the patients has been replaced by formal models of professional practice.

Personal narratives, Nurses

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