SSWAHS Disability Action Plan - Sydney South West Area Health ...

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SSWAHS DISABILITY ACTION PLAN 2008-2011SSWAHS Disability Action Plan Steering Committee – Working PartyThe following people participated on the Working Party of the SSWAHS Disability Action PlanSteering Committee.Ms Anne AxamMr Garry ClarkeMs Gay HorsburghMs Janine MassoMs Leisa RathborneMs Patricia ThomsonMr Phil EscottMs Robin Toohey AMPatient Liaison Officer, Campbelltown HospitalBusiness Manager, Community HealthSenior Planner, SSWAHS Health Services PlanningNursing Unit Manager Aged Care Assessment Team, Bowral HospitalDirector Corporate Services, Bankstown-Lidcombe HospitalConsumer/Community RepresentativeConsumer Consultant Coordinator, Area Mental Health ServicesConsumer/Community RepresentativePage 48
SSWAHS DISABILITY ACTION PLAN 2008-2011Appendix F: Clinical Guidelines for People with Disabilities –Preliminary CoverageGuidelines will be developed to assist clinical services and facilities improve the health careand support provided to children, adolescents and adults with disabilities. At a minimum, theseguidelines will cover:• NSW Government legislation and NSW Health and SSWAHS policies.• Definitions of disability and target populations, and the impact of sensory, mobility issues,mental health and intellectual disabilities on assessment, and ongoing care.• Use of the biopsychosocial model for considering the influence of environment and otherfactors on people with disabilities.• Common problems experienced by people with disabilities in using health services, and theadditional barriers experienced by disadvantaged groups such as Aboriginal people, peoplewhose first language is not English, and hidden groups such as parents or carers withdisabilities, and children as carers.• Importance of good communication and coordination. Ensuring a key coordinationpoint/person within each facility/service to ensure effective care, and building clinicalservice capacity to provide improved care. Critical points for communication andinformation transfer ie admission (intake), assessment, transfer between services, casediscussions, discharge planning, and handover between shifts.• Admission including effective assessment which involves the patient and includesidentification of disabilities, skills and abilities, and support needs. If there is a carer, theimportance of identifying the carer and the community services which support the patient,including the guardianship and advocacy.• Effective consultation with the person with a disability, carer (or advocate), and communityservices, in developing and implementing the patients care plan.• Consent, guardianship, determining capacity and building capacity to make informeddecisions.• Tools such as the patient’s “blue book”, “red book” and the community care plan which willinform diagnosis and guide care planning, and pictures which may support care.• Supporting disadvantaged populations such as Aboriginal people and people from a non-English speaking background.• Safety issues such as behavioural issues, and seizures.• Clinical practice in caring for people with moderate-profound disabilities, including providingadditional support/personal care for people with difficulty in communication, mobility and/orself-care, and methods for assisting communication.• Timely discharge planning and the importance of multidisciplinary and multiagency casediscussions, communication and education post discharge for carers and paid support staffin medication, therapeutic techniques, appropriate care and safety.• Ensuring access to and use of hospital equipment (such as hoists) and the patients ownequipment.• Local disability organisations, services and support groups and partnerships.• Considerations at key access points, such as emergency departments and preadmissionclinics.• Outpatient and community appointments and implications for administrative staff, individualclinicians, and multidisciplinary health teams. Consideration of issues such as transport,existing community programs/services and the carers’ needs and working with communityservices.• Prevention and early intervention considerations.Page 49
Page 2 and 3: AcknowledgementOur thanks are exten
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