Consent to contraceptive treatment among clients with epilepsy.

Aim To improve the treatment, care and monitoring of women with learning disabilities who receive oral contraceptive pills and long-term anti-epileptic drugs. Method A questionnaire based on standards from national and good-practice guidelines was devised and sent to all GP surgeries in Cornwall. Th...

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Publicado en:Learning Disability Practice Vol. 16; no. 10; pp. 27 - 31
Autores principales: Shankar, Rohit, Bradley, Meriel, Jory, Caryn, Olotu, Victor
Formato: research tables/charts Journal Article
Publicado: Royal College of Nursing of the United Kingdom (The) Dec2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2013
      vid: 16
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      pub: Royal College of Nursing of the United Kingdom (The)
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        10.7748/ldp2013.12.16.10.27.e1485
        92682054
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        atl: Consent to contraceptive treatment among clients with epilepsy.
      aug:
        au:
          Shankar, Rohit
          Bradley, Meriel
          Jory, Caryn
          Olotu, Victor
        affil: Consultant in Adult Developmental Neuropsychiatry, Cornwall Partnership NHS Foundation Trust, Truro
      sug:
        subj:
          Audit Statistics and Numerical Data
          Contraceptives, Oral Therapeutic Use
          Anticonvulsants Therapeutic Use
          Patient Education
          Drug Interactions Education
          Human
          Questionnaires
          Prescribing Patterns
          Drug Interactions
          Attitude of Health Personnel
          Descriptive Statistics
          Data Analysis Software
          Female
          Adult
          Decision Making, Patient
          Patient Centered Care
          Adult: 19-44 years
          Female
      ab: Aim To improve the treatment, care and monitoring of women with learning disabilities who receive oral contraceptive pills and long-term anti-epileptic drugs. Method A questionnaire based on standards from national and good-practice guidelines was devised and sent to all GP surgeries in Cornwall. The questions concerned: The rationale for birth control and/or behaviour management in the client group. Whether anti-epileptic drugs interactions and adverse effects were being considered. Whether clients demonstrate sufficient mental capacity to make informed choices about birth control and, if not, whether best-interest processes are being followed. Results All 67 surgeries in Cornwall were asked to answer the questionnaire and 29 did so. Results showed a significant paucity of understanding of the relevant legal issues, including the Mental Capacity Act 2005; communication issues, such as use of pathways and easy-read documents; and clinical issues, for example concerning the interactions and long-term effects of medications. Conclusion Copies of an easy-read leaflet for women with learning disabilities and a flowchart describing the best way to manage such patients were sent to GPs around Cornwall to ensure that they follow a single process in securing the consent of women with learning disabilities to birth.control, and thereby avoid any associated physical, financial and legal problems.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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