Improving Diabetes Care of People with Intellectual Disability

Improving Diabetes Care of People with Intellectual Disability

Improving Diabetes Care of People with Intellectual Disability (#72)

Jayne A. Lehmann RN CDE ¹ , Gary Wittert ² , Anne Marks RN NP CDE ³

EdHealth Australia, Highgate, SA, Australia
Discipline of Medicine; Freemason's Foundation Centre for Men's Health, University of Adelaide , Adelaide, SA, Australia
School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia

Aim: To improve health outcomes of people with diabetes and an intellectual disability (ID)

Learning objectives:

Identify reasons for high risk of diabetes in PWDID
Identify co-morbidities and issues that require consideration providing health care to PWDID
Understand challenges and opportunities of intensive insulin therapy in PWDID
Explore resources and strategies to include PWDID in their care
State expected impact of the National Disability Insurance Scheme (NDIS).

Content outline: The NDIS begins in 2016 and funding for diabetes care will not be included, increasing pressure on health services to ensure they are accessible to people with diabetes and disability (PWDID).

Professor Gary Wittert and CDEs Anne Marks and Jayne Lehmann will present a Masterclass on improving health outcomes in PWDID. The evidence, clinical expertise, knowledge and resources presented will show how the presenters have increased accessibility to their diabetes services and supported person-centred diabetes care to PWDID with support workers as the predominant workforce.

Jayne Lehmann will present a 2014 systematic literature review and her clinical experience providing a diabetes clinic for PWDID in South Australia (SA). Resources that educate and support PWDID will increase confidence and capacity of participants to address the unique needs of this high risk target group. The challenges posed by non health professional support workers will be explored.

Professor Gary Wittert will draw on his experience providing a clinical service to people with Prader-Willi Syndrome in SA. Co-morbidities like obesity, poor nutrition, limitations on exercise capacity, use of anti-psychotics, syndrome associated conditions and sleep-disordered breathing will be explored.

CDE Anne Marks will present a case study highlighting the diabetes education needs of a young boy with moderate/severe ID and Down Syndrome using intensive insulin therapy. Injections and pump therapy will be covered and Anne’s care planning and support to the individual’s school and respite workers.

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Authors contributing to this presentation.

Lehmann RN CDE, J.A

Jayne Lehmann’s diabetes care skills have developed from 30 years of working with people with diabetes and a broad range of organisations and health settings in South Australia and nationally. Self-employed for the past 20 years after working for 10 years in the Diabetes Education Unit at Flinders Medical Centre, she now conducts diabetes education clinics at three sites, with one a specialised service for people with intellectual disability in Brighton South Australia. Jayne aims to shift the attitude and skills of individuals and organisations to enable them to provide quality diabetes care to people with diabetes. She is a frequent speaker, published author, resource designer, researcher, blogger, advocate and commentator on all things diabetes!

Wittert, G

Gary Wittert is Professor of Medicine and Director of the Freemasons Centre for Male Health and Wellbeing, University of Adelaide and South Australian Health and Medical Research Institute (SAHMRI), Senior Consultant Endocrinologist Royal Adelaide Hospital, and Senior Principal Research Fellow at SAHMRI. He is a Fellow of the Australian Academy of Health and Medical Sciences. His research relates to obesity including appetite regulation, complications, and management. Work on associated chronic disorders focuses on their relationship to changes in testosterone, sexual function, lower urinary tract symptoms, depression, and implications for the use of health services. This work funded by NH&MRC, ARC, NHF, Diabetes Australia, MRFF, and the Freemasons Foundation has generated has over 460 research publications. He is Editor in Chief of the Journal Obesity Research and Clinical Practice, a member of the World Obesity Clinical Committee and on the Scientific Advisory Committees of Healthy Male and the Ten to Men study.

Improving Diabetes Care of People with Intellectual Disability (#72)

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Lehmann RN CDE, J.A

Wittert, G

Marks RN NP CDE , A

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