Welcome to the new Learning Disability Nursing forum - page 5

Per the request of one of the allnurses.com visitors, we created the Learning Disability forum. Enjoy! Please feel free to start posting your Learning Disability issues and questions. Thanks ... Read More

  1. by   atf
    Hi everyone!
    I am a nurse(lpn) in Pa. I work in a day program for low functioning people with MR and Mental disabilities. I love this field. My only problem with it is THE PAY. I have a one-to 0ne and I am responsible for 38 other clients but I get less than a person get in a nursing home. We are in a special field and I wish they would pay us as any other speciality nurse is paid.
  2. by   Markthemalenurse
    Quote from atf
    Hi everyone!
    I am a nurse(lpn) in Pa. I work in a day program for low functioning people with MR and Mental disabilities. I love this field. My only problem with it is THE PAY. I have a one-to 0ne and I am responsible for 38 other clients but I get less than a person get in a nursing home. We are in a special field and I wish they would pay us as any other speciality nurse is paid.
    I can relate to the lack of pay. I have been in this field for 10+ years and I like it very much even if the pay is not the best. Sometimes you take the good with the bad.
  3. by   Markthemalenurse
    Don't let the link die. It's great the we MR/DD nurses have somewhere to go and chat with other MR/DD nurses.
  4. by   springbokssa
    Hi all, I am a 38 y old student who would like to get into nurseing. I volunteer in a Learning Disability class at college and I really like it. Anyway I have aplied at a hospital as a support worker for LD. I got the job but at the interview I was told the patients have very challenging behaviour. I am just wondering what they mean by "very challenging behaviour" any help would really be appriciated
    Thanks
  5. by   mercyteapot
    Quote from springbokssa
    Hi all, I am a 38 y old student who would like to get into nurseing. I volunteer in a Learning Disability class at college and I really like it. Anyway I have aplied at a hospital as a support worker for LD. I got the job but at the interview I was told the patients have very challenging behaviour. I am just wondering what they mean by "very challenging behaviour" any help would really be appriciated
    Thanks
    I'm not sure, because I really don't know what type of hospital this is, but if this is an inpatient program, I am guessing your patients will also have psychiatric dxes. Learning disabilities do not themselves require hospitalization.

    As far as what challenging behaviors ''could'' refer to.... self injurious behavior, aggression, obsessions and/or compulsions, lying, stealing, scheming, passive-aggression, paranoia and delusions are things that come immediately to mind, if in fact, these patients do have mental health issues in addition to learning disabilities.

    Now, if this is a day program or clinic for individuals with developmental disabilities, I would guess you'd see more of the self injurious or aggressive behavior and less of the others that I suggested. Perhaps if you are offered the job, you should ask the hospital for clarification so that you have some idea what you are getting into. This field is definitely not for everyone any more than any other is, and there is no shame in making that decision.
  6. by   springbokssa
    Thanks for the quick reply Mercyteapot, My understanding of the post is that some of the patients are being held under the mental health care act. Some of them have been institutionolized and they are now trying to integrate them back into the community. I have been informed that some of the patients self harm and others have known to be agressive.
    I do believe that with the proper training I would be able to do it. I just wantedto know what exactly I will be letting myself in for.
    Thanks again for the reply I apreciate it at least I'm one step closer than what I knew before
  7. by   mercyteapot
    You're welcome, sprinbokssa. In terms of what sort of self-injurious or aggressive behaviors you might see, I can tell you a few of the more common ones. Head banging, cutting, biting (self or others), throwing objects, kicking, punching and verbal assaults are some of the types of behavior that I would describe as challenging.

    You will find, I believe, that the quality of your training and the adequacy of staffing in terms of both numbers and competence will determine how this job works out for you. Good luck.

    Have you posted your question over on the psychiatric nursing board, too? I'm sure there's plenty of good insight to be found there.
    Last edit by mercyteapot on Jan 13, '07
  8. by   springbokssa
    Thanks Mercyteapot for the info I will go over the the psychiatric nursing board and have a look around. I know the unit I will be working in has 5 patients two two support workers. I understand that the training is ongoing and very good.
    Thanks again I'm off to the psych nursing board.
  9. by   chillie1
    I work as a nurse consultant with clients that have developmental disabilities. My clients are all adults over 18 y/o. I am the nurse consultant for 3 -16 bed group homes and 2 8 bed CILAs . These homes are located across the southern part of Illinois. Many of my clients are duelly diagnosised. I am on call 24-hours a day we rotated every 6th weekend on call. It is challenging, fun and rewarding. The direct care staff pass medication on my license. This can be very unsettling at times. The background for positions like this is wide open. It is part Med/Surg, Psych, Rehab and LTC. One of the biggest challenges is to find inpatient psychiatric services when needed. Because many places will not take people that have a psychiatric problems and who are developementally disabled as well. :smilecoffeecup:
  10. by   mp2005
    Hi:

    I have a 8 year old son who hasnt been confirmed as far as being autistic. But 3 psych think so. Were waiting on a psych eval and the neurol appt which they referred me to. The first time he got admitted they thought it was bipolar. The second time, they think its autism. To be honest no one seems to know what he has. He's always had ADHD/ODD but its not clear to me or anyone if its autism.
    '
    Were just dealing with a lot of aggression,he's been admitted 2 times in less than a year in the hosp, a lot of sensory issues. The head banging, forget taking a shower, an issue in itself most of the times. Im just a little concerned like the nurse practitioner is with the fact that he says he hears voices telling him to kill and cut up people etc.

    Theyve increased his abilify from 2.5mg in am and 5 hs to 10mg am and hs.
    The explosive rages were just out of control. I didnt thin autism had explosive rages like the ones he gets. Is this schizophrenia? I mean voices dont seem autistic. or yes?

    I mean, it seems like once any kid gets out of control for a while, they want to admit them. Thats ridiculous.

    Any advice would be great.

    Laura


    dette;56361]I am a school nurse working with a population of autistic adolescents and adults. My students are 12 to 21 yrs. old and of course mostly male. Many of them have a dual diagnosis of seizure disorders, and most of them are either non-verbal or nearly so. Communication can be pretty challanging, but with time and patience it can be done. There is one insulin dependent diabetic boy. The biggest problem is one of behavior, usually aggression or SIB.[/quote]
  11. by   mp2005
    Where are you located. I need to get my son help.



    N;418606]Brian, thank you for changing the name to DD to encompass
    all developmental disabilities! Much obliged!!

    I work at a residental facility for DD in pediatrics. We also provide services for members of our community with DD. We even have
    our own school for the disabled!

    This is a very special and rewarding area of nursing and I look
    forward to discussing it with all of you![/quote]
  12. by   hazy000
    i'm a learning disabilities nurse in Wales, we are definately needed!! i'm quite newly qualified, been working a year and a half now. learning disability nursing along wth other health professionals and support staff have brought people with learning disabilities a long way, but i still feel we have a long way to go. i have a job interview tomorrow, which will be formulating packages of support for people with learning disabilities and challenging behaviour, which i am SO nervous about but hope i get it as it sounds like i could really make a difference doing it.
    just wondering are there people from other countries who have similar registrations?
  13. by   laurdar
    im an irish certificate trained intellectual disabilites nurse. im returning to work after 7 yr break and am looking for advice on clinical refreshers or good clinical textbooks as i feel a little inept in clinical area

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