Health Care Facilities of Individual with Intellectual Disabilities

Running head: QUESTION ANSWER
QUESTION ANSWER
Name of the student:
Name of the university:
Author note

QUESTION ANSWER
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Introduction:
The purpose of the assignment is to focus on the health care facilities of the individual
with disabilities. In order to conduct, in-depth research, this paper has chosen intellectual
disabilities. DSM-5 considers intellectual disabilities as a neurodevelopmental disorder which
are observed at the beginning of childhood. It is characterized by intellectual difficulties as well
as complications in social as well as practical areas of living which hinders individuals to
conduct daily activities. According to the Australian Bureau of Statistics, considerate number of
population have some kind of disabilities in Australia, where majority of Australians aged 65
and over have a disability. In the majority of the cases, these disabilities are intellectual
disabilities which were initiated during the developmental stage. The most common intellectual
disabilities in Australia is Down syndrome which affected significant number of family in
Australia. Hence, they require health care facilities and emotional support to live a healthy life.
The nursing professionals along with other professionals must demonstrate adequate professional
skills and competencies in order to provide standardized care to the patients with intellectual
disabilities so that they feel empowered and safe to live a healthy life. This paper will first
illustrate the differences in the behavior of two nurses according to the ANSAT tool. Secondly,
this paper will provide communication strategies to communicate with intellectual disabilities for
the promotion of health literacy. Lastly, this paper will provide inequitable health care services
that receive intellectually disabled individuals.

QUESTION ANSWER
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QUESTION 1: Communication strategy between Nurse 1 and Nurse 2 according to
ANSAT tool:
As discussed above, individuals having significant intellectual disabilities are usually
considered as dependent and incompetent by others. Hence, to address the concern of individuals
with intellectual disabilities and support them with proper health literacy, proper communication
strategy is required. The video highlighted that two nurses who were in charge of supporting the
wellbeing of a patient with intellectual disabilities. The video suggested that nurse one and nurse
two uses different communication strategies to approach the patient according to the ANSAT
tool. ANSAT Tool is a user-friendly tool designed by the Nursing and Midwifery Board of
Australia (NMBA) to assess the practice of the nurse in an authentic situation (Ossenberg,
Dalton & Henderson, 2016). According to second behavioral cues of ANSAT tool, it is the
responsibility of a nurse to engage patient in a therapeutic and professional relationship by warm
and empathetic greeting, respecting the choice of the patient and communicating with nonverbal
cues (active listening, safe and non-judgment approach) (Sweet et al., 2018). In this current
context, it was observed that the first nurse failed to engage patients in the therapeutic
communication, did not inform the process of care and used rude approach to communicate with
the patient which further impacted his practice. On the other hand, the second nurse
demonstrated second behavioral cues to the patient punctually attended to the patient, involve the
patient in the therapeutic communication and respect the autonomy of the patient while removing
the glass. Consequently, the patient felt empowered and safe while receiving safe and responsive
care (Lejonqvist, Eriksson & Meretoja, 2016). Moreover, according to sixth behavioral cues of

QUESTION ANSWER
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the ANSAT tool, a registered nurse must provide safe, appropriate and responsive quality
nursing practice for promoting empowerment and safety to the patient by complies with
workplace guidelines, prioritize the priority of the patient and encourages patient (Hunter &
Arthur, 2016).. In this context, the first nurse did not introduce herself to the client and other
staff members during handover and did not contribute to the team meeting and failed to
encourage the patient while the patient refuses to eat the meal. This behavior further impacted
the quality of care and nursing practice. On the other hand, the second nurses reflect the sixth
behavioral cues of ANSAT tool by encouraging patients to eat the meal and uses a range of
communication strategies in order to optimize the health and wellbeing of the patient. Moreover,
the second nurse prioritizes the patient and respect the autonomy of the patient while asking for
permission to remove the glass of the patient (Lejonqvist, Eriksson & Meretoja, 2016). Sweet &
Henderson (2019), suggested that it is the responsibility of the registered nurse to provide safe
and responsive care through appropriate communication strategy and competency so that the
patient feels empowered and safe. In this context, the first nurse required to involve herself in
the training and workshops to improve communication and interpersonal skills. Johori window
and clinical supervision would be an effective strategy to communication so that intellectually
disabled person feel empowered as safe (Lejonqvist, Eriksson & Meretoja, 2016).
QUESTION 2: Communication strategy for promoting health literacy amongst people with
intellectual disability:
Individuals having significant intellectual disabilities are usually considered as dependent
and incompetent by others. They are frequently defined by their deficits rather than their
abilities. Consequently, they are impaired in completing their daily activities and self-care
management and require the assistance of others. In this case, interactive health literacy would