scholarly journals Perspectives of people with intellectual disability about their family networks: A comparison study with key support worker proxy reports

Author(s):  
Tess Tournier ◽  
Alexander H. C. Hendriks ◽  
Andrew Jahoda ◽  
Richard P. Hastings ◽  
Sanne A. H. Giesbers ◽  
...  
2018 ◽  
Vol 64 (2) ◽  
pp. 56-61
Author(s):  
Rachel AB Thomas ◽  
Julie-Ann Empey ◽  
Subodh Seth ◽  
Joseph Crozier

Background and aims An accurate body weight is vital for safe dosing of many drugs. Weight is often unavailable for emergency admissions and an estimation is used. Emergency Department staff are poor at estimating patient weight, but no data existed for surgical admissions. This study assesses the reliability of weight estimation by patients and healthcare workers. Methods and results All emergency surgical patients admitted during one week were approached. If consented, four healthcare workers (consultant, foundation doctor, nurse, support worker) independently estimated their weight. The patients then gave their estimate. Actual weight was measured and data analysed. Seventy-two consecutive surgical admissions were included, aged 16–95 and 52% male. Healthcare workers correctly (within ±10% margin) estimated the weight for only 57% of patients. Further statistical analysis confirmed that staff are inaccurate estimators and patients are better at estimating their own weight (p < 0.006). Conclusions Staff are poor at estimating weight and the study was unable to show statistical superiority of any professional group when guessing weights. There was also a tendency for staff to increasingly under-estimate as weight increases. Patients are the most accurate estimators, but self-reporting is still too unreliable for drug dosing and should stop.


2014 ◽  
Vol 57 (3) ◽  
pp. 990-1010 ◽  
Author(s):  
Kristien Meuris ◽  
Bea Maes ◽  
Anne-Marie De Meyer ◽  
Inge Zink

Purpose The purpose of this study was to investigate the influence of sign characteristics in a key word signing (KWS) system on the functional use of those signs by adults with intellectual disability (ID). Method All 507 signs from a Flemish KWS system were characterized in terms of phonological, iconic, and referential characteristics. Phonological and referential characteristics were assigned to the signs by speech-language pathologists. The iconicity (i.e., transparency, guessing the meaning of the sign; and translucency, rating on a 6-point scale) of the signs were tested in 467 students. Sign functionality was studied in 119 adults with ID (mean mental age of 50.54 months) by means of a questionnaire, filled out by a support worker. Results A generalized linear model with a negative binomial distribution (with log-link) showed that semantic category was the factor with the strongest influence on sign functionality, with grammatical class, referential concreteness, and translucency also playing a part. No sign phonological characteristics were found to be of significant influence on sign use. Conclusion The meaning of a sign is the most important factor regarding its functionality (i.e., whether a sign is used in everyday communication). Phonological characteristics seem only of minor importance.


Sign in / Sign up

Export Citation Format

Share Document