From the BBC:
“Warning over early deaths of
learning disabled”
(Jenny Whinnett said her son
Craig could have lived longer and with less pain if he had been treated
differently)
Children with a learning
disability in Scotland are more likely to die prematurely - often from
treatable causes, a report has found. The Scottish Learning Disability
Observatory (SLDO) study found that 34% of these deaths were avoidable. Previous
research has found that adults with a learning disability were twice as likely
to die from preventable illnesses. The Scottish government said it was
concerned about health inequalities. Angela Henderson, director of policy and
impact at the SLDO, said: "People with learning disabilities experience
higher rates of multi-morbidity than the general population, and die
prematurely, often from causes that are either treatable or preventable. "These
include epilepsy, deaths from respiratory conditions and deaths related to
gastro-intestinal problems." She added: "These are all highly
preventable and highly treatable."
The SLDO said the preventable
deaths in children and young people could be linked to a number of factors,
including:
Challenges accessing high-quality
health care
Communication barriers during
health appointments
Lack of awareness on the specific
health care needs of young people with learning disabilities
Another key issue raised in the
study, seen by BBC Scotland, is "diagnostic overshadowing" - where
clinicians may wrongly assume that symptoms of an illness are related to a
person's learning disability, rather than to a specific health problem. "Efforts
to reduce the health inequalities that lead to the unnecessary deaths of
children and young people with learning disabilities must be prioritised,"
said Dr Laura Hughes-Mccormack, who led the study.
'Enjoyed life immensely' Jenny
Whinnett, whose son Craig died from pneumonia at the age of 21, believes he
should have received better care to protect his body shape. "He enjoyed
life immensely," she told BBC Scotland. "He loved all the things that
a normal young person of his age would enjoy doing, but he did have profound
and multiple learning disabilities," she said. Although Craig would
have died young because of his health conditions, Jenny, from St Cyrus in
Aberdeenshire, believes he could have lived longer and in less pain. "He
suffered terrible respiratory problems as he got older [with] the squashing of
his organs inside due to the distortion of his body shape," she said. "Craig
shouldn't have had that ordeal with pneumonia at the end of his life. He
shouldn't have had to suffer the discomfort that I knew he had because of the
distortion of his body towards the end of his life." She added:
"I think that if we'd had knowledge, and I'd been given night-time
postural support for him a lot sooner, I don't think his body distortion would
have been so severe. "There is a real possibility that he would
have lived longer and I think he would have been more comfortable."
'Health inequalities'
(Keith Lynch said the medical
profession often used jargon when talking to patients with learning
disabilities)
In a bid to address the health
inequalities faced by the learning disability community, the Scottish
government earlier this year announced £2m in funding for annual health checks
for learning disabled people over the age of 16. However, it was the last UK
nation to introduce such checks. "We had to get this right," said
Kevin Stewart, the Scottish government's social security minister, adding that
he was "concerned about these health inequalities". "We have
done all of the work that's required in terms of the research and piloting of
all of this, and we're in a position now to deliver right across Scotland for
our learning disabled population," he told BBC Scotland. He added:
"This is the right thing to do, I think that this resourcing is absolutely
what is required, and we hope that that will make a real difference to the
health of our learning disabled population."
Keith Lynch, who has a learning
disability and is the director of People First Scotland, said people with
learning disabilities must be taken seriously in order for the health checks to
be effective. "I would welcome it as long as it's done in the right way,
in an accessible way for people with learning disabilities," he said. He
said people with a learning disability were not always taken seriously by the
medical profession. "For me, I don't always seem to understand what the
doctors say to me, even though I do ask them to speak in small, plain, simple
words so that I can understand," he said. "They just keep talking in
long words which we call jargon, and that's the same experience for other
people with disabilities so they're often left confused." He added:
"I would like to see doctors and nurses taking time to get to know a
person with learning disabilities over a long period of time rather than passed
from one person to another." The Scottish government said it would be
providing support to healthcare staff to carry out the new checks.
^ Any death is sad, but any
preventable death is a shame. ^
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