Pain is a common side effect of orthodontic treatment and it is particularly common in the first 24 hours following appliance placement. The aims of this prospective controlled longitudinal study were to assess subjective pain experience and oral health-related quality of life (OHQoL) in patients over a 3-month period, following placement of their fixed appliances. [read the full story…]
Yesterday we looked at the reported periodontal outcomes from a multicenter trial that compared the outcomes for two different treatment options for the shortened dental arch. Today we are considering the report of the oral health quality of life outcomes (OHRQoL). As outlined previously patients were randomised into two groups; a partial removable dental prosthesis [read the full story…]
People with learning disabilities are 10 times more likely to have serious sight problems than other people and if people have severe or profound learning disabilities, the likelihood of having sight problems is further increased. The difficulties are compounded of course when people may not know they have a problem and may not be able [read the full story…]
Solution-Focused Brief Therapy (SFBT) focuses on evoking desired behaviour rather than on diminishing existing problem behaviour. It is goal directed and collaborative in its approach to helping people achieve behavioural change. The therapist works to help establish a vision of a desired future using a series of precisely worded questions. In SFBT, the goal of [read the full story…]
The use of restrictive interventions should always be as a ‘last resort’ and always in the context of a clear and agreed individualised plan of support. However, the events at Winterbourne View suggested that not only was this not always the case, but that in fact these approaches were sometimes being used to humiliate or [read the full story…]
Last week, the Health and Social Care Information Centre published the findings from the 2013 learning disabilities census. The census was commissioned as one of the 63 initiatives in ‘Transforming Care: A national response to Winterbourne View Hospital’ in response to the abuse at Winterbourne View Hospital. The aim was to provide an audit of [read the full story…]
The level of intellectual functioning for individuals with autism spectrum disorders is extremely variable, but estimates suggest that up to half of all those with an autism spectrum disorder also have an intellectual disability. Whilst neurodevelopmental disorders affect children worldwide, it is thought that these might be more prevalent in lower- and middle-income countries compared [read the full story…]
The ideal treatment for common mental health problems in those with chronic physical illness would have to be reliable, easy to deliver, inexpensive and accessible by a group of people whose physical impairment may affect treatment adherence. NICE guidelines (CG90 Depression; the treatment and management of depression in adults) recommend self-help interventions (SHIs) based on [read the full story…]
Background The Deprivation of Liberty Safeguards (DOLS) were introduced in 2009 following the Mental Capacity Act (2005). The safeguards were put in place to be used in situations where adults had been assessed as not having the mental capacity to make informed decisions about aspects of their care or treatment in care homes and hospitals. [read the full story…]
Background Personal Health budgets were introduced to enable people with long term conditions and disabilities to have greater choice, flexibility and control over the health care and support they receive. This month (April 2014), people who are eligible for NHS Continuing Healthcare (NHS CHC) will have the right to ask for a personal health budget. [read the full story…]
