Nurses are central in today's increasingly collaborative health care teams that place a premium on quality care and this module addresses the holistic management of multiple health conditions that persons with intellectual disability experience.

Acute and chronic physical illness; multiple and complex needs. Profiling disability related conditions, epilepsy, diabetes, nutrition, trends, health needs and provision of services. Approaches to assessments-and developing a comprehensive clinical impression, referral for specialist assessment; Nursing management of conditions related to trends, disability specific conditions; in addition to respiratory, metabolic and gastrointestinal conditions. Assessing, investigative and diagnostic procedures, planning interventions, evaluating plans and interventions of multiple health conditions. Case management of multiple and complex needs, multi- trans-inter disciplinary approaches. Person Centred Nursing Skills Person centred nursing approaches in comprehensive health assessment (physical health; head to toe and systems assessment approaches) Nutritional care (nutritional tools and assessment, PEG, enteral feeding) Continence care (Skills and protocols of catheterisation, enema/suppository administration) Reporting clinical impression

(Knowledge, Understanding, Application, Analysis, Evaluation, Synthesis) Describe the increased health needs that person with an intellectual disability experience compared to the wider population Discuss the nursing care and management of persons with an intellectual disability experiencing acute and chronic physical illnesses Demonstrate an awareness of the need to assess regularly a client's response to nursing interventions Analyse and revise expected outcomes, nursing interventions and priorities in accordance with changes in the individual's condition, needs or circumstances.

(Attitudes and Values) Appreciate the central role of the RNID in the management of multiple and complex needs in the provision of safe and quality care

(Physical Skills) Demonstrate clinical skills essential for nursing practice

Experience The module will be taught through a combination of lectures and clinical skills laboratories that engage with selected primary texts and supplemented by secondary material (assigned, recommended and/or sourced by students). Lectures will combine contextualisation with close reading, illustrated, where necessary, by visual and audio material. Clinical skills laboratories will have an emphasis on participative group-work, and focus on exploring values, attitudes and understanding of disability. Research Appreciate current evidence based literature and its relevance to nursing practice and incorporate relevant national and international health policy.