{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:28:25Z","timestamp":1777944505728,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2018,7,31]],"date-time":"2018-07-31T00:00:00Z","timestamp":1532995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p>Patients should be at the heart of everything we do. The aim should always be to achieve healthcare outcomes by involving patients fully in their own care, with decisions made in partnership with clinicians, rather than by clinicians alone: \u2018no decision about me, without me\u2019 (DH 2012). This article details a plan of care for an 18 year old male patient with a moderate level of learning disability who was scheduled for a tonsillectomy at a local NHS trust hospital. It focuses on the management of the patient\u2019s anxiety, nausea and pain. In accordance with the Health and Care Professions Council\u2019s code of confidentiality (HCPC 2014) the location and individual names of places and people concerned will not be disclosed. The patient presented at the pre-assessment appointment as having a learning disability consistent with a diagnosis of being on the autistic spectrum. More specifically, he had cognitive impairment which affected his ability to understand complex information. This, combined with a reduced ability to cope independently, formed the rationale for the attendance of a carer throughout his perioperative journey. According to the National Autistic Society (NAS) there are approximately 700,000 people with autism spectrum disorder (ASD) in the UK ie more than 1 in 100. Autism is a part of daily life for 2.8 million people (NAS nd).<\/jats:p>","DOI":"10.1177\/1750458918793381","type":"journal-article","created":{"date-parts":[[2018,7,31]],"date-time":"2018-07-31T05:44:33Z","timestamp":1533015873000},"page":"278-282","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Assessing the perioperative communication needs of a patient with learning disabilities: An holistic case study approach"],"prefix":"10.1177","volume":"28","author":[{"given":"Sue","family":"Wilkinson","sequence":"first","affiliation":[{"name":"Student Operating Department Practitioner"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,7,31]]},"reference":[{"key":"bibr1-1750458918793381","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810389949"},{"key":"bibr2-1750458918793381","volume-title":"Process of communication: Introduction to theory and practice","author":"Berlo DK","year":"1960"},{"key":"bibr3-1750458918793381","volume-title":"British National Formulary","author":"British Medical Association","year":"2018"},{"key":"bibr4-1750458918793381","volume-title":"Foundations of nursing practice: Fundamentals of holistic care","author":"Brooker C","year":"2013"},{"key":"bibr5-1750458918793381","doi-asserted-by":"crossref","unstructured":"Conlon JA, Matthews A, O\u2019Math\u00fana DP 2015 Analgesics for postoperative pain after tonsillectomy and adenoidectomy in children\n                      \n                        Cochrane Database of Systematic Reviews\n                      \n                      Issue 4 Art No CD011638 John Wiley & Sons Ltd","DOI":"10.1002\/14651858.CD011638"},{"key":"bibr6-1750458918793381","volume-title":"Perioperative pain management","author":"Cox F","year":"2008"},{"key":"bibr7-1750458918793381","volume-title":"Liberating the NHS: \u2018No decision about me, without me\u2019","author":"Department of Health","year":"2012"},{"key":"bibr8-1750458918793381","doi-asserted-by":"publisher","DOI":"10.1179\/ptr.2000.5.3.155"},{"key":"bibr9-1750458918793381","unstructured":"Guidelines and Audit Implementation Network 2010\n                      Guidelines on caring for people with a learning disability in general hospital settings\n                      Available from: https:\/\/rqia.org.uk\/RQIA\/files\/81\/81662c46-b7bb-43a5-9496-a7f2d919c2a3.pdf [Accessed July 2018]"},{"key":"bibr10-1750458918793381","unstructured":"Health and Care Professions Council 2008\n                      Standards of conduct, performance and ethics\n                      Available from: http:\/\/www.hpc-uk.org\/assets\/documents\/10002367FINALcopyofSCPEJuly2008.pdf [Accessed July 2018]"},{"key":"bibr11-1750458918793381","unstructured":"Health and Care Professions Council 2014\n                      Code of confidentiality\n                      Available from: http:\/\/www.hpc-uk.org\/assets\/documents\/100023F1GuidanceonconfidentialityFINAL.pdf [Accessed July 2018]"},{"key":"bibr12-1750458918793381","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.160192"},{"issue":"48","key":"bibr13-1750458918793381","first-page":"12","volume":"108","author":"Liddle C","year":"2012","journal-title":"Nursing Times"},{"key":"bibr14-1750458918793381","unstructured":"Mencap 2010\n                      Getting it right charter\n                      Available from: https:\/\/www.ndti.org.uk\/uploads\/files\/Getting_it_Right_Charter.pdf [Accessed July 2018]"},{"key":"bibr15-1750458918793381","unstructured":"National Autistic Society nd\n                      Autism facts and history\n                      Available from: https:\/\/www.autism.org.uk\/about\/what-is\/myths-facts-stats.aspx [Accessed July 2018]"},{"key":"bibr16-1750458918793381","unstructured":"National Patient Safety Agency 2004\n                      Understanding the patient safety issues for people with learning disabilities\n                      . Available from: http:\/\/webarchive.nationalarchives.gov.uk\/20160510235015\/http:\/\/www.nrls.npsa.nhs.uk\/resources\/search-by-audience\/clinical-risk-managers\/?entryid45=92328&cord=ASC&char=0-9 [Accessed July 2018]"},{"key":"bibr17-1750458918793381","unstructured":"National Quality Board 2013\n                      Human factors in healthcare\n                      Available from: https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2013\/11\/nqb-hum-fact-concord.pdf [Accessed July 2018]"},{"key":"bibr18-1750458918793381","volume-title":"Preoperative assessment and perioperative management","author":"Radford M","year":"2011"},{"key":"bibr19-1750458918793381","volume-title":"The Reflective Practitioner How Professionals Think in Action","author":"Schon DA","year":"1983"},{"key":"bibr20-1750458918793381","unstructured":"Skills for Care & Skills for Health 2013\n                      Code of Conduct for Healthcare Support Workers and Adult Social Care Workers in England\n                      Available from: http:\/\/www.skillsforhealth.org.uk\/standards\/item\/217-code-of-conduct [Accessed July 2018]."},{"key":"bibr21-1750458918793381","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0b013e3283495ba1"},{"key":"bibr22-1750458918793381","unstructured":"Social Care Institute for Excellence 2009\n                      Mental Capacity Act 2005 at a glance\n                      Available from: https:\/\/www.scie.org.uk\/mca\/introduction\/mental-capacity-act-2005-at-a-glance [Accessed July 2018]"},{"key":"bibr23-1750458918793381","volume-title":"Ross and Wilson\u2019s anatomy and physiology in health and illness","author":"Waugh A","year":"2014"},{"issue":"1","key":"bibr24-1750458918793381","first-page":"9","volume":"14","author":"Wong D","year":"1988","journal-title":"Paediatric Nursing"}],"container-title":["Journal of Perioperative Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1750458918793381","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1750458918793381","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1750458918793381","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:01:29Z","timestamp":1777708889000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1750458918793381"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,31]]},"references-count":24,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1177\/1750458918793381"],"URL":"https:\/\/doi.org\/10.1177\/1750458918793381","relation":{},"ISSN":["1750-4589","2515-7949"],"issn-type":[{"value":"1750-4589","type":"print"},{"value":"2515-7949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,31]]}}}