NMC OSCE Learning Disability APIE Top Tips

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- By (36 articles)

APIE:

Assessment 

·       Be confident at implementing assessment tools used in Learning Disability Nursing e.g. Wong-Baker FACES pain rating tool, Disability Distress Tool (DisDAT) and the Glasgow Depression Scale.

·       interpret what the person in your care is communicating to you and respond appropriately.

·       Build trust and rapport by consistently reviewing the persons decisions at all stages.

 Planning

·       You must complete the aim’s of care for both problems using the four C’s: - Client - Competence - Conditions – Criteria

·       Think about what problems the person in your care has presented with – what are the most relevant problems from their perspective (for example, pain, mental health or reduced mobility). These should be prioritised – remember there may be more than two problems.

·       All care and support plans must be person-centred and completed involving relatives, support workers and/or independent advocates.

·       • Remember it’s important to complete all sections in the planning documentation.

Implementation

·       Practice reading medication administration records (MAR) aloud and saying what you’re thinking about for each section (for example, is this medication due today? Does the person have an allergy?).

·       Ensure ongoing consent and review of decisions at all stages is maintained.

·       Do not sign the medication administration record until the examiner tells you the person has swallowed their medication.

·       Remember, you will have medications to administer in this station and so you need to make sure you can do this within the time given.

Evaluation

·       Read the statements a few times before answering

·       It’s important to complete all sections in the transfer of care/referral letter so it provides an accurate history of the person’s care and their care needs.

·       It is important that the person’s transfer of care letter outlines their physical health, mental health and social well-being.

·       The transfer of care letter must identify relevant inter-disciplinary involvement where applicable.