Bradley, E. & Lofchy, J. (2005) Learning disability in the accident and emergency department. .

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Inquiry about vision and hearing should be made, as deterioration in sensory functioning can give rise to changes in behaviour.

Problems in expectations and supports

Individuals with learning disabilities are much more dependent on external structures. Emotional problems often arise when expectations and supports change (e.g. a recent move; a change in staff – staff turnover can be very high in some group homes; a change in daily life schedule, such as start of school or work; a change in work activities) or are inappropriate (e.g. unrealistic expectations of completing tasks or travelling independently).

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Hospital admission

Sovner & Hurley (1991) list a number of questions that should be asked if in-patient admission is considered: