#WeLDNs - Tuesday 20th April 2021 8:30pm (GMT Standard Time) Menstruation And Contraception

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Menstruation and contraception for teenagers and young women with learning disabilities 

 

Puberty can be a really challenging time for all teenagers; but what about teenage girls with learning disabilities? Getting used to how the body is changing, and by this we mean hormonal changes and periods. In this chat we care examining how we can support teenagers and young women with menstruation and contraception. Are we teaching our teenage girls with learning disabilities enough about how to cope with all this? How many teenage girls with learning disabilities are struggling to manage their periods?

Throughout my career I’ve been aware of teenage girlswith learning disabilities struggling to manage their menstruation and being prescribed contraception to regulate/manage their periods. If I’m honest I used to firmly agree with this practice, for all you women out there who have PMT/PMS there is a real struggle at times to manage some of the physical and emotional side effects of PMS - so surely we should be protecting our teens and young women with LD through using contraception?

The use of oral contraception or birth control pills can inform teens when their periods are due to they can plan activities accordingly and ensure they have sanitary protection with them. It can also inform carers if the person isn’t able to manage their own periods. It can also make periods lighter and therefore more manageable.

However more recently I’ve started to wonder if we are actually increasing the vulnerability of young women with learning disabilities – are we still teaching enough about safe sex and using condoms? Are they more vulnerable to sexual abuse because the risk of pregnancy is removed?

Then there’s the psychological and emotional side effectof the menstrual cycle – how are we supporting people with this?

 

 

 

https://helloclue.com/articles/cycle-a-z/menstruating-while-disabled

 

https://www.myfamilyourneeds.co.uk/support-child/puberty-and-periods-in-girls-with-developmental-delay/

 

https://www.aboutkidshealth.ca/Article?contentid=300&language=English

 





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 #WeLDNs transcript

 
@WeLDnurses
20 April 2021 20:30
Hello everybody and welcome to tonight’s #WeLDNs - give us a wave and a hello even if you’re lurking #statsmatter ??
@ross_6479_RNLD
20 April 2021 20:30
RT @WeLDnurses: Hello everybody and welcome to tonight’s #WeLDNs - give us a wave and a hello even if you’re lurking #statsmatter ??
@samabdulla
20 April 2021 20:30
@WeLDnurses Evening all from a wet Edinburgh #WeLDNs
@salsa442
20 April 2021 20:30
Hi all, Sal here waving from Leicester ?? #WeLDNs
@ross_6479_RNLD
20 April 2021 20:30
@WeLDnurses Hi, Ross #waves from up north!! Happy tweet chat day #weldns :)
@Ash_S_RNLD
20 April 2021 20:31
@WeLDnurses Hi ?? I'm not lurking tonight ?? #WeLDNs
@WeLDnurses
20 April 2021 20:31
Don’t forget your hashtags tonight folks, #WeLDNs in every tweet please. If you’re sharing any evidence tonight please add #EBP as well as #WeLDNs
@samabdulla
20 April 2021 20:31
RT @WeLDnurses: Don’t forget your hashtags tonight folks, #WeLDNs in every tweet please. If you’re sharing any evidence tonight please add…
@ross_6479_RNLD
20 April 2021 20:31
RT @WeLDnurses: Don’t forget your hashtags tonight folks, #WeLDNs in every tweet please. If you’re sharing any evidence tonight please add…
@WeLDnurses
20 April 2021 20:31
@Ash_S_RNLD That’s fab news, looking forward to hearing your views #WeLDNs
@salsa442
20 April 2021 20:32
RT @WeLDnurses: Don’t forget your hashtags tonight folks, #WeLDNs in every tweet please. If you’re sharing any evidence tonight please add…
@CharleeB3010
20 April 2021 20:32
@WeLDnurses Evening from a very sunny York. #WeLDNs #thisisthehashtagicopy #endperiodpoverty
@WeLDnurses
20 April 2021 20:33
We’re talking about periods and contraception for teens and young women with learning disabilities- we know this is a tough topic with lots of different views so please tweet kind and respect everyone’s opinion #TweetKind #WeLDNs
@LiamFreeman1991
20 April 2021 20:34
@WeLDnurses Hi, Liam from hot hot west midlands #weldns
@WeLDnurses
20 April 2021 20:34
Shall we get started then? #WeLDNs
@paularich1977
20 April 2021 20:34
@WeLDnurses Hi Paula here in South Wales, just getting in from work and sorting kids but about #weldns
@samabdulla
20 April 2021 20:34
@WeLDnurses Ready, set, go! #WeLDNs
@WeLDnurses
20 April 2021 20:34
1 Who has experience of supporting girls through puberty and particularly menstrual/periods? #WeLDNs
@samabdulla
20 April 2021 20:35
RT @WeLDnurses: 1 Who has experience of supporting girls through puberty and particularly menstrual/periods? #WeLDNs
@paularich1977
20 April 2021 20:35
@WeLDnurses Only personal experience of my own daughter, it’s been tough to say the least but we are finally getting there #weldns
@salsa442
20 April 2021 20:35
Personal and professional #WeLDNs https://twitter.com/WeLDnurses/status/1384591427800379393
@Ash_S_RNLD
20 April 2021 20:36
@WeLDnurses I have some, but much of my experience is with post school leaving age when issues haven't been considered or addressed #WeLDNs
@salsa442
20 April 2021 20:36
@paularich1977 @WeLDnurses It’s really tough isn’t it? #WeLDNs
@samabdulla
20 April 2021 20:36
@WeLDnurses Very limited but some as a staff nurse and a community nurse #weldns
@CharleeB3010
20 April 2021 20:36
@WeLDnurses I work with a group of schools who have children and young people who go through puberty with needs ranging from mild/mod to PMLD and then we have some CYP with autism / non-NT #WeLDNs
@LiamFreeman1991
20 April 2021 20:36
@WeLDnurses I haven't but would be great to hear some experiences and how best to support and give out information. #weldns
@Cathy_55555
20 April 2021 20:37
@WeLDnurses @salsa442 Good evening @WeLDnurses #WeLdns
@WeLDnurses
20 April 2021 20:37
@Ash_S_RNLD So presumably these young people have already started their periods? Wonder who supported them? #WeLDNs
@paularich1977
20 April 2021 20:37
@salsa442 @WeLDnurses It is... first sign of her period was very traumatic. Tears for hours and screams of “I don’t want my period”. #weldns
@Cathy_55555
20 April 2021 20:38
@WeLDnurses I think I am almost there with my daughter #WeLDNs
@samabdulla
20 April 2021 20:38
@Ash_S_RNLD @WeLDnurses Or just ignored? #weldns
@CharleeB3010
20 April 2021 20:38
@paularich1977 @salsa442 @WeLDnurses That sounds really tough #WeLDNs
@ross_6479_RNLD
20 April 2021 20:39
RT @WeLDnurses: 1 Who has experience of supporting girls through puberty and particularly menstrual/periods? #WeLDNs
@WeLDnurses
20 April 2021 20:39
@CharleeB3010 Sounds really interesting, your experience will be so important tonight #WeLDNs
@ross_6479_RNLD
20 April 2021 20:39
@WeLDnurses I have personal and professional experience, it can be a pretty challenging time #weldns
@WeLDnurses
20 April 2021 20:39
@paularich1977 @salsa442 That must’ve been so tough #WeLdNs
@Ash_S_RNLD
20 April 2021 20:40
@WeLDnurses Yes... I'm not entirely sure much support was given outside of families. I think it very much depends on their level of LD and school/paed health experience, most seem to be mums supporting as best they can #WeLDNs
@WeLDnurses
20 April 2021 20:40
@Ash_S_RNLD And it’s a really tough time for mums as well as their daughters #WeLDNs
@WeLDnurses
20 April 2021 20:41
2. What was the greatest challenge when the people/person you supported started their periods? #WeLDNs
@Cathy_55555
20 April 2021 20:41
@WeLDnurses I have also supported young women in my care with learning disabilities to manage care around their cycle #weldns
@CharleeB3010
20 April 2021 20:41
@WeLDnurses Maybe - or I might get angry... The worst thing to read is that "they're not considered because sexually active" as reported by mum/dad/carer #WeLDNs
@samabdulla
20 April 2021 20:41
RT @WeLDnurses: 2. What was the greatest challenge when the people/person you supported started their periods? #WeLDNs
@Ash_S_RNLD
20 April 2021 20:41
@samabdulla @WeLDnurses It is a bit of a taboo subject... Either they're stopped straight off or not discussed and girls/women muddle along #WeLDNs
@LiamFreeman1991
20 April 2021 20:42
RT @WeLDnurses: 2. What was the greatest challenge when the people/person you supported started their periods? #WeLDNs
@ross_6479_RNLD
20 April 2021 20:42
RT @WeLDnurses: 2. What was the greatest challenge when the people/person you supported started their periods? #WeLDNs
@salsa442
20 April 2021 20:42
Supporting the emotional and physical symptoms, the pain, understanding that it’s normal to bleed when all her life she thought the opposite #WeLDNs https://twitter.com/weldnurses/status/1384593033472118788
@samabdulla
20 April 2021 20:42
@Ash_S_RNLD @WeLDnurses It’s taboo enough for people without learning disabilities, it’s just another example of intersections of discrimination eh! #WeLDNs
@paularich1977
20 April 2021 20:43
@WeLDnurses Cleanliness/remembering to change pads... this was fine in the house where I was there to remind her but at school it wasn’t as easy for her. Solved that by ringing the school on the first day of her periods so they were aware and could prompt her #weldns
@Cathy_55555
20 April 2021 20:43
@WeLDnurses Depended on their ability to comprehend what was happening. Sometimes a challenge #weldns
@WeLDnurses
20 April 2021 20:43
It’s really important to consider the whole cycle too #WeLDNs https://twitter.com/cathy_55555/status/1384593054779203591
@CharleeB3010
20 April 2021 20:43
That products such as pads/tampons/cups etc are not thought about in relation to continence problems -where I work you get 4 inco pads a day - if you're bleeding as well then that is not enough #WeLDNs https://twitter.com/WeLDnurses/status/1384593033472118788
@CharleeB3010
20 April 2021 20:44
@WeLDnurses to be not because - angry typing #WeLDNs
@WeLDnurses
20 April 2021 20:44
Love this story, open honest communication is so helpful in life #WeLDNs https://twitter.com/hillsideliz/status/1384593225592229893
@WeLDnurses
20 April 2021 20:44
@CharleeB3010 Let’s hope we don’t make you angry tonight #WeLDNs
@Ash_S_RNLD
20 April 2021 20:44
@WeLDnurses Hygiene is definitely a big challenge at times. Also explaining that this is normal although what is normal? #WeLDNs
@ross_6479_RNLD
20 April 2021 20:45
@WeLDnurses Helping to understand the reason, especially why it happens regularly, not being able to get health support as primary care feel the person is ‘too young’, how to stay clean, remembering to change and also remembering to protect ones dignity, to name but a few #weldns
@Cathy_55555
20 April 2021 20:45
@WeLDnurses For the carer and also for the person in question. Education is key and adaptability for individuals to enable the best possible understanding is so important #weldns
@WeLDnurses
20 April 2021 20:45
@Alana_Jay1 Fab tweet but don’t forget to add #WeLDNs to every tweet you send so we can all see them
@CharleeB3010
20 April 2021 20:45
@WeLDnurses You won't - it's passion not anger I suppose :D #WeLDNs
@WeLDnurses
20 April 2021 20:46
This is a theme- it’s nothing usually normal to bleed, so how do we explain that period blood is normal? #WeLDNs https://twitter.com/Ash_S_RNLD/status/1384593949264957442
@paularich1977
20 April 2021 20:46
@hillsideliz @WeLDnurses I recently discovered period knickers for my daughter... they are like a revelation! She doesn’t need to wear a pad except heavy days and changes every 6-8 hrs! And you just wash the underwear! Saves so much upset for her! She’s yet to wear them to school cos of lockdown #weldns
@WeLDnurses
20 April 2021 20:46
@CharleeB3010 We love passionate nurses here #WeLDNs
@Ash_S_RNLD
20 April 2021 20:46
@hillsideliz @WeLDnurses My mum did the same with me it helped massively at times. I love how there are so many options now, period pants are a further revelation! #WeLDNs
@WeLDnurses
20 April 2021 20:47
This must be a massive breakthrough for so many women with learning disabilities- anyone else using them? #WeLDNs https://twitter.com/paularich1977/status/1384594343886036993
@Alana_Jay1
20 April 2021 20:47
@WeLDnurses I have not had any experience however in my 2nd year of studies (3rd year student now waahh) I done my health promotional tool around puberty and periods. It was more specialised for a girl but the tool can be tweaked if needed to for say a group of girls rather than 1-1 #WeLDNs
@samabdulla
20 April 2021 20:47
@paularich1977 @hillsideliz @WeLDnurses I’ve never heard of period pants! #WeLDNs
@samabdulla
20 April 2021 20:47
@Alana_Jay1 @WeLDnurses This sounds really brilliant! How’s it work? #weldns
@WeLDnurses
20 April 2021 20:48
If/When should teen girls/women with LD be prescribed contraception to support managing their periods? #WeLDNs
@ross_6479_RNLD
20 April 2021 20:48
@samabdulla @paularich1977 @hillsideliz @WeLDnurses I’ve never heard of them either, but they are next in my Google list #weldns
@Alana_Jay1
20 April 2021 20:48
@WeLDnurses Oopps sorry I'm still at the very novice stage when it comes to twitter. #WeLDNs
@salsa442
20 April 2021 20:48
RT @WeLDnurses: If/When should teen girls/women with LD be prescribed contraception to support managing their periods? #WeLDNs
@CharleeB3010
20 April 2021 20:48
@samabdulla @paularich1977 @hillsideliz @WeLDnurses They're fab for empowering young women / girls #WeLDNs
@ross_6479_RNLD
20 April 2021 20:48
@WeLDnurses When it is right for the individual, when it helps to support their wellbeing #weldns
@salsa442
20 April 2021 20:48
@ross_6479_RNLD @samabdulla @paularich1977 @hillsideliz @WeLDnurses They’re a revelation for people who struggle to change pads etc #WeLDNs
@Ash_S_RNLD
20 April 2021 20:49
@WeLDnurses Without over sharing... Except I will, they are life-changing! I have service users getting them and they're so much more dignified and easy to manage #WeLDNs
@Cathy_55555
20 April 2021 20:49
@WeLDnurses Yes it is a massive challenge. Hygiene is So important and I guess if education is given at an appropriate level, there should be no reason why this can’t be achieved. And if capacity is a boundary to this then assessment for possible assistance should be made. #weldns
@samabdulla
20 April 2021 20:49
@CharleeB3010 @paularich1977 @hillsideliz @WeLDnurses I’ll need to look into it #WeLDNs
@CharleeB3010
20 April 2021 20:49
@WeLDnurses When she wants it and thinks it is the best thing for her #WeLDNs
@WeLDnurses
20 April 2021 20:49
@Alana_Jay1 We love new tweeters, we just want to make sure everyone can see what you’re saying #WeLDNs
@ross_6479_RNLD
20 April 2021 20:50
@salsa442 @samabdulla @paularich1977 @hillsideliz @WeLDnurses I can imagine!! Wish I had heard of these three years ago!! Thank you thank you ?? #weldns
@samabdulla
20 April 2021 20:50
@EmmaLDNurse @paularich1977 @hillsideliz @WeLDnurses I’ll look out for them on Instagram ?? #weldns
@CharleeB3010
20 April 2021 20:51
@samabdulla @paularich1977 @hillsideliz @WeLDnurses Do. I love an @mooncupltd too and they are being given away for free from some pharmacies / healthcare centres too #WeLDNs #oversharingsorry!
@samabdulla
20 April 2021 20:51
RT @WeLDnurses: If/When should teen girls/women with LD be prescribed contraception to support managing their periods? #WeLDNs
@paularich1977
20 April 2021 20:51
@samabdulla @EmmaLDNurse @hillsideliz @WeLDnurses Most of my Facebook ads are period pants now ?? #weldns
@Ash_S_RNLD
20 April 2021 20:51
@ross_6479_RNLD @WeLDnurses Health support is a challenge across the board for young women when it comes to their periods and any difficulties that come along, it's a really neglected area of knowledge, I think adding an LD in makes it even harder #WeLDNs
@WeLDnurses
20 April 2021 20:51
Don’t forget your hashtags lovelies we need #WeLDNs on every tweet you send please and thank you https://twitter.com/EmmaLDNurse/status/1384595370504855555
@samabdulla
20 April 2021 20:51
Always after a conversation, with the person, with those who know who them best #weldns https://twitter.com/WeLDnurses/status/1384594720647696388
@Alana_Jay1
20 April 2021 20:51
@samabdulla @WeLDnurses It's a social story that encorporates stages on puberty from body changes to periods and some information about hygiene and cleanliness. I think the biggest thing for me to capture was was reassurance that its normal its natural. #WeLDNs
@Cathy_55555
20 April 2021 20:51
@WeLDnurses Very grey area in my opinion. Ethics, religion etc. Capacity. Who decides and who has the right to? #weldns
@LiamFreeman1991
20 April 2021 20:51
@WeLDnurses Should always be person centred, views and wishes, having enough information to know the positive and negatives of contraception medication. #weldns
@Ash_S_RNLD
20 April 2021 20:52
@WeLDnurses If it's right for them, there's so many different reasons for why it can be needed though #WeLDNs
@samabdulla
20 April 2021 20:52
@Alana_Jay1 @WeLDnurses Sounds excellent #weldns
@paularich1977
20 April 2021 20:52
@ross_6479_RNLD @samabdulla @hillsideliz @WeLDnurses Will share the link to the brand I bought with you later #weldns
@WeLDnurses
20 April 2021 20:52
@Ash_S_RNLD @ross_6479_RNLD You’re so right, period education still seems to be missing in a lot of schools #WeLDNs
@paularich1977
20 April 2021 20:53
@Alana_Jay1 @WeLDnurses Glad you could join Alana. Was hoping you would share your health promotion project findings with the chat #weldns
@WeLDnurses
20 April 2021 20:53
There’s no over sharing here! But using a moon cup requires the user to correctly position it right? Is there easyread info on this? #WeLDNs https://twitter.com/charleeb3010/status/1384595476096430081
@WeLDnurses
20 April 2021 20:53
RT @samabdulla: Always after a conversation, with the person, with those who know who them best #weldns
@Alana_Jay1
20 April 2021 20:53
@samabdulla @WeLDnurses Thank you. I am happy to share it if people would like to have a look. #WeLDNs
@ross_6479_RNLD
20 April 2021 20:53
@Ash_S_RNLD @WeLDnurses I have one daughter who was given a lot of information about safe sex without us present as capacity was assumed despite us asking to be involved for the very reason of lack of capacity #weldns
@CharleeB3010
20 April 2021 20:53
@Cathy_55555 @WeLDnurses Capacity is a massive bone of contention - parents / carers push for contraception without giving their children time to understand the implications, the Gillick Competencies are something that is generally forgotten #WeLDNs #MCA
@WeLDnurses
20 April 2021 20:53
We’d be really interested to hear more about this #WeLDNs https://twitter.com/alana_jay1/status/1384594544990228481
@ross_6479_RNLD
20 April 2021 20:53
@Ash_S_RNLD @WeLDnurses and another daughter who has a terrible time of periods every 2-3 weeks and won’t be prescribed anything as primary care think she is too young #weldns
@samabdulla
20 April 2021 20:54
RT @Alana_Jay1: @samabdulla @WeLDnurses Thank you. I am happy to share it if people would like to have a look. #WeLDNs
@WeLDnurses
20 April 2021 20:54
@Alana_Jay1 @samabdulla Yes please #WeLDNs
@Ash_S_RNLD
20 April 2021 20:54
@CharleeB3010 @samabdulla @paularich1977 @hillsideliz @WeLDnurses @mooncupltd I rave about them too, although they don't suit everyone. There's a website called putacupinit which has a quiz which then recommends the best cup to suit your needs #WeLDNs
@Cathy_55555
20 April 2021 20:54
@LiamFreeman1991 @WeLDnurses How do we always know we get things right? Contraception is such a massive deal for some people and not acceptable for many. How does one assess for example if an individual can not communicate their feelings on this? #weldns
@WeLDnurses
20 April 2021 20:54
We must always consider capacity when supporting complex decision making/information giving #WeLDNs https://twitter.com/ross_6479_RNLD/status/1384596105187450880
@paularich1977
20 April 2021 20:55
My daughter was looking over my shoulder asking why I’m talking about “girls problems”... I asked what she thought of her period knickers and she thinks they’re fab and much easier than pads but still doesn’t like periods #weldns
@CharleeB3010
20 April 2021 20:55
@WeLDnurses Yes! Erm probably not... I wonder if there isn't because of the legal implications to picture graphic instructions they would be very intrusive #WeLDNs
@Ash_S_RNLD
20 April 2021 20:56
@WeLDnurses Correct but there are lots of different styles for different people's needs as nobody is the same. They do take some skill at the start though #WeLDNs
@WeLDnurses
20 April 2021 20:56
@Cathy_55555 @LiamFreeman1991 We must use the principles of the MCA and Best interests when someone is unable to consent - how easy/often is this done regarding periods/contraception? #WeLDNs
@CharleeB3010
20 April 2021 20:56
@Ash_S_RNLD @samabdulla @paularich1977 @hillsideliz @WeLDnurses @mooncupltd OOOO Is there - totally stealing that thanks! #WeLDNs
@drbaker82
20 April 2021 20:57
RT @WeLDnurses: This must be a massive breakthrough for so many women with learning disabilities- anyone else using them? #WeLDNs
@WeLDnurses
20 April 2021 20:57
@CharleeB3010 This could limit its effectiveness for some women with learning disabilities #WeLDNs
@Cathy_55555
20 April 2021 20:57
@WeLDnurses @LiamFreeman1991 But is this always ethical and sympathetic to religious views? #weldns
@ross_6479_RNLD
20 April 2021 20:57
@Cathy_55555 @LiamFreeman1991 @WeLDnurses I think the best we can do is take each person in their own right, work with as many people as we need to so that we can make it as accessible as possible to help the decision making and if still an issue that we involve people who can support decision making, and review #weldns
@Alana_Jay1
20 April 2021 20:58
@WeLDnurses It was something I felt needed to be looked into more especially for girls with learning disabilities and/or Autism. Period poverty was one of the main barriers and also lack of education #WeLDNs
@WeLDnurses
20 April 2021 20:58
And between Gillick competency and MCA assessments what happens to the girl who’s still having horrendous periods every month? #WeLDNs https://twitter.com/charleeb3010/status/1384596125836095489
@CharleeB3010
20 April 2021 20:58
@WeLDnurses @Alana_Jay1 @samabdulla Definitely! #WeLDNs
@ross_6479_RNLD
20 April 2021 20:58
@Cathy_55555 @WeLDnurses @LiamFreeman1991 I’d want to take these as part of the best interest decision, important to consider all that is important to the person when thinking it through #weldns
@Cathy_55555
20 April 2021 20:58
@ross_6479_RNLD @LiamFreeman1991 @WeLDnurses Yes. Massive collaboration needed to make such a big decision to ensure a positive choice for the individual #weldns
@Ash_S_RNLD
20 April 2021 20:59
@ross_6479_RNLD @WeLDnurses That's awful. I had a similar situation where the person wasn't sexually active so why would they need contraception. The mind boggles at some of the things I've heard #WeLDNs
@GloriaNavarroS1
20 April 2021 20:59
@ErinNaki @WeLDnurses #WeLDNs its true many young girls with learning disabilities may not have the abilities to make their own decision or even may not be aware of all the aspects in regards to contraception, and menstruation. However its great that now we can teach all girls of understanding. #MDX
@LiamFreeman1991
20 April 2021 20:59
@Cathy_55555 @WeLDnurses From experience, research, we cant always be right but reflect on things and looking for new ideas is how we minimum mistakes. That's why I am here to learn to get better understanding & sometimes it can be as easy as giving the info to people they have better trust with #weldns
@WeLDnurses
20 April 2021 20:59
@Cathy_55555 @LiamFreeman1991 These should be considered within the MCA assessment, fundamental to assessing under MCA is finding out what the persons views are, what their beliefs are, what they would want if they could make the decision themselves. #WeLDNs
@kavanag
20 April 2021 21:00
#WeLDNs #JoinIn https://twitter.com/weldnurses/status/1384590970424074242
@Alana_Jay1
20 April 2021 21:00
@paularich1977 @WeLDnurses Thank you for asking me Paula. It's a topic that seems to be hidden I think hearing from parents views when I was researching it. #WeLDNs
@CharleeB3010
20 April 2021 21:00
@WeLDnurses Not that there shouldn't be I just wonder how it would be possible. The 'info' that comes with them requires a PhD in Ikea Instruction Reading which not many people have #WeLDNs
@WeLDnurses
20 April 2021 21:01
@Alana_Jay1 We agree totally and we’re very interested to learn more about your work, maybe we can speak after the chat? We have a post chat blog to write and we think you could really help with that ???? #WeLDNs
@Alana_Jay1
20 April 2021 21:01
@WeLDnurses @samabdulla That's great. Thank you for your interest. Happy to email it over to you #WeLDNs
@Cathy_55555
20 April 2021 21:01
@LiamFreeman1991 @WeLDnurses Exactly. We do this because we care. Making mistakes is part of the journey and we learn daily and through forums such as this chat. Good to share experience ??-#weldns
@ross_6479_RNLD
20 April 2021 21:01
@WeLDnurses @Ash_S_RNLD And it’s not something schools are always able to ‘practically’ help with either #weldns
@CharleeB3010
20 April 2021 21:02
@WeLDnurses I wonder if this is why it isn't considered as an issue or it being parents / schools responsibility because then HCPs are not expected to do the ground work, which I appreciate makes me sound very lazy but just trying to understand it in my own head 1/ #WeLDNs
@WeLDnurses
20 April 2021 21:02
What types of contraception have you seen used for our teen girls with LD? Are there any types/brands which are more accessible or less invasive for people to use? #WeLDNs
@WeLDnurses
20 April 2021 21:03
@ross_6479_RNLD @Ash_S_RNLD No that would be challenging. Does anyone have easyread info about periods? #WeLDNs
@Ash_S_RNLD
20 April 2021 21:03
@WeLDnurses She's left to suffer in some cases. And I would also suggest many will suffer quietly/with changes in presentation as they can't necessarily communicate how they feel #WeLDNs
@GloriaNavarroS1
20 April 2021 21:03
@Cathy_55555 @LiamFreeman1991 @WeLDnurses You cannot always get it right from a women's perspective its a really big deal to find the option that will work for each women. I believe that the NHS is doing a really great job educating all girls and women about contraception. #weldns #WeLDNs
@CharleeB3010
20 April 2021 21:04
@WeLDnurses For the record, I am capacity assessing left right & centre but that is because of my background in MH/ATU not something that has been taught to CYP professs in my experience of being in the service. I just wonder if that is why it is missing as a service consideration #WeLDNs
@LiamFreeman1991
20 April 2021 21:04
@Cathy_55555 @WeLDnurses Exactly, I doing it more, since our service has introduced a women's service. So, I got a lot to learn to prevent few mistakes. Glad, I put my reading glasses on ?? #weldns
@paularich1977
20 April 2021 21:04
@WeLDnurses @ross_6479_RNLD @Ash_S_RNLD #EBP #Weldns https://www.dsscotland.org.uk/wordpress/wp-content/uploads/2016/02/Lets-talk-Periods.pdf
@WeLDnurses
20 April 2021 21:04
@Ash_S_RNLD That’s really important point, carers/parents need to be aware of behavioural/postural changes that may indicate someone has period pain, then we also need to consider some of the psychological symptoms of menstruation too... #WeLDNs
@Alana_Jay1
20 April 2021 21:04
@WeLDnurses Of course. I will try my best to help ?? #WeLDNs
@ross_6479_RNLD
20 April 2021 21:05
@Ash_S_RNLD @WeLDnurses It’s a consistent factor in PBS work, regularly built into plans as a known component for behavioural change and yet still can be met with challenges when trying to support women to have their needs met #weldns
@Ash_S_RNLD
20 April 2021 21:05
@GloriaNavarroS1 @Cathy_55555 @LiamFreeman1991 @WeLDnurses While I agree that it is hard to find an option that works I would tend to disagree that the nhs get it right educating women and girls, it may be different in different places #WeLDNs
@WeLDnurses
20 April 2021 21:06
@GloriaNavarroS1 @Cathy_55555 @LiamFreeman1991 Good feedback, thank you. But can we do more to educate people with learning disabilities? Also how do we support the assessment of whether a form of contraception is working for someone who can’t tell us about negative side effects? #WeLDNs
@WeLDnurses
20 April 2021 21:06
RT @paularich1977: @WeLDnurses @ross_6479_RNLD @Ash_S_RNLD #EBP #Weldns https://www.dsscotland.org.uk/wordpress/wp-content/uploads/2016/02/Lets-talk-Periods.pdf
@Cathy_55555
20 April 2021 21:06
@GloriaNavarroS1 @LiamFreeman1991 @WeLDnurses But what if contraception is not the individuals wish and taken purely because that is all they have been taught that it is what happens when you start your period. Are we teaching fully? And why is it easily prescribed? #weldns
@WeLDnurses
20 April 2021 21:06
@paularich1977 @ross_6479_RNLD @Ash_S_RNLD Love that #EBP thanks Paula #WeLDNs
@paularich1977
20 April 2021 21:06
@Alana_Jay1 @WeLDnurses It was an amazing coincidence that just the other day we were talking about periods, period poverty and your tool, so had to get you here thanks for joining #weldns
@paularich1977
20 April 2021 21:07
@WeLDnurses @ross_6479_RNLD @Ash_S_RNLD They have some great resources about puberty for boys as well. #weldns
@WeLDnurses
20 April 2021 21:07
@Alana_Jay1 ?? #WeLDNs
@Ash_S_RNLD
20 April 2021 21:08
@WeLDnurses Combined pill, mini pill, depo provera, rod and patch although I would say most are offered pill or longacting nothing in between and even different brands of pills seem off limits #WeLDNs
@WeLDnurses
20 April 2021 21:08
@Ash_S_RNLD @GloriaNavarroS1 @Cathy_55555 @LiamFreeman1991 The postcode game? We know it well! Always such a variance across the country in services #WeLDNs
@ross_6479_RNLD
20 April 2021 21:09
@Cathy_55555 @GloriaNavarroS1 @LiamFreeman1991 @WeLDnurses Language also becomes a factor as many people don’t understand that medication (oral/injected or otherwise) isn’t effective against infections or diseases; the terminology becomes grouped together and the important message gets lost #weldns
@Cathy_55555
20 April 2021 21:09
@WeLDnurses @GloriaNavarroS1 @LiamFreeman1991 We need to give a full picture. Offer choice and not sell contraception as if it is the normal action to take once the body is ready to conceive because it isn’t normal. Education of all options and the biology of how babies are made needs to be taught primarily #weldns
@CharleeB3010
20 April 2021 21:10
@ross_6479_RNLD @Ash_S_RNLD @WeLDnurses Could it be something that is also incorporated into the pain assessment tool? I wanna call it a DasDis but I am not sure #WeLDNs
@WeLDnurses
20 April 2021 21:10
Is this similar for other areas? #WeLDNs @Ash_S_RNLD do you have preferred options for the people you care for? https://twitter.com/Ash_S_RNLD/status/1384599799291424769
@Ash_S_RNLD
20 April 2021 21:10
@WeLDnurses Pills are harder to manage for some because they either still have a break or they need to remember to take consistently, the implant can be hit or miss depending if the purpose is to stop or reduce periods, but then I guess they all can have that potential #WeLDNs
@WeLDnurses
20 April 2021 21:10
Has anyone encountered safeguarding concerns as a result of prescribed contraception? #WeLDNs
@samabdulla
20 April 2021 21:11
RT @WeLDnurses: Has anyone encountered safeguarding concerns as a result of prescribed contraception? #WeLDNs
@Cathy_55555
20 April 2021 21:11
@ross_6479_RNLD @GloriaNavarroS1 @LiamFreeman1991 @WeLDnurses Language and ability to comprehend due to learning disabilities perhaps #weldns
@WeLDnurses
20 April 2021 21:11
@CharleeB3010 @ross_6479_RNLD @Ash_S_RNLD DisDAT - the disability distress assessment tool, @salsa442 loves this one #WeLDNs
@CharleeB3010
20 April 2021 21:12
@WeLDnurses @Ash_S_RNLD I think they're the general go-to female chemical contraceptives, never been involved in one for a patient though. On a personal level - the side effects of them are HORRENDOUS #WeLDNs https://t.co/6d9ona1rZc
@Ash_S_RNLD
20 April 2021 21:12
@WeLDnurses Depends whether it is for contraception or managing periods. I tend to prefer the mini pill for managing periods initially but if that works well the depo is a longer lasting alternative. For contraceptive purposes long lasting methods would be preferred #WeLDNs
@WeLDnurses
20 April 2021 21:12
@Ash_S_RNLD So it’s individual assessment and careful discussion with the person and their carers? #WeLDNs
@ross_6479_RNLD
20 April 2021 21:12
@Cathy_55555 @GloriaNavarroS1 @LiamFreeman1991 @WeLDnurses Yes, I’m thinking the use of language is what exacerbates the ability for people to comprehend #weldns
@getmebetter
20 April 2021 21:12
@WeLDnurses This depends on the reason that contraception is required and the person's individual circumstances. Additional considerations would be- ability/memory to take medication each day, perhaps at a fixed time and dysphagia affecting whether a person can safely take tablets. #weldns
@ross_6479_RNLD
20 April 2021 21:13
@WeLDnurses @CharleeB3010 @Ash_S_RNLD @salsa442 Yes we often use the DisDat too :) #weldns
@Ash_S_RNLD
20 April 2021 21:13
@WeLDnurses But always in discussion with the person and if needed carer/parent #WeLDNs
@salsa442
20 April 2021 21:13
I love her, massive thanks for that fab feedback ?? #WeLDNs https://twitter.com/paularich1977/status/1384596655983497217
@ross_6479_RNLD
20 April 2021 21:14
@paularich1977 She may well have a big friend up north soon ;) thank you #WeLDNs
@salsa442
20 April 2021 21:14
RT @WeLDnurses: Has anyone encountered safeguarding concerns as a result of prescribed contraception? #WeLDNs
@Ash_S_RNLD
20 April 2021 21:14
@CharleeB3010 @WeLDnurses Very much agree, I was suicidal on one! How would our patients tell us that?! I've had a rough time so it's why I take such a keen interest for my patients #WeLDNs
@Cathy_55555
20 April 2021 21:15
@ross_6479_RNLD @GloriaNavarroS1 @LiamFreeman1991 @WeLDnurses It is so complex isn’t it? I think that is the nugget of our specialised roles caring for our LD population. Diversity...flexibility and open minded. It’s hard work but equally an awesome challenge!?? #weldns
@salsa442
20 April 2021 21:15
@Ash_S_RNLD @CharleeB3010 @WeLDnurses I can so relate to this #WeLDNs
@OT_Expert
20 April 2021 21:15
RT @WeLDnurses: If/When should teen girls/women with LD be prescribed contraception to support managing their periods? #WeLDNs
@paularich1977
20 April 2021 21:15
@salsa442 She’s great about them now just tells me she has her girls problems and gets on with it. Cleanliness is still an issue at times but she’s great with prompting to wash #weldns
@ross_6479_RNLD
20 April 2021 21:15
@Cathy_55555 @GloriaNavarroS1 @LiamFreeman1991 @WeLDnurses Absolutely!! Comes through in the passion people show for getting it right for the people we support :) #weldns
@WeLDnurses
20 April 2021 21:16
Does the use of contraception increase vulnerability of teen girls with LD? #WeLDNs
@ross_6479_RNLD
20 April 2021 21:16
RT @WeLDnurses: Does the use of contraception increase vulnerability of teen girls with LD? #WeLDNs
@CharleeB3010
20 April 2021 21:16
@Ash_S_RNLD @WeLDnurses I know! I don't think I have ever seen / heard anyone be asked if they suffer from side effect TBH #WeLDNs
@Ash_S_RNLD
20 April 2021 21:16
@WeLDnurses Definitely, and always closely monitoring for side effects or changes in the person as what works for one doesn't work for another #WeLDNs
@salsa442
20 April 2021 21:16
@paularich1977 I’ve had a similar experience here too but so much better these days #WeLDNs
@LiamFreeman1991
20 April 2021 21:16
@Cathy_55555 @ross_6479_RNLD @GloriaNavarroS1 @WeLDnurses Isn't it best to get it simple anyway? Even for p/w LD but also for young teens who are going through puberty and that. I won't know where to start but I guessing I would go simple #weldns
@samabdulla
20 April 2021 21:17
It’s not an answer to a question but a reflection on my own practices, I really need to build in more education around periods. My own naivety (and ?institutional misogyny) has run wild here #WeLDNs
@getmebetter
20 April 2021 21:17
@WeLDnurses @Ash_S_RNLD This goes back to assessment of #mentalcapaciity, if they are found to have capacity then discussion with them may be the only discussion required #WeLDNs
@Ash_S_RNLD
20 April 2021 21:17
@ross_6479_RNLD @WeLDnurses Agreed! It's a big area of work but actually still under explored in many ways #WeLDNs
@salsa442
20 April 2021 21:17
I think it can. I’ve known people be sexually abused and because they’re taking contraception the ‘risk’ of pregnancy is eliminated and therefore the risk of being found out #WeLDNs https://twitter.com/WeLDnurses/status/1384601780617687041
@CharleeB3010
20 April 2021 21:18
@WeLDnurses Possibly more so than they already are - but I also think it is an entire teenage girl problem not just an LD teen problem. There is potential they give the user a feeling of being grown up / sexually mature #WeLDNs
@Ash_S_RNLD
20 April 2021 21:18
@CharleeB3010 @ross_6479_RNLD @WeLDnurses I would use the disdat for sure. It's my most used tool #WeLDNs
@WeLDnurses
20 April 2021 21:18
@getmebetter @Ash_S_RNLD Absolutely - always best if the person can be supported to make their own decisions #WeLDNs
@CharleeB3010
20 April 2021 21:20
@samabdulla It's no necessarily naivety (agree with the institutional mysogyny but thats a rant for another day). I am having to learn about the experiences teen boys go through at the minute to support a fair few people and that has most definitely been a learning curve #WeLDNs
@ErinNaki
20 April 2021 21:20
RT @GloriaNavarroS1: @ErinNaki @WeLDnurses #WeLDNs its true many young girls with learning disabilities may not have the abilities to make…
@WeLDnurses
20 April 2021 21:20
Is there more we could be doing to educate and assess teen girls capacity to make choices about their periods and being prescribed contraception? #WeLDNs
@CharleeB3010
20 April 2021 21:21
@Ash_S_RNLD @ross_6479_RNLD @WeLDnurses Sadly, no child / teen adaptations to it #WeLDNs
@WeLDnurses
20 April 2021 21:21
#weLDNs don’t forget your hashtags lovelies https://twitter.com/ErinNaki/status/1384594474395963392
@samabdulla
20 April 2021 21:21
@CharleeB3010 We are set up to not understand each other’s experience as our bodies change through puberty and the impact is huge #weldns
@paularich1977
20 April 2021 21:21
@WeLDnurses Sadly it probably does. Also the understanding around what they are being protected against, i.e if they are sexually activity not using a barrier method in addition to other methods to protect from STI’s #weldns
@Cathy_55555
20 April 2021 21:21
@WeLDnurses I believe it makes it easy for people to have casual sex because they are taught that contraception stops pregnancy, therefore giving the assumption to the girl that it is permitted that she can had have sex. So yes it is making them more vulnerable in my opinion. #weldns
@WeLDnurses
20 April 2021 21:22
@CharleeB3010 @Ash_S_RNLD @ross_6479_RNLD But it can be adapted for teenagers can’t it? #WeLDNs
@samabdulla
20 April 2021 21:22
@CharleeB3010 Btw, can wait for you to host a chat in feminism and disability... #weLDNs
@binksy1995
20 April 2021 21:22
RT @WeLDnurses: #weLDNs don’t forget your hashtags lovelies https://twitter.com/ErinNaki/status/1384594474395963392
@WeLDnurses
20 April 2021 21:22
@Cathy_55555 That’s a really good point #WeLDNs
@ross_6479_RNLD
20 April 2021 21:23
@WeLDnurses I think the troubling thing is that if they aren’t involved with any LD professionals then how well things are made accessible is dependent on their local primary care, so our focus should be on upskiling primary care/schools etc maybe? Providing a supportive approach #weldns
@Cathy_55555
20 April 2021 21:23
@WeLDnurses I know ????#weldns
@CharleeB3010
20 April 2021 21:23
@samabdulla nope we are not. Neither is is something we are empowered to learn about during study though. I think there is still a taboo on sexual health and sexuality #WeLDNs
@CharleeB3010
20 April 2021 21:24
@WeLDnurses @Ash_S_RNLD @ross_6479_RNLD CAN IT?!?! I did not know that - not shouting, excited! #WeLDNs
@WeLDnurses
20 April 2021 21:24
@Cathy_55555 ?? ?? ?? #WeLDNs
@paularich1977
20 April 2021 21:24
@ross_6479_RNLD @WeLDnurses Also educating parents who may also be a barrier to allowing their young adult to make these decisions #weldns
@CharleeB3010
20 April 2021 21:24
@samabdulla OOOO now there is an idea Professor Abdulla there is an idea! #WeLDNs
@Cathy_55555
20 April 2021 21:24
@WeLDnurses ????#weldns
@samabdulla
20 April 2021 21:25
@CharleeB3010 Would say we are actively encouraged not to, especially when educators own prejudices and insecurities seep in #weldns
@WeLDnurses
20 April 2021 21:25
Fab thank you ?? #WeLDNs https://twitter.com/FeliciaJCox/status/1384603712551890945
@samabdulla
20 April 2021 21:25
@CharleeB3010 Just let us know when you’re ready! #weldns
@WeLDnurses
20 April 2021 21:25
Last five minute folks (how fast was that hour?!) what will you take away from tonight’s chat? Any key issues we need to address? #WeLDNs
@ross_6479_RNLD
20 April 2021 21:25
@paularich1977 @WeLDnurses Yes, making sure there is some easy to find information out there for people, maybe we need a Facebook/SoMe page (if there isn’t one already ??) #weldns
@samabdulla
20 April 2021 21:26
@WeLDnurses We need to be better in talking about these issues. Periods aren’t just the problem of the person having them #weldns
@Cathy_55555
20 April 2021 21:26
@EmmaLDNurse @WeLDnurses Absolutely Emma #weldns
@Ash_S_RNLD
20 April 2021 21:27
@WeLDnurses It possibly adds a stigma to the young woman as well that they are sexually active when they may not be and that can lead to misjudgements from all sorts of people #WeLDNs
@CharleeB3010
20 April 2021 21:27
@samabdulla Just reading Mary Wollstonecraft at the moment so wait until I move out of the 1800s and into the 1970s and I am all yours! #WeLDNs
@salsa442
20 April 2021 21:27
@CharleeB3010 @WeLDnurses @Ash_S_RNLD @ross_6479_RNLD I think I have an adapted version - you’ll need to remind me to hunt through my hard drive for it though ?? #WeLDNs
@paularich1977
20 April 2021 21:28
@WeLDnurses I actually realised that I am rocking it as a mum right now as far as “girl problems” go! ?? #WeLDNs
@paularich1977
20 April 2021 21:28
@ross_6479_RNLD @WeLDnurses I like your thinking! #WeLDNs
@WeLDnurses
20 April 2021 21:28
@Cathy_55555 @EmmaLDNurse At last a hashtag! You must add #WeLDNs to every tweet ladies so we can all see them ????
@samabdulla
20 April 2021 21:28
Massive thank you to @salsa442 for taking us on this brilliant chat tonight #weldns
@ross_6479_RNLD
20 April 2021 21:29
RT @samabdulla: Massive thank you to @salsa442 for taking us on this brilliant chat tonight #weldns
@WeLDnurses
20 April 2021 21:29
We already knew you were ???? #WeLDNs https://twitter.com/paularich1977/status/1384604899027996675
@CharleeB3010
20 April 2021 21:29
@salsa442 @WeLDnurses @Ash_S_RNLD @ross_6479_RNLD Might take you up on that offer! #WeLDNs
@ross_6479_RNLD
20 April 2021 21:29
@samabdulla @salsa442 Yes huge thanks ?? #weldns




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