The Nursing Roundtables are conducted for all nurses serving individuals with intellectual and developmental disabilities, every 3rd Thursday, 3:00 pm - 5:00 pm. The training sessions are conducted at:
Wholistic Day Service
680 Rhode Island Ave NE Suite G-1
Washington, DC 20002
To view the PowerPoint slide presentations, please click on the training topic.
March 15, 2018: Providing Inclusive, Nonjudgmental Care to LGBTQ Patients: Strategies for Nurses
Presented by Kimberly D. Acquaviva, PhD, MSW, CSE
June 15, 2017: Facilitating Person-Centered Care for People with Intellectual and Developmental Disabilities
This project contributes to social change by teaching and reinforcing person-centered practices among healthcare workers in the field of disability services, thus limiting healthcare disparities by improving healthcare access for persons with IDD.
May 18, 2017: Signs and symptoms that define critical clinical events
This presentation discussed the signs and symptoms RNs, LPNs, and DSPs should be aware of when providing care to people with intellectual and developmental disabilities. When protocols are required (e.g. a seizure protocol, fall prevention protocol, injury protocol, alteration in breathing protocol, etc.), the RN, LPN, and/or DSP are expected to follow through with pre-determined interventions. When an adverse event occurs, and the protocols are not effective, then activating EMS is the next step. This presentation included when to call EMS and when to call the RN/LPN for assistance.
April 20, 2017: Research and Nursing Interventions of Constipation and Sepsis
This presentation included information on recent research related to constipation, including questions brought about as a result of the research, and suggested nursing interventions. Resulting questions include what defines constipation, how accurate are people with self-reporting it, and how is it best treated. Given that there are only three articles in current research data bases, how can we attain more information on constipation, and what kinds of questions can we ask clients/patients to help alleviate complications from constipation.
The second topic for this presentation is sepsis. We discussed a 60% reduction strategy initiated by a hospital, and the subsequent findings from that initiative. Additionally, we discussed options for nurses treating people with signs and symptoms consistent with sepsis within the developmental disabilities setting.
January 21, 2017: Venous Insufficiency and DVT Prophylaxis in Individuals with IDD
November 17, 2016: Positive Airway Pressure Systems for Sleep Disordered Breathing
This month's nursing round table focused on the CPAP machine, reasons for using one, and some behavioral supports to assist with compliance. The first presenter explained apnea by listing some risk factors and symptoms, and then explained some intended results of using CPAP. She also reviewed proper maintenance of a CPAP machine, and what to be aware of regarding safety. The second presenter discussed predictors and non-predictors of desired usage of CPAP devices, as well as interventions that influence CPAP compliance.
October 20, 2016: Facilitating Improved Posture and Positioning in Persons with Intellectual and Other Disabilities: The Nurse's Role
This presentation, taught by a clinical physical therapist possessing a Doctorate of Science in physical therapy, discusses the importance of proper positioning and body alignment, and introduces the federal regulation mandating that no one entering a facility should experience a marked decrease in range of motion or ability to engage in activities of daily living without justification of cause. This presentation will also discuss contractures, their causes, and consequences. Lastly, this presentation will review pressure ulcers and methods of prevention, treatment, and ongoing ways to relieve pressure and reposition.
September 15, 2016: Community Based Occupational Therapy
This presentation, taught by a certified occupational therapist, explains the role occupational therapists (OT) play when providing care to people with intellectual/developmental disabilities (I/DD). It lists coalitions/organizations the OT partners along with in an effort to help establish relationships for people with I/DD. With the goal of helping people remain, or become, as independent as possible, the occupational therapist works individually with the person receiving services, incorporating interventions and work towards that goal. In addition, this presentation explains the challenges many people face emotionally, environmentally, psychologically, and behaviorally when engaging in occupational therapy, and what services the OT provides.
August 18, 2016: What is Prader-Willi Sydrome? - Questions, Answers, and Interventions
This session, taught by a clinical psychologist, describes and discusses characteristics of Prader-Willi Syndrome (PWS), including which chromosome the genetic abnormality is found, how frequently it is found, and in what population of people. The presenter will discuss the signs of PWS in utero, birth, infancy, childhood, adolescence, and adulthood. Additionally, the following aspects of PWS are included: neurocognitive, IQ, auditory processing, memory, behavioral concerns, interventions, limit setting, mental health concerns, and existing psychiatric conditions.
July 21, 2016: Dysphagia - Identification and Management
This session will describe and discuss characteristics of dysphagia and the warning signs. The presenter will describe how a speech and language pathologist assesses a swallowing disorder, when to refer the person for a swallow study, and how to manage a diagnosis of dysphagia. Lastly, further description and discussion on mealtime protocols, including details on the National Dysphagia Diet terminologies (descriptions of food textures and liquid consistencies), and the appropriate follow-up when there is a swallowing concern (whether or not it is diagnosed as dysphagia).
June 16, 2016: Guidelines for Nutritional Management – The Nurse’s Role
This session is a nutritionist-instructed informational discussion regarding nutrition concerns for people with developmental disabilities. Participants will learn the basic concepts of body composition, and the important ratios between fat and lean body mass. Various causes of weight gain and weight loss will be explained, as well as the importance of maintaining a height-weight proportionate body. The effects of dementia on nutrition and weight are discussed, as well as other nutritional concerns (diseases and risks) for people with developmental disabilities. Supplements, physical activity, motivational interviewing, and the concept of the liberalization of dieting are all discussed in case studies and group discussion.
May 19, 2016: Nursing Care of the PEG Tube
This session is a physician-instructed informational discussion regarding PEG tube placement. Participants will learn about the benefits and complications of PEG tube placement, and will be introduced to the ethical dilemmas it potentially raises. The nursing care aspect of the PEG tube will be the primary topic, including appropriate methods of care such as inspecting the insertion site and tubing, cleaning, connecting it to the feeding apparatus, and proper food and medication administration; and immediate or delayed complications the nurse is expected to identify.
March 17, 2016: Ten Rights of Medication Administration & Management
This presentation will focus on the 10 rights of medication administration, management and prevention of medication errors. It will also cover trends, common etiology, review Health & Wellness Standards (17) and the RN delegating responsibilities as it relates to safe medication administration.
February 18, 2016: Introduction to Dementia and People with Intellectual Disabilities
This presentation will focus on the 10 rights of medication administration, management and prevention of medication errors. It will also cover trends, common etiology, review Health & Wellness Standards (17) and the RN delegating responsibilities as it relates to safe medication administration.
January 21, 2016: The Principles of Motivational Interviewing
Motivational interviewing is a person-centered style of counseling where the focus is on addressing ambivalence about change. It is a way to empower people, supported by nurses, to speak up and make lifestyle changes. Through a series of questions, affirmations, reflections and summaries, the person seeking change can solve his/her own challenges with the help of the nurse. This training will discuss: the importance of motivational interviewing and its impact on the person; the nurse’s role in helping to initiate change; and the importance of allowing the person to dictate the pace of change.
October 15, 2015: You've Decided to Have Sex: STIs, HIV and Contraception Options
Nurses play a vital role in the everyday lives of people with disabilities. Often, sexuality and healthy relationships are put on the back burner. The intent of this training is to ensure that nurses are equipped with the tools and information necessary to empower people with disabilities to make healthy decisions relating to their sexual health. It is imperative that nurses are comfortable with relaying sexuality information not only to people with disabilities, but also to staff at all levels. This training will focus on safe sex options, prevention of STIs and HIV and contraception options. This session will help nurses to ensure that the person has proper education and knowledge about sexual health and lifestyle choices.
July 16, 2015: Introduction to Human Sexuality and Healthy Relationships
Nurses play a vital role in the everyday lives of people with disabilities. Often, sexuality and healthy relationships are put on the back burner. The intent of this training is to ensure that nurses are equipped with the tools and information necessary to empower people with disabilities to make healthy decisions relating to their sexual health. It is imperative that nurses are comfortable with relaying sexuality information not only to people with disabilities, but also to staff at all levels. This training will clarify how to focus on the needs of each person, to ensure that the person is safe and to make certain that the person has proper education and knowledge about sexual health and lifestyle choices.
June 18, 2015: Introduction to Dual Diagnosis: Intellectual Disabilities with Co-Occurring Mental Illness
People with Intellectual Disabilities (ID) have a higher incidence of psychiatric disorders such as mood syndromes, anxiety disorders, and psychosis than the general population but often this is not addressed appropriately. People with ID are often referred to psychiatrists to address challenging behaviors but because of communication difficulties, people with ID are not able to describe their symptom experiences, medication side effects, or undiagnosed medical conditions that affect their behavior. Therefore, the health professionals on the person’s support team must be knowledgeable about the etiology of challenging behaviors in order to facilitate effective communication with the psychiatrist and avoid polypharmacy, acute hospitalizations, or fragmented care. This presentation will describe the variable presentations of psychiatric symptoms and psychotropic medication side effects in the ID population. Participants will also learn effective ways to facilitate an interdisciplinary approach to mental health treatment in community based settings.
May 21, 2015: Supporting End of Life Decisions for People with Intellectual Disabilities
Over the past 20 years there has been an increasing emphasis place on respecting individual choice and quality of life for people with intellectual disabilities. During this same time period, the life expectancy of people with intellectual disabilities has increased significantly, that translates into the fact that they and their loved ones will be faced with choices about life saving or life-extending medical treatments. This course will review a process for developing an end-of-life plan that follows the principles of person-centered planning, and assist the nurse in guiding this process taking into consideration the distinct needs of health adults, people with a chronic illness and those with a terminal diagnosis.
April 16, 2015: Adult Immunization: 2014-2015 Updates
Immunizations continue to be a very important part of health promotion and prevention of diseases. Although Vaccination has been one of the greatest achievements in public health as stated by the Center for Disease Control and Prevention (CDC) in 2011, there are still many people who did not receive immunizations in 2013. Therefore, the CDC stresses continuing education on the need of immunizations through yearly updates based on current research. The purpose of this training session will be to provide DDA nurses with the understanding on the importance of making sure people we support receive appropriate immunizations as recommended by the CDC. This course is designed to provide Nurses with and understanding of the importance of vaccines and their work to provide immunity, a description of the important changes to the Immunization schedule, and keys in assuring vaccination among adults.
March 17, 2015: Review of the DDA Health and Wellness standards and new nursing forms.
This course will provide guidance to the Nurses in meeting the requirements of the Health and Wellness Standards. The Nurse will be able to complete the newly revised healthcare forms (Nursing Assessment; Preventive Health Screen Form and the Glasgow Depression Scale). The Nurse will also be able to collaborate with the Psychiatrist in the implementation of the Annual Psychiatric Assessment for people with an Intellectual Disability. The Nurse’s will receive feedback regarding previously submitted nurse’s questions or concerns about the Health and Wellness Standards.
February 26, 2015: Telephone Triage for the DDA Nurse
The nurses will receive summaries of evidence based practice studies that demonstrate the significance of the nurse’s knowledge and understanding of the components involved in telephone triage nursing. The nurse will be able to distinguish good communication skills, listening skills and data collection skills. During the presentation a role play of the nurse using SBAR as a communication tool in the assessment of a mock telephone triage. This will enhance the nurse’s knowledge of the effectiveness of a standard communication tool in making a good assessment and recommendation. The presenters will administer a pre-test and post-test of the nurse’s telephone triage knowledge in order to evaluate if the learning objectives were meet.
January 15, 2015: Mitigating Risk and Improving the Quality of Nursing in ID/DD Settings
The health of people living in home and community based settings and intermediate care facilities requires comprehensive and timely documentation that adheres to nursing standards. In this course nurses will gain an understanding of the different types of health risks in these settings/populations as well as an enhanced knowledge of the scope of practice in community based settings.
December 18, 2014: Metabolic Syndrome: What You Don't Know Can Hurt The People You Support
Description: As people with intellectual disabilities begin to reach the same life expectancy as their peers without disabilities, they are experiencing all of the same chronic health conditions that can affect the elderly. Some life style factors that affect people with intellectual disabilities such as sedentary life style, poor dietary choices, co-morbid conditions that require medications that increase the risk for weight gain, and little to no health education about prevention of chronic illness, may place them at increased risk.This session will explain what metabolic syndrome is and how the nurse can assess for the risk factors and condition. Discussion will include measures for prevention and evidence-based treatment modalities.
November 20, 2014: The Nurses Role in the Supervision and Delegation of Nursing Services Directly Related to the Trained Medication Employees
Description: In the course, nurses will gain knowledge in the supervision and delegation of services to the trained medication employee (TME). Nurses will be able to delineate the role of the supervisory nurse and understand what responsibilities may or may not be delegated. Nurses will also gain understanding of the implications of non-compliance with these supervisory responsibilities.
October 16, 2014: Recognizing Dementia in People with Intellectual and Developmental Disabilities and Planning Appropriate Health Services
Description: People with Down syndrome are at a significant risk for developing dementia. Due to an increase in the life expectancy of all people with intellectual disabilities, dementia has increased for all individuals with this disability. This course will teach nurses to assess individuals for dementia and accumulate data to assist in the differential diagnosis of dementia in people with intellectual and other developmental disabilities. Nurses will also learn how to plan for and facilitate the support needs of people once they are diagnosed with dementia so they can lead the interdisciplinary team in appropriate planning to maintain a high quality of life.
September 18, 2014: A Living Legend Nominee discusses her movement to include the underserved in the Nursing Curriculum
Description: This workshop is designed to enhance the role and responsibility of the Registered Nurse who provide care and supervision to individuals with Intellectual and Developmental Disabilities in the District of Columbia. The course will broaden the Nurse’s understanding of the history and movement to include underserved populations in the nursing curriculum and community health care.
August 21, 2014: Health History and the Physical Examination for the Nursing Assessment and Healthcare Management Plan (HCMP)
Description: This workshop is designed to enhance the understanding and expertise of nurses who care for individuals with intellectual and/or developmental disabilities. The nurses will gain knowledge in how to conduct a complete physical examination and ensure that accurate information is used to create a complete and comprehensive health history. They will have to opportunity to use the principles of the physical examination in a case study presentation.
May 22, 2014: Developmental Disabilities Nursing Practice: Scope and Standards of Practice
Description: The specialty of developmental disability nursing has a unique set of practice standards as formalized by the American Nursing Association. Because the District of Columbia supports all adults with intellectual disabilities within community settings, the role of the nurse requires sound assessment skills, the ability to make independent decisions within the context of an interdisciplinary team, the ability to incorporate a person-centered approach to assessment and care planning, and the ability to effectively communicate that plan of care among other health professionals, non-health professionals and the all-important direct support professional. This session will feature the Executive Director of the DC Board of Nursing who will discuss some important regulatory aspects of the DC BON as it relates to medication administration and overall delegation of nursing practice. The presentation will also include a review of nurse continuing education requirements and updates on regulatory changes before the Board and their potential impact for DD nursing.
April 2014: The Regulations for TME and the Role of the Delegating Registered Nurse
Description: This workshop is designed to enhance the role and responsibility of the Registered Nurse who provide care and supervision to individuals with Intellectual and Developmental Disabilities in the District of Columbia. Nurses will be guided through the D.C. Boards Nurse Practice Act for Supervisory/Delegating Registered Nurses. They will gain knowledge in the role and regulations of the Trained Medication employee (TME) and will be able to differentiate which nursing tasks can and cannot be delegated to the TME, as regulated by the D.C Board of Nursing. Additionally, Nurses will learn the barriers to delegation of the medication administration nursing tasks and be able to demonstrate understanding of the requirements for TME certification and re-certification.
March 20, 2014: Rehabilitation Assessment for I/DD Population
Description: This workshop is designed to enhance the knowledge and expertise of community nurses working with adults with intellectual and other disabilities as it relates to maximizing the posture and positioning of each individual, implementation of needed treatment plans and guidelines for making referrals to a physical therapist. This course will also educate nurses on the role of the Speech-Language Pathologist in identifying and managing swallowing disorders. Aspiration precautions and interventions to promote safe eating and drinking, increased functional independence during meals, and improved quality of life for individuals with intellectual and other developmental disabilities will be discussed.
February 20, 2014: Incorporating Principles of Stages of Change within the Nursing Assessment and Health Planning Process
Description: The DC Developmental Disabilities Administration recently adopted a new standard within their Health and Wellness Standards that addresses helping to support lifestyle changes that promote optimal health. This course will review the principles of the Stages of Change model and discuss how it applies to people with intellectual disabilities. Participants will review several case studies and assess the person’s readiness for changes. Participants will apply this assessment information to the development of a health care management plan.
January 23, 2014: The Role of Delegation by the Registered Nurse (RN) in a Developmental Disability Provider Agency
Description: This course will provide nurses with knowledge about the District of Columbia Board of Nursing’s scope of practice for Registered Nurses, for Licensed Practical Nurses and the Trained Medication Employee (TME) in provider agencies. Registered Nurses will be provided with a District of Columbia Board of Nursing’s operational definition for delegation of nursing tasks to unlicensed assistive personnel. Nurses will review the District of Columbia Board of Nursing operational definition for supervision of the Licensed Practical Nurses.
No PowerPoint available.
December 19, 2013: Guidelines for VP Shunt Management in Adults with Intellectual and Developmental Disabilities: The Nurse’s Role
Description: This workshop is designed to enhance the knowledge and expertise of community nurses who care for adults with intellectual and other disabilities who have ventriculoperitoneal (VP) shunts. The focus will be on the care of clients with VP shunts; recognition and management of shunt related complications, and required documentation.
November 21, 2013: The Implications of Down Syndrome on Health Support Needs
Description: This course will provide nurses with knowledge about the specifics of Down syndrome and the implications for nursing assessment and health planning. Nurses will be able to discuss recommended health screening for this population. A case study will be used to teach participants how to conduct a dementia screen.
September 26, 2013: Documentation Guidelines for Nurses Working with Persons with Intellectual and Other Disabilities in Community Settings
Description: This workshop is designed to enhance the knowledge and expertise of community nurses working with adults with intellectual and other disabilities regarding the importance of and need for the complete, timely, and accurate written documentation of nursing care.
August 15, 2013: Understanding and Managing Diabetes for Individuals with Intellectual and Other Disabilities Living in Community Settings: The Nurse’s Role
Description: This workshop is designed to enhance the knowledge and expertise of community nurses working with adults with intellectual and other disabilities who have been given the diagnosis of diabetes. An overview will be given identifying each type of diabetes and appropriate treatment modalities including lifestyle changes and medications.
July 18, 2013: Nursing Care of Gastrostomy Tubes for Adults with Intellectual and Other Disabilities Living in Community Settings
Description: This workshop is designed to enhance the knowledge and expertise of community nurses working with adults with intellectual and other disabilities who are receiving their nutrition and medications via gastrostomy tubes. This session will focus on the development of individualized protocols based on the each individual’s needs, and the identification of risk factors and potential problems along with action steps to be implemented based on nursing assessment.
June 20, 2013: Educating Direct Support Professionals on their Role in Communicating Health-Related Information
Description: This course will provide nurses with specific strategies to teach the direct support professionals in their agency to collect information prior to a health encounter, communications via phone, and communications during and follow-up to a health encounter.
May 16, 2013: Transition Planning Meetings: The Nurse's Role
Description: This workshop is designed to enhance the knowledge and expertise of community nurses working with adults with intellectual and other disabilities about how to recognize the need for transition planning meetings.
April 18, 2013: The Intersection of Psychotropic and Antiepileptic Therapies
Description: It is well-documented that people with intellectual disabilities experience significantly higher rates of seizure disorders and mental illness. Some individuals experience a triad of disorders and are diagnosed with intellectual disability, epilepsy and a mental illness. Still others with intellectual disability and mental illness benefit from the use of antiepileptic drugs to address behavioral challenges. Community nurses are responsible for care coordination that requires them to be knowledgeable about these various therapies. Additionally, they need to be skilled in assessing medical histories and coordinating therapeutic regimens between the primary care provider and specialists such as neurologists, psychiatrists and psychologists. This workshop is designed to assist the community nurse to integrate this information into a cohesive and interdisciplinary plan of care.
No PowerPoint available. Refer to Products & Resources to view these two articles used as training handouts:
March 21, 2013: Understanding the Oral Health Needs of Individuals with Intellectual and Developmental Disabilities: The Nurse’s Role
Description: This workshop is designed to integrate oral health concepts into overall health care practices of community nurses working with people with intellectual and developmental disabilities and their families. Strategies for communications with dentists and following up with recommendations from these visits are highlighted. The nurse’s role in developing health plans that derive appropriate expected outcomes are discussed, along with strategies to improve the nurse’s ability to effectively teach and supervise staff responsible for the implementation of the health plan.
February 21, 2013: Understanding the Role of Cultural and Linguistic Competence within the Context of the DD Nursing Standards
Description: This workshop is designed to develop knowledge of the principles of cultural and linguistic competence for community nurses working with people with developmental disabilities and their families. The nurse’s role in developing health plans that derive culturally appropriate expected outcomes are discussed, along with strategies to improve the nurse’s ability to effectively teach and supervise staff responsible for the implementation of the health plan.
January 17, 2013: Understanding Risky Drug Types for Older Adults with Intellectual and Other Disabilities
Description: This workshop is designed to enhance the knowledge and expertise of community nurses working with older adults with intellectual and other disabilities who experience subtle health changes related to unwanted responses to medications. Case examples of older adults with significant chronic illnesses are utilized in the discussion to highlight individualized responses to drug types which are risky for this population. The nurse’s role in coordinating health care during hospital discharge—specially focusing on medication reconciliation is discussed.
December 20, 2012: Facilitating Mobility and Functional Independence in Persons with Intellectual and Other Disabilities: The Nurse’s Role
Description: This workshop is designed to enhance the knowledge and expertise of community nurses working with adults with intellectual and other disabilities as it relates to maximizing the mobility and functional independence of each individual. Guidelines for making referrals to a physical therapist and how to implement needed treatment plans are discussed.
November 15, 2012: Guidelines for Nutritional Management of Individuals with Intellectual and Other Disabilities: The Nurse’s Role
Description: This workshop is designed to enhance the knowledge and expertise of community nurses working with adults with intellectual and other disabilities as it relates to the nutritional needs for overweight and underweight individuals. A holistic approach that considers genetic and diagnostic influences, movement limitations, and individual preferences are emphasized.
October 18, 2012: Hospital Admissions/Discharges for Adults with ID/DD: The Nurse’s Role
Description: This workshop is designed to enhance the knowledge and expertise of community nurses working with adults with intellectual and other disabilities during times of transition from acute care facilities to the home setting. Advocacy roles and the development of individualized discharge action plans based on identified needs are highlighted.