000			01671nam a2200229Ia 4500
008			230724s2005 xx 000 0 und d
040			_cManila Tytana Colleges
100			_aFisher, Kathleen. _97636
245		0	_aAcquiring medical services for individuals with mental retardation in community-based housing facilities / _cKathleen Fisher, Brigitte Haagen, Fredrick Orkin
260			_cAugust 2005
336			_atext
337			_aunmediated
338			_avolume
440			_n18 : 3, pages 155-159 _aApplied Nursing Research _97637
520			_aAs a result of deinstitutionalization, individuals with mental retardation (MR) were moved into the community and primary care practices. Residential agency directors now routinely determine health care decisions. Understanding of issues involved in acquiring services and the clinical decision-making experiences of 13 service agency directors representing 1,400 individuals with MR were investigated. This descriptive study with a qualitative exploratory design included structured interviews that were content analyzed. Four themes describe the barriers encountered, which resulted in the delay or denial of appropriate health services. These themes include effects of stigma, knowledge limitations, resource deficits, and inconsistent decision making. Knowledge of these experiences will assist nurses in problem solving and advocating for the holistic competent care of individuals with MR.
521			_aNursing.
650			_aCommunity health services. _93098
650			_aMedical care. _91625
650			_aMental health services. _97638
650			_aPeople with mental disabilities. _97639
942			_cA
999			_c85383 _d85383