title: Providing intimate continence care for people with learning disabilities.
abstract: BACKGROUND
  This report on a qualitative study of intimate and personal care for adults with severe and profound learning disabilities explores the implications of its findings on dignity in relation to bowel and bladder function.
  
  
  METHODS
  Participant observation in residential care homes, staff interviews and analysis of documents were used to ascertain the personal care experiences of six people with learning disabilities.
  
  
  RESULTS
  Observations highlighted areas requiring improvement. These included respect for service users' privacy and dignity, and the promotion of continence.
  
  
  CONCLUSIONS
  Examples of good practice were observed but these standards were not always maintained. This may be because staff found it easier to carry out intimate care if the service user's humanity was temporarily denied, or if they took a task-oriented approach to such care.
  
  
  CONCLUSIONS
  Intimate and personal care should be undertaken with respect for service users' privacy and dignity in every care setting.
authors.affiliation: Thames Valley University, London.
authors.forename: Julie
authors.initials: J
authors.lastname: Clark
mesh_terms: D004645:Empathy; D006801:Humans; D007859:Learning Disabilities / Q000150:complications*; D014549:Urinary Incontinence / Q000150:complications / Q000451:nursing / Q000628:therapy*