Objectives
To understand the views of qualified medical practitioners regarding “reasonable adjustments” and the quality of the care and treatment provided to adults with intellectual disabilities when admitted to acute hospitals as inpatients.
Methods
Semi‐structured interviews took place with 14 medical practitioners, seven from each of two acute hospitals, with a thematic analysis of the resulting data.
Results
All 14 medical practitioners reported problems in the diagnosis and treatment of patients with intellectual disabilities. Most participants attributed these difficulties to communication problems and/or behaviours that, in the context of a hospital ward, were non‐conforming. However, a minority reported that, because they were likely to have multiple comorbid health conditions, patients with intellectual disabilities were more complex. In addition, half of all these respondents reported making little use of “reasonable adjustments” introduced to improve the quality of the care received by this group of patients.
Conclusions
Medical practitioners should make better use of the “reasonable adjustments” introduced in the UK to address inequities in care and treatment received by patients with intellectual disabilities. However, training should also focus on the biomedical complexities often presented by these men and women.
This paper establishes a new, limitative relation between the polymorphic lambda calculus and the kind of higher-order type theory which i s e mbodiedin the logic of toposes. It is shown that any e m bedding in a topos of the cartesian closed category of (closed) types of a model of the polymorphic lambda calculus must place the polymorphic types well away from the powertypes ! of the topos, in the sense that ! is a subtype of a polymorphic type only in the case that is empty (and hence ! is terminal). As corollaries, we obtain strengthenings of Reynolds' result on the non-existence of settheoretic models of polymorphism.
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