Literature Review on Provision of Appropriate and Accessible ...

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• Consideration of whether it is likely that the person would at
some time have capacity in relation to the matter in question,
and when that would likely be.
• Encouraging the participation of the person in question,
improving his or her ability to participate as fully as possible
in any act done for him or her and any decision affecting him
or her.
• Consideration of the person’s past and present wishes and
feelings and of the beliefs and values they hold which would
likely influence their decision if they had capacity.
• Consultation with relevant parties.
Support to People with an Intellectual Disability who are
Accessible
and Appropriate of Provision on <strong>Review</strong> <strong>Literature</strong>
Experiencing Crisis Pregnancy
2.9 Supports for women with intellectual disability and
contraceptive usage
Grover (2002) argues that it is essential that the general health needs
of women with intellectual disability be viewed from the perspective of
current standards of care and management while making adjustments
to match individuals’ needs, abilities and other medical conditions. Her
research demonstrated that the contraceptive and gynaecological needs
of the intellectually disabled population do not differ widely from those of
the general population.
Grover’s research, conducted in Australia, examined the frequency of
requirement for surgical management, compared with other forms
of management, among young women with intellectual disability.
The women were referred to her (in her role as gynaecologist) for
management of menstrual and contraceptive problems. In all, a total
of 107 young women with intellectual disability were seen over a nineyear
period (1990-1999). Of this group, there were 15 who had severe
intellectual disability and high support needs, and 92 women with
moderate intellectual disability, and lower support needs.
The results of Grover’s research showed that:
• For 2 of the 107 young women, surgical approaches were
required to manage their menstrual problems or
contraception-related issues.
• For the remainder of the women, information, advice or
medical management were sufficient.