A reasonable adjustment is a change to an existing approach or process which is essential to ensure a person’s access to a service. Reasonable adjustments for people with disability are required under the Commonwealth Disability Discrimination Act 1992 and the disability inclusion legislation of each state and territory.
Making reasonable adjustment for a person’s disability creates an inclusive environment in line with the NSQHS Standards.
Examples of reasonable adjustments
Before providing care
- An accessible information pack about the hospital/clinic/appointment.
- A pre-appointment visit to the hospital/clinic to become familiar.
- Flexibility in appointment times, for example, appointment times that fit around the person’s daily routines.
- Telephone reminders for the appointment.
- Accessible car parking.
While you are providing care
- Speaking directly to the person with intellectual disability throughout the healthcare encounter, for example, to explain during the procedure what is happening and what is happening next.
- A longer appointment time, for example, a double appointment.
- An appointment during a quiet time, for example, the first or last appointment of the day.
- The family or familiar support person being present while the care is being provided.
- Explaining consent procedures and providing Easy Read information.
- Checking for understanding of the information that has been given.
- Demonstrating a physical examination using either yourself or another person to show what is planned to gain the person’s permission.
- Procedure explanations in Easy Read or pictorial format, or if available, a video of a planned procedure.
- Access to toilets before and after a visit or appointment.
- Playing music (including the person’s favourite music) during the procedure to relax and distract them.
- Checking in with the person to ask how the appointment is going for them and what other supports they may require.
