Rationale and key points

An electrocardiogram (ECG) is a routine clinical investigation undertaken to diagnose and monitor heart conditions. ECGs are needed for the identification and ongoing management of a range of health issues commonly experienced by people with learning disabilities. Additionally, some people with learning disabilities will have been prescribed antipsychotics and will therefore require cardiac monitoring. People with learning disabilities may require additional support before, during and after undergoing an ECG. This article explains how to support an adult with a learning disability to undergo an ECG.

• The individual needs of the person should be investigated and reasonable adjustments put in place ahead of the procedure.

• Working with the person, their relative or carer and the clinician conducting the ECG increases the chances of a successful procedure.

• The ECG results should be shared with the person in a way that involves them in decision-making about their care.

Reflective activity

‘How to’ articles can help you to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on, and write a short account of:

• How this article might improve your practice when supporting an adult with a learning disability to undergo an ECG.

• How you could use this information to educate nursing students or colleagues on the appropriate steps to follow when supporting an adult with a learning disability to undergo an ECG and the relevant evidence base.