This document explores innovative approaches to nursing within developmental disability (DD) systems, emphasizing the shift from traditional roles to a more person-centered, growth-focused model. It advocates for separating health care case management from direct nursing services, encouraging nurses to act as consultants and educators rather than compliance agents. ​ Key strategies include early intervention, prevention, and fostering collaboration with nurse practitioners and health care providers to reduce restrictive treatments and expand individual options. ​

The text highlights the importance of specialized training, such as CDDN certification, to equip nurses with the skills needed to support individuals with high health risks. ​ It stresses the value of building relationships with direct support workers and health care providers to promote continuity, competence, and proactive health intelligence. ​ Intensive health care case management is recommended for individuals at the highest risk, with annual screenings and tailored interventions. ​

Readers will also find insights into reducing health issues as barriers to personal growth, with a focus on achieving outcomes like decreased reliance on expensive health care and improved expectations for development. ​ The document underscores the need for funding and not-for-profit agency involvement to sustain these efforts. ​

This forward-thinking discussion, led by Karen Green McGowan, offers a roadmap for transforming community nursing in Dane County, blending advocacy, education, and collaboration to create a system that prioritizes individual purpose and well-being.

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