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Nursing people with learning disabilities: new directions.

Since the suggestion that the mental handicap branch of nursing be disbanded 21 years ago, these nurses have refocused their vision and emerged as a new and exciting specialism. This article relates their experiences to the key issues now confronting nursing in general, in a changing social and political context.

Forecasting↗

Variables which distinguish among classifications of exceptional children: learning disabled, emotionally disturbed, and educable mentally retarded.

The focus of this study was on children in public school classrooms who had been designated for special classes or as in need of special attention. It was the intent to take as many variables into account as possible relative to these children in order to determine significant associations among them. A discriminant analysis identified two functions which contributed to the separation of the criterion groups: LD, ED, EMR. Eight variables were found to significantly contribute to the discriminating power of the functions, classifying correctly 84% of the 62 cases.

Adolescent↗

Managing sleep disturbances in children with learning disabilities.

The view that children with special needs are more likely to experience sleep disturbances is well recognised. various physical and psychological factors associated with the child's condition, as well as the influence that the child's disability has on parents' attitude and management, combine to increase the likelihood of the child developing sleep disturbances. However, these factors should not act as a barrier to trying to find successful solutions.

Behavior Therapy↗

Look through the parents' eyes. Helping parents of children with a learning disability.

1. The loss suffered by parents of children with learning disabilities is similar in some ways to a grief response, and must be clearly acknowledged. 2. While forming an identifiable group, parents of children with learning disabilities have individual abilities and needs both as people and as parents. 3. Adjusting to life with a child with a learning disability is often a long process marked by times of crisis, when extra professional intervention may be necessary. 4. Parents and professionals can work together, learning from each other and ultimately increasing the quality of life for the person with the learning disability.

Adaptation, Psychological↗

Chromosome 22qII deletions. An under-recognised cause of idiopathic learning disability.

BACKGROUND: Velo-cardio-facial syndrome (VCFS), a syndrome of multiple congenital abnormalities including characteristic dysmorphology, congenital heart defects and learning disability, is associated with small interstitial deletions of chromosome 22qII. We tested the hypothesis that VCFS may be significantly under-diagnosed by screening a learning disabled population for chromosome 22qII deletions. METHOD: Two hundred and sixty-five people with learning disability residing in two learning disability hospitals in South Wales were reviewed. They were selected for inclusion in the study if they fulfilled any of the following criteria: psychotic disorder (schizophrenia or affective disorder), family history of psychotic disorder, cleft palate and/or lip, congenital heart disease, broadly defined facial dysmorphism or a history of hypocalcaemia. Fluorescence in situ hybridisation studies were performed on 74 selected individuals. RESULTS: Cytogenetic analysis revealed that two people demonstrated a previously undetected chromosome 22qII deletion. A third person demonstrated a previously undetected cytogenetically visible deletion on chromosome 15. CONCLUSIONS: VCFS appears to be aetiologically significant in a proportion of individuals with idiopathic learning disability, especially in those where psychosis is associated with mild learning disability. We suggest that clinicians should consider a chromosome 22qII deletion in people who meet selection criteria.

Adult↗