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People with learning disabilities, particularly Down's syndrome, are at increased risk of dementia. At present, services and care tailored to people with both dementia and a learning disability are unsatisfactory. This article reviews the literature specific to dementia in people with learning disabilities, including: comprehensive screening, diagnosis, management, environmental considerations, end of life care and training issues for nursing staff. Recommendations for best practice and service improvement are made to improve the quality of life for individuals with dementia and learning disabilities, pre and post-diagnosis. [ABSTRACT FROM AUTHOR]

The author reflects on the increase ageing population, as well as the expansion of the revenue, which has brought pressure on the health sector and individual industries in Australia. He stresses that there is a need to cope involving the excess demand of ageing population to ease the health sector's pressure. He emphasizes that the main reason for the increase is the readiness of the people to research alternative therapies, since these services are directed by private health insurance.

Focuses on the Gerontology Practitioner Network in Wales. Involvement of older people in lobbying and disseminating best practice; Promotion of user-centered care; Consideration of older nurses' expertise and experiences; Influence on relevant health and social policy; Discussion of the single assessment process as it is being applied in Wales; Implications of the Assembly commitment to free personal care for older citizens.