Within This Issue

This edition of revisits the crucial topic of health care. The contributions explore and challenge service provision and policy, they tell us about resources, events and opportunities which may help to increase our understanding of health and well-being issues, and then they offer some very practical suggestions for improving our day to day caring or practice when supporting people with PMLD. All of the articles are advocating the need to become more responsive in meeting the complex health care needs of individuals with PMLD. They stress the importance of being proactive in preventative healthcare at every level rather than risk compromising health and wellbeing: the need to develop better services and better outcomes to improve quality of life; the range of invasive care procedures and the issues they raise; epilepsy and its management; the PAMIS: Healthy Lifestyles Project; including children with complex health needs in schools and early years settings; the work of the British Society for Disability and Oral Health (BSDH) and important guidance on oral health; the importance of providing nutritious fluid intake; menu planning; and guidance on home enteral tube feeding for adults.

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