title: Caring for people with a learning disability, colorectal cancer and stoma.
abstract: Longevity in people with learning disabilities has increased substantially over recent years and as life expectancy increases for this population so does the risk of colorectal cancer. Today, with the transition from institution to the community for people with learning disabilities, conscientious and competent medical and nursing care is a necessity. This article examines autonomy, consent, treatment, palliative care and death relating to people with profound learning disabilities and challenging behaviour, who also have colorectal cancer and stomas. Lack of written information, knowledge, and organizational planning need to be addressed to bring cancer services for the patient with learning disabilities to the level that it is for the general population.
authors.affiliation: The Hillingdon Hospital NHS Trust, Uxbridge, Middlesex.
authors.forename: Pat
authors.initials: P
authors.lastname: Black
authors.forename: Christine
authors.initials: C
authors.lastname: Hyde
mesh_terms: D000328:Adult; D015179:Colorectal Neoplasms / Q000451:nursing* / Q000601:surgery; D004766:Enterostomy / Q000451:nursing*; D005260:Female; D006801:Humans; D007258:Informed Consent; D008607:Intellectual Disability / Q000451:nursing*; D007859:Learning Disabilities / Q000451:nursing*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010353:Patient Education as Topic; D011182:Postoperative Care