Improving care for people with learning disabilities.

People with learning disabilities have poorer health than the general population and experience health inequalities - partly as a result of problems with accessing health services. Health services have a duty to address health inequalities, by making reasonable adjustments to their services so they are more accessible to people with learning disabilities, but this does not always happen. Failure to make reasonable adjustments can have significant adverse effects for people with learning disabilities and their families. Nurses are well placed to implement reasonable adjustments, many of which are simple to do and can save lives.

Oral gallstone dissolution therapies.

Surgery is still the recommended and proven effective management for cholelithiasis. However, when surgery poses more risk than benefits or if surgical management is refused, oral dissolution therapy may be a helpful alternative, providing patients relief from biliary colic and preventing further formation and accumulation of gallstones while therapy is ongoing.