Geraldine Kyle discusses the common health issues associated with Down’s syndrome and the nurse’s role in supporting the child and his or her family

This article discusses Down’s syndrome and its effect on the child. Some common medical conditions that may necessitate a child with Down’s syndrome attending hospital either as an inpatient or an outpatient are identified. These include cardiac disease, atlantoaxial instability, growth, thyroid function and eye, ear, nose and throat issues. The nurse’s role in minimising the stress involved for the child and the family is discussed. Practical suggestions are offered for ways of enhancing practice and improving outcomes, specifically in the area of communicating with the child and family.