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Health Issues and Specific Needs of People with Complex Needs/Challenging Behaviour Rett Syndrome A neurological disorder Due to a genetic defect Affects only females Rett Syndrome Vacant spells Profound learning disability Low muscle tone Mood swings Chewing/swallowing difficulties Epilepsy Recurrent chest infections Sleep disturbance Constipation Repetitive hand movements Poor balance Reflux Breath holding Joint contractures Curvature of spine Repetitive breathing Crying and screaming Cornelia de Lange Syndrome Cornelia de Lange syndrome is a developmental disorder that affects many parts of the body. The features of this disorder vary widely among affected individuals and range from relatively mild to severe. Cornelia De Lange Syndrome Hearing difficulties Gastro oesophageal reflux disease GERD Limb abnormalities Cardiac conditions Hip dysplasia Cleft palate Blepharitis Learning disability Autistic features Communication difficulties Rigidity and inflexibility to change Self –injurious behaviour Mental health problems Who May Be Involved in Support General Practitioner Podiatry Continence services Dietician Physiotherapy Occupational therapy Speech and Language therapist Community nurse District nurse Pharmacist Opticians Neurologist Gastroenterology Sleep clinic Endocrinology Cardiology Pain clinic ENT Respite Services Social Workers Equipment services SeeAbility Health Issues and Specific Needs Both people with learning disabilities and people with mental health problems experience ‘diagnostic overshadowing’: that is, reports of physical ill health being viewed as part of the mental health problem or learning disability, and so not investigated or treated. If problems are missed, people experience ill health and its attendant risks unnecessarily