Introduction; Contributors; Case 1. Abdominoperineal resection Vivienne Mathews; Case 2. Abuse: non-accidental injury Vivienne Mathews; Case 3. Acute dehydration Bernard Mark Garrett; Case 4. Alcohol abuse Vivienne Mathews; Case 5. Alzheimer's disease: validation therapy: reality orientation: communication Chris Buswell; Case 6. Assessment of elimination status Penelope Simpson; Case 7. Asthma: triggers and treatment Chris Pearce; Case 8. Newly diagnosed breast cancer Carmel Sheppard; Case 9. Cardiac arrest: ventricular fibrillation: relatives in the resuscitation room Debra Elliott; Case 10. Communal living: hearing loss: care of a hearing aid Vivienne Mathews; Case 11. Community discharge: health promotion Penelope Simpson; Case 12. Congestive cardiac failure Bernard Mark Garrett; Case 13. Dementia: advocacy Chris Buswell; Case 14. Dementia: person centered care: loneliness Chris Buswell; Case 15. Dementia: sleep Chris Buswell; Case 16. Diabetes Vivienne Mathews; Case 17. Domestic violence Vivienne Mathews; Case 18. Ethics: compliance Vivienne Mathews; Case 19. Facial disfigurement Barbara Marjoram; Case 20. Faecal incontinence Barbara Marjoram; Case 21. Glaucoma Vivienne Mathews; Case 22. Hearing loss: communication Barbara Marjoram; Case 23. Homosexuality: ageing process Chris Buswell; Case 24. Hypothyroidism Bernard Mark Garrett; Case 25. Incontinence Vivienne Mathews; Case 26. Infestation and pet resistance in a rest home for the elderly people Tinuade Okubadejo; Case 27. Laryngectomy: communication, multidisciplinary team, body image Barbara Marjoram; Case 28. Leg ulcers: larval therapy Vivienne Mathews; Case 29. Losing your home Vivienne Mathews.