ABSTRACT
This chapter presents a case study of Margaret, who is a 57-year-old lady with Down's syndrome. Her behaviour is unpredictable, and her cognitive skills and mobility have deteriorated. This has resulted in Margaret becoming physically slower and stiffer in moving, compounded by her weight problem. Margaret weight is 60 kg, but she is very short and she has a high Body Mass Index (BMI). This is calculated as weight in kg divided by the square of the height in metres. Margaret's BMI is 37 and therefore she is clinically obese. Her behaviour is unpredictable in that some days she is able to move around her environment. Osteoarthritis or rheumatoid disease can cause stiff painful joints with loss of range of movement which can cause problems with function. Problems with poor moving and handling: trauma; shearing force; friction; and anxiety.
