# data[].attributes.headline
Causes greater anxiety or increases depression. Fear can make them withdraw from treatment

# data[].attributes.subject
Causes greater anxiety or increases depression. Fear can make them withdraw from treatment

# data[].attributes.headline
Causes family to worry, may feel out of control. 

# data[].attributes.subject
Causes family to worry, may feel out of control. 

# data[].attributes.headline
loss of earnings due to being unable to work

# data[].attributes.subject
loss of earnings due to being unable to work

# data[].attributes.headline
Sleep deprived, Lethargic, Uncomfortable, Low mood, Emotional

# data[].attributes.subject
Sleep deprived, Lethargic, Uncomfortable, Low mood, Emotional

# data[].attributes.headline
Witness a change in their loved one, feel helpless

# data[].attributes.subject
Witness a change in their loved one, feel helpless

# data[].attributes.headline
Withdrawn, maybe feel they are unable to go out like everyone knows, paranoia.

# data[].attributes.subject
Withdrawn, maybe feel they are unable to go out like everyone knows, paranoia.

# data[].attributes.headline
Hallucinations, high blood pressure, medication with side effects

# data[].attributes.subject
Hallucinations, high blood pressure, medication with side effects

# data[].attributes.headline
worry, they think their loved one is going to die.

# data[].attributes.subject
worry, they think their loved one is going to die.

# data[].attributes.headline
could cause trauma, effecting future decisions

# data[].attributes.subject
could cause trauma, effecting future decisions

# data[].attributes.body
They will be worried about their child, may show signs of anxiety and stress

# data[].attributes.body
May feel less inclined to leave their house if they are in pain

# data[].attributes.headline
For a child the effects of ill health can effects their independence and cause increased anxiety. 

# data[].attributes.subject
For a child the effects of ill health can effects their independence and cause increased anxiety. 

# data[].attributes.headline
the family may feel responsible for the ill health of the individual as they haven't noticed the signs earlier

# data[].attributes.subject
the family may feel responsible for the ill health of the individual as they haven't noticed the signs earlier

# data[].attributes.headline
mental health problems can cause people to not be able to rest or sleep so always tired

# data[].attributes.subject
mental health problems can cause people to not be able to rest or sleep so always tired

# data[].attributes.headline
Distress can lead to headaches, upset stomach and problems sleeping.

# data[].attributes.subject
Distress can lead to headaches, upset stomach and problems sleeping.

# data[].attributes.headline
emotional and upsetting to see a loved one in distress

# data[].attributes.subject
emotional and upsetting to see a loved one in distress

# data[].attributes.body
People quickly compare their own suffering to others and can dismiss people if they "feel like that person is over reacting"

# data[].attributes.headline
Anxiety if the distress/pain is due to an undiagnosed issue, one always thinks the worst. Exhaustion due to ongoing symptoms and worry.

# data[].attributes.subject
Anxiety if the distress/pain is due to an undiagnosed issue, one always thinks the worst. Exhaustion due to ongoing symptoms and worry.

# data[].attributes.headline
May resent nursing staff/ feel like they could be doing more

# data[].attributes.subject
May resent nursing staff/ feel like they could be doing more

# data[].attributes.headline
More pressure put on the health care sector. More professionals may need to be involved.

# data[].attributes.subject
More pressure put on the health care sector. More professionals may need to be involved.

# data[].attributes.headline
lack of appetite, weight loss and dehydration.

# data[].attributes.subject
lack of appetite, weight loss and dehydration.

# data[].attributes.headline
Extreme worry, may struggle as they want to help but do not know the best way to do so.

# data[].attributes.subject
Extreme worry, may struggle as they want to help but do not know the best way to do so.

# data[].attributes.body
Can make the patient fear treatment

# data[].attributes.headline
Family and support staff will feel helpless if they do not accept any help 

# data[].attributes.subject
Family and support staff will feel helpless if they do not accept any help 

# data[].attributes.headline
Distress can lead to trauma and can impact their future decisions 

# data[].attributes.subject
Distress can lead to trauma and can impact their future decisions 

# data[].attributes.headline
feel helpless and like they cant do anything to help their family member with ill health 

# data[].attributes.subject
feel helpless and like they cant do anything to help their family member with ill health 

# data[].attributes.body
may not be able to socialise in society the way they use to

# data[].attributes.headline
they might neglect themselves or even become suicidal 

# data[].attributes.subject
they might neglect themselves or even become suicidal 

# data[].attributes.headline
feel like they cannot help or do not know what they are doing. may feel like their making things worse 

# data[].attributes.subject
feel like they cannot help or do not know what they are doing. may feel like their making things worse 

# data[].attributes.headline
Trauma/long term fear of becoming ill again or fear of hospital settings

# data[].attributes.subject
Trauma/long term fear of becoming ill again or fear of hospital settings

# data[].attributes.body
Can cause anxiety and worry within the family

# data[].attributes.headline
they may feel like they no longer fit in as they can't do the same as what they could before

# data[].attributes.subject
they may feel like they no longer fit in as they can't do the same as what they could before

# data[].attributes.headline
feeling embarrassed that you need extra help from friends and family

# data[].attributes.subject
feeling embarrassed that you need extra help from friends and family

# data[].attributes.body
may feel like stereotypes and stigmas within society will cause people to judge them so could cause them to withdraw

# data[].attributes.headline
creates a new perspective. Makes an individual evaluate what they can do to better take care of themselves.

# data[].attributes.subject
creates a new perspective. Makes an individual evaluate what they can do to better take care of themselves.

# data[].attributes.headline
An individual with an LD is less likely to access society if they are in pain, especially if they are unable to comunicate other than by their behaviours.

# data[].attributes.subject
An individual with an LD is less likely to access society if they are in pain, especially if they are unable to comunicate other than by their behaviours.

# data[].attributes.body
Additional resources, with their assocated cost, may be needed to assess the individual's health and find the cause of the pain.
As the circumstances will mean any pain will be found later than if the individual was able to communicate, they will eventually require more treatment to resolve the issue, also increasing the cost to the NHS and therfore society as a whole.
Any treatment may come too late to help the individual and they could die from whatever is causing the pain. This woul dremove the individual from society and so society would lose the benefits that individual could bring to others.

# data[].attributes.headline
May feel like they have no energy, do not want to get up and do anything. May not consider self care, therefore no eat, drink or wash. Overthink about everything and feel isolated.

# data[].attributes.subject
May feel like they have no energy, do not want to get up and do anything. May not consider self care, therefore no eat, drink or wash. Overthink about everything and feel isolated.

# data[].attributes.headline
cause worry to their family as may feel helpless

# data[].attributes.subject
cause worry to their family as may feel helpless

# data[].attributes.headline
Loss of taxes as the person may not be able to work.

# data[].attributes.subject
Loss of taxes as the person may not be able to work.

# data[].attributes.body
Cost to public services eg NHS and social care.

# data[].attributes.headline
May begin to feel like they are worthless, which can lead to them neglecting their physical and mental health. 

# data[].attributes.subject
May begin to feel like they are worthless, which can lead to them neglecting their physical and mental health. 

# data[].attributes.headline
worried as they feel that they can support them but can't physically take away the pain or the worry

# data[].attributes.subject
worried as they feel that they can support them but can't physically take away the pain or the worry

# data[].attributes.headline
feeling of isolation, not wanting to leave the house

# data[].attributes.subject
feeling of isolation, not wanting to leave the house

# data[].attributes.headline
Will not feel like they do not need to seek healthcare, making their health worse rather than better 

# data[].attributes.subject
Will not feel like they do not need to seek healthcare, making their health worse rather than better 

# data[].attributes.body
This could cause the family dress as well leading to their mental health taking a toll

# data[].attributes.body
ismissal
People quickly compare their own suffering to others and can dismiss people if they "feel like that person is over

# data[].attributes.headline
Family members, especially the indivdual's parents, often already experience guilt and responsibility for their child's disability and seeing them distressed but not knowing why and/or not being able to help will increase these negative feelings.

# data[].attributes.subject
Family members, especially the indivdual's parents, often already experience guilt and responsibility for their child's disability and seeing them distressed but not knowing why and/or not being able to help will increase these negative feelings.

# data[].attributes.body
This increased pressure can mean a family member's family life and work can be affected, potentially leading to job loss and family breakdown.

# data[].attributes.headline
may worsen their mental health and cause them more problems, feel like they cannot do anything and feel low in mood and may withdraw from others and isolate themselves, may even refuse treatment

# data[].attributes.subject
may worsen their mental health and cause them more problems, feel like they cannot do anything and feel low in mood and may withdraw from others and isolate themselves, may even refuse treatment

# data[].attributes.headline
Dealing with potentially challenging situations.  Questioning their capabilities as carers or potential seeking external carers/placements.

# data[].attributes.subject
Dealing with potentially challenging situations.  Questioning their capabilities as carers or potential seeking external carers/placements.

# data[].attributes.headline
Stigma, stereotype, not-understanding. for example 'pick yourself up, just pull yourself together' etc

# data[].attributes.subject
Stigma, stereotype, not-understanding. for example 'pick yourself up, just pull yourself together' etc

# data[].attributes.headline
Financial burden due to health care costs

# data[].attributes.subject
Financial burden due to health care costs

# data[].attributes.headline
They may be in limbo, unsure whether the individual needs and will take the advice or if they think they are coping well. I think its difficult to assess how a person will react to advice, especially if they are not themselves or in their usual mind frame.

# data[].attributes.subject
They may be in limbo, unsure whether the individual needs and will take the advice or if they think they are coping well. I think its difficult to assess how a person will react to advice, especially if they are not themselves or in their usual mind frame.

# data[].attributes.headline
cut off, withdrawn, may take it out on the people around them, feeling left out

# data[].attributes.subject
cut off, withdrawn, may take it out on the people around them, feeling left out

# data[].attributes.body
loss of independence

# data[].attributes.headline
may be hostile as they have no idea how to react, scared worried

# data[].attributes.subject
may be hostile as they have no idea how to react, scared worried

# data[].attributes.headline
The impacts can be costly within the NHS organization. Due to poor diagnose of pain this may lead to further health complications that are even more costly.

# data[].attributes.subject
The impacts can be costly within the NHS organization. Due to poor diagnose of pain this may lead to further health complications that are even more costly.

# data[].attributes.headline
It can have psychological  affects on the families well-being seeing a loved one in so much pain. They may feel prolonged guilt .

# data[].attributes.subject
It can have psychological  affects on the families well-being seeing a loved one in so much pain. They may feel prolonged guilt .

# data[].attributes.headline
can increase uncertainty in the patient leading in them thinking that recovery is not possible 

# data[].attributes.subject
can increase uncertainty in the patient leading in them thinking that recovery is not possible 

# data[].attributes.headline
scared for their life and all the things that they haven't done yet, they might like is now not possible

# data[].attributes.subject
scared for their life and all the things that they haven't done yet, they might like is now not possible

# data[].attributes.body
could cause their mental health to deteriorate further after making progress.

# data[].attributes.body
could cause mental and physical strain on the person resulting in them becoming more ill

# data[].attributes.headline
pain can cause people to become unusually aggressive

# data[].attributes.subject
pain can cause people to become unusually aggressive

# data[].attributes.headline
Within LD there are two difficulties with communication of pain, the first being the lack of understanding in that there is an unpleasant feeling but limited understanding of the cause, and the second is difficulty in communicating which, compounded by difficulty one, means the individual may either not only be unable to communicate their pain and/or also be unaware of what they need to communicate.

# data[].attributes.subject
Within LD there are two difficulties with communication of pain, the first being the lack of understanding in that there is an unpleasant feeling but limited understanding of the cause, and the second is difficulty in communicating which, compounded by difficulty one, means the individual may either not only be unable to communicate their pain and/or also be unaware of what they need to communicate.

# data[].attributes.body
Continual, or intermittent pain will cause the individual distress and they may exhibit challenging behaviours to show they are distressed. It can be difficult to recognise the reason for a challenging behaviour, for example a non-verbal, severely disabled individual with a toothache where there is no obvious observable cause of pain, and so the individual will remain distressed.

# data[].attributes.headline
Irritability, restlessness, withdrawing from activities which they previously enjoyed.  Poor sleep, damaged relationships, Loneliness, depression.

# data[].attributes.subject
Irritability, restlessness, withdrawing from activities which they previously enjoyed.  Poor sleep, damaged relationships, Loneliness, depression.

# data[].attributes.headline
Disengagement with treatment plan, deterioration, withdrawal

# data[].attributes.subject
Disengagement with treatment plan, deterioration, withdrawal

# data[].attributes.headline
Lethargic, emotional, snappy, bothered, irritated, not them selves.

# data[].attributes.subject
Lethargic, emotional, snappy, bothered, irritated, not them selves.

# data[].attributes.body
extreme low mood, isolation (felling nobody understands), anger (why me?), sadness

# data[].attributes.headline
if not feeling well and adding tired on top of it they may feel, exhausted, immune suppressed, slow wound healing, increased depression, less likely to be an activated health user, they may not/less likely to follow their plan and don't feel safe or could break the relationship between service user and you

# data[].attributes.subject
if not feeling well and adding tired on top of it they may feel, exhausted, immune suppressed, slow wound healing, increased depression, less likely to be an activated health user, they may not/less likely to follow their plan and don't feel safe or could break the relationship between service user and you

# data[].attributes.headline
Could cause a numerous amount of side effects that ultimately missed may lead to worsened health and less likely to fully recover

# data[].attributes.subject
Could cause a numerous amount of side effects that ultimately missed may lead to worsened health and less likely to fully recover