Children are identified as a vulnerable group in need of a degree of safeguarding. About 6% of children in the UK have a disability, which can increase their level of vulnerability. How disability is perceived by others may affect the way they work with these young people in coping with life’s risks, which may be increased due to the disability. Each individual’s perception of the risks and benefits of a given venture varies. Children’s nurses work with these young people and their families, aiming to give them maximum autonomy, self-reliance, empowerment and independence in adulthood. This involves risk-taking, as every young person needs to learn from graduated exposure to new experiences, environments, associations and hazards; the chance of harm must be balanced with the disadvantages of over-protection.

Nurses are key professionals in the provision of continence care. The authors examine the implications of recent policy initiatives on the provision of continence care to older people, both in general terms and focusing on the issue of abuse.