We have about ten children with DownsSyndrome in our pediatic outpatient practice. All of the children are well behaved. They have a varied degree of needs, including mental ability and medical needs. For the most part, parents are very concerned care givers and take great pride in any achievements the children make. The parents and children, as well as siblings require an extra measure of support and attention. This is a very rewarding position for the nurse to be in.