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Other major issues included assessment and symptom control, patient comprehension, empowerment and ethical issues\/consent.<\/jats:p><jats:p>Discussion Communication and symptom assessment can be challenging, particularly in people with limited verbal communication skills. Palliative care staff need to be aware of the range of communication methods used by people with intellectual disabilities.<\/jats:p><jats:p>Conclusion There is a lack of information and training materials around intellectual disabilities for palliative care staff. This needs to be addressed. 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