bluuebunny/crossref_metadata_2025 huggingface dataset:
Considerations for bathroom equipment and adaptations
Authors: Dean Rachel
Published: May 2014

In order to meet the bathing needs of someone with a disability, equipment or adaptations may be necessary. Many factors must be taken into account in order to ensure that the desired result is achieved, namely bathing facilities which can be used safely.
Malodorous wounds: causes and treatment
Authors: Williams Kate , Griffiths Elizabeth
Published: May 2014

Kate Williams and Elizabeth Griffiths outline the causes of malodorous wounds and present the various types of debridement and treatment available for this challenging problem.
The occupational therapist in nursing and residential homes
Authors: Hall Gillian
Published: May 2014

Gillian Hall describes the job of the occupational therapist, and looks at the place of the occupational therapist in an innovative project in the residential and nursing homes of Glasgow.
Urinary catheter management: minimizing the risk of infection
Authors: Parker Lynn j
Published: May 2014

Catheterization always carries a risk of infection. Lynn Parker describes the high level of nursing knowledge and skill required to achieve effective and safe management.
Leg ulcer assessment and diagnosis
Authors: Bennett Andrew
Published: May 2014

Leg ulcers are common and complex wounds. Andrew Bennett describes the components of a thorough assessment process which is necessary for their proper treatment
Art therapy in neurorehabilitation
Authors: Lobban Jan
Published: May 2014

Art therapy can be a highly beneficial technique to help those who have undergone recent neurological trauma or disease to deal with their changed circumstances. Jan Lobban describes the theory and technique.
Combating malnutrition in nursing and residential homes
Authors: Berkley Anita , Prentice Susan
Published: May 2014

Anita Berkley and Susan Prentice examine the importance of attending to the complex nutritional requirements of nursing home residents and suggest a need for regular nutritional screening.
Positive customer care
Authors: Ashurst Adrian
Published: May 2014

Adrian Ashurst discusses the benefits of introducing relatives' questionnaires in nursing and residential homes.
Hague claims UK spends too little on health
Authors: Hague William
Published: May 2014

The Conservative Party launched an all-out attack on Labour's record in charge of the NHS at their conference, claiming that ‘as a nation, Britain is spending too little on health today’.
Don't look back in anger
Authors: Konnry Stephan
Published: May 2014

The Mais House home in Bexhill is run by the Royal British Legion. In order to see what remembrance and reminiscence meant to them in a practical way we sent Stephan Konnry to investigate. What he found was a practical demonstration of reminiscence that allows people to remember past times and enjoy life in the present.
When fuel runs out
Authors: Ashurst Adrian
Published: May 2014

Adrian Ashurst explores the impact of the recent national fuel crisis on nursing and residential homes and discusses the importance of preparing practical contingency plans which can be implemented at times of need.
Treatment of a heel pressure sore: a case study
Authors: Gray David
Published: May 2014

In this clinical case study, David Gray describes the management of a full thickness heel pressure sore in a nursing home.
The new QUATTRO PLUSTM mattress replacement system
Authors: Gray David
Published: May 2014

David Gray outlines the changes made by Talley Medical to the QUATTRO PLUSTM replacement alternating pressure air mattress, to improve safety features and modify the design.
Maintaining standards in NVQ training
Authors: Barham Bob
Published: May 2014

In this article, Bob Barham outlines the different bodies who work to ensure that NVQ providers are maintaining high standards.
How NVQ can help you: a personal perspective
Authors: Whitmore-Pryer Alistair
Published: May 2014

Alistair Whitmore-Pryer details the circumstances that led him to make a career change and gives advice based on his experiences on how to take the first steps towards establishing your own care home business, and the role that a NVQ qualification has to play in this process.
Serenity and high quality masks the industry
Authors: Fermoy Peter
Published: May 2014

In this article, Peter Fermoy highlights the important role that the chef plays in an independent nursing home, and considers his effect on the wellbeing and contentment of residents.
Working part time
Authors: Ashurst Kimberly
Published: May 2014

Kimberly Ashurst describes some of the benefits and potential difficulties of balancing a part-time position with the pressures of a young family, based on her personal experiences.
Talking Back
Authors: Flynn Sheila
Published: May 2014

Welcome to the first in what we hope will become a feature of Nursing and Residential Care, the opportunity for you to respond to issues raised in our pages. If there is an issue you feel strongly about, please let us know at Talking Back, Nursing and Residential Care, Mark Allen Publishing, Croxted Mews, 288 Croxted Road, London, SE24 9BY.
Care Standards Act: the social-care perspective
Authors: Johnson Nick
Published: May 2014

The Care Standards Act will be the most significant legislative change since the National Assistance Act 1948. It will affect all care workers and their employers in all sectors, and formalize controls in previously unregulated areas of practice.
Managing incontinence: causes, prevention and treatment
Authors: Holland Ian
Published: May 2014

Ian Holland outlines the causes and management of incontinence. He also provides an overview of the Continence Foundation and the Department of Health's new policy guidance for continence services.
Use of the Polaroid Macro Lens camera in wound assessment
Authors: Ballard Kate
Published: May 2014

Accurate record keeping is an integral part of nursing practice. Polaroid instant photography is a simple and quick form of documentation and provides a permanent record on which progress can be judged and evidence supplied for care planning.
Managing change
Authors: Makinson Geoff
Published: May 2014

There are several causes of organizational change with differing consequences for the working environment. It is important to understand the opportunities and threats that these present in order to develop strategies for managing change.
Current and future treatments for Alzheimer's disease
Authors: Morinan Alun
Published: May 2014

Alun Morinan describes the pathology, possible aetiologies and modes of therapy for patients with Alzheimer's disease. He discusses both current and future treatments that may become available.
Choosing the right equipment for residents' rooms
Authors: Hampton Sylvie , Collins Fiona
Published: May 2014

In this article, Sylvie Hampton and Fiona Collins look at the equipment that can be commonly found in the rooms of nursing home residents and evaluate the issues that need to be considered when new equipment for residents' rooms is purchased.
Part-time workers regulations: an update on their effects
Authors: Richardson Barbara
Published: May 2014

Barbara Richardson discusses the implications of the Part-time Workers (Prevention of less favourable treatment) Regulations for staff of nursing and residential care homes, and outlines some of the areas they cover.
Safer handling practice 1: what does it mean for staff
Authors: Wilson Christine Brown
Published: May 2014

How can manual handling be made safer in your workplace? Christine Brown Wilson discusses how legislation in this field can be implemented in health-care environments to ensure safer handling practice.
Promoting continence within a care home setting
Authors: Button Denise , Jackson Val
Published: May 2014

In this article, Denise Button and Val Jackson consider various aspects of continence care in care homes. They also raise ethical issues associated with resident choice and family involvement.
Marketing your home
Authors: Ashurst Adrian
Published: May 2014

Adrian Ashurst discusses the importance of developing a marketing culture within residential and nursing homes.
Readers Letters
Authors: Brown Joyce
Published: May 2014

Current funding levels and the new care standards
Dressing selection and diabetic foot ulcers
Authors: Baker NR
Published: May 2014

Diabetic foot ulcers are common, difficult to manage and associated with increased morbidity and mortality. The role of dressings in their management is important, requiring an understanding of diabetic foot disease, wound physiology and dressing performance characteristics.
Managing schizophrenia in older people
Authors: Elliott Tony
Published: May 2014

Tony Elliott advises on the symptomatology, management and various treatment methods of schizophrenia among the elderly
Selecting the best stoma care product for individual clients
Authors: Pullen Mandy
Published: May 2014

Mandy Pullen gives an overview of stoma products, detailing circumstances in which they are best utilized and explaining how and when to change an appliance.
Recruiting and retaining staff in health-care organizations
Authors: Makinson Geoff
Published: May 2014

This article discusses the issues of recruiting and retaining staff in health-care organizations and stresses the importance of effective manpower plans and human resources strategies.
Selecting the most appropriate hoist for residential settings
Authors: Collins Fiona
Published: May 2014

Fiona Collins outlines some of the factors which should be taken into consideration when selecting a hoist for use in a residential setting, to prevent injuries to both staff and residents.
The silver lining in the black cloud of free nursing care
Authors: Wright Kerri
Published: May 2014

Having spent the last 6 months undertaking determinations for free nursing care, Kerri Wright discusses some of the positive aspects of the process which have been observed.
Improving your presentation skills
Authors: Makinson Geoff
Published: May 2014

Geoff Makinson outlines some of the important points to consider when making a presentation, whether it is to colleagues or strangers.
Facilitating a resident's move into a care home
Authors: Aubrey-Fletcher Sara
Published: May 2014

Sara Aubrey-Fletcher looks at ways in which a resident's transition from their own accommodation into a care home can be facilitated.
Individual savings accounts
Authors: Pearce Tony
Published: May 2014

In the first of two articles, Tony Pearce explains all you need to know about individual savings accounts.
Migraine and other benign recurring headaches
Authors: Elrington Giles
Published: May 2014

Giles Elrington discusses varying types of migraines and chronic headaches, and details their appropriate management according to individual patient response.
The role of mentoring in career development
Authors: Makinson Geoff
Published: May 2014

Geoff Makinson examines some of the issues surrounding the process of mentoring, and the mentoring relationship.
Issues of client examination: an imposition of power?
Authors: McIntosh Paul
Published: May 2014

Paul McIntosh analyses the concept of how some forms of care for the elderly and learning disabled can unwittingly reduce an individual's freedom and ability to make decisions.
Planning and conducting care home outings
Authors: Wenborn Jennifer
Published: May 2014

Recreational outings are an ideal way for residents to retain contact with the community. Jennifer Wenborn looks at how to organize and conduct these trips, and stresses the importance of exercise and activities for older people.
Analysing the reality of free continence pad provision
Authors: Booth Frank
Published: May 2014

Frank Booth presents a case study which looks at how one continence service, and its attendant care homes, adapted to the introduction of free pads for residents.
How staff can make the most of student placements
Authors: Nazarko Linda
Published: May 2014

Many managers are unsure of how to respond when asked to provide placements. Linda Nazarko explains the advantages and helps you avoid potential problems.
Helping students to get the best placement experience
Authors: Allum Kevin
Published: May 2014

I think that at the beginning of any long placement module, there is always a certain sense of nervousness and anxiety. Fitting into an often enclosed team and obtaining those vital and sought-after signatures for your portfolio is always stressful for the student.
Investigations into the value of multisensory environments
Authors: Pinkney Lesley
Published: May 2014

Lesley Pinkney gives an overview of research that has been conducted into the efficacy of the multisensory environment, and makes recommendations for their use in care homes.
Issues of cancer diagnosis and treatment for older people: 2
Authors: Kaplan Gwen
Published: May 2014

In the second of two articles, Gwen Kaplan gives an overview of different types of cancers and their causes, and discusses factors that influence treatment.
Issues of professional misconduct and remedial action
Authors: Heller Tom
Published: May 2014

Dr Tom Heller discusses situations in which health-care professionals could misuse their responsibility. This article highlights the warning signs and advises on dealing with such cases.
Maintaining client hygiene and appearance
Authors: Ashurst Adrian
Published: May 2014

Adrian Ashurst gives a comprehensive guide to the management of a client's personal care, discussing practical skills, issues of safety, and the importance of encouraging independence.
The benefits of regular activity for care home residents
Authors: Wenborn Jennifer
Published: May 2014

Jennifer Wenborn introduces the new series on practical activities, by explaining the theory behind the importance of appropriate occupational opportunities.
Supplement shakes: their role in nutrition management
Authors: Chan Wynnie
Published: May 2014

A government report has highlighted dietary and health concerns among older people. Wynnie Chan discusses the use of oral supplements to help manage this problem.
Respecting data confidentiality: maintaining effective care
Authors: Turney Danielle
Published: May 2014

Care homes house a wealth of vital yet personal client information. Danielle Turney explains how to respect client privacy, while protecting the interests of staff who need access to confidential data.
Understanding and managing coeliac disease
Authors: Kong SC
Published: May 2014

SC Kong tells you everything you need to know about gluten intolerance which causes the disease, and advises on the best way to manage the disorder.
Explaining the regulation of care homes in Scotland
Authors: Cooper Jeremy
Published: May 2014

The final article in the series looking at the care standards regime for care homes, Jeremy Cooper looks at the parallel system that is now operating in Scotland.
Implied terms of an employment contract
Authors: Richardson Barbara
Published: May 2014

Barbara Richardson outlines the six implied duties that an employer must abide by, and includes relevant case studies to illustrate these principles.
Looking at spirituality to enhance client wellbeing
Authors: Albans Keith
Published: May 2014

Everyday care practice affects people at their deepest levels and, irrespective of religious beliefs, can enhance their spiritual wellbeing. Rev Dr Keith Albans explains.
Care of the adult patient with an indwelling catheter
Authors: Haberstich Nancy
Published: May 2014

Carers are so familiar with the presence of catheters that the associated risks are often forgotten. Nancy Haberstich addresses key issues that have a dramatic effect on patient outcomes.
Diagnosing and managing sleep disorders in the care home
Authors: Wilson Sue
Published: May 2014

Carers have an important role in detecting and managing sleep problems that can affect clients. Sue Wilson assesses various conditions, and advises on treatment methods.
Looking at the essentials of social care
Authors: Johnson Nick
Published: May 2014

This article opens a series on issues relating to social care, and offers an overview of the service, its nature and function. Future articles will focus on specific topics.
Assessing quality of life in healthy older people
Authors: Beaumont J Graham , Kenealy Pamela
Published: May 2014

Individual perceptions of quality of life were studied in healthy older people. The findings suggest that those in residential care report poorer levels of wellbeing.
Students are a benefit for all
Authors: Hong Chia Swee
Published: May 2014

I recently attended a presentation about means to sustain morale, given by a manager of a residential home for older people with mental health difficulties. The manager commented on her dynamic group of staff who are caring for residents with a range of physical and psychological needs. I visited the home, which had a pleasant atmosphere and a balanced provision of rest and leisure activities. I also met a number of students on placements.
Supporting individuals in times of distress
Authors: Weaver Dawn
Published: May 2014

Dawn Weaver explains how we can offer support, in a non-judgmental way, to those suffering from stress.
Maintaining an older person's concept of self
Authors: Gordon Andrew
Published: May 2014

Andrew Gordon demonstrates how care can embrace the whole person, maintaining the self-concept, self-image and self-esteem needs that we all have.
Contributing to the care of the deceased
Authors: Poppleton Amanda , Tiller Carol
Published: May 2014

Amanda Poppleton and Carol Tiller explain the role of the carer in preparing and transferring a resident who has died.
Claiming damages for wrongful dismissal
Authors: Richardson Barbara
Published: May 2014

Wrongful dismissal, a contractual right, arises when an employer breaches his or her part of the employment contract. Barbara Richardson explains.
Stimulation via occupation
Authors: Hong Chia Swee , Harrison Deborah
Published: May 2014

The National Minimum Standards for Care Homes for Older People (Department of Health, 2002) state that clients must have a lifestyle that matches their expectations and satisfies their social, cultural, religious and recreational interests and needs. Clients' preferences must also be assessed and recorded. Opportunities for stimulation through leisure and recreational activities both in and outside the home need to be created to suit residents' needs, preferences and capacities.
Effective care plans: keeping service users at the core
Authors: Johnson Nick
Published: May 2014

Care plans vary greatly in quality, content and usefulness. This article looks at how planning well can empower the client and improve the overall quality of service.
Meeting targets: how to select training providers
Authors: Sweeney Tom
Published: May 2014

Selecting the right NVQ training provider is a critical step towards supporting staff to achieve their NVQs in care. Tom Sweeney gives a step-by-step guide.
Engaging with animals and promoting wellbeing
Authors: Wenborn Jennifer
Published: May 2014

Interacting with pets has physical and psychological benefits, but their introduction to a care home must be carefully planned. Jennifer Wenborn looks at the practicalities.
Defining the needs of older people in care homes
Authors: Pritchard Jacki
Published: May 2014

Jacki Pritchard discusses how workers can creatively identify and meet the needs of older people in care home settings.
Choosing the right dressing for different wounds
Authors: Nazarko Linda
Published: May 2014

Linda Nazarko advises on suitable dressing types to treat necrotic, sloughy, granulating and epitheliazing wounds, and what developments we can expect in the future.
Spotlight on infection
Authors: Sims Beccy
Published: May 2014

Beccy Sims reports on proposed measures to improve the prevention and control of health-care-associated infections in UK hospitals and care homes.
Caring for those with age-related impaired sight
Authors: Bremridge Tom
Published: May 2014

Macular degeneration affects over half a million people in the UK. Carers need to know about the disease and what can be done. Tom Bremridge explains.
Sleep disorders associated with neurological disease
Authors: Britton Thomas
Published: May 2014

Dr Thomas Britton helps carers to recognize the more common type of sleep problems in residents, so they can be appropriately managed.
Protecting vulnerable adults from abuse
Authors: Thomas Ashley C
Published: May 2014

Anyone receiving care is at risk of abuse. This article looks at how workers can identify abuse and reduce the risk to vulnerable adults.
Controlling expenditure and managing resources
Authors: Weaver Dawn
Published: May 2014

This series is written specifically to guide the Registered Manager Award candidate. This month, Dawn Weaver explores B3: ‘Manage the use of financial resources’.
Finding the right care home
Authors: Cowley Dean
Published: May 2014

Dean Cowley, Marketing Director of BUPA Care Services, discusses the importance of finding a care home that meets both residents' and relatives' needs.
Caring for the older person with a stoma
Authors: Burch Jennie
Published: May 2014

Jennie Burch helps health-care assistants to better understand stomasin order to improve the lives of ostomates who are in residential or nursing home care.
Part eight: Providing well managed services
Authors: Johnson Nick
Published: May 2014

Well managed services are the hallmark of best practice. With indifferent management, it can be almost guaranteed that services will be unsatisfactory. Nick Johnson explains.
A bed crisis that can only get worse
Authors: Poddar Sam
Published: May 2014

The strained relationship between care home owners and the Scottish Executive is well documented, but it is beginning to have unintended and unfortunate consequences that will inevitably impact on one of the most vulnerable sectors of society.
Helping individuals to maintain mobility
Authors: Weaver Dawn
Published: May 2014

Dawn Weaver explains the importance of the care worker in encouraging residents to maintain their independence and maximizing individual potential.
Benefits of treatment with Hopi ear candles
Authors: Capon Sheena
Published: May 2014

Sheena capon outlines the history of thermo-auricular therapy and gives details of the benefits for older people of this ancient treatment.
Controlling care
Authors: Sims Beccy
Published: May 2014

The Department of Health has revealed that it is to spend £850 000 on 11 new pilot projects that will focus on the use of self-assessment in delivering care services.
As death approaches: Cultural issues
Authors: Nazarko Linda
Published: May 2014

With death mainly occurring in the very old nursing staff need to be prepared to identify and support the religious and cultural needs of the individual.
Buying the right bathtub: A simple guide
Authors: Stanley Matthew
Published: May 2014

Mobility difficulties mean that many people who had previously enjoyed the comfort and relaxation of a long bath have to forego the pleasure. Risk of falling and the actual physical challenge of getting in and out of the bath mean that this simple, daily activity has become off-limits.
Working with families – partnership or confrontation?
Authors: Ashurst Adrian
Published: May 2014

The Care Home manager and his or her staff are responsible for the delivery of quality care and hotel services for residents on a daily basis. However, staff must also provide a quality service for every resident's family and friends whenever they visit their loved ones in the care home.
A day in the life of a… Hospital Administrator
Authors: Hughes Paula
Published: May 2014

Delfryn House is a 28 bedded specialist residential intensive rehabilitation facility situated on the outskirts of Mold in North Wales.
Spotlight on social spending
Authors: Sims Beccy
Published: May 2014

Following the publication of the 2006 wanless report, the government has created a working group to assess future funding issues for social care. Beccy Sims reports.
New advice on palliative care
Authors: Sims Beccy
Published: May 2014

Care homes are being helped in their bid to offer improved end-of-life support for residents, thanks to the publication of a new guide.
Treating the person with an overactive bladder
Authors: Nazarko Linda
Published: May 2014

Some residents who need assistance to go to the toilet will have urge incontinence; a common condition in older people. Linda Nazarko tells you what you need to know.
The new fire safety regulations: What you need to know
Authors: Darlington Stuart
Published: May 2014

Very soon, businesses will have to cope with new rules that govern fire safety in the workplace. Stuart Darlington explains exactly what you need to know.
Readers' Letters
Authors: Beech John
Published: May 2014

In support of all care assistants

Madam, I would like to write a few words in support of all care assistants and have written a poem to that effect. NVQs, national minimum standards and the Agenda for Change initiative do go some way to recognizing a care assistant's role and responsibilities, touched upon by Jackie Pritchard's article (vol.6(7), 2004, p.316).
Managing the Mental Capacity Act
Authors: Hancock Charles P.
Published: May 2014

The purpose of this paper is to examine the care management implications of a number of Sections of the 2005 Mental Capacity Act. In particular this paper will critically review the role of the lasting power of attorney donee and examine by means of a scenario the range of problems that this impending legislation is likely to carry for care home owners and their staff.
Palliative Care: Maintaining dignity
Authors: Ashurst Adrian
Published: May 2014

In this article Adrian Ashurst provides care staff with some simple guidelines designed to help older people with a terminal illness to maintain their personal dignity
Keeping mobile: Part two
Authors: Swann Julie
Published: May 2014

In this second part Julie Swann looks in more detail at the different types of walking appliances available.
Developing leadership skills: Managing and leading
Authors: Nazarko Linda
Published: May 2014

Good management is about being flexible and using styles and techniques in different situations. Linda Nazarko explains what style to use and when to use it.
A day in the life of a… Managing Director of Four Seasons Health Care
Authors: O'Connor Sharon
Published: May 2014

I'm still getting my feet under the table following my appointment as managing director of Four Seasons Health Care in Scotland but life is certainly extremely busy. I am responsible for all aspects of business at the company's 50 care homes in Scotland, including care and quality issues, financial viability, staffing and health and safety.
Standard precautions in infection control
Authors: Nazarko Linda
Published: May 2014

Health care-acquired infection kills thousands of people in the UK every year. Linda Nazarko discusses the standard precautions that can be applied to prevent infection spreading in the care home.
Ask the experts
Authors: Sims Beccy
Published: May 2014

Beccy Sims reports on a programme that will harness the experiences of care service users to develop a better form of inspection.
Violence and aggression in the care sector
Authors: Tracey Noel
Published: May 2014

Noel Tracey introduces a series of forthcoming articles on violence and aggression, with a personal perspective on managing situations of conflict.
Abuse in care homes
Authors: Sims Beccy
Published: May 2014

Beccy Sims reports on shocking revelations of abuse in Britain's care homes, which shows that more must be done to tackle the problem.
Reducing the risk of falls: Part two
Authors: Swann Julie
Published: May 2014

In the final part of this mini-fall prevention series Julie Swann examines the environmental factors and mobility problems that can contribute to a fall.
Stroke: Bowel care
Authors: Nazarko Linda
Published: May 2014

Bowel problems following stroke can present with a number of embarrassing symptoms. Assessment can enable nurses to identify and treat such problems and improve quality of life.
Counting sheep is not a cure! Sleep disruption
Authors: Weaver Dawn
Published: May 2014

‘Only when one cannot sleep does one know how long the night is.’ (Anonymous) Dawn Weaver explores the underlying causes of sleep disruption in the older person and available non-pharmacological treatments.
Rheumatoid arthritis: Coping strategies
Authors: Swann Julie
Published: May 2014

This second article on rheumatoid arthritis outlines practical ways to enable sufferers to cope with pain and incapacity.
‘One swallow does not make a summer’
Authors: Jennings Sue
Published: May 2014

It is July – we have just passed midsummer day, on the 21 June. The birds have hatched and are learning to fly, and it won't be too long before they think about migration. This month's theme is therefore birds.
Managing medication
Authors: Nazarko Linda
Published: May 2014

Medication management in care homes is fraught with problems. Linda Nazarko explains the benefits of prescribers, pharmacists and staff working together for effective medication management.
A good night's sleep, part one: normal sleep
Authors: Wilson Sue
Published: May 2014

Sleep has restorative qualities and can negatively affect quality of life if disordered. Sue Wilson discusses the importance of maximizing the chances of a good sleep for the resident in care and those providing the care.
Cardiovascular problems: heart failure
Authors: Nazarko Linda
Published: May 2014

Approximately 223 000 people die each year as a result of cardiovascular disease (Petersen et al, 2005a), which is the leading cause of death in the UK. Older people are the most affected. Linda Nazarko introduces the first in a series on cardiovascular disease.
Abuse and the law: a breach of duty
Authors: Griffith Richard
Published: May 2014

A great majority of incidents of abuse are issues relating to poor practice. Richard Griffith explains how better understanding of duties can protect staff from liability and residents from abuse.
E-learning: interactive learning for stoma care nursing
Authors: Williams Julia , Porrett Theresa , Fillingham Sharon , McLeod Elaine
Published: May 2014

E-learning allows flexibility for those with a busy schedule or those who need to learn at their own pace. The development of an innovative interactive educational tool for stoma care is explored.
Policy: an update on the dementia care strategy
Authors: Nazarko Linda
Published: May 2014

It is hoped that the arrival of the eagerly anticipated National Dementia Strategy in 2009 will positively affect the lives of those with dementia, their families and the nurses and care assistants working with them. Linda Nazarko sets out the aims of the strategy.
Managing alcohol misuse in a care home environment
Authors: Newson Pauline
Published: May 2014

Alcohol abuse in older people often goes unnoticed as it is assumed that only young binge drinkers have misuse problems. However, with the baby-boomer generation entering care homes, more residents hold liberal attitudes towards alcohol consumption.
Teaching stoma patients to self-care
Authors: Black Pat
Published: May 2014

Teaching care home patients to self-care with their stoma encourages independence. This article looks at the multidisciplinary team approach to help ostomates self-care.
Telecare and telehealth: enabling independent living
Authors: Pountney David
Published: May 2014

Remote monitoring is increasingly enabling people to lead more independent lives. David Pountney considers how telecare and telehealth are helping older nursing home residents and those with chronic conditions.
The management of dry skin conditions in older adults
Authors: Voegeli David
Published: May 2014

Older people are at an increased risk of developing a number of dry skin conditions. David Voegeli discusses the appropriate selection and implications for use of emollients in treating these conditions.
Wound healing and moisture balance: selecting dressings
Authors: Nazarko Linda
Published: May 2014

Achieving the correct moisture balance in a chronic wound can make a big difference to wound healing. Linda Nazarko discusses the principles of moisture balance and the selection of appropriate dressings in providing the best possible care.
The role of nutrition in maintaining good health in later life
Authors: Shepherd R Alison
Published: May 2014

Diet and lifestyle choices throughout our lives are largely responsible for how we age. Alison Shepherd discusses the role of nutrition, and the challenges of meeting the nutritional requirements of older people in long-term health-care settings.
Understanding the value of audit in dementia care
Authors: Nazarko Linda
Published: May 2014

It can be difficult to evaluate the quality of care provided to people with dementia, and to move practice forward. Linda Nazarko discusses the value of audit in dementia care.
Working with the National Dementia Strategy
Authors: Rice David
Published: May 2014

David Rice considers what the National Dementia Strategy means to those working in care homes, how will it affect the care of people with dementia and how dignity at the end-of-life can be enhanced.
Creative writing: practical problems, practical solutions
Authors: Swann Julie
Published: May 2014

The act of writing relies on fine motor skills and a good posture. It can, therefore, become problematic for people with age-related conditions. Julie Swann offers some practical advice
Nursing degree: threat or opportunity?
Authors: Ashurst Adrian
Published: May 2014

The Nursing and Midwifery Council (NMC) has recently confirmed that, from 2013–14, students can only start pre-registration nursing programmes that meet the regulator's new approved standards. From the beginning of that academic year, the minimum level of education for new nurses will be degree level.
Going online? Computers for care home residents
Authors: Freedman Carrie Saint
Published: May 2014

Computer technology can offer care home residents a passport to a whole new range of activities. Anyone can surf the internet says Carrie Saint Freedman, but it's the way that you access your PC that really makes a difference.
Malnutrition in older people: when to use supplements
Authors: Ashurst Adrian , Arrowsmith Julie
Published: May 2014

Adrian Ashurst and Julie Arrowsmith discuss the factors that may lead to malnutrition and outline the importance and benefits of providing older people with the correct dietary supplements
Communication and language needs
Authors: Weaver Dawn
Published: May 2014

Dawn Weaver explores the need to embrace the principles of effective communication to aid empowerment.
Care of the elderly: a Sikh perspective
Authors: Singh Deepwant , Singh Kulwant
Published: May 2014

This article provides an insight into the cultural and religious issues that should be considered when planning care provision for elderly Sikhs.
Getting the message
Authors: Weaver Dawn
Published: May 2014

Dawn Weaver explains the importance of sending and receiving messages effectively in the workplace.
Perception: making sense of it all
Authors: Swann Julie
Published: May 2014

This article is part of a series on perception and explores how the brain interprets information to enable us to respond meaningfully to it
Care of the older person: a Jehovah's Witness perspective
Authors: Smith Alexandra
Published: May 2014

This article provides an insight into the cultural and religious issues that should be considered when planning care provision for elderly Jehovah's Witnesses.
Care of the older person: a Hindu perspective
Authors: Wilkins Amy , Mailoo Venthan J.
Published: May 2014

Amy Wilkins and Venthan J. Mailoo describe the practices of Hinduism, and how care staff can offer appropriate client-centred care to older Hindu people
Breaking down barriers to bariatric care
Authors: Swann Julie
Published: May 2014

The UK population is becoming obesogenic, creating a vast number of larger people. Julie Swann on everything you need to care for the heavier older person.
Perception: Holistic assessment
Authors: Hibberd Jane , Swee Hong Chia , Boyle Liz
Published: May 2014

Perception difficulties affect the brain's ability to interpret informaton. In this article we return to the story of ‘O’, who was first mentioned in an editorial in March
Supporting residents after amputation
Authors: Walker Jennie
Published: May 2014

Residents are at risk of developing complications following amputation. Staff should facilitate their recovery so that they can continue to engage in activities of daily living. Jennie walker explains
Compression therapy in chronic oedema and lymphoedema
Authors: Cooper Garry
Published: May 2014

Compression therapy is one of the most important components in the management of chronic oedema and lymphoedema. Garry Cooper gives an overview of compression therapy and hosiery
Understanding physical disability
Authors: Veselinova Claire
Published: May 2014

This unit is designed to provide health and social care workers with the knowledge to understand the concept of physical disability and the importance of promoting independence and social inclusion for individuals with physical impairments
How to … complete a successful staff supervision meeting
Authors: Ashurst Adrian
Published: May 2014

Adrian Ashurst provides ten simple steps for managers to successfully implement an effective staff supervision meeting in the care home. Planning ahead and encouraging open communication with employees will ensure this process goes smoothly
Colour, contrast and comfort: interior design in dementia
Authors: Lenham Joanna
Published: May 2014

Imagine if a rug appeared to be a hole in the floor. Changes in perception mean that this can happen to people with dementia. In this article, Joanna Lenham looks at how care homes can create dementia-friendly environments
Opening a care home in Sri Lanka: taking on lessons from the UK
Authors: Wicks Milithra
Published: May 2014

Without thorough guidance and inspection bodies to govern the care provided by organisations in Sri Lanka, start-up care homes can struggle. Milithra Wicks explains how she has adapted care strategies in the UK to benefit residents abroad
Involving families in planning and assessment of community services
Authors: Donohue Pete
Published: May 2014

When individuals require health-care support from community services, such as care or nursing homes, their best interests must be considered. Pete Donohue explains how this will include approaching relatives or carers and involving them in decisions
Soothing sounds: reducing agitation with music therapy
Authors: Clare Moira
Published: May 2014

People with dementia may display agitated behaviours that staff may not understand. It has been shown that music therapy can increase wellbeing of these residents. Moira Clare shares her experience of instigating creative interventions in the care home
Thalassaemia
Authors: Bennett Lorna
Published: May 2014

Thalassaemia is in the largest group of genetic disorders affecting haemoglobin. Lorna Bennett reports.
Raising awareness of blindness
Authors: Fleming Bernard
Published: May 2014

Bernard Fleming looks at how practices can improve their skills when dealing with visually impaired patients.
Assessing the paediatric rash
Authors: Thompson June
Published: May 2014

June Thompson surveys the causes and treatment of a wide variety of rashes in children.
Adapting your own programme
Authors: Cook Rosemary
Published: May 2014

In the final article in this series, Rosemary Cook looks at how you can set up your own clinical supervision system.
Managing medicines: Dyspepsia
Authors: Chapman Stephen
Published: May 2014

In the second of his series on commonly prescribed drugs, Stephen Chapman looks at treatments for dyspepsia and gastric ulcers.
Flu jab: Blanket or selective?
Authors: Holland Caroline
Published: May 2014

Caroline Holland sets the record straight on who exactly should be vaccinated against flu this autumn and why your practice should have a protocol.
Beware travellers
Authors: Ellis Christopher
Published: May 2014

The death of Caroline Fraser from malaria highlights several important issues for practice nurses, says Christopher Ellis.
Emergency Contraception
Authors: Fisher Pam , Glenn Kate
Published: May 2014

It is difficult to imagine that until recently the only means to prevent pregnancy concentrated primarily on attempts to dispel semen from the vagina after sex. Efforts were unfortunately rarely effective -- best explained by the speed at which sperm ejaculates. It takes a mere 90 seconds to impregnate cervical mucus (Loudon, 1985).
Clinic Asthma
Authors: Weller Trisha
Published: May 2014

Trisha Weller looks at a case involving an 11-month-old infant, who is wheezy and coughing during the night, and provides information on how he can best be treated.
Drinking down on the internet
Authors: Laughton Jim
Published: May 2014

The night before Christmas. Nothing stirs out in the snow but in living rooms and pubs across the country people are carousing around the Christmas tree. So, before we break for the festive season, I felt alcohol-related sites deserved a review on behalf of those whose livid livers will march them into your practice after the celebrations are over.
Lower leg lesions that mimic venous ulceration
Authors: Drummond Angela , Bianchi Janice
Published: May 2014

Some lesions of the lower leg can mimic venous leg ulcers, but have a variety of different causes, requiring special treatment or referral. Angela Drummond and Janice Bianchi explain how to recognize some of them.
The practice nurse's role in cardiac rehabilitation
Authors: Hall Gill
Published: May 2014

Gill Hall explains how a practice nurse can contribute to the rehabilitation of cardiac patients.A Milton Keynes pilot shows that closer communication between primary and secondary care benefits patients and professionals alike.
Time to revise asthma management
Authors: Roberts June
Published: May 2014

June Roberts discusses some recent data on the impact of asthma on daily life and suggests practical interventions that may help improve control of a patient's asthma.
The benefits of recording peak flow
Authors: Baird Anne
Published: May 2014

Anne Baird explains why it is essential to record peak flow whenever a known asthma patient presents with an acute exacerbation of their condition.
Review of asthma drug delivery devices
Authors: Stearn Ruth
Published: May 2014

Ruth Stearn reviews the advantages and disadvantages of available devices to deliver asthma medication, and reminds readers of the need to tailor treatment to the patient’s lifestyle and needs.
Dermatology Clinic
Authors: Watts Jane , Peters Jill
Published: May 2014

Mr Dennis, a 75-year-old gentleman, was referred to the Dermatology Clinic with a non-healing lesion on his scalp. He could remember it being present for over 18 months. He had not seen a GP previously, because he thought the lesion was caused by a knock to his head. However, over the last few months, the lesion had become larger and he sought an opinion from his doctor, who referred him to the Dermatology Clinic.
Stroke prevention: the scale of the problem
Authors: Long Sheila
Published: May 2014

In the first of two articles, Sheila Long reviews the disease process underlying stroke and the therapeutic options available for patients who have had a stroke
Who's WHO on the internet
Authors: Berrisford Simon
Published: May 2014

Who keeps you in touch with the world? The WHO of course.
Prescribing decision disappoints nurses
Authors: Watkinson Chris
Published: May 2014

Chris Watkinson considers the implications of the Government's recent announcement on nurse prescribing in the context of developments such as patient group directions.
Diphtheria
Authors: Howell Karen
Published: May 2014

Vaccination is recommended for all travellers to destinations where diphtheria is endemic or epidemic. Karen Howell explains the causes and diagnosis, and outlines the control measures available to fight this highly infectious disease.
Practice nurses: The core of nursing
Authors: Malone Beverly
Published: May 2014

Beverly Malone, the new General Secretary of the Royal College of Nursing, kindly gave her time to speak to Practice Nursing.
lmmunization on the internet
Authors: Doyle Steve
Published: May 2014

When I asked a practice nurse in Norfolk what she found to be a useful website all year round, she answered, ‘ Immunisation.org.uk .’ Inspection of the site proved it to be a very good resource for practice nurses.
Happy new changes
Authors: Saunders Diana
Published: May 2014

I am writing my January editorial from the cottage Ive recently moved into overlooking the Teign Valley in Devon. The year is drawing to a close. The valley from my study window is lit by a cold winter sun, the trees are outlines with bare branched sculpture, the year has indeed ended. A time to reflect on the year past? A time to anticipate the year to come.
Fighting malnutrition
Authors: Rollins Hazel
Published: May 2014

Practice nurses can play a pivotal role in the fight against one of the greatest health problems in the UK: malnutrition. Although 40% of patients admitted to hospital are malnourished (Kelly et al, 2000), the problem is frequently unrecognized and untreated.
To treat or not to treat?
Authors: Thomas Mike
Published: May 2014

As the days shorten and we brace ourselves for the imminent flood of patients with ‘flu and winter respiratory infections, the question of antibiotic resistance raises its head. Educational initiatives have promoted the message that antibiotics are unnecesary in most uncomplicated respiratory infections. Campaigns have successfully reduced prescription rates for coughs and acute bronchitis.
A new treatment for intermittent claudication
Authors: Roberts Alan
Published: May 2014

Intermittent claudication (pain or cramp on walking) can be effectively managed in primary care. Alan Roberts reviews a new compound that can improve pain-free walking distance
Tackling health inequalities in Wales
Authors: Davies Eiry
Published: May 2014

Eiry Davies is a nurse practitioner who runs diabetes and CHD clinics on a north Wales estate—with a little help from the local school
How to do it
Authors: Charlton Rodger , Smith Gary
Published: May 2014

Venesection is the puncture of a vein for the purpose of removing blood for diagnostic samples, transfusions or treatment of polycythaemia.
Hard of hearing with NHS aid
Authors: Siddall Rhonda
Published: May 2014

NHS hearing aids have received a negative review from Defeating Deafness. Rhonda Siddall considers the implications for practice nurses.
Triage from Napoleon to the NHS Plan
Authors: Presho Margaret
Published: May 2014

Margaret Presho investigates the benefits and disadvantages of telephone triage, and outlines important considerations for triage nurses.
Clinic Respiratory
Authors: Booker Rachel
Published: May 2014

Tom is a 72-year-old non-smoker with a persistent cough. Rachel Booker considers possible diagnoses of asthma, tuberculosis and bronchiectasis, and discusses the importance of good history taking.
Uterovaginal prolapse and ring pessaries
Authors: James Rachel , Jenner Christopher
Published: May 2014

Sister Rachel James and Dr Christopher Jenner explain a model of care for using ring pessaries to treat women with uterovaginal prolapse
Avoiding the pitfalls in data collection
Authors: Paniagua Hilary
Published: May 2014

In the third article in this series, Hilary Paniagua explains some of the pitfalls to look out for when designing interviews and questionnaires for collecting data
CLINIC Women's Health
Authors: Vaughan Alison
Published: May 2014

Kim is suffering with vaginismus. She is unable to have intercourse or even insert a tampon. Alison Vaughan explains the causes and presentation, and shows how the practice nurse helps Kim recover.
Shining a torch for Islands screening
Authors: Stevenson Julie
Published: May 2014

Julie Stevenson tells why she is known as the ‘lady with the torch’ for her Falkland Islands well-woman clinics. She spoke in Belfast to Liam Benison.
Thelma Henry: Cross-cultural nursing
Authors: Henry Thelma
Published: May 2014

Thelma Henry describes the system of health care in Barbados and explains the value of crossing cultural and professional boundaries.
RCN lobbies for practice nurse pay rises
Authors: Didovich Karen
Published: May 2014

Karen Didovich explains why practice nurses are entitled to the pay rises received by nurses employed directly by the NHS and what the RCN is doing to help them achieve that