bluuebunny/crossref_metadata_2025 huggingface dataset:
Part four: Using reminiscence in residential homes
Authors: Housden Sarah , Heathcote Julie , Plummer Margaret , Swee Hong Chia , Quinn Patricia
Published: May 2014

In part four of this series, Sarah Housden et al describe the implementation of a Norfolk Adult Education reminiscence programme and report its beneficial outcomes.
Grief and bereavement: Coping with loss of a spouse
Authors: Hamilton Nancy
Published: May 2014

In part two of this article, Nancy Hamilton describes the consequences for an older person of the death of a loved one and offers helpful coping strategies. Implications for nursing practice are also explored.
Part three: Psychological effects of Parkinson's disease
Authors: Nazarko Linda
Published: May 2014

Linda Nazarko explains why people with Parkinson's disease develop sleep problems, hallucinations, confusion and depression, and outlines treatment options.
Introducing companion animals into nursing homes
Authors: Dono Jo-Ann
Published: May 2014

The role of animal relationships to provide social support, improve health and enhance quality of life of older people is increasingly recognized. Jo-Ann Dono explains.
Understanding dysphagia in older people
Authors: Blake Jane
Published: May 2014

Jane Blake outlines the causes, diagnosis and management of this challenging swallowing condition, which is common among care home residents.
Sleep disorders and restless legs syndrome
Authors: Cummin Andrew , Moran Kevin , Shneerson John
Published: May 2014

Adrian Ashurst provides a personal overview of the conference, organized and hosted by the Royal Society of Medicine, held in London on 28 June.
The therapeutic potential of companion animals
Authors: Reynolds Alison J
Published: May 2014

Nursing and residential care settings can acknowledge the value of contact with companion animals to older people by making simple provisions for this in their policies and procedures.
Advertising in the care sector
Authors: Brennan Paul
Published: May 2014

Occupancy is an issue for every care provider, whether a large group or a single operator. But how can managers raise awareness of their care home and the services they offer? Can advertising really work in the care sector and what are the issues which need to be considered before embarking on a communications programme?
Implementing the Creative Care project
Authors: MacGregor Anna
Published: May 2014

Anna MacGregor looks at how artists can be used to improve the quality of care for the elderly and benefit both carers and customers in residential care.
Creative ideas for spring
Authors: Jennings Sue
Published: May 2014

This new series, written by Dr Sue Jennings, provides regular worksheets for the development of creative ideas for residents. Cut them out and start your own workbook, adding your own ideas as you go along. By the end of the year you will have your own manual that you can use again and again.
Medical management and the legal framework
Authors: Griffith Richard
Published: May 2014

In the first of two articles, Richard Griffith outlines how the law seeks to minimize harm from medicines by imposing a duty on care staff in four legal areas.
Out of the shadows, into the spotlight
Authors: Bright Les
Published: May 2014

Generally, when the media spotlight is trained in the direction of residential care, it is after a scandal has been revealed, or for a ‘no-win’ studio discussion about a fairer funding formula at a time when nobody is watching. But the last week of March was quite different.
Preventing and treating constipation: A guide
Authors: Nazarko Linda
Published: May 2014

Constipation is a common problem in older people: 17% of those living athome and 80% of those living in care homes suffer from it (Potter and Wagg, 2005). This article aims to enable you to understand the causes of constipation, to promote a healthy bowel habit and to treat constipation effectively.
Protecting hips and preventing trips in care homes
Authors: Wang Szu-Yao
Published: May 2014

Szu-Yao Wang reviews the risks of falling among older people and discusses the prevention strategies identified in the literature, emphasizing the importance of hip protectors.
The importance of telecare for people with dementia
Authors: Buckley James
Published: May 2014

‘There's no point in giving dementia sufferers telecare — we've got noone to respond to them. It's easier to lock them in. It's worth taking the fire risk…—
An introduction to buying or selling a care home
Authors: Collinge Damian
Published: May 2014

The care home sector has traditionally been a very fragmented market which means there have been (and still are) a high percentage of owners of single homes or perhaps a handful of homes. In recent years some degree of consolidation has started to take place and this has meant that there has been considerable activity within the sector. This trend seems set to continue.
The Care Show: A preview
Authors: Dave Pamela
Published: May 2014

Next month, the Birmingham National Exhibition Centre is due to host the industry's only standalone exhibition, the Care Show, for the first time. The event, which takes place on 25–26th October 2006, offers industry professionals the opportunity to see the very latest innovations from across the sector all under one roof.
Elderly abuse
Authors: Pooley Pam
Published: May 2014

Abuse affects everyone whether they are young or old and this article concentrates on the abuse of the elderly in care homes.
Managing inspections
Authors: Nazarko Linda
Published: May 2014

The way care homes are to be inspected and regulated will change. This new series on inspection will provide up-to-date information on these alterations.
Delivery in action: Key skills in social care learning
Authors: Alsop Jane , Hawkins Lynn
Published: May 2014

Jane Alsop and Lynn Hawkins discuss how a large healthcare organization incorporated key skills and skills for life into their NVQ/apprenticeship programmes and the subsequent development of these areas.
Thinking about spiritual care
Authors: Newson Pauline
Published: May 2014

This article will discuss aspects of spiritual care as a part of holistic practice. Reference will be made to hope a component of spirituality and the work will encourage reflection on practice.
Care planning and documentation
Authors: Nazarko Linda
Published: May 2014

Setting attainable goals and applying nursing models to care can make a difference to care planning outcomes. Linda Nazarko explains how this can help homes meet regulatory standards.
Teaching for health
Authors: Newson Pauline
Published: May 2014

Teaching residents can reduce dependency and add to the quality of living. Older adults are capable of learning, however, the effect of the ageing process needs to be considered as you support the individual to achieve.
Dignified care for staff and residents
Authors: Newson Pauline
Published: May 2014

Maintaining dignity in care extends beyond good hygiene and nutrition, to include issues of respect and self-esteem. This article encourages staff to think more deeply about dignified care for both the resident and the care giver.
Assessment: the contribution of social work
Authors: McDonald Ann
Published: May 2014

Social workers play a fundamental role in the assessment of older adults and their prospective care. Ann McDonald discusses the contribution of social work and introduces the values that underpin this crucial role.
The stars in the sky—just too many to count
Authors: Jennings Sue
Published: May 2014

In this country there is often too much cloud to really see the stars – if the sky is really clear then it can look like black velvet with holes where the stars shine through. Over deserts and tropical forest the skies can seem enormous and we can truly see billions of stars
A strategy for dementia care
Authors: Nazarko Linda
Published: May 2014

A society can be judged by how it treats its most vulnerable members. People with dementia are among the most vulnerable in our society, and the number of people with the condition is projected to double in the next thirty years (Comas-Herrera et al, 2007). Half of all people who have dementia have never been formally diagnosed. Although dementia is one of the major health issues of the 21st century our current system of health and social care fails people with dementia; we fail to diagnose dementia early because of the stigma, ignorance and fear that surround this condition. Dementia affects memory and the ability to reason and communicate. Individuals may develop symptoms such as depression, psychosis, aggression and wandering behaviours. The person may live with dementia for 7–12 years and as abilities decline, the person's spouse or family may adopt a caring role which can be very demanding, especially if the carer is old or has health problems themselves. The person with dementia may be admitted to a care home; over three quarters of people living in care homes have dementia (Bowman et al, 2004).
Prinicples of nursing assesments for older people
Authors: Nazarko Linda
Published: May 2014

Assessing and planning care, and recording progress is essential to the nurse's role. The legal and professional obligations of nurses and the challenges of assessing older people are discussed by Linda Nazarko.
Using talking therapies in the treatment of depression
Authors: Weaver Dawn
Published: May 2014

Depression is prevalent in older people in longterm care, however, it should not be considered a normal part of ageing. Dawn Weaver discusses depression in older people and the role of cognitive behavioural therapy in treating the condition.
Infection control: immunization update
Authors: Nazarko Linda
Published: May 2014

Nurses play an important role in immunzation in the care home. Linda Nazarko discusses the fundamentals of flu-vaccination and the implications that both resident and staff vaccination can have on wellbeing
Nutritional issues for people with dementia
Authors: Hargreaves Tara
Published: May 2014

Ensuring those with dementia meet their nutritional needs can be challenging and frustrating for staff. Tara Hargreaves presents practical advice for staff to help promote better nutrition in older adults with dementia.
Positive dementia care: taking perspective
Authors: Evers Clive
Published: May 2014

Clive Evers discusses the importance of understanding the needs of the person with dementia from the person's perspective. Facilitating independence in completing tasks such as dressing and grooming can help maintain self-esteem.
Slowly, slowly run the race!
Authors: Jennings Sue
Published: May 2014

This month let's think about races and competitions. Who is always first and who is resigned to be the last, and does it matter? As a person who has only won a raffle once and that was a prize I had donated myself, I wonder whether I have a competitive spirit! There are many stories about hares, right across the world, and for some people the hare is lucky and magical.
Employment law: employing foreign nationals
Authors: O'Malley Polly
Published: May 2014

As employers, care homes must ensure that their workers are legally entitled to work for them. Polly O'Malley explains how care home managers can best comply with employment law.
Effective strategies in managing falls prevention
Authors: Weaver Dawn
Published: May 2014

Residents at high risk of falling include those with dementia and people who have suffered a stroke. Dawn Weaver explores the effective strategies for preventing falls in the care home environment that can improve health and safety for residents and staff.
Visibly better: quality care for older adults with sight problems
Authors: Ekstrom Katherin
Published: May 2014

Visibly Better, an initiative introduced by RNIB aims to help nursing and residential homes to enable those with sight problems to carry out their lives as independently as possible.
Non-pharmacological treatments of challenging behaviours: part 2
Authors: Nazarko Linda
Published: May 2014

In the concluding part of this paper, Ian James et al continue to assess the various non-pharmacological interventions to dementia-related challenging behaviours, and provide an optimistic view of future care.
Relocation to a care home, part one: exploring reactions
Authors: Newson Pauline
Published: May 2014

The transition into a care home can mean many different things to different people. For some it constitutes a new start and opportunity. Other people will experience anxiety and depression over the loss of their lifestyle. The first of two articles explores the various reactions experienced by older adults in care.
Assessing and managing wound pain during dressing changes
Authors: Jones Menna Lloyd
Published: May 2014

Menna Lloyd Jones explains why a layered approach to pain management can help to minimize or eliminate wound pain during dressing changes.
The BLS: promoting professional lymphoedema services
Authors: Combie David
Published: May 2014

The British Lymphology Society plays a pivotal role in raising awareness and providing better treatment for people with lymphoedema.
Understanding and managing Clostridium difficile
Authors: Nazarko Linda
Published: May 2014

Older people are especially susceptable to Clostridium difficile. Linda Nazarko discusses its prevalence, how to diagnose and treat it, and the importance of preventing cross infection
Hyper-acute stroke treatment: the fi rst 48 hours
Authors: Nazarko Linda
Published: May 2014

Stroke is the single largest cause of disability in England, costing the NHS £2.8 billion. By increasing awareness of symptoms and quality of specialist care the outcome of a stroke can be greatly improved.
NVQ explained, part 7: the care and protection of individuals
Authors: Whitehead Elizabeth
Published: May 2014

Elizabeth Whitehead talks about the importance of ensuring that each person is treated as an individual and that clients' wishes and requirements are met.
Preserving memories: using photographic images
Authors: Swann Julie
Published: May 2014

Preserving images in alternative formats can offer an activity as well as providing an end product that can add familiarity to a personalized space. Julie Swann introduces some ideas for storing and presenting photographs.
Seasonal animals!
Authors: Jennings Sue
Published: May 2014

March may come in like a lion and out like a lamb, but we also associate hares with March. There is a March hare (made famous by the Alison Utterly books when we were children). She wrote delightful stories about the Hare, the Squirrel and the Little Grey Rabbit. I wonder what other favourite animal stories we can remember? Brer Rabbit for example?
Spring is here
Authors: Jennings Sue
Published: May 2014

At last they are out: the daffodils, narcissus, snowdrops, crocuses—and the tulips are on their way. There are shrubs of bright yellow forsythia, delicate winter jasmine and pots of sweet smelling hyacinths. The days are a little longer and although there is a nip in the air, it is definitely warmer than last month! Even the catkins and pussy willows are just beginning to show—new growth and a promise of fulfilment, after the damp of winter
NVQ explained, part 9: managing continence issues
Authors: Whitehead Elizabeth
Published: May 2014

Elizabeth Whitehead introduces HSC219, which looks at the carer's role in supporting people with continence issues. Understanding causes of incontinence can help carers to reduce episodes of incontinence and help residents to regain control, confidence and self-esteem.
Designing care homes for people with dementia
Authors: Utton Damian
Published: May 2014

The role of design is to facilitate and encourage the provision of care and to improve the quality of lifle for residents, their families and staff. Damian Utton introduces the principles of designing for dementia.
Comprehensive management of diabetes in care homes
Authors: Brown Katrina , Heeley-Creed Diane
Published: May 2014

Care staff can feel increasingly challenged when providing good diabetes care for frail older people. Katrina Brown and Diane Heeley-Creed provide an overview of the treatment and management of diabetes.
The eye of the peacock
Authors: Jennings Sue
Published: May 2014

Peacocks are revered and respected in many countries and are believed to possess medicine magic. They are the national bird of India and their ‘eyes’ are considered to see the past, the present and the future. Peahens are considered excellent mothers and care for their young until ready to leave the nest. Peacocks are symbolic of vision, wisdom, honour, love, protection and re-birth. The colours of their feathers shimmer when displayed, which is unique.
Keeping older people safe from harm
Authors: Weaver Dawn
Published: May 2014

Dawn Weaver explores the nature of recognising harm and abuse
Your guide to understanding continence
Authors: Nazarko Linda
Published: May 2014

As we age our bodies experience mobility and medical problems; even the simplest requirement, such as going to the toilet, can become difficult. Linda Nazarko on how care providers can support older people to manage their changing continence needs
Improving service provision for patients who are prescribed continence products
Authors: Mangnall Joanne , Midgley Kate , Lakin Stuart , Beckitt Liz , Shepherd Laura
Published: May 2014

This new service model for the supply of prescribed continence products has the potential to raise patient expectations and change negative attitudes towards continence care
Is it time you opened the door to some funny business?
Authors: Graham Robin
Published: May 2014

Robin Graham is a laughter expert. Here, he tells NRC how his father inspired him to explore happiness. Use his tips to make the giggles a regular visitor in your care home.
Employment law has changed: your guide to recruiting workers from overseas
Authors: Lloyd Glyn
Published: May 2014

Ensuring you have a well-staffed care home can be challenging, but employers must be up-to-date with new employment legislation, Glyn Lloyd explains.
A family at home
Authors: Roberts Maria
Published: May 2014

Welcome to the September issue of NRC. You'll find that at the heart of this month's issue is the theme of independence. We introduce the topic in our NVQ section (p418) where Pauline Newson explains how through the various stages of our lives, our bodies, capabilities and senses change. Be this at toddler age, our teens, young adulthood or senior years. The topic is later picked up in the Clinical section on stoma care, joint care, and further developed in the final of our series on perception (p448), where Julie Swann leads us through the environment of a care home. Julie explains how, for the older person with perception difficulties, what once seemed simple can now be frustrating. Leading gerontologist, Dr Glenda Cook, explores the subject further in Independent Days, in the care analysis section (p451).
Stiff, creaky, and in pain? First steps to better joint care
Authors: Swann Julie
Published: May 2014

Julie Swann on everything you need to know to enable your residents to keep their bodies mobile and active. Use this article as guide to help your residents with their joint problems.
Part 2: contribute to health and safety
Authors: Weaver Dawn
Published: May 2014

Dawn Weaver explores the health and safety principles behind topics ranging from reporting accidents and infection control, to security. This is the second and concluding part of the unit. [Box: see text]
Managing common foot problems in older people
Authors: Ricci Elaine A
Published: May 2014

Some common foot problems in older people can be limb-threatening, but all of them will require extra care and attention. Clinical specialist podiatrist, Elaine Ricci, explains how to do this
CQC: how to achieve outcome 2
Authors: Wharvell Tracy , Sheldon Jan
Published: May 2014

Outcome 2: before people are given any examination, care, treatment or support, they should be asked if they agree to it
Understanding and managing pain in palliative care
Authors: Bass Madeline
Published: May 2014

Pain is a common symptom in palliative care. Madeline Bass discusses the processes involved in pain recognition, assessment and management in these residents and how to manage breakthrough pain.
‘Postcode lottery’ for home care
Authors: Whittle Beccy
Published: May 2014

Beccy whittle reviews the debate on disparities over local authority domiciliary care charges.
Figuring the cost of laundry equipment rentals
Authors: Hayhurst Martin
Published: May 2014

In a world of expensive laundry equipment, many managers think about renting it. Here we consider the cost and effectiveness of renting laundry equipment.
Temporary workers directive: equal treatment on what terms?
Authors: Lloyd Glyn
Published: May 2014

The new agency Worker Regulations are coming into force in October 2011, to entitle agency workers to equal treatment. glyn Lloyd explains what businesses need to be aware of and how they must start preparing.
Managing impaired coordination and balance
Authors: Swann Julie I
Published: May 2014

How can we help residents who have problems with balance and coordination? Occupational therapist Julie Swann explains how the different methods work and gives us practical advice
The Laws for Working Parents are Changing This Month
Authors: Graham Alison
Published: May 2014

Are you or your employees a parent of children under 18 years old? If so, new working parent laws will affect you. They are: the new additional paternity leave law, the extension to flexible working and increases in statutory pay.
Practical advice to inspire indoor activity planning
Authors: Wood-Townend Sheila
Published: May 2014

Activities can range from inviting local school children to your care home to residents looking after newborn chicks. sheila Wood-Townend explains how you can create a stimulating activities programme.
Practical advice for managing osteoarthritis pain
Authors: Hurley Michael V. , Whitney Julie
Published: May 2014

Pain from osteoarthritis can lead to a loss of independence. This article explains how simple methods, such as exercise, can relieve pain and advises how to set up exercise sessions.
How can you help older people to hear?
Authors: Pryce Helen
Published: May 2014

Older people commonly experience hearing loss, yet ageing also impacts on how they hear. What can you do about this? Helen Pryce discusses the barriers to be overcome and practical advice.
Outcome 17: feedback, complaints and comments
Authors: King Trisha
Published: May 2014

Managers should promote an environment that encourages honest and open discussion about the service. Trisha King outlines what documentation should be in place
Intimate relationships for people with dementia
Authors: Heath Hazel
Published: May 2014

All residents have the right to sexual expression and intimate relationships but supporting these in care homes can raise complex legal and ethical issues. Hazel Heath offers guidance for staff
Safeguarding adults: practical tips for training
Authors: Goodall Sarah
Published: May 2014

Sarah Goodall discusses why care homes need to ensure that Deprivation of Liberty Safeguards training is organisational wide and how the use of creative training materials can achieve better outcomes
Achieving excellence in person-centred living
Authors: Hurtley Rosemary , OBe Patricia Duff
Published: May 2014

Rosemary Hurtley explains how the 360 standard Framework encourages staff to go beyond meeting essential standards of care by achieving excellence through person-centred outcomes
Choosing the appropriate barrier product
Authors: Lloyd Jones Menna
Published: May 2014

Menna Lloyd Jones discusses how the correct product use and selection plays a crucial role in protecting areas of the body that are subject to prolonged exposure to moisture
From pottery to plays: arts activities in the home
Authors: swann Julie I
Published: May 2014

Engaging residents in creative activities can provide stimulation and enhance physical and cognitive abilities. Julie swann explains how staff can set up recreational programmes for people with dementia
Encouraging staff to integrate with the community
Authors: Nazarko Linda
Published: May 2014

Nurses must continue to improve their level and quality of skills. Linda Nazarko explores ways to achieve this by building strong partnerships with universities, hospitals and people in the local area
Free for all: widening access to services
Authors: Learner Sue
Published: May 2014

Sue learner discusses claims that privatisation has lead to poor-quality services and how this could change
Side effects of treatment for Parkinson's disease
Authors: Heisters Daiga , Bains John
Published: May 2014

People with advanced stages of Parkinson's should be encouraged to engage and interact with others. Daiga Heisters and John Bains highlight problems with medication that affect this process
Supporting staff to cope with death and dying
Authors: richardson Emily , Beynon Susan
Published: May 2014

Drawing from their own experiences, managers emily richardson and susan Beynon discuss the appropriate ways to offer support, and provide tools that can aid training and development in this area
‘Difficult’ patients illegally locked up and sedated
Authors: Learner Sue
Published: May 2014

Sue Learner discusses the confusion surrounding the use of restraint on people with dementia by staff who are unaware of the legal implications
Encouraging independence in continence management
Authors: Green Danielle
Published: May 2014

This optional unit assesses the health and social care worker's knowledge, understanding and capability when carrying out continence-related activities in the workplace.
Working with local authorities during public sector cuts
Authors: Collier Robert
Published: May 2014

Public sector cuts have led to local authorities looking to reduce or freeze fees paid to providers. Robert Collier describes recent case studies that provide answers to avoid funding problems
Cardiovascular disease and diet: the way to a healthy heart
Authors: Merriman Sheila
Published: May 2014

Cardiovascular disease (CVD) is the commonest cause of death in the UK. Sheila Merriman explains the dietary causes and gives practical advice on how to prevent and slow the progression of CVD
The many faces of the job: boss, manager, friend
Authors: Addison Judy , Bunce Christine
Published: May 2014

Judy addison and Christine Bunce discuss how their experience as managers of care homes has highlighted certain strengths in their attitude and capability of the job at hand
Calls for care home abuse penalties for owners
Authors: Learner Sue
Published: May 2014

Paul Burstow's Bill to make care home owners criminally accountable in cases of abuse has received mixed response from the care sector. sue learner reports
Undertake agreed pressure area care
Authors: Green Danielle
Published: May 2014

This competence-based unit assesses the health and social care worker's ability to safely carry out pressure area care as laid out by an individual's care plan and risk assessment
Ageing skin: focus on the use of emollients
Authors: Wingfield Carrie
Published: May 2014

All nurses in care homes play a major role in ensuring adequate assessment of the older person's skin and advising on dry skin management. Carrie Wingfield provides tips for best practice
Practical and ethical use of bed rails
Authors: Keeling Cheryl
Published: May 2014

Residents must be provided with bed rails that are suitable for their individual needs. Cheryl Keeling explains how managers can ensure the care home is following the correct protocols
How to … recognise and treat heart failure
Authors: Nazarko Linda
Published: May 2014

Heart failure occurs when the heart is unable to pump enough blood to meet the needs of the body's tissues. Linda Nazarko explains the top ten steps to cover to maintain the best possible quality of life for residents
Outcome 16: assessing and monitoring the quality of service
Authors: Dallinger Tim
Published: May 2014

In the current social climate, there is great emphasis on the resident's perspective as a measure of service quality. Service providers should bear this in mind when designing quality assurance systems, as Tim Dallinger explains
Health-care assistants want to be regulated
Authors: Learner Sue , Nazarko Linda
Published: May 2014

Health-care assistants want a professional register and are prepared to pay for it, according to a survey carried out by the British Journal of Healthcare Assistants
Designing for dementia: creating a therapeutic environment
Authors: Pollock Annie , Fuggle Liz
Published: May 2014

By design, we can create environments that will enable rather than disable people with dementia. Indeed, environments that work for people with dementia, work for all of us as well as Annie Pollock and Liz Fuggle explain
Management options for dry skin, eczema and itch
Authors: Watkins Jean
Published: May 2014

Dry, scaly and itchy skin is common in the older person. Jean Watkins highlights how care staff, who have frequent contact with residents, are in prime position to provide advice and support on established skin conditions
An overview of the support pathway for people with dementia
Authors: Hurtley Rosemary , Pitkin Julia
Published: May 2014

When delivering day-to-day care, staff may get consumed by the task at hand rather than the individual they are supporting. Rosemary Hurtley and Julia Pitkin outline the steps to consider to ensure the care home team is delivering a person-centred service
Is your care home delivering services fit for the 21st century?
Authors: Dallinger Tim
Published: May 2014

Tim Dallinger begins a three-part series on staff training by focusing on how to undertake organisational reviews, assess individuals' needs and use national guidance as a support and not just a tick-box exercise
Managing urinary incontinence in people with neurological disorders
Authors: Woodward Sue
Published: May 2014

Urinary incontinence is a common problem among people with neurological disorders. Sue Woodward provides an overview of the types of urinary incontinence and suggests ways to manage and assess the condition in residents
Summer at school Income from holiday projects
Authors: Maiden Andrew
Published: May 2014

There are restrictions on trading within the education sector, but as long as commercial activities retain the primary purpose of the organisation, these obstacles can be overcome. Since most school grounds have sports pitches and facilities, offering sports coaching should be your first consideration.
Are you ready for the BTS guidelines?
Authors: Bellamy David
Published: May 2014

This summer, the British Thoracic Society will be issuing new guidelines. David Bellamy reviews the current situation with nebulisers.
Practice Nurse-Led Diabetic Clinics
Authors: MacKinnon Mary
Published: May 2014

The 1993 Health Survey for England carried out by the Office of Population Censuses and Surveys indicated that the prevalence of self-reported diabetes over the adult range of the population was 3%. Extrapolated to the whole UK population of approximately 46 million (1993 estimate based on 1991 census results), this means that there are approximately 1380 000 adults with known diabetes in the UK (British Diabetic Association, 1996).
Immunity and the Traveller: An Update
Authors: Weir Donald
Published: May 2014

Donald Weir gives a review of the workings of the immune system and the role of vaccination in protecting against infectious diseases.
Nursing and healthcare culture
Authors: Baird Anne
Published: May 2014

Anne Baird looks at the relationships between the professions in the primary health care team and how they could be improved.
Needle exchange: reducing harm
Authors: Scott John
Published: May 2014

Needle exchange programmes have had a beneficial effect on the welfare of drug misusers. John Scott reports on 10 years of harm reduction.
A council for the next millenium
Authors: Blatt Barry
Published: May 2014

The forthcoming UKCC elections will decide who will see nursing into the next millenium, Barry Blatt speaks to the practice nurses who are hoping to contribute.
New Labour, New NHS?
Authors: Shallcross Mike
Published: May 2014

If there was any doubt about the prevailing political consensus around a primary care led NHS, recent pronouncements from Shadow Health Secretary Chris Smith should have scotched it.
Diabetic Foot Ulceration
Authors: Young Trudie
Published: May 2014

Trudie Young discusses the assessment and management of the diabetic foot.
Clinical governance and shared governance
Authors: Cox Carol
Published: May 2014

The purpose of this article is to introduce practice nurses to the principles associated with Clinical Governance and Shared Governance and to suggest integration of these governance systems as a new model for Nursing, Health Visiting and Midwifery Service in Primary Care. The Integrated Model may be used as a mechanism for ensuring professional accountability, self-regulation of practice, continuous professional development and continuous quality improvement that lead to the provision of high quality care in Primary Care Groups (PCGs).
Long-acting β2-agonists in COPD
Authors: Freeman Daryl
Published: May 2014

Dr Daryl Freeman looks at the place of long-acting β2-agonists in the treatment of chronic obstructive pulmonary disease.
Clinic Men's Health
Authors: Peate Ian
Published: May 2014

Mr Patel needs encouragement to reveal to his practice nurse that his diabetes may be causing his impotence. Ian Peate shows how a sensitive approach can help him.
What works in young men's health
Authors: White Alan
Published: May 2014

A positive attitude coupled with a good understanding of boys and young men are two important keys to success when setting up health services for men aged 15-24 years. This is the most important conclusion to come from a 1-day conference, Boys and Young Men: What Works and Why, held in Birmingham on the 6 November.
Managing mixed-aetiology leg ulcers
Authors: Butcher Martyn
Published: May 2014

Martyn Butcher discusses the presentation and treatment of leg ulcers which have both venous and arterial causes
CLINIC Cardiology
Authors: Martin Emma
Published: May 2014

Sexual activity is usually possible for cardiac patients, but John requires special advice to avoid the risks, as Emma Martin explains.
Hepatitis B
Authors: Driver Carolyn
Published: May 2014

Carolyn Driver explains the risks of hepatitis B and how to diagnose and prevent it in travellers
Supported recovery: The Heart Manual tool
Authors: Carr Nancye
Published: May 2014

Nancye Carr explains the Heart Manual, a structured programme for following patients along the path to recovery after an acute myocardial infarction
Understanding the wound healing process
Authors: Bentley Jenny
Published: May 2014

Jenny Bentley explains the wound healing process and its importance in effective wound management.
Avoiding antibiotic resistance in eczema
Authors: Monk Barry
Published: May 2014

Dr Barry Monk discusses concerns about growing resistance to fusidic acid, and suggests how those treating common skin infections can help to avert the problem
Hypertrophic cardio-myopathy: In the family
Authors: Farrer Mabella , Turnbull Marion , Humphries Steve , McKenna William J
Published: May 2014

Mabella Farrer, Marion Turnbull, Steve Humphries and William J McKenna explain the inheritance of hypertrophic cardiomyopathy and how to advise distressed families
What is colposcopy?
Authors: Hurst Aileen
Published: May 2014

In the second in a series on colposcopy, Aileen Hurst explains what it is and outlines national referral guidelines
Metabolic syndrome: New research findings
Authors: Nugent Anne
Published: May 2014

Anne Nugent explains what the metabolic syndrome is and reviews the latest research findings and new investigations into diseases associated with being overweight and obese
The compulsion to overeat
Authors: Hanson Kim
Published: May 2014

Kim Hanson considers the problem of compulsive overeating, which may affect a number of the rising number of obese people
Personal safety abroad
Authors: Skeet Joyce
Published: May 2014

Joyce Skeet looks at the issue of personal safety while travelling abroad and provides information with which to advise travellers about how to reduce the risk of illness and injury
Decontamination in general practice
Authors: Hawker Karen , Tinson Chrissy
Published: May 2014

Karen Hawker and Chrissy Tinson explain the regulations on the decontamination of instruments, in particular, benchtop steam sterilizers
The psychosocial impact of eczema
Authors: Watkins Philip
Published: May 2014

Philip Watkins considers the psychological and social impacts of eczema on patients and their families
Incentives for improving mental health care
Authors: Duncan Deborah L
Published: May 2014

Deborah Duncan argues that the new GMS contract provides incentives to implement the recommendations of the NSF for mental health.
Motion sickness
Authors: Peacock Shelley
Published: May 2014

Shelley Peacock investigates the causes and symptoms of motion sickness.
Managing diabetes during religious festivals
Authors: Morris Juliet , Worth Joy
Published: May 2014

Juliet Morris and Joy Worth discuss the dietary and treatment issues that Muslims with diabetes need to consider when fasting and feasting during Ramadan
Helicobacter pylori: Convincing the sceptics
Authors: Winter George
Published: May 2014

George Winter explains how Perth scientists Barry Marshall and Robin Warren convinced the world that stomach ulcers were caused by a bacterium
The tongue
Authors: Watkins Jean
Published: May 2014

A recent visit to a small traditional clinic in China, in a remote area of Yunan near to the Tibetan border, highlighted the fundamentals of medicine. In the demonstration of a routine examination of the patient, the areas of greatest importance in making the diagnosis were the pulse, the eyes and the tongue. Even with the wealth of technical advances available in modern western medicine, these basic checks remain important.
Jillian McMinn: Supportive working
Authors: McMinn Jillian
Published: May 2014

Jillian McMinn runs group sessions in smoking cessation, her greatest professional passion. She spoke to Liam Benison
Clinical Q&A
Authors: Carrier Judith , Brassey John
Published: May 2014

Does cranberry juice help prevent urinary tract infections (UTIs) in women?
Lymphogranuloma venereum: Recognition and management
Authors: Peate Ian
Published: May 2014

Lymphogranuloma venereum is becoming a more significant problem in Europe among men who have sex with men. Ian Peate explains the epidemiology and symptoms, and how to help patients
Making education in diabetes culturally appropriate for patients
Authors: Stone Margaret A , Patel Naina , Drake Linda , Gayle Carol
Published: May 2014

Aims

The purpose of this study was to identify key cultural issues relevant to providing appropriate education for people newly diagnosed with type 2 diabetes in a UK African and Caribbean community. An additional aim was to test the usefulness of the collaborative action research approach used to gather this information.

Methods

An education and research event was organized in partnership with local diabetes educators and community groups in Southwark, London. This included a modelled education session and focus group feedback about cultural relevance based on a semi-structured topic guide. Qualitative methods were used to analyse the data collected.

Key findings

The action research approach and the topic guide used for the focus groups effectively identified relevant foods and other cultural issues such as traditional large portion sizes and social pressures related to food consumption in the African and Caribbean community. Language was regarded as the main barrier to joint education sessions for people from diverse ethnic backgrounds.
Caring for gay men 1: Specific health needs
Authors: Peate Ian
Published: May 2014

Ian Peate argues that, while gay men's health-care needs do not differ significantly from heterosexual men's needs, effective care depends on an understanding of the issues that are specific to gay men.
Colposcopy and anxiety
Authors: Hurst Aileen
Published: May 2014

Sarah is anxious about a colposcopy referral, having received no follow-up after a cervical smear. Aileen Hurst investigates.
Up-Coming Drugs
Authors: Ali Omar
Published: May 2014

Currently, most patients who need to control their cholesterol levels are being treated to the target set in the national service frameworks and the new GMS Contract (i.e. a total cholesterol of less than 5 mmol/litre). Treatment involves diet and life-style modification and drug therapy. More aggressive targets will soon reach us (other countries already aim to achieve levels of 4 mmol/litre or even lower) and there will also be more precise targetting of the key components of lipids (i.e. low-density ipoprotein (LDL), high-density lipoprotein (HDL) and triglycerides.
A dual approach to cholesterol targets
Authors: McCormack Terry
Published: May 2014

Terry McCormack outlines how a new cholesterol-lowering drug which combines a statin with ezetimibe may help some patients.
Melanie Tester: A deeper knowledge
Authors: Tester Melanie
Published: May 2014

Melanie Tester is studying for a degree to gain a better foundation for her nursing practice. She spoke to Lucy Jolin.
Review shows breast screening is effective
Authors: Beral Valerie
Published: May 2014

A review of the NHS Breast Cancer Screening Programme finds that the benefits outweigh the risks of breast screening. Professor Valerie Beral explains.
Medicines management in hypertension
Authors: Tulip Sarah C
Published: May 2014

Sarah Tulip reviews the key issues in the medicines management of patients with hypertension.
Atraumatic dressings for non-complex burns
Authors: Fowler Ann
Published: May 2014

Ann Fowler explains the benefits of using atraumatic wound dressings for the treatment of non-complex burns.
Anaphylaxis: How to respond with confidence
Authors: Lambert Jane , Adams Emma
Published: May 2014

Jane Lambert and Emma Adams explain how to respond to a patient suffering an anaphylactic reaction.
Up-Coming Drugs
Authors: Ali Omar
Published: May 2014

What’s new in weight management? Obesity it seems is never out of the media these days, be it medical journals, daily tabloids or a TV documentary about a man and his eating habits. But not only is our understanding of obesity and its co-morbidities improving all the time, so are new medical advancements to help in the management of this epidemic. There is a new agent in our midst, not yet licensed but soon to become available on the NHS, for the management of overweight and obese patients. It’s called rimonabant (trade name Accomplia) and it is being marketed by sanofi-aventis.
Aromatase inhibitors' use in breast cancer
Authors: Harmer Victoria
Published: May 2014

Victoria Harmer discusses the use of aromatase inhibitors in post-menopausal women with breast cancer
Detecting and managing rheumatoid arthritis
Authors: Burbage Gail
Published: May 2014

Rheumatoid arthritis is prevalent in the UK and can be severely disabling. Gail Burbage explores its diagnosis and management and the practice nurse's role in patient care
The principles of pharmacokinetics
Authors: Young Simon
Published: May 2014

Simon Young explains the key principles of pharmacokinetics including absorption, distribution, metabolism and excretion, and considers their application to clinical practice
Respecting an offended patient's autonomy
Authors: Edwards Marilyn
Published: May 2014

When nurse B suggested a cervical smear during a consultation for the contraceptive pill, patient A took offence. Nurse B submitted a significant event report, but was anxious that she had handled the situation badly. Marilyn Edwards investigates.
Acne vulgaris
Authors: Watkins Jean
Published: May 2014

Few of us find the teenage years easy. On the one hand, the growth from childhood to adult life is full of hopes, dreams and expectations, while on the other, doubts about our abilities and acceptance by those around us are constantly in the background. If we do not look the part and fit in with our peers we may feel rejected and lonely, both in the social world and on the job scene. Any spots and blemishes may leave us feeling conspicuous and embarrassed, particularly if they are on exposed areas such as the face.
Pulse check as a screen for atrial fibrillation
Authors: Madoc-Sutton Hazel , Pearson Eileen , Upton Jane
Published: May 2014

The aim of this study was to assess whether practice nurses are missing opportunities to identify atrial fibrillation by not palpating the pulse. A questionnaire survey of practice nurses attending training at Education for Health was conducted between June and August 2007. A total of 105 nurses completed the questionnaire. Of those who used an electronic sphygmomanometer to measure blood pressure, 24% did not palpate the pulse. Pulse palpation is a quick and easy method of screening for atrial fibrillation and should be an essential part of all relevant consultations.
Achieving treatment concordance
Authors: Phillips Anne , Wright Jerome
Published: May 2014

Anne Phillips and Jerome Wright explain that understanding and working to improve a patient's psychological health is a necessary first step in achieving self-management of diabetes
Recognizing pre-diabetes
Authors: Reed Anne
Published: May 2014

Systemic impairments and tissue damage often begin in people who develop diabetes long before symptoms appear and a diagnosis is made. Anne Reed discusses the importance of detecting people with pre-diabetes
Treatment of skin tears
Authors: Jones Menna Lloyd
Published: May 2014

An understanding of the effects of ageing on the skin helps nurses educate people on ways to prevent skin tears, particularly in elderly people. Menna Lloyd Jones explains
Understanding prostate cancer and PSA testing
Authors: Peate Ian
Published: May 2014

Ian Peate outlines why practice nurses are ideally placed to help men understand the important issues relating to prostate cancer, testing and management of the condition.
Role, clinical competence and the professional development of practice nurses in Ireland
Authors: McCarthy Geraldine , Cornally Nicola , Courtney Marie
Published: May 2014

Aim: To investigate the role dimensions, clinical competence, educational preparation and professional development needs of practice nurses.

Methods: All practice nurses registered with professional development coordinators in Ireland (n=1519) were invited to participate by completing a postal questionnaire. This yielded a response rate of 30% (n=451). Descriptive statistical analysis of the data was conducted using SPSS.

Results: Regular activities included immunization, phlebotomy, management of laboratory results, wound care and electrocardiography. Cervical screening, dietary advice and health screening were also indicated by over 85% of practice nurses as a regular role dimension, and the majority of practice nurses perceived their level of competency in these areas as proficient or expert. Aspects of chronic disease management, namely in the area of diabetes and hypertension, were cited by over 78% of practice nurses as a regular role. Less than 60% of practice nurses deemed themselves expert or proficient in this area. Education and training deficits were noted in chronic disease management, nurse prescribing, mental health advice and women's health. A lack of resources to implement nurse-led clinics was evident; however, the majority of practice nurses had support from their employing GP to achieve professional development goals.

Conclusions: It is evident that practice nurses are involved at varying levels across a variety of clinical activities. Results indicated varying levels of competence and were positively affected by further education and the frequency at which the role was performed. Policies need to be developed concerning the role and future of practice nursing in primary care.
Statistical analysis of malaria cases in the UK
Authors: Umeed Margaret
Published: May 2014

Malaria is a worldwide problem which can affect UK travellers, although it is no longer endemic in the UK. Margaret Umeed reviews some recent statistics on malaria cases in the UK
Treatments for posterior tibial tendon dysfunction
Authors: Bodill Carly , Concannon Michael
Published: May 2014

Posterior tibial tendon dysfunction is a progressive condition that can lead to disability, and therefore early diagnosis is important Carly Bodill and Michael Concannon discuss the many treatment options available