bluuebunny/crossref_metadata_2025 huggingface dataset:
New Year's revolution
Authors: Peate Ian
Published: May 2014

New Year is often a time for people to take stock of what has gone before and what is to come. It is also the time for making resolutions. In the sphere of healthcare provision the making of resolutions happens throughout the year through the publication of various reports and publications. 2007 was no exception to this and a myriad of reports emerged informing healthcare professionals of what had happened and what was to happen in relation to healthcare.
RCN Health Care Support Worker National Conference
Authors: Hopkins Susan
Published: May 2014

In November the first national conference for health care support workers (HCSWs) was held by the Royal College of Nursing (RCN) at its headquarters in London, over 150 delegates, mostly HCSWs attended. The title ‘The Unsung Heroes: Valuing the Health Care Support Worker’ set the scene for a day full of hot topics, passion for patient care and education, and opportunities for networking and sharing experiences.
Body fluids: Composition and disorders of synovial fluid
Authors: Peate Ian
Published: May 2014

Synovial fluid is vital in maintaining the free movement of joints. It can become diseased and the person may need treatment. It is important that healthcare assistants and assistant practitioners have a good understanding of this important fluid when caring for people who may be at risk of synovial infection. This article considers what synovial fluid is and provides an overview of the synovial joints.
Supporting a person undergoing larval wound dressing therapy
Authors: Morris Clare
Published: May 2014

For centuries, it has been observed that larvae or maggots assist in the removal of dead tissue and bacteria from a wound. This article describes how the therapy works and the role of the healthcare assistant in supporting a patient undergoing this therapy. There are still concerns among healthcare staff and patients with regards to the therapy and an associated ‘yuck’ factor. Supporting and informing the patient is a vital component of care.
S/NVQ Level 3 Health Award for Health Care Assistants
Authors: Robinson Samantha
Published: May 2014

I have been looking forward to reviewing this long-awaited book and I have not been disappointed. Healthcare assistants (HCAs) have always been key members of any nursing team but their roles are now evolving to include other tasks such as venepuncture and carrying out electrocardiograms. Qualifications such as Scottish/National Vocational Qualifications (S/NVQs) provide an opportunity for them to demonstrate that not only do they have the practical skills required but that they have the knowledge surrounding that skill. That isn't to say that this book is only useful to those undertaking a qualification, I believe that it would be a useful tool for any HCA.
Recognize, initiate and support care: A study day
Authors: Peters Charlotte , Bateman Jayne , Overton Steve , Rolinson Vannessa , Borrington Joy
Published: May 2014

Healthcare assistants (HCAs) make a vital contribution to the care of patients and are a valued member of the healthcare team. Within the NHS today the role of the HCA has never been more important as role boundaries merge and HCAs increasingly take on traditional nursing tasks. With HCAs projected to become more involved in providing healthcare, developing support workers should be viewed as a key initiative if current national policy is to be achieved. It is therefore vital that organizations provide education and training for HCAs in order to consistently provide not only a high quality but also a safe service to patients.
Body fluids: components and disorders of intraocular fluid
Authors: Peate Ian
Published: May 2014

Visual impairment may have an impact on a person's health and wellbeing, an outline of the anatomy of the eye and the fluids within it is provided so that the healthcare assistant and assistant practitioner can provide safe, effective and sensitive care that is underpinned by knowledge.
Osteoarthritis part 2: understanding the condition
Authors: Swann Julie
Published: May 2014

There are over 200 musculoskeletal conditions affecting millions of people, both adults and children, including all forms of arthritis, back pain and osteoporosis (Department of Health, 2006). This article is the second in a mini-series that concentrates on osteoarthritis. The causes and effects of the condition are discussed and methods of reducing risk factors are outlined.
Healthcare assistants: bringing your role to life
Authors: Peate Ian
Published: May 2014

Another successful Bringing Your Role to Life conference organized by the British Journal of Healthcare Assistants (BJHCA) and the Royal College of Nursing (RCN) was held on 6th November 2008 at Regent's College London with sponsorship provided by MA Health Care Limited, The National Health Service, Open University, Skills for Health and the RCN.
Are you being heard?
Authors: Vaughan Paul
Published: May 2014

It is that time of the year again when we all say, ‘my goodness, I cannot believe it is Christmas again already! Hasn't this year flown by?’. And to be fair, for me that is true. It seems only yesterday I was urging you all to get your loved ones to buy you a subscription to this Journal for Christmas.
Writing your CV
Authors: Peate Ian
Published: May 2014

A well-prepared and presented CV can have a huge impact on your chances of securing the position you are applying for. It is therefore important that you spend some time thinking about the content of the CV and how you are going to present it.
Working in a community hospital
Authors: Nazarko Linda
Published: May 2014

There are 350 community hospitals in England. The Department of Health's strategy in improving healthcare will create new community hospitals and enable existing hospitals to expand their services. Posts are available in wards, outpatient clinics, X-ray and walk-in centres. This article explains the role of community hospitals, the healthcare assistant's role and provides advice on how to improve your chances of securing a post.
Our future workforce?
Authors: Vaughan Paul
Published: May 2014

I suppose I should update my photograph here since I recently celebrated another birthday and most likely have acquired some more grey hair and a few more wrinkles since it was taken. For my birthday I was delighted to have been given the gift of the iPod nano! I love it. Since I made the decision some years ago to use public transport as much as possible, it is a welcome companion on my travels.
Women's health: postnatal depression
Authors: Boath Elizabeth , Henshaw Carol
Published: May 2014

Postnatal depression (PND) affects around 13% of women (O’Hara and Swain,1996). It is a serious and debilitating disorder and one of the most common medical complications of childbirth. Healthcare assistants, assistant practitioners and maternity support workers (collectively referred to in this article as healthcare support workers) can expect to come across women with PND. This article outlines what PND is, what causes it, its impact, how to recognize it and the treatments available.
Make time for HCAs
Authors: Vaughan Paul
Published: May 2014

Recently I took myself off to the Alps to continue my annual ritual of taking my life in my hands while making my way at speed down the side of a steep mountain on what feel like a pair of giant tongue depressors. It was a chalet holiday so it meant that I shared with some people I had never met before. When asked: ‘what do you do for a living?’ I always fear saying that I am a nurse as I invariably end up having to answer questions about their friends’ or families’ medical conditions. However, on this occasion, on confessing to be a nurse, I was delighted to hear that two of my fellow companions were from a nursing background. Julie had been a healthcare assistant (HCA) and then went on to undertake a nursery nurse qualification. She now runs a successful business, while Jackie who also started her working life as an HCA is now a midwife/district nurse.
Emergency care
Authors: Morris Helen
Published: May 2014

Traditionally UK ambulance services have deployed ambulance care assistants on patient transport ambulances and have crewed front line accident and emergency (A&E) ambulances with advanced technicians and paramedics. This model was in existence for many years across the UK and became a recognized model of deployment. An alternative model employed more recently has involved recruiting suitable staff to become direct-entry trainee-advanced technicians.
Body fluids: components and disorders of bile
Authors: Peate Ian
Published: May 2014

This article discusses the functions and some of the disorders associated with bile, the gall bladder and disorders such as gall stones are discussed.

Potential problems in this system are not necessarily common knowledge and it would be useful for all healthcare workers to have a good knowledge and understanding of them in order to deliver the highest quality of care possible.
Paediatrics: safeguarding children
Authors: Moores John , Lane Dave
Published: May 2014

Providing healthcare for children when they are ill, or are in need of some specialist support service in their lives, are times when children are and feel vulnerable. The healthcare assistant (HCA) in such situations is working in an environment where they may have concerns about a child's welfare, or where a child chooses to disclose abuse and/or neglect.

Through their daily contact with children, sometimes over a prolonged period of time and because of the personal nature of the care they provide for children, the HCA is often in a position where they get to know the children they are caring for really well. They are therefore in a position to recognize signs of abuse and neglect and observe changes in a child's behaviour and mood. The following article is a brief practice guide to help in the recognition of child abuse and/or neglect and to outline and highlight good practice in dealing and coping with a child's disclosure of abuse and/or neglect.
In the memory clinic
Authors: Williams Nia
Published: May 2014

I have been employed by North West Wales NHS trust since 1995 as a healthcare assistant (HCA). I began my post as an A grade HCA, working on a ten bedded EMI (elderly mentally infirm, (now known as Older Adults - Mental Health Organic) assessment unit (EMI), at Ysbyty Gwynedd, Bangor, North Wales. In October 2005 I began my post as a Band 3 HCA at the memory clinic. Over the past few years many changes have occurred in my role of HCA.
Self-care: making a difference
Authors: Jordan Helena
Published: May 2014

Self-care is the care taken by individuals towards their own health and wellbeing. It is as much about eating well and taking enough exercise as it is about managing long-term conditions. Self-care has recently moved up the health policy agenda, as decision makers have recognized the role it can play in reducing risk factors such as high blood pressure, obesity and alcohol abuse.
Building firm foundations in palliative and supportive care
Authors: de Caestecker Sharon
Published: May 2014

Support workers are key to the delivery of palliative and supportive care. The role of support worker has evolved in recent years for a number of reasons meaning that support staff are delivering direct care which was once the domain of the registered practitioner. Despite the significant contribution of the support worker there is a lack of appropriate education and development in palliative and supportive care for these frontline workers. Details of an exciting new education programme, foundation degree in health and social care (palliative and supportive care) are presented together with the experiences of the very first cohort of students to undertake the programme.
Body fluids: components and disorders of saliva
Authors: Peate Ian
Published: May 2014

Saliva is an essential body fluid which plays a key role in the digestion process, kick-starting the functioning of the gastrointestinal tract. Saliva also helps to maintain healthy oral tissues and without it, diseases and infections of the mouth can occur.
Caring for people with hypertension
Authors: Peate Ian
Published: May 2014

Hypertension (high blood pressure) is known to affect at least 37% of the UK population (Primatesta et al, 2001); it can be symptomless until it causes organ damage. The key aim is to detect and treat hypertension prior to any organ damage occurring.

There is a glossary at the end of the article which provides definitions of words you may not be familiar with.
Tips for learning part 2: medical terminology
Authors: Neville Lillian , Migley Ruth
Published: May 2014

Medical terminology is often thought to be confusing and difficult to understand. It can sometimes seem that those who use it have insider knowledge, which makes them appear clever and fully part of the clinical team. In contrast, those who seem not to understand can feel left out and unsure about how they can ever grasp this mysterious language.
Bringing your role to life
Authors: Smith Julie
Published: May 2014

As the editor of the British Journal of Healthcare Assistants (BJHCA) I arrived at the ‘Bringing your Role to Life’ conference feeling both anxious and excited. It was our first event as a Journal and thanks to the invaluable support of the Working in Partnership Programme (WiPP), the Royal College of Nursing (RCN) and the conference team here at MA Healthcare, it was a complete success. With 349 delegates all keen to learn and a selection of brilliant speakers, we had the perfect recipe for a brilliant day and despite the chilly weather (some of the talks and workshops took place in a marquee) everyone seemed to thouroughly enjoy themselves.
Professional pride
Authors: Hopkins Susan
Published: May 2014

I was delighted to be invited to be on the editorial board of this excellent Journal. I have been promoting it for the past year as not only a must for HCAs, but as a really useful resource for student nurses and, indeed, RNs.
Book reviews
Authors: Barber Chris
Published: May 2014

I have not always been a nurse, indeed, I came into nursing fairly late. The first job I had after leaving school in the mid 1970s was making Vox amplifiers for rock bands. What has my trip into nostalgia land got to do with Science in nursing and healthcare I hear some of you asking! Well, quite a bit actually! ...
Building trust
Authors: Peate Ian
Published: May 2014

People from black and minority ethnic (BME) groups have described variations in services provided to them by the NHS, they report that their experiences of service provision looks different to patients from the white British group and this must be a concern for all healthcare assistants (HCAs) and assistant practitioners (APs). There is a mismatch between the healthcare needs and requirements of BME people and the services on offer, resulting in dissatisfaction and unmet need.
Falls part 1: causes and consequences
Authors: Nazarko Linda
Published: May 2014

Falls are a major health issue for older people. Each year 1.57million older people fall more than three times and 70000 fracture their hips. Falls can lead to disability and even death. The National Service Framework for Older People identified falls prevention as a major health priority.

This article is the first in a series which will be of particular interest to healthcare assistants studying for NVQ level three or assistant practitioner qualifications. It explains how ageing affects the risk of falls, how falls affect older people and how to identify those at risk of falls.
Caring for people with appendicitis
Authors: Peate Ian
Published: May 2014

Appendicitis is a condition that can affect people of all ages, however, it commonly affects and is associated with younger people. Appendicitis can be a difficult complaint to diagnose as it can mimic other diseases such as a urinary tract infection or even some gynaecological conditions. Failure to diagnose and treat appendicitis can result in severe complications and in some cases death. If the healthcare assistant or assistant practitioner is to provide safe and effective care using a holistic approach, understanding the anatomical and pathophysiological issues associated with the appendix and the care and treatment of the person is vital. This article provides an outline of the anatomy and pathophysiological issues associated with the appendix, the signs, symptoms, treatment options and care requirements for the person who has appendicitis.

There is a glossary at the end of the article which provides definitions of words you may not be familiar with.
The last resort
Authors: Hughes Rhidian
Published: May 2014

It is not uncommon for coverage and debate about the use of restraint in the media to centre on the abuse of an individual or group ‘at the hands of’ care workers and professionals ‘behind closed doors’. Restraint covers a wide range of activities where an individual's freedom of movement is restricted and this undoubtedly represents one of society's ‘sensitive’ topics. It is also an issue that raises people's emotions as it relates closely to safeguarding concerns and health and social care ‘system failures’. Discussions of human rights are, rightly, evoked when we learn about the deaths associated with the use of particular forms of restraint, people being locked up and contained within residential care settings for example or simply being denied some freedom of movement without justifiable reason.
Stroke and old age
Authors: Welch Rachel
Published: May 2014

As the proportion of older adults in the UK is increasing, the proportion of older stroke survivors requiring rehabilitation is expected to increase in the future. This article will examine some of the particular rehabilitation factors for older people such as attitudes, importance of identity, and choosing the best time of the day for an older stroke survivor to engage in rehabilitation. This article will explore some aspects of stroke with particular reference to old age.
Falls part 2: individual risk factors
Authors: Nazarko Linda
Published: May 2014

Falls occur because of factors relating to the person who falls, the environment that the person is in and the quality of care a person receives. This article the second in a series examines the risk factors relating to the individual.
Body fluids: components and disorders of cerebrospinal fluid
Authors: Peate Ian
Published: May 2014

Cerebrospinal fluid (CSF) is an essential body fluid which protects the brain; it also acts as a shock absorber. Analysis of CSF can help to provide a diagnosis related to a person's central nervous system.

Healthcare assistants and assistant practitioners are sometimes involved in caring for a person who has to undergo a lumbar puncture (spinal tap), it is therefore important to have an understanding of the procedure as well as the function and purpose of CSF.
How do I know if I am suited to children's nursing?
Authors: Grainger Angela
Published: May 2014

This article will help you to decide whether children's nursing is for you. The key principles of children's nursing are explained and qualities required are explored with practical examples.
Time to act
Authors: Vaughan Paul
Published: May 2014

The opening of the Olympic Games in Beijing was a stunning performance. A fitting opening to a very special event. I was mesmerized by the people working in unity on the large drums. Their timing was amazing as they counted down to the opening of the games and banged their drum at just the right time to produce, through the medium of light, the numbers from ten to one.
Tips for learning: effective time management
Authors: Wild Jill , Neville Lillian
Published: May 2014

Time is an important resource which has to be managed effectively whether it is at home, at work or study. Time, unlike other resources cannot be increased or replaced. Poor time management can lead to increased costs and mistakes and is a major cause of stress.
Make change happen
Authors: Vaughan Paul
Published: May 2014

Welcome to 2009. As much as I hate New Year’s Eve craziness and inflated prices that leisure facilitates charge to go out and celebrate the new year, the new year is always welcome. It is a time of renewed energy and commitment to all sorts of personal and professional projects.
Caring for the person with pleurisy
Authors: Peate Ian
Published: May 2014

This article considers the respiratory condition pleurisy. If left untreated, a number of complications may ensue. In order to provide high-quality, safe and effective care, the healthcare assistant and assistant practitioner must have an understanding of the respiratory system; an overview of its anatomy and physiology is presented. Also detailed are the potential causes of pleurisy, the signs and symptoms to be considered when making a diagnosis, and the care and treatment required. Finally, a glossary of terms is provided.
Substance abuse: how the healthcare assistant can help
Authors: Watts Malcolm
Published: May 2014

Substance abuse is a serious and growing health problem which, as a healthcare assistant, you are increasingly likely to face in your everyday work. This article sets out some information on substance use, the problems you may face and what you can do to help.
Performing searches on patients: a practical guide
Authors: Peate Ian , McGrory Charlie
Published: May 2014

There are times when it is in the patient's best interest to search them, their property, or their visitor. This should never be undertaken lightly, and respect for the person and their dignity is paramount. The law must be adhered to and healthcare assistants and assistant practitioners must have a detailed understanding of local policy and procedure concerning searches if they are asked to assist. This article discusses some of the key issues associated with searching, and offers advice concerning the various types of search, methods used to search and the importance of documentation. The article also suggests that after a search has taken place, time should be set aside for debriefing and reflection.
New beginnings!
Authors: Vaughn Paul
Published: May 2014

I am delighted to say that I did it! I finished the Dublin marathon in 4hours and 28 minutes, and boy was it hard going!
To climb or not to climb?
Authors: Thomas Vinice
Published: May 2014

On my way home from work the other week I was approached by a familiar face. It was one of the healthcare assistants (HCAs) I had recruited onto an NVQ programme at a local hospital a few years ago. It was exciting to hear that many of the HCAs from her group had gone on to become registered nurses, and were about to embark on their nursing careers!
Meniere's disease: helping and understanding
Authors: Peate Ian
Published: May 2014

This article discusses the care of a person with Ménière's disease. An overview of the anatomy and physiology of the ear is provided. Causes, symptoms and investigative techniques are outlined. Care, treatment options, and ways that you can help your patient are discussed. Finally, teaching points and a glossary of terms are provided.
Type 2 diabetes: why risk it?
Authors: Nazarko Linda
Published: May 2014

The number of people with type 2 diabetes is set to rise to 4 million in the next 15 years. This article looks at how to identify those at risk of developing the disease. Around 90% of new cases of type 2 diabetes are avoidable, and prevention is crucial. This article explains how obesity, inactivity and poor diet combine to increase risk factors, and how to reduce risk factors and promote health and well being. Healthcare assistants and assistant practitioners can play an important role in this by educating themselves, their families and their patients.
Connected Care
Authors: Anthony Nerys
Published: May 2014

The Government is clear in its ambitions for a better joined up and personalized health and social care system. Connected Care is Turning Point's (2009) model of community-led commissioning that integrates health, housing and social care services.
Switch off and save
Authors: Lloyd-Jones Menna
Published: May 2014

Recently I read a list of expectations that a nurse executive had of her nursing staff. Among the expectations was the request that nurses did not use their mobile phones while on duty. Reading this reminded me of something I witnessed very recently that would have put anyone off carrying a mobile phone when on duty.
Hay fever: an overview with a focus on treatment options
Authors: Collard John
Published: May 2014

Hay fever is a common condition which can progress to asthma in some people, yet it is often poorly controlled. Healthcare assistants have an important role to play in improving management of this condition.
Assistant practitioners
Authors: Atherton David , Dutton Ann , Hoskins Gillien , Riddell Rhona
Published: May 2014

Our role as support workers (assistant practitioners (APs)) working on outcome-based services is to focus on achievements and aspirations of service users moving away from the time and task model of providing services. The main focus of the service is to give service users a greater choice on how their service will be provided. Following an assessment by a social worker to determine the level of service required, service users can identify and work towards specific outcomes. Once they have been agreed, we work with individuals to establish the way they prefer to have things done.
NHS Next Stage Review 2008
Authors: Hughes Rhidian
Published: May 2014

The NHS Next Stage Review aims to puts quality at the centre of improvements to health services (Department of Health (DH), 2008a). It is often referred to as the ‘Darzi review’ as Professor the Lord Darzi of Denham led the work. Darzi consulted widely with frontline staff and the public to help shape the report’s national priorities.
Pharmacology - a systems approach: introduction
Authors: Hennefer Dawn , Lawson Elizabeth
Published: May 2014

Medicines administration is a common but extremely important aspect of care delivery that is performed within many healthcare settings. In a previous article by Dickens (2007) it was discussed that on occasion medicine administration is delegated to healthcare assistants (HCAs) by qualified nurses to improve the timely delivery of medication in the patient’s best interests. In a document titled Medicine Matters, it states that any authorized member of healthcare staff who is suitably trained can administer medicines from a patient specific instruction. (NHS Modernisation Agency and Department of Health, 2005). For example, if Dr. Watson prescribes 1 gram of paracetamol to be administered orally to a patient Mr. Wood, the HCA, provided they have had suitable training and have been authorized by their manager, can administer this medication to Mr. Wood.
Caring for the person with a urinary tract infection
Authors: Peate Ian
Published: May 2014

Urinary tract infections (UTIs) are a common and a leading complication among those people who are hospitalized. A UTI can occur in any aspect of the urinary system. Often UTIs are referred to in relation to the anatomical aspect of the urinary system they affect, for example, urethritis or cystitis. This article outlines the anatomy of the urinary system and details the pathophysiological changes associated with UTI - upper and lower. Some of the investigations used to make a diagnosis are outlined along with the care and treatment required. Teaching opportunities are provided with the intention of reducing the risk of developing a UTI. Finally, a glossary of terms is offered.
Caring for the unconscious person
Authors: Peate Ian , McGrory Charlie
Published: May 2014

The person who is unconscious is hard to rouse or cannot be made aware of their surroundings. There are many causes of unconsciousness. The healthcare assistant or assistant practitioner may, in a number of health and social care environments, come across people who are unconscious and it is vital that they are aware of the key issues involved. This article provides a brief overview of the anatomy and physiology of the brain, the various stages of arousal, and some of the possible causes of unconsciousness. The important aspect of assessment and care provision are discussed, two assessment tools are briefly described. Finally, a glossary of terms is provided.
Putting People First
Authors: Hughes Rhidian
Published: May 2014

Putting People First is the transformation programme for adult social care (Her Majesty’s Government, 2007). This programme sets out a vision for social care in collaboration with central and local government provider and leadership bodies and the regulator. The key elements are prevention, early intervention and re-enablement, personalization and information and advice.
No VAT concession
Authors: Munro Ian
Published: May 2014

It beggars belief that, in the current climate, the Government has seen fit to continue with the abolishment of the VAT staff hire concession on healthcare assistants (HCAs) and other temporary healthcare staff. At best, this decision compounds the burgeoning financial woes reverberating across all industry sectors. At worst, it has ethical implications for the healthcare industry and, quite frankly, poses a direct threat to the lives of patients and the jobs of healthcare workers.

HCAs and support staff account for a significant proportion of the temporary workers within the UK's health and social care sector and play a large part in the direct care of the elderly or infirm. Not only is the part HCAs play in the provision of around-the-clock support underestimated, but the fact that they are fundamental to the function of frontline care is often overlooked.
Driving difficulties
Authors: Swann Julie
Published: May 2014

Most people who drive can access and operate the controls of a car easily, but loss of function can cause difficulties for some. This article explores the practical problems that can be encountered with driving and outlines ways of finding help to manage them.
In general practice
Authors: Creamer Sandra
Published: May 2014

I came to live in Wales 21 years ago with my husband and two young daughters. In that time I went from being a lollipop lady for a primary school in the village to being a childminder. I then became a receptionist for a GP in the town. Five years later the GP retired and the surgery was taken on by another practice. I now work as a healthcare assistant (HCA) in a busy practice with two GPs and one nurse practitioner providing care for 3000 patients.
Study skills: exam success
Authors: Saffron Sarra
Published: May 2014

This new four-part series of study skills will help you understand and approach assessment confidently - particularly clinical writing, writing about case scenarios and submitting successful portfolios. To begin the series, we are going to look at how to approach your exams, how to use memory aids and how to revise effectively. Objective Structures Clinical Examinations (OSCEs) will be explored with a discussion about what they are and what examiners are looking for.
All change
Authors: Peate Ian
Published: May 2014

The Nursing and Midwifery Council has given approval to make nursing an all-graduate profession. The move to an all-graduate nursing profession is on the way (midwifery is already an all-graduate profession) and this could have implications for healthcare assistants (HCAs) and assistant practitioners (APs). The move to all-graduate nursing will take place in September 2011, this means that anyone who wants to undertake a nursing course will study that course at a minimum of degree level, currently there are three options (levels); diploma, advanced diploma or degree. The first of those all graduate nurses will register in September 2013.
Huntington's disease part 2: suggestions for practice
Authors: Blumlein Daniela , Baker Mark , Parker Debbie , Armah Sam
Published: May 2014

This is the second part in a series on Huntington's disease (HD). HD is a hereditary neuro-degenerative disorder of the central nervous system requiring supportive and palliative care. Part two offers care suggestions for healthcare assistants (HCAs) and assistant practitioners (APs) working with people with HD. Two HCA case studies are provided to illustrate the challenges and rewards they face in working with people with HD.
Study skills: clinical writing; what is best practice?
Authors: Powell Sarra Saffron
Published: May 2014

This article examines the basic principles of clinical record keeping as described by the Nursing and Midwifery Council's (NMC) Code of Conduct for best professional practice (NMC, 2008a). It identifies the purpose of clinical writing in relation to the five principles laid down by the NMC and offers advice to ensure your record keeping is the best it can be.
History is made at RCN Congress
Authors: Vaughan Paul
Published: May 2014

What a success: The first ever healthcare assistant (HCA) and assistant practitioner (AP) day at Royal College of Nursing (RCN) Congress! Over 450 HCAs and APs attended this event which was organized by the RCN and your very own British Journal of Healthcare Assistants. For me, it really was a piece of history in the making. HCAs and APs now have a presence at RCN Congress and, over the coming years, I predict that the voice of HCAs and APs will become significant at this important event in the nursing calendar.
Managing falls-related medical conditions in the elderly
Authors: Nazarko Linda
Published: May 2014

Older people are at high risk of falls. Often education and prevention concentrates on one particular aspect of falls prevention such as footwear or physiotherapy. Falls occur because of factors relating to the person, factors relating to the person's health and factors relating to the person's environment. This article explains how medical conditions affect falls risk and how these can be treated.
National Dementia Strategy
Authors: Hughes Rhidian
Published: May 2014

There are large number living with dementia including older people, people with learning disabilities and a significant number of people from black and minority groups who are diagnosed with the condition earlier than most (Alzheimer's Society, 2007). Government has launched its first ambitious strategy on dementia care and made living well with dementia a national priority (Department of Health (DH), 2009).
Evaluating a competency tool to develop nursing assistants
Authors: Whittingham Katrina
Published: May 2014

As UK society changes, with people living longer and with chronic conditions, and less people available of working age to provide nursing care, there is a need to re-think how health-care is organized and delivered. This is likely to have an affect on the non-registered component of the health-care workforce. However, if patient safety is to be maintained, it is paramount that the competence of individuals taking on roles that were carried out by trained staff must be ensured. This pilot study of a competency tool, National Incremental Competencies in Healthcare Education (Niche), demonstrated that individuals could expand or change their role as a result of completing the educational package. The evaluation aims to examine the usefulness of this competency tool in preparing nursing assistants to take on new roles and meet patients’ needs.
Divided yet united
Authors: Vaughan Paul
Published: May 2014

For those of you who regularly read this column, you will know that I have been to Turkey on my holidays in the past. I re-visited Turkey this year and had a really relaxing and enjoyable holiday again. But fear not, I did not get lost in any back streets this time.
Swine flu: be prepared
Authors: Kemp Philip
Published: May 2014

The World Health Organization's (WHO) declaration of a flu pandemic in June this year was the first since the global Hong Kong flu outbreak of 1968 which killed about 1 million people. The Spanish flu outbreak in 1918-19 was the most serious to date and killed 40-50 million people worldwide (WHO, 2009). This pandemic is significant because of the potential impact on the way in which we work, care for our patients and go about our daily lives.
Caring for the person with epididymitis
Authors: Peate Ian
Published: May 2014

This article provides insight and understanding concerning a condition of the male reproductive system - epididymitis. The healthcare assistant and assistant practitioner, practising in a variety of healthcare settings, may need to provide care to men who have this infection; it is central to the provision of safe and effective care that the healthcare assistant (HCA) and assistant practitioner (AP) have an understanding of the male reproductive system. An overview of the male reproductive system is provided; the signs and symptoms of the disease are discussed and methods of diagnosing epididymitis and the ensuing care and treatment are described. There is also a discussion of a number of teaching points that the HCA and AP may undertake when working with the person with epididymitis. A glossary of terms is also offered.
Understanding vision part 2: coping with complications
Authors: Swann Julie
Published: May 2014

Healthcare assistants and assistant practitioners may encounter people of all age ranges who have visual problems that affect their ability to manage daily living activities. This article outlines how healthcare staff can help to assess the impact of visual impairments on patients. It also describes some of the present range of assistive equipment and how patients can obtain additional information and help.
Moving beyond functional learning in custodial healthcare
Authors: Stewart Warren
Published: May 2014

It is widely acknowledged that strong emotions can trigger learning. Indeed Giddens (as cited in Brockbank and McGill, 2006) states:
Pharmacology - a systems approach: endocrine system
Authors: Hennefer Dawn , Lawson Elizabeth
Published: May 2014

The fifth article in this series focuses on the endocrine system which comprises of glands and hormones. Because of the enormity of the endocrine system and the disorders associated with it, this article is divided into two parts; part one will focus upon the pancreas and the common disorder of diabetes and its management. Part two (due to be published in the September 2009 issue) will concentrate on the thyroid gland, the ovaries and the common disorders associated with these organs. All the disorders commonly associated with all three of these organs are commonly managed in the community but can result in hospitalization when complications occur in patients.
Job hunting in difficult times
Authors: Nazarko Linda
Published: May 2014

These are difficult times for job seekers. There are few NHS posts available and large numbers of applicants seeking posts. This article guides job seekers through the process of finding a suitable post, applying on line, preparing for and doing well at interview.
End of life care of a patient: a case study
Authors: Fawcitt Shelly , Jacobs Lillian
Published: May 2014

This article covers a patient's last 48 hours of life including a case study and management of all symptoms expected during the terminal phase.
Don't lose faith
Authors: Vaughan Paul
Published: May 2014

By the time you read this I will have started my new role as the Regional Director for the Royal College of Nursing in the West Midlands. While I am absolutely excited about my new role and really looking forward to working with the experienced and dedicated team in the West Midlands, I am sad at the same time to be leaving my national role as healthcare assistant (HCA) champion. As you know I have worked with the Working in Partnership Programme as the National Project Manager for the HCA Initiative and with the Royal College of Nursing as the HCA Adviser for the past 5 years. And I hope that as a result of the work I have undertaken in that time that things have changed for the better for HCAs and APs. I have heard positive stories from HCAs and APs at conferences I have attended about how the learning they had from events I organized really made a difference to their practice and often to how their role was viewed positively by professionals in the workplace.
Candida: care, treatment and complications
Authors: Peate Ian
Published: May 2014

Candida (also known as thrush) is a yeast infection caused by the candida species of fungus. This yeast occurs naturally in the body but when it proliferates this can then cause problems. The healthcare assistant and assistant practitioner must have an understanding of the key issues associated with this fungal infection if they are to help those people who contract it. This article discusses fungal infections with specific emphasis on Candida albicans. The value of normal flora to the human body is outlined and the potential problems that a person may face when normal flora fails to act. Oral and genital candida is discussed along with methods of diagnosis, the treatment and care considerations. The potential complications associated with candida are also outlined. Finally a glossary of terms is provided.
Scarlet fever, blood poisoning and skin infections: a new risk
Authors: Chapman Hazel
Published: May 2014

The Government has warned that serious streptococcal infections are at an all-time high. It is important that healthcare assistants and assistant practitioners are aware of this risk and understand the implications. This article provides information and advice on the issue. A glossary of terms is provided.
Workforce strategies: adult social care and the NHS
Authors: Hughes Rhidian
Published: May 2014

Many thousands of people work in adult social care and in the NHS. Developing and maintaining an effective workforce is the bedrock to the implementation of recent policies and strategies. In social care the Putting People First concordat aims to transform services so that these work in partnership, enabling people to have choice and control which fits around their needs (Her Majesty's Government, 2007). This is underpinned by the Government's strategy for the adult social care workforce, Working to Put People First (Department of Health (DH), 2009a). The Next Stage Review sets out the key priorities for the NHS (DH, 2009a) and the NHS constitution reaffirms the importance of good workplaces for all staff (DH, 2009b).
Swine flu: your role
Authors: Vaughan Paul
Published: May 2014

Hope you all enjoyed August! It tends to be a quiet month; children on school holidays and there are still some places that have the traditional ‘shut down’ for a couple of weeks in Summer. The roads have been so clear when I have been travelling into work and when I have been out running. Shame they cannot be like that all the time.
Eating, drinking and smoking: how lifestyle affects the heart
Authors: Baic Sue
Published: May 2014

Many public health problems are preventable by changes in lifestyle. Healthcare assistants and assistant practitioners are ideally placed to offer brief interventions to help patients find practical and effective ways to change unhealthy lifestyles and overcome barriers to change. A case study of a patient at high risk of heart disease is used to explore behaviour changes which might be effective and how they can be translated into practice.
The perils of peritonitis: Understanding and caring
Authors: Peate Ian
Published: May 2014

Peritonitis is a rare and potentially life-threatening condition of the digestive system. This article provides a review of the anatomy and physiology of the gastrointestinal tract and an overview of the care required for the person with peritonitis is provided. The signs and symptoms of peritonitis, diagnosis and treatment options are considered. A glossary of terms is included.
Catherine's diary
Authors: Himsworth Catherine
Published: May 2014

I started at Health E1 Medical Centre last summer. Like many healthcare assistants (HCAs) in primary care, my role involves consulting patients and supporting a diverse clinical team.
Book Reviews
Authors: Green Barrie
Published: May 2014

Diabetes mellitus plays a significant part in the lives of millions of people worldwide. In the UK the incidence of type 1 and type 2 diabetes is growing, creating a public health issue that healthcare assistants (HCAs) are becoming increasingly exposed to. This is true across hospital, care home and community settings.
Heroes everyday
Authors: Williams Joe
Published: May 2014

No More Heroes, the 1977 hit by The Stranglers, is not probably everyone's prefered source for a mantra for our times. In all honestly, the song is more memorable for its keyboard solo than its ethical argument. Nevertheless, I personally think the Guilford rockers were making a reasonably profound point. Essentially, they are arguing that it is no longer possible to ‘look up’ to others within society; to find either inspiration or pride in the advancement of our species through the bold achievements of others.
HIV-an update, part 1: understanding the virus
Authors: Mulryan Chris
Published: May 2014

The discover of human immunodeficiency virus (HIV) during the 1980s both shocked and changed the world forever. Shortly afterwards, a major UK Government advertising campaign served to inform the public about this new, blood-borne infection. In recent years, however, HIV has largely fallen from vogue and now receives comparatively little media or Government attention. Scientific advances, particularly those that surround the development of antiretroviral drugs, mean that people living with HIV now have a much improved outlook to the extent that HIV is now seen by many as a long-term condition rather than a terminal illness.
Helping patients manage pain and its symptoms
Authors: Swann Julie
Published: May 2014

Pain often limits a patient's ability to manage everyday activities. It is therefore not surprising that one of the fundamental objectives of healthcare is the relief of pain. This second article of a two-part series outlines the options available to patients who suffer from pain.
Arterial ulcers: the importance of holistic care
Authors: Nazarko Linda
Published: May 2014

In the past healthcare often focussed on a single patient problem. This approach often did patients a disservice because it did not deliver improvements in their wellbeing. In this case study, an 86-year-old smoker with arterial disease and a leg ulcer, did not feel much better when his chest infection was treated. However, focussing on his real problems and promoting health more broadly improved his wellbeing.
Nurse: past, present future
Authors: Sage Katie-Jayne
Published: May 2014

As both a student nurse, and healthcare assistant (HCA), I was very eager to get my hands on this book and review it for BJHCA. From a student nurse's perspective, this book is wonderful. It does exactly what it says on the tin, discussing nursing, past present and future. And may I say, in a time when nurses, and the health service in general, are slandered on what seems like a daily basis, it was a breath of fresh air to have a book dedicated to such an amazing profession and the many aspects surrounding it.
Feeling passed over
Authors: Carr Caroline
Published: May 2014

Every month, Caroline Carr answers questions from readers on how to improve their wellbeing. This week's question comes from Kaleigh, a healthcare assistant in London. If you have a question for Caroline, email bjhca@markallengroup.com .
Undervalued, but dedicated
Authors: Reed Jane
Published: May 2014

On 21st September, delegates at UNISON's Healthcare Assistants Conference in London talked about tackling the tough times we are facing at the moment.
Applying youself: communicate your talents more effectively
Authors: Taylor Cathy
Published: May 2014

With healthcare assistant (HCA) and assistant practitioner (AP) numbers set to expand over the next few years, now is an exciting time to work in this field. However, it is also an increasingly competitive market, so getting a job requires the ability to present verbally and in writing. This article explains how HCAs and APs can improve their skills.
Put pain to flight: making use of alternative methods
Authors: Swann Julie
Published: May 2014

Persistent pain can by caused by an injury or a medical problem. Although medication and other forms of medical and conservative treatment can help to relieve or eradicate symptoms, there are other options available to patients. However, psychological and social factors can prolong pain. This article outlines the psychological effects of pain and explores alternative forms of treatment.