bluuebunny/crossref_metadata_2025 huggingface dataset:
Hearing loss does not need to be a barrier
Authors: Mangan Marie
Published: May 2014

In this article, Marie Mangan outlines some of the main problems that may present to people with a hearing loss living in nursing and residential homes and looks at ways in which hearing loss may be overcome.
Little sugar coating on the bitter pill for old people
Authors: Thompson Pauline
Published: May 2014

In this article, Pauline Thompson from Age Concern outlines the changes made within the new national plan for the funding of and charges for nursing and residential care and the effects they will have on older people.
The NHS national plan: good news for managers
Authors: Tyler Suzanne
Published: May 2014

Traditionally Labour has been seen as the party that holds the traditional welfare state aspirations of the NHS closest to its heart. In this article, Suzanne Tyler outlines the views of the Institute of Healthcare Management, regarding whether the national plan is the right prescription for the NHS or just surface gloss and spin.
Pressure-reducing equipment 2: alternating and dynamic systems
Authors: Maylor Miles E
Published: May 2014

In the second article in this pressure care series, Miles E Maylor discusses the use of alternating or dynamic pressure-reducing systems by people with existing pressure damage and those judged to be at high risk of developing pressure ulcers.
Using feeding equipment in a residential setting
Authors: Collins Fiona
Published: May 2014

There is a great range of feeding equipment for people who have difficulties feeding themselves. This can increase the user's independence and reduce the input required by care staff, writes Fiona Collins.
Book Reviews
Authors: Montgomery Mark
Published: May 2014

I remember earlier versions of this book, and having been a user-friendly pocket-sized affair, it is now a weighty tome of nearly 600 pages. You could develop extra muscles if you take it off your shelf too often.
Pressure-reducing equipment 3: static systems
Authors: Maylor Miles E
Published: May 2014

Dr Miles E Maylor reviews evidence about static pressure-reducing systems to give examples of information that can be used to help inform the choice of pressure reducing equipment, with particular reference to the needs of residents in nursing and residential care homes.
Selecting and purchasing bed equipment for nursing homes
Authors: Hampton Sylvie
Published: May 2014

Sylvie Hampton outlines the rationale for the purchase of bed equipment for nursing homes and offers suggestions for evidence-based selection.
Implications of the maternity leave regulations
Authors: Richardson Barbara
Published: May 2014

In the first of three articles looking at new regulations, Barbara Richardson discusses the implications of the maternity leave section of the Maternity and Paternal Leave Regulations 1999 for both employers and employees.
Aspects of nutrition for older people in institutional care
Authors: Kelly Colette
Published: May 2014

Good nutrition is vital for older people, particularly for those who are in nursing and residential care. In this article, Colette Kelly looks at the different areas in which nutrition is important.
Tracheostomy management revised
Authors: Ede V , McGowan S
Published: May 2014

This article aims to provide a broad overview of long-term tracheostomy care and the needs of the patient in the community. It outlines the relevant anatomy, nursing care and potential complications involved in tracheostomy management.
Caring for people with an ileostomy
Authors: McKenzie Bruce
Published: May 2014

Bruce McKenzie details what an ileostomy is, conditions which may require an ileostomy, and looks at possible problems which those caring for people with an ileostomy should be aware of.
Employee or not employee
Authors: Richardson Barbara
Published: May 2014

Barbara Richardson explains how the courts categorize an employee and describes the means by which employee status is determined.
The importance of effective staff care
Authors: Thompson Sue
Published: May 2014

Sue Thompson highlights the importance of a good staff care policy in respecting the needs of care workers.
The roles of stoma care and colorectal nurses
Authors: Pullen Mandy
Published: May 2014

Nurses in the community can seek support and advice from stoma care nurses. Mandy Pullen gives an insight into the role of this specific group of nursing professionals.
Research into the problem of diabetes in care homes
Authors: Escudier Valerie , Chowdhury Tahseen A
Published: May 2014

Diabetes affects 10–20% of elderly people in care. Valerie Escudier and Tahseen A Chowdhury detail the results of their research into diabetic patients in care homes in Newham, London.
Care in Canada: does a shared challenge offer a solution?
Authors: Hancock Leslie
Published: May 2014

Leslie Hancock asks whether Britain's overstretched, under-funded and highly-regulated long-term care provision measures up to the standard set in Canada.
Lesbians, gays and transsexuals in care homes
Authors: Springfield Fran
Published: May 2014

Fran Springfield highlights the importance of meeting the needs of lesbian, gay and transsexual residents within the care home, and preventing prejudice from both staff and clients.
The bladder and the bowel: the pharmacology of continence
Authors: Sturman Gillian
Published: May 2014

Gillian Sturman describes how the bladder and bowel function and reviews the mechanisms by which drugs are used to treat incontinence.
Local authorities and care home placements
Authors: Cooper Jeremy
Published: May 2014

In this article, Professor Jeremy Cooper discusses the role of local authorities in providing residential accommodation.
Cardiopulmonary resuscitation
Authors: Mitchell Sarah
Published: May 2014

In this article, Sarah Mitchell provides a comprehensive overview of the management of patients in cardiopulmonary arrest.
Healthcall Optical Services: providing domiciliary solutions
Authors: Ashurst Adrian
Published: May 2014

Healthcall Optical Services provides high-quality sight testing and eye care services to people living in nursing and residential homes throughout the UK.
The new arbitration scheme for unfair dismissal issues: 2
Authors: Richardson Barbara
Published: May 2014

Barbara Richardson looks at the remedies available under the new arbitration scheme and the restricted grounds on which the arbitrators' awards can be challenged.
Providing nursing care in care homes
Authors: Cooper Professor Jeremy
Published: May 2014

In this article, Professor Jeremy Cooper describes the new procedures for the assessment and provision of nursing care and medical needs in residential care homes.
Stakeholder pensions
Authors: Pearce Tony
Published: May 2014

In the first part of a new series, Tony Pearce outlines what you should know about the new stakeholder pension.
Book Reviews
Authors: Ramsay Jill
Published: May 2014

To provide high-quality public services requires organizational change which is managed effectively. This book offers a timely and comprehensive summary of the core components of the change management process. The use of case studies from the NHS, local government, social services and education is complemented by the authors' identification of critical success factors for each stage of the process.
Fair reasons for dismissal: 2
Authors: Richardson Barbara
Published: May 2014

Barbara Richardson discusses how the courts decide on the reasonableness of a dismissal and therefore whether it can be held to be fair or not.
Please, no more changes
Authors: Mangan Paul
Published: May 2014

What do you call a horse designed by a committee? If you know that the answer is a camel, then you may not be surprised by the news that the National Care Standards Commission has been given notice that it is to be disbanded, reorganized and merged with another committee. This joint administration will be the new answer to all of the problems facing the nursing and residential care sector.
Understanding drug interactions
Authors: Maher Bridget , Pirmohamed Munir
Published: May 2014

Drug-drug interactions are common, and can cause serious adverse reactions. Detection and prevention of drug interactions is important for all health-care professionals.
The purpose and function of compression hosiery
Authors: Hampton Sylvie
Published: May 2014

In the first of two articles Sylvie Hampton describes the use and application of compression hosiery. The first article underlines the rationale, purpose and function of compression hosiery.
Appraisal and performance management
Authors: Makinson Geoff
Published: May 2014

Geoff Makinson discusses different models of appraisal; an important process of many performance management systems.
Individual savings accounts
Authors: Pearce Tony
Published: May 2014

Tony Pearce continues an explanation of the benefits of Individual Savings Accounts in the second of his two-part article.
Lions regulated by donkeys?
Authors: Mangan Paul
Published: May 2014

A few years ago I was lucky enough to be a helper on a pilgrimage for survivors of the First World War back to the Somme. Anybody who has ever heard first-hand accounts of the bravery of ordinary foot soldiers and the almost dazzling ineptitude of those commanding them will know the phrase ‘lions led by donkeys’.
Unisoft: pressure relief with price relief
Authors: Hampton Sylvie
Published: May 2014

Sylvie Hampton reports on Unisoft's dynamic air mattress – a cost-effective, durable and disposable solution to relieving pressure ulcers.
Managing the stresses of major life events in care homes
Authors: Seden Janet
Published: May 2014

Managing caring work has an emotional impact on you, those you manage, residents and their relatives. Janet Seden considers the potential tensions that are involved.
Law and its influence on managers' everyday work
Authors: Seden Janet , Henderson Jeanette
Published: May 2014

Law has a wide-ranging impact on managerial work, providing a framework for professional judgement and defensible practice. The authors explore some of the complexities.
Hoists and slings: what is best for you and your client?
Authors: Evans Mary-Jane , Jepson Jill
Published: May 2014

Jill Jepson and Mary-Jane Evans discuss some of the hoists and slings available, and look at issues involved in the selection of appropriate devices.
How to manage the problem of difficult people
Authors: Winbolt Barry
Published: May 2014

Difficult behaviour is predictable and even likely in the workplace, particularly the health-care sector. Barry Winbolt explains why, and suggests ways to deal with it.
The politics involved in continence care
Authors: Booth Frank
Published: May 2014

Money versus quality. Can we afford and provide what is expected? Can we all work together? Anything is possible in the new NHS, writes Frank Booth.
Reaping the benefits of physical activity
Authors: Wenborn Jennifer
Published: May 2014

Jennifer Wenborn starts the new practical series by focusing on the provision of physical activity. How can you encourage it, and what can you do?
The importance of personal environments
Authors: Peace Sheila
Published: May 2014

Sheila Peace examines the impact that different surroundings have on care relationships and activities, and why it is essential to consider issues of accommodation.
Improving standards of living for COPD sufferers
Authors: Fehrenbach Chris
Published: May 2014

COPD reduces quality of life in the elderly susceptible population of smokers or ex-smokers. Christine Fehrenbach looks at how, with proper diagnosis and care, this can be improved.
Moving and handling: implications of bad practice
Authors: Chell Pete
Published: May 2014

Pete Chell explains why it is essential for carers to avoid incorrect moving and handling techniques, unless they are willing to face both the physical and legal consequences.
Recruitment and selection: complying with codes of practice
Authors: Richardson Barbara
Published: May 2014

Codes of practice are issued to help employers fully understand the Data Protection Act. Barbara Richardson explains the first of these codes, which looks at employment.
How older people adapt to becoming housebound
Authors: Baldock John , Hadlow Jan
Published: May 2014

John Baldock and Jan Hadlow look at the links between the need for care, the use of services and the ways in which older people maintain and develop their self-esteem.
Hearing loss: causes, symptoms and communication
Authors: Rees Trevor
Published: May 2014

Dr Trevor Rees explores the causes and symptoms of hearing loss, and gives an overview of how to recognize and communicate with residents who have hearing impairments.
When it's difficult to swallow: The role of the speech therapist
Authors: Summersall Jill , Wight Sheila
Published: May 2014

Swallowing problems are common in severe dementia. Proper assessment and advice from a speech and language therapist is vital given the complex clinical and ethical decisions that have to be made.
Improving the health of patients with a fractured femur
Authors: Nazarko Linda
Published: May 2014

Linda Nazarko examines the causes of hip fracture and explains how staff can help intermediate care and permanent residents to recover fully from this.
Strengthening community ties through activities
Authors: Cowley Dean
Published: May 2014

Dean Cowley, Marketing Director of BUPA Care Services, explains why BUPA is community spirited.
Helping residents to choose and access services
Authors: Weaver Dawn
Published: May 2014

Dawn Weaver explains the carer's role in enabling residents to make full use of personal care facilities in the home, and to find out about and establish links with services outside of the organization.
The here and now: making sense of reality orientation
Authors: Wenborn Jennifer
Published: May 2014

An awareness of who and where we are and what is happening around us is vital. This article describes how reality orientation can be incorporated into daily care.
An overview of foot care for older people
Authors: Burrow JG , McLarnon NA
Published: May 2014

In this, the second of two articles focusing on the feet, the authors consider issues of hygiene and look at how to care for the skin and nails of the residents in your care.
Engaging people with dementia in care home activities
Authors: Wenborn Jennifer
Published: May 2014

Dementia inevitably affects the ability to ‘do’. Jennifer Wenborn outlines some approaches and ideas to enable these residents to engage in activities.
Anticipating the impact of the new social work degree
Authors: Kelly Des , Read Janet
Published: May 2014

The new degree heralds a major shift in the approach to practice learning. It also holds greater opportunity for the involvement of care settings in the independent sector.
Promoting good practice by dealing with bad practice
Authors: Johnson Nick
Published: May 2014

Bad practice in social care does no-one any good – service user, staff member or employer. In the worst cases, the adverse publicity it attracts can damage the whole of the care sector.
Understanding physiological measurement techniques
Authors: Weaver Dawn
Published: May 2014

Dawn Weaver explains the importance of the carer's role in the use of physiological measurements as indicators of physical health and in knowing what a ‘normal’ value is.
Improving performance through BUPA's people
Authors: Hurst Julia
Published: May 2014

Julia Hurst, Human Resources Director of BUPA Care Services, looks at the importance of investing in staff.
The importance of assessment in residential care
Authors: Swann Julie
Published: May 2014

Julie Swann, an independent occupational therapist, outlines the assessment of residents and how this relates to planning practical activities in a care setting.
We should name and shame abusers
Authors: Finucane Caroline
Published: May 2014

The fundamental right for residents to receive protection from the vile practice of elder abuse has to be balanced against the needs of care workers not to be tarnished or scapegoated by unscrupulous allegations. However, the government's new Protection Of Vulnerable Adults (POVA) scheme, which lists known abusers and effectively bans them from working with vulnerable adults, has to be unanimously welcomed.
The performance of teams and individuals
Authors: Weaver Dawn
Published: May 2014

This series is written specifically to guide the Registered Manager Award candidate. This month, Dawn Weaver focuses on C13: ‘Manage the performance of teams and individuals’.
Part one: The value of reminiscence
Authors: Hong Chia Swee , Heathcote Julie , Quinn Patricia
Published: May 2014

Reminiscence is the recalling of memories or events from the past. To begin this series, Chia Swee Hong et al introduce the basic principles and practice of this therapeutic activity.
Caring for residents with dementia and depression
Authors: Hamilton Nancy
Published: May 2014

Nancy Hamilton highlights the importance of screening and assessment in identifying depression and coexistent dementia and outlines the methods of treatment available.
Caring for the patient with a leg ulcer
Authors: Nazarko Linda
Published: May 2014

In part six of this series, Linda Nazarko looks at the different types of leg ulcer and advises on the correct assessment and treatment.
Zero tolerance towards abuse
Authors: Sims Beccy
Published: May 2014

New standards to prevent elder abuse have been launched amid concerns that they may restrict eligibility to protection services. Beccy sims investigates.
Scotland's clean, safe homes
Authors: Sims Beccy
Published: May 2014

A new report shows that scottish care homes have made good progress in tackling the problem of infection. Beccy sims reports.
Hand hygiene: A simple way to stem the tide of MRSA
Authors: Fairclough Sarah
Published: May 2014

Health-care professionals should look beyond the MRSA media hype and focus their attention on developing prevention strategies. Sarah Fairclough explains.
Equipment for living: The value of assistive devices
Authors: Swann Julie
Published: May 2014

Julie Swann explores the ways in which assistive equipment can help residents to achieve a greater degree of independence.
The Single Assessment Process: An overview
Authors: Swann Julie
Published: May 2014

Julie Swann explains what you need to know about this guidance and how it will impact on elderly people and the key workers involved in their care.
How to involve residents in leisure activities
Authors: McLean Valerie
Published: May 2014

Motivating residents to participate in leisure activities can be a challenge for care staff. Valerie McLean suggests ways to include more residents in the activity programme.
Part three: Introduction to the Pabulum Wroxy Music group
Authors: Quinn Patricia , Heathcote Julie , Hong Chia Swee
Published: May 2014

In the third part of this reminiscence series, Patricia Quinn describes the activities of a Pabulum music group and how it improves clients' lives through social interaction.
Non-adherence to medication: An age-old problem
Authors: Siddall Rhonda
Published: May 2014

Rhonda Siddall reviews key research into this significant problem, citing ways that managers can help residents to get the most out of their medicines.
A green light for social care reform?
Authors: Sims Beccy
Published: May 2014

Beccy Sims introduces the government's newest green paper and reports on the industry's reaction to this forward-thinking document.
Finding the time to study: A guide for NVQ students
Authors: Nazarko Linda
Published: May 2014

Linda Nazarko offers tips for those studying for an NVQ, explaining the best way to balance home, work and study time.
Part two: Medical treatment of Parkinson's disease
Authors: Nazarko Linda
Published: May 2014

Linda Nazarko describes the different drugs and experimental techniques used to treat this disorder, outlining the dangers associated with these.
Creating a one-stop shop for care homes
Authors: Sims Beccy
Published: May 2014

Beccy Sims explores a key new report that raises significant challenges for the future operation of care homes.
Readers' Letters
Authors: Jones Arthur
Published: May 2014

Last month, we looked at the arguments for and against imposing a smoking ban in care homes and asked readers to write in with their views. The response was overwhelmingly in favour of a ban. Here's what some of you said:
Part two: Management of depression in elderly residents
Authors: van der Boom Jaap
Published: May 2014

Jaap van der Boom concludes this two-part article by focusing on the prevention and treatment of this common mental illness in residents.
Aiding recovery in the early days after stroke
Authors: Swann Julie
Published: May 2014

Strokes can sometimes be mild transient ischaemic attacks (TIAs), which resolve within 24 hours. While they can result in complete loss of function down one side (hemiplegia), most stroke victims have some return of movement, termed hemiparesis.
Helping residents reminiscence: The role of the environment
Authors: Swann Julie
Published: May 2014

Julie Swann explains how environments can minimize or increase the impact of ageing and cognitive loss.
Water for health – hydration best practice for older people
Authors: Ellins Nick
Published: May 2014

Many pieces continue to be written about healthy eating for older people in care, with a common thread running throughout, advising that there is a clear relationship between diet and health.
A day in the life of a… Programme Development Manager
Authors: Wyllie Sheena
Published: May 2014

When I was asked to write about a typical day in my working life, I thought it should be the other way round – a life in a day of a programme development manager. As this suggests I do not really have typical days that I can recount hour by hour. I see this as both an advantage and a privilege, and can only really give an overview or flavour of my role within Barchester Healthcare as the Programme Development Manager for their dementia care services, called Memory Lane.
Developing practice
Authors: Nazarko Linda
Published: May 2014

All organizations should aim to achieve best practice. Linda Nazarko highlights the tools that can be used to assess and ensure that quality services are provided.
Helping older people to maintain good oral hygiene
Authors: Nazarko Linda
Published: May 2014

Linda Nazarko outlines the different structures and functions of the mouth and explains how care assistants can help residents to care for their teeth or dentures.
Helping stroke sufferers with speech and swallowing
Authors: whitehead Elizabeth
Published: May 2014

People who have had a stroke are often left with difficulties in communicating and eating and drinking. Elizabeth Whitehead explains how carers can help, covering two important NVQ units.
Conductive education for people with stroke: Pilot study
Authors: Brown Melanie R
Published: May 2014

Anecdotal evidence of the benefits of conductive education for adults has been known for many years. Melanie Brown discusses objective benefits that have been shown as part of a study.
Turning gardens into multisensory experiences
Authors: Swann Julie
Published: May 2014

Gardening is an active hobby, but all can enjoy the pleasures of a garden. With forward planning, gardens can be designed to provide all-year-round enjoyment. This article looks beyond the provision of a basic garden in care homes and encourages an approach that will provide a safe outdoor environment that stimulates all senses.
Legal and ethical issues surrounding dementia
Authors: Nazarko Linda
Published: May 2014

Adults have the right to make choices about whether or not to accept health care and professionals must obtain consent before providing care. However, some people who require care are unable to give informed consent because of incapacity. It is important that staff act legally when caring for vulnerable people.
Creating the ideal home for people with dementia
Authors: Nazarko Linda
Published: May 2014

People with dementia who are in long-term care settings do not always receive high quality care. Although hospitals and care homes met the physical care needs, the person with dementia often receives little stimulation (Ballard et al, 2001).
A day in the life of a… Continence Adviser
Authors: Pomfret Ian
Published: May 2014

As a professional continence adviser for the past 21 years, I was pleased to be asked for a description of how I see my role with regard to the provision of continence services within care homes.
Responding to the needs of black and minority ethnic elders
Authors: Beavan Jackie
Published: May 2014

As numbers of minority ethnic elders are predicted to rise, a new resource has been developed to help staff working with people from these diverse backgrounds. Jackie Beavan explains.
Infection control: MRSA in the care home
Authors: Nazarko Linda
Published: May 2014

MRSA infections are on the rise in health care settings. Linda Nazarko discusses the important role that staff can play in preventing the transmission of infection in the care home.
Care home ‘habilitation’ the Eden Alternative
Authors: Hurtley Rosemary
Published: May 2014

Rosemary Hurtley provides an overview of the Eden Alternative as a relationship-centred approach to care.
The Care Show: A preview
Authors: Saunders Pamela
Published: May 2014

Pamela Saunders highlights some of the features of the Bournemouth Care Show taking place on Tuesday 20th and Wednesday 21st March 2007.
Caring for a resident with Parkinson's disease
Authors: Heisters Daiga
Published: May 2014

Daiga Heisters offers valuable advice on meeting the needs of individuals with Parkinson's disease.
Family friendly rights
Authors: Jenkins Iain
Published: May 2014

Iain Jenkins provides care home employers with information on the existing law regarding taking time off from work.
Sleep: Knowledge for practice
Authors: Newson Pauline
Published: May 2014

Sleep has a number of restorative functions which promote healthy living. Care staff need to ensure that they minimize any factors which may disrupt the sleep patterns of residents living in a care home.
Presentation of illness in the elderly patient
Authors: Newson Pauline
Published: May 2014

Older adults often present with multiple pathology and this can confound the process of identifying illness. Skilled assessment can avoid delayed diagnosis.
Good vibrations: Detecting deafness
Authors: Swann Julie
Published: May 2014

There are 9 million people in the UK who are deaf or hearing impaired. In the first of a new series exploring hearing loss, Julie Swann introduces the mechanics of our hearing.
Complementary therapies: Using colour in care
Authors: Elvin Christina
Published: May 2014

In the first of a series of complementary therapy articles, Christina Elvin introduces colour therapy and the potential for different colours to positively effect the care of the elderly.
Pressure care, part two: the importance of assessment
Authors: Bree-Aslan Cathie , Hampton Sylvie
Published: May 2014

Every patient at risk of pressure damage should be protected against this debilitating and life altering injury. In the second of three articles on the prevention of pressure damage, Sylvie Hampton and Cathie Bree-Aslan discuss assessment.
Common bowel problems in older adult care
Authors: Kyle Gaye
Published: May 2014

Constipation is an unpleasant and distressing symptom. Equally, the embarrassment associated with faecal incontinence can threaten personal dignity. Gaye Kyle introduces the first of two articles discussing evidence-based bowel care.
Issues affecting the care of the older Muslim
Authors: Al-Oraibi Saleh
Published: May 2014

In this article, Saleh Al-Oraibi explains the conceptual framework and daily practice of Muslims, which need to be considered when planning their care.
How do we keep dangerous people out of the care sector?
Authors: Larter Felicity
Published: May 2014

The new Vetting and Barring Scheme is a valuable tool for assessing the suitability of new recruits but the responsibility for keeping unsafe people out of the sector remains firmly the responsibility of the employer.
A healthy mind in a healthy body: reducing dementia risk
Authors: Nazarko Linda
Published: May 2014

Research suggests that a healthy diet and exercise can reduce a person's risk of developing dementia. Linda Nazarko discusses the effects of diet, exercise and lifestyle choice on the body, brain and their future.
The forgotten sector: workforce development in residential care for older people
Authors: Nelson Sara , Wild Deidre , Szczepura Ala
Published: May 2014

Teaching care home staff new skills can positively affect personal perspectives, professional relationships and the quality of care given to residents. The impact and outcomes of a partnership in-reach team project are presented.
Healthy ageing: the role of nutrition and lifestyle
Authors: Stanner Sara
Published: May 2014

A new task force report from the British Nutrition Foundation has highlighted the importance of a healthy diet and lifestyle for protecting health into old age. Sara Stanner discusses the report's implications.
Addressing the need for improved dementia diagnosis
Authors: Nazarko Linda
Published: May 2014

People in the UK with dementia do not normally receive a timely and accurate diagnosis, this would be unthinkable with other diseases. Linda Nazarko outlines how dementia can be diagnosed accurately and why it matters.
Visual hallucinations and Charles Bonnet syndrome
Authors: Yelf Cathy
Published: May 2014

Many people with sight loss report seeing a number of vivid and often frightening things. Cathy Yelf discusses the importance of raising the awareness of Charles Bonnet syndrome so that it can be better recognized by health-care staff.
An overview of the Civil Partnership Act 2004
Authors: Peate Ian
Published: May 2014

It is important to be aware of the rights of same sex couples from a number of perspectives including an employment and social security law viewpoint. Ian Peate provides an overview of the Civil Partnership Act 2004.
The dangers of hypoglycaemia
Authors: Hicks Debbie
Published: May 2014

This article introduces hypoglycaemia or ‘low blood glucose’, which can be experienced by people taking medication to control their blood glucose levels.
The fear of falling is a significant health problem
Authors: Garvey Gina
Published: May 2014

The majority of falls in older people occur in care homes. Gina Garvey explains how advances in technology, such as nurse call systems, could prevent injury and limit long-term physical impairment.
How to break bad news and avoid common difficulties
Authors: Edwards Marilyn
Published: May 2014

In this edited extract from her book, Communication Skills for Nursing, Marilyn edwards outlines the importance of delivering bad news appropriately and explains the effect it may have on patients and their families.
Caring for residents with chronic oedema in the lower limb
Authors: Hampton Sylvie
Published: May 2014

Oedema of the lower limb can be temporary or permanent. This article advices how to reduce swelling before it becomes chronic, and how to reduce chronic oedema once it is established.
Stoma appliances: focus on flanges
Authors: Burch Jennie
Published: May 2014

To help clients manage their stomas effectively, their carers need a good understanding of stoma appliances. These consist of two parts: the bag and the adhesive, or ‘flange’. Jennie Burch explains all.
Caring for older residents with skin conditions
Authors: Caldwell Beryl
Published: May 2014

Adrian Ashurst and Beryl Caldwell discuss the development of a systematic approach to care and support for older residents with skin conditions.
Fire safety evacuation plans for care homes
Authors: Welland Tom
Published: May 2014

Tom Welland examines the importance of owners of care homes revisiting their existing evacuation procedures in light of the Fire Safety Order, and the changes in responsibility it has brought.
How sip feeds can aid nutritional intake
Authors: Shepherd Alison
Published: May 2014

Many factors can contribute to the malnourishment of older people in a care setting. Alison Shepherd explains how to make the most out of fortified foods
Managing wound exudate
Authors: Adderley Una
Published: May 2014

The management of wound exudate can be challenging for patients and their carers. Una Adderley explains how good wound care can prevent health deterioration
How to preserve skin integrity and prevent skin tears
Authors: Hampton Sylvie
Published: May 2014

Torn skin can be painful, cause discomfort for the older person and be expensive to treat. Why using the correct dressing is vital for healing fragile skin.
Providing food for residents needing texture-modified meals
Authors: Baic Sue
Published: May 2014

Texture modification is a treatment for dysphagia, but can lead to lowered nutrition intakes. Sue Baic, consultant dietician discusses how to overcome the barriers that can lead to this problem.
Adapting your management style to health care changes
Authors: Lilley Roy
Published: May 2014

With the Health and social Care Bill and the cuts to social services budgets, there are major changes afoot for care and the health services. roy Lilley advises managers how they can adapt.
The prevention and management of skin tears
Authors: Jones Menna Lloyd
Published: May 2014

Skin tears are even more common than pressure ulcers and burns, yet there are things carers and nurses can do to prevent them. Tissue viability advisor Menna Lloyd Jones explains.
Dignity in continence care practice
Authors: Nazarko Linda
Published: May 2014

Older people with incontinence often feel distressed at this symptom. Linda Nazarko explains how assessments and good practice can help an individual to maintain their dignity.
Prevention and treatment of superficial pressure damage
Authors: Jones Menna Lloyd
Published: May 2014

Most pressure ulcers can be prevented, and yet they continue cause unnecessary pain and suffering. Here, Menna Lloyd Jones explains how superficial ulcers can be prevented or treated
Meaningful mealtimes: how to positively influence nutrition
Authors: Dunne Annette
Published: May 2014

Staff should aim to encourage conversation at the dining table and staff need to be fully in tune with the needs of all the people they manage. Annette Dunne provides some useful tips to ensure residents enjoy mealtimes
Supplements to keep bones strong
Authors: Swann Julie I
Published: May 2014

‘Diet is an important part of osteoporosis prevention, but diet supplements can help if a resident has calcium or vitamin D deficiency’
The legal audit: a health check for care providers
Authors: Taylor Paul
Published: May 2014

Legal audits will focus on the ‘legal position’ of the service and highlight behaviours and bad habits that have become entrenched over the years. Paul Taylor details the benefits of a process designed to check that every element of service provision is fit for purpose
Maintaining good nutrition in people with dementia
Authors: Nazarko Linda
Published: May 2014

Linda Nazarko explores how ageing affects the ability to remain well nourished and how dementia adds to difficulties. Care home staff need to adopt a problem-solving approach to enable people with dementia to maintain the best possible health
Dementia awareness: providing person-centred care
Authors: Veselinova Claire
Published: May 2014

This unit is designed to provide health- and social-care workers with the knowledge and understanding of dementia. Claire Veselinova outlines the different forms of dementia and examines the reasons why people develop the condition
Staff must be prepared to beat stress before it beats them
Authors: Yardley Juliette
Published: May 2014

Stress is the number one cause of workplace absence and is accompanied by a rise in mental health problems. Juliette Yardley encourages staff to work out how stress affects them, paying close attention to both the physical and psychological symptoms
The Namaste programme: honouring the spirit within
Authors: Ruth Sander
Published: May 2014

In the final part of this series, Ruth Sander stresses the importance of treating residents with dementia as individuals. Staff can be encouraged to apply the Namaste programme to end-of-life care as a larger initiative or by applying the concept of it to daily activities
Activity is a vital component for a healthy and happy environment
Authors: Bridges Lorraine , Tancock Karin
Published: May 2014

Staff can benefit from a new approach to activity in care homes outlined in a Toolkit published by the College of Occupational Therapists, which improves the physical and mental wellbeing of residents, without putting pressure on the busy care home routine
Commissioners and the Care Bill: the impact on care home pricing
Authors: Hart Ray
Published: May 2014

With the Care Bill entering its final stages, there are many questions and considerations remaining. Ray Hart looks at the preparations being undertaken and considers the changes to fee rates for self-funders
Fundraising consultants Big needs and big targets
Authors: Molloy Paul
Published: May 2014

An increasing number of state schools are finding themselves with big,additional funding needs and big,accompanying fundraising targets.
Back into the fold Funding for excluded pupils
Authors: Baker Shari
Published: May 2014

Local education authorities (LEAs) are obliged to offer ‵suitable education at school, or otherwise than at mainstream school, for pupils of compulsory school age who are otherwise out of school and not gaining qualifications' (under section 19, Education Act 1996).
Building blocks Funding from the high street
Authors: Baker Shari
Published: May 2014

Many building societies have a community department committed to supporting local projects and activities. With a little research, schools can locate the contact details of their local building society and access funds from as little as a couple of hundred pounds to thousands.
Putting the planet first Funding for eco-schools
Authors: Baker Shari
Published: May 2014

There are many ways to achieve sustainable school status and, contrary to popular belief, a lot of the preparation can be achieved by being well connected rather than well funded. Shari Baker takes a look at the funding and resources available that can provide valuable services, equipment and support, for free.
Medical audit in general practice
Authors: Cook Rosemary
Published: May 2014

In the last 10 years, medical audit has become a more prominent part of British medical practice. Rosemary Cook describes why it is so important.
Blindness: Through the eyes of a child
Authors: Johnson Sue
Published: May 2014

Where do you turn when you find your child is blind? Sue Johnson surveys the services on offer.
The new authorities
Authors: Cook Rosemary
Published: May 2014

FHSAs and district health authorities merged in April, Rosemary Cook explains how and why.
Genetic screening
Authors: Clarke Angus
Published: May 2014

Angus Clarke examines current screening practice and asks whether patients are sufficiently prepared for the results.
Clinical supervision: A talking shop?
Authors: Cook Rosemary
Published: May 2014

Clinical supervision is the catchword of the moment. But what exactly does it mean? Rosemary Cook explains.
Management of varicella zoster
Authors: Morgan Marina
Published: May 2014

Varicella zoster causes the childhood disease chickenpox, but infection later in life can have more serious consequences. Marina Morgan explains the risks.
Green is for go in vaccine policy
Authors: Howell Karen
Published: May 2014

The long-awaited new edition of the ‘Green Book’ is now available to practice nurses. Karen Howell casts a critical eye over its pages and finds out what's new.
The pill scare: One year on
Authors: Winfield Jane
Published: May 2014

Last year's great pill scare caused concern among patients and confusion among professionals. Jane Winfield assesses the situation one year on.
Inhaled steroids: New roles for an old drug
Authors: Greener Mark
Published: May 2014

Emerging roles for inhaled steroids in the treatment of acute bronchiolitis and other childhood respiratory diseases are causing heated debate. Mark Greener investigates.
A model for elderly surveillance
Authors: Reed Tony , George Angela
Published: May 2014

Tony Reed and Angela George describe the systems in use at their practice for maintaining the health of a large elderly population.
Mixed medicines: Spotting the signs
Authors: Watson Roger
Published: May 2014

Older patients often suffer from multiple illnesses requiring a cocktail of drugs. Roger Watson explains how interactions between these drugs can arise and what the practice nurse should do.
Letter
Authors: Tweed Pat
Published: May 2014

Why is it that so many people feel qualified to tell practice nurses what they ought to be doing — and it is invariably concerned with lightening the workload of GPs? I refer to your news article on 16 January (7(1): 3) regarding the newspaper article written by Roy Lilley, former NHS trust chairman, who thinks that the talents of practice nurses could be better employed as clinical assistants.
A general practice operating theatre
Authors: Dickerson Graham
Published: May 2014

Graham Dickerson describes how a shift in resources from secondary to primary care led to the introduction of day case surgery into one general practice setting.
Irritable bowel syndrome
Authors: Gorard David
Published: May 2014

There is no strict definition of irritable bowel syndrome, but there are symptoms more likely to occur in IBS than in organic gastrointestinal disease, says David Gorard.
Daunting demands of dementia
Authors: McIntosh Iain
Published: May 2014

Dementia is a difficult disorder to diagnose. But Iain McIntosh suggests a framework for early identification of patients with dementia and reviews a helpful new nurse managment guide
Epilepsy: Causes and Classifications
Authors: Eberhardie Chris
Published: May 2014

Epilepsy is not a modem problem; Hippocrates described it very vividly in the fifth century BC as did Imhotep, a physician in the third century, Ancient Egypt (Walker, 1967). Later in the 19th century John Hughlings Jackson (1835-1911) defined focal epilepsy, now known as a simple partial seizure (Walker, 1967).
Cream of Irish nursing
Authors: Robinson Hilary , Nichol Cathy , Mulholland Joan , McCann Veronica , Hutchinson Michelle , MaGee Maureen
Published: May 2014

This month saw Northern Ireland's first conference for practice nurses on nursing in general practice. Faith Dunne took a trip to the emerald isle to report.
Take heart in old age
Authors: Greener Mark
Published: May 2014

It's never too late to undergo treatment for coronary heart disease or change your lifestyle. Mark Greener looks at CHD in the elderly.
Running a womens health evening
Authors: Bolden Sheila
Published: May 2014

Sheila Bolden describes how her practice team worked together to organise a women's health evening.
Heroin abuse: An overview
Authors: Carroll Jim
Published: May 2014

As heroin use continues to rise practice nurses are increasingly likely to come in contact with users. Jim Caroll discusses the heroin user.
Travel risk assessment
Authors: Townsend Mike
Published: May 2014

A number of risks should be taken into consideration when deciding what patients require prior to travel. Mike Townsend advises
Critiquing Research
Authors: Carnwell Ros
Published: May 2014

Ros Carnwell explains how to tell a good research paper from a bad one.
A Complementary approach
Authors: Wyllie Sheena
Published: May 2014

Sheena Wyllie looks at the range of complementary therapies that can be used to support conventional treatment of arthritis.
A Matter of Judgement
Authors: Richards Sue
Published: May 2014

Incompetence is hard to define, but everyone has met a nurse they wouldn't trust to care for a cat. Sue Richards raises the questions that need to be answered.
Writing Research Reports
Authors: Carnwell Ros
Published: May 2014

Carrying out and writing up research is an important part of advanced training and improving evidence-based practice. Ros Carnwell explains how to approach this often daunting project.
Britain's Silent Famine
Authors: Richards Sue
Published: May 2014

Practice nurses, like hospital nurses, are responsible for ensuring their patients eat properly, as Sue Richards explains.
Contraception
Authors: Fisher Pam , Glenn Kate
Published: May 2014

With the increasing demand on general practices to provide contraceptive advice, practice nurses should be aware of what is available. Pam Fisher and Kate Glenn provide the latest information.
The Pill, HRT and Breast Cancer
Authors: Galea Marcus
Published: May 2014

Marcus Galea looks at the literature on the contraceptive pill, hormone replacement therapy and their link to breast cancer.
Day Case Cataract Surgery: The PNs Role
Authors: Banerjee Sanjiv
Published: May 2014

Patients having cataract surgery are treated as day cases more and more, and patients may ask practice nurses for advice. Sanjiv Banerjee explains.
Brief Intervention and the Smoker
Authors: Hoskins Robert
Published: May 2014

Robert Hoskins describes a useful, new technique for changing patient behaviour in smokers who wish to give up smoking.
Innocent Until Proven Guilty
Authors: Richards Sue
Published: May 2014

Sue Richards reports on the changes to the professional conduct rules, voted in last week's UKCC council meeting.
Bereavement and Older People
Authors: Faulkner Micheline
Published: May 2014

Micheline Faulkner explains how to help the often undemon-strative members of the older generation cope with loss.
Travelling for Two
Authors: Robertson Angela
Published: May 2014

Pregnancy is no reason not to travel and enjoy a holiday, but as Angela Robertson explains a few extra health precautions are advisable.
First Class Professional, Second Class Citizen
Authors: Richards Sue
Published: May 2014

Nurses are still treated as second class by the medical establishment. Sue Richards says it's time to demand the respect due to qualified professionals.
Smoking cessation
Authors: Jones Trish
Published: May 2014

Last Wednesday was No Smoking Day and many smokers have pledged yet again to give up. How can practice nurses help?
Breast cancer: Fear and understanding
Authors: Crook Diana
Published: May 2014

Greater understanding of what predisposes women to breast cancer has enabled major improvements in the management of the disease in recent years. Breast cancer can be cured in many cases, if it is detected early enough. Yet fear of cancer and the trauma of treatment prevents many women from becoming aware of the development of potential carcinomas in the breast and from seeking medical advice if they suspect cancer.
Rabies
Authors: Howell Karen
Published: May 2014

Travellers to parts of the world where rabies is endemic should be vaccinated before going abroad. Karen Howell explains the precautions that should be taken, especially if contact with animals in high risk areas is unavoidable.
Corticosteroids and obstructive lung disease
Authors: Baird Anne
Published: May 2014

In the first of two articles, Anne Baird examines the issues surrounding the use of inhaled therapy for COPD and considers the experience of Mrs White.The use of long-term oxygen therapy will be discussed in the forthcoming article.
Teaching emotional nursing
Authors: Franks Vicky , Griffiths Peter
Published: May 2014

Vicky Franks and Peter Griffiths explain the need for the Centre for Mental Health in Nursing, launched on 22 June 2001 at the Tavistock Clinic in London.
Planning research: Methods and ethics
Authors: Paniagua Hillary
Published: May 2014

In the second of a series of articles on research methods, Hilary Paniagua explains how to plan a research topic.
Depression training void
Authors: Fairhead Christina
Published: May 2014

Depression is the most common chronic condition in primary care, exceeding asthma, diabetes and hypertension (Armstrong, 2002: 1), and major depression is expected to be the world's most debilitating illness by 2020. Primary care patients with depression have nearly three times the consultation rates of non-depressed counterparts. The cost of depression should therefore not be underestimated. People with persistent depression suffer more in quality of life than people with persistent physical conditions such as arthritis, diabetes or back pain.
Practice nursing in a highland practice
Authors: Mackinnon Wendy
Published: May 2014

Wendy Mackinnon is a practice nurse in a semi-rural practice in Dingwall, 12 miles north of Inverness. The practice covers a large geographical area and a diverse population of about 11300.