bluuebunny/crossref_metadata_2025 huggingface dataset:
Managing systems for the assessment of risk of abuse
Authors: Robbins Fiona
Published: May 2014

Fiona Robbins considers element RM1.3, which focuses on how you approach risk assessment and the steps you take to ensure protection from all forms of potential abuse or harm.
Rehabilitation after stroke: How carers can help
Authors: Swann Julie
Published: May 2014

Julie Swann explains the techniques therapists use to help people to regain a good movement pattern following stroke and discusses how care staff can make a positive difference.
Understanding the medical treatment of dementia
Authors: Nazarko Linda
Published: May 2014

In part three, Linda Nazarko updates you on the current treatments aimed at preventing or slowing the progress of this disorder.
‘Round her little finger’: Being manipulated at work
Authors: Carroll Michael
Published: May 2014

As a manager, you may well experience being conned by others and being powerless to exercise your authority. michael Carroll explains how to avoid this trap.
An insight into the benefits of conductive education
Authors: Brown Melanie R
Published: May 2014

Conductive education has been available in the UK for adults with motor disorders since 1990, yet very little is known about the work. Melanie R Brown gives the details.
An overview of prostate cancer in older men
Authors: Millward Sally
Published: May 2014

Every year in the UK, over 30 000 men are diagnosed with prostate cancer and 10 000 men die from the disease (ISD Scotland, 2005; Northern Ireland Cancer Registry, 2005; Office for National Statistics, 2005a,b; Welsh Cancer Intelligence and Surveillance Unit, 2005a,b). Almost two-thirds of these registered are newly diagnosed men aged 70 years and over. It is now the most common cancer diagnosed in men in the UK (Cancer Research UK, 2006).
Administration of medicines to individuals
Authors: Whitehead Elizabeth
Published: May 2014

The administration of medication has been a hot topic recently. Elizabeth Whitehead looks at unit hsc375 in detail, highlighting the dangers and correct procedures for care home staff to follow.
Fairer funding for all?
Authors: Sims Beccy
Published: May 2014

Pressure on current care funding arrangements has intensified and reveals consumers' lack of trust in the system. Beccy Sims explains.
The third way?
Authors: Sims Beccy
Published: May 2014

Voluntary groups and community and social enterprizes look set to make a bigger contribution to the health and social care sector thanks to a new report from the government.
Living with multiple sclerosis
Authors: Swann Julie
Published: May 2014

This article focuses on assistive devices and the principles of good designs that enable people with multiple sclerosis to manage day-to-day activities.
Developing and supervising staff
Authors: Nazarko Linda
Published: May 2014

New standards for staff induction introduced by the CSCI come into force in September 2006. Linda Nazarko looks at these standards in light of who they apply to and how they can be met.
Property aspects of buying a care home
Authors: Temple Saraha
Published: May 2014

Clients considering buying a care home often find the number of different areas that need to be looked at overwhelming. These include the corporate aspect, employment issues, property and tax, not to mention the actual viability of the care home business being bought.
A day in The life of a… Independent care management consultant
Authors: Ashurst Adrian
Published: May 2014

Having spent 35 years working in the NHS and the independent care sector in a variety of senior management posts, I recently decided to become self employed working as an independent care management consultant. I now have the opportunity to provide companies with my views based upon years of experience in nursing care and business management providing new ideas and offering practical solutions to issues as and when they arise.
Merging for success
Authors: Sims Beccy
Published: May 2014

Plans to reform health and adult social care services in England have taken a step forward with the publication of a new government consultation document.
Arthritis care: New partnerships for the grey century
Authors: Spence Jane
Published: May 2014

Arthritis Care's Jane Spece discusses the prevalence of arthritis in our ageing population, and how self-management of the condition can assist in maintaining dignity and independence in older people.
Dangerous vibrations: Hearing damage
Authors: Swann Julie
Published: May 2014

In the second in a series on hearing and deafness articles, Julie Swann discusses environmental noise, preventing hearing damage, and a variety of aids available to treat hearing loss.
Helpful vibrations: Assistive devices in hearing loss
Authors: Swann Julie
Published: May 2014

Hearing loss should not mean the end for communication. Julie Swann explores the specialist devices and alternative communication techniques that can assist in overcoming hearing problems.
Therapeutic activities for older people
Authors: MacBrayne Carole
Published: May 2014

Engaging residents in activities can positively affect wellbeing and improve social interaction skills. Carole MacBrayne discusses the importance of therapeutic activities.
The impact of medication on falls
Authors: Nazarko Linda
Published: May 2014

Medication can increase the risk of falls, which lead to around 14 000 deaths a year. Linda Nazarko provides information on reducing potential injuries.
Managing controlled drugs: Regulation changes
Authors: Nazarko Linda
Published: May 2014

Controlled drug regulations are changing in light of the Shipman inquiry, which uncovered the devastating misuse of drugs. This article highlights best practice recommendations and outlines future changes.
Principles for a positive approach to manual handling
Authors: Chadwick Mandy , Titcomb Paul
Published: May 2014

Mandy Chadwick and Paul Titcomb of ARC training introduce the first of several articles highlighting the importance of adopting a positive approach to manual handling, and the positive implications this will have on practice.
Considering the factors affecting nutritional status
Authors: Welch Rachel
Published: May 2014

Factors affecting the nutritional status of older people in long-term care include communication and eating environment. Rachel Welch discusses the ways that carers and nurses can positively influence their residents' nutritional intake.
The importance of personal mementoes for residents: jewellery
Authors: Swann Julie
Published: May 2014

Many people entering care will bring personal pieces of jewellery, each with unique meanings and significance. Julie Swann discusses the meanings which some jewellery may hold and how this can be integrated into care.
Technology to the rescue
Authors: Sims Beccy
Published: May 2014

Beccy Sims reports on the large-scale telecare project which looks set to help hundreds of elderly people remain in their homes.
Managing dressing problems in older adults in long-term care
Authors: Swann Julie
Published: May 2014

Dressing can be tiring for those with cognitive and physical problems. Julie Swann discusses the important role of care assistants and nurses in enabling residents to dress, which helps maintain levels of independence and self-esteem.
Keeping warm: health risks to vulnerable people
Authors: Peate Ian
Published: May 2014

Cold weather can result in excess deaths in the elderly. Ian Peate discusses the role that health and social care professionals play in ensuring vulnerable adults are kept warm and healthy in the cold weather.
Parafricta and the prevention of shearing forces: heel ulcers
Authors: Bree-Aslan AnCathie , Hampton Sylvie
Published: May 2014

AnCathie Bree-Aslan and Sylvie Hampton present a case study and discuss the role that Parafricta fabric can play in reducing and preventing pressure, shear and heel damage.
Visual impairments: environmental considerations
Authors: Swann Julie
Published: May 2014

In the second of the visual impairment articles, Julie Swann provides practical tips to facilitate management of the physical environment for residents, staff and visitors with visual problems.
Greetings for Chinese New Year!
Authors: Jennings Sue
Published: May 2014

On 7 February it is Chinese New Year and there will be lots of fire crackers, lanterns, the giving of gifts and families getting together. Traditionally Chinese New Year celebrations would last several weeks, but in modern times it usually takes 5 days. The Chinese dragon is woken up by the fireworks and will bring rain for the crops. Chinese New Year is the beginning of spring and a time for celebration.
The National Rheumatoid Arthritis Society
Authors: Love Lynn
Published: May 2014

The National Rheumatoid Arthritis Society provides support and advice for people living with rheumatoid arthritis (RA). Lynn Love talks about dedication and hard work of the organization that has helped to establish itself as a voice in the UK for those with RA.
More principles for a positive approach to manual handling
Authors: Chadwick Mandy , Titcomb Paul
Published: May 2014

Mandy Chadwick and Paul Titcomb of ARC training discuss further the importance of adopting a positive approach to manual handling, and the positive implications this will have on practice.
Knowledge for practice: Observations and assessment
Authors: Newson Pauline
Published: May 2014

Considering the cultural variations and differences between people is crucial to understanding a person's needs. Pauline Newson discusses the contribution that this will make to compiling a holistic assessment.
Boost for social enterprises
Authors: Sims Beccy
Published: May 2014

The government is providing additional finance for businesses that supply a valuable service for the health and social care sector, Beccy Sims reports.
Help The Aged: My home life programme
Authors: Woodworth Charlie
Published: May 2014

Charlotte Woodworth introduces ‘My Home Life’, the programme launched by Help the Aged specifically aimed at improving the experiences of those living and working in care homes.
Cardiology: treating and managing angina
Authors: Nazarko Linda
Published: May 2014

Angina signals that blood supply to the heart is compromised. Angina may be treated surgically if the person is well enough, or medically. Linda Nazarko explains why angina develops and how it is treated.
Towards an understanding of Parkinson's disease
Authors: Senior Brian
Published: May 2014

The Parkinson's Disease Society is expanding its education and training resources to assist staff working in nursing and residential care settings in providing high quality care, and improving the lives of those with the disease.
Sans everything
Authors: Newson Pauline
Published: May 2014

In 1967 Barbara Robb compiled a report on behalf of Aid for the Elderly in Government Institutions (AEGIS). The organization was concerned about the ‘evil practice in certain general and mental hospitals of stripping geriatric patients of their spectacles, dentures, hearing aids and other civilized necessities and of leaving them to vegetate in utter loneliness and idleness’. The main body of the report is a catalogue of evidence from nurses and social workers of appalling instances of various forms of abuse perpetrated by staff who were meant to be keeping elderly patients safe and comfortable.
The role of diet on cognitive function in older adults
Authors: Stokes Caroline S
Published: May 2014

Several nutrients have been implicated as being beneficial in the treatment of dementia. Caroline Stokes outlines the assessment of cognitive decline and discusses the benefits of certain nutrients on cognitive function.
Rhythm of life: the impact of music on our lives
Authors: Swann Julie
Published: May 2014

Music influences our lives and forms an integral part of our culture. Julie Swann discusses the importance of considering what music may mean to different people and how it may evoke memories and affect mood.
Lymphoedema: An overview of compression garments
Authors: Hopkins Anita
Published: May 2014

Chronic oedema and lymphoedema are quite common among older people. Compression is a fundamental part of treatment. Anita Hopkins presents the various compression garments availble on the FP10 prescription.
Managing medication for patients with dysphagia
Authors: Poutney David
Published: May 2014

Dysphagia among older people is a common, distressing problem. David Poutney discusses the impact of the condition on medicine compliance and considers alternative methods of administration.
An introduction to Reiki as an alternative therapy in care homes
Authors: Swann Julie
Published: May 2014

Reiki is an alternative therapy that is gaining popularity in healthcare settings in the UK. Julie Swann introduces the principles of Reiki and how it can be used to complement other treatments for older people in care.
Reflection in practice: how to develop yourself and your career
Authors: Weaver Dawn
Published: May 2014

Effective practitioners continually reflect on their work and enhance their skills throughout their careers. Here Dawn Weaver explains how to evaluate your progress and plan your development.
The power of Pilates
Authors: Swann Julie
Published: May 2014

Pilates is a beneficial physical fitness systems used to develop core muscle strength and flexibility. It can be adapted for use within the care home setting. This article provides an introduction.
Understanding the role of occupational therapy
Authors: Swann Julie
Published: May 2014

Occupational therapists work in hospitals, the community and many other settings. This article explores the training and role of occupational therapists, concentrating on the services provided to care homes.
Capital advice on dementia
Authors: Whittle Beccy
Published: May 2014

Beccy Whittle reports on the publication of guidelines to help sufferers and their families living in London.
The future requirements of those with hearing loss
Authors: Ballard Jackie
Published: May 2014

Jackie Ballard, Chief Executive of RNID, talks about the charity's Hidden Crisis report and campaign to get a national hearing screening programme for older people.
Effective medicine management
Authors: Wright Kerri
Published: May 2014

This article discusses how medicine management is the responsibility of all grades of staff, and highlights some concerns that were shown in a recent Commission for Social Care Inspectorate report.
Identifying and managing the risks of falls in the nursing home
Authors: Pountney David
Published: May 2014

Falls are a significant but often preventable risk in nursing and residential homes. In the second of a two part series, David Pountney considers falls prevention and staff training.
Gardens: inclusive designs for care homes
Authors: Swann Julie
Published: May 2014

Residents and visitors can enjoy outdoor living spaces whether they are in the garden or inside a care home. This article explores garden features and describes how to design well planned inclusive gardens.
NVQ explained, part 6: develop your knowledge and practice
Authors: Whitehead Elizabeth
Published: May 2014

Learning how to appraise the way you work, and establishing your strengths and weaknesses, can help you to develop a long-term plan for your career development. Elizabeth Whitehead introduces unit HSC23.
Pressure care, part three: managing and treating wounds
Authors: Hampton Sylvie
Published: May 2014

In pressure care the skill of the nurse is to address the underlying pathology and to provide an optimum wound healing environment. Sylvie Hampton discusses selecting the most appropriate equipment and dressings.
Common bowel problems: constipation risk assessment
Authors: Kyle Gaye
Published: May 2014

A new quick and easy to use assessment tool has been developed to reliably predict a resident's potential for developing constipation. Gaye Kyle presents the tool and discusses the importance of risk assessment.
Self-harm and suicide-related behaviour in the elderly
Authors: Thompsell Amanda
Published: May 2014

Attempted suicide and self-harm in the elderly are rare, however, should always be taken very seriously. Amanda Thompsell talks about the warning signs and offers advice on dealing with this distressing situation.
NVQ explained, part 8: helping with eating and drinking
Authors: Whitehead Elizabeth
Published: May 2014

Each resident will have individual tastes and requirements relating to food. Elizabeth Whitehead explains what is involved in fulfilling the important task of helping individuals to eat and drink.
Recognizing and treating colonized wounds
Authors: Hampton Sylvie
Published: May 2014

Many signs and symptoms of wound colonization and clinical infection are similar, leading to confusion and unnecessary prescribing. Sylvie Hampton discusses the identification of a colonized wound and the selection of appropriate dressings.
Considerations in the use of agency workers in care homes
Authors: O'Malley Polly
Published: May 2014

Care homes must be careful to define the employment status of all of its workers to avoid penalties for not affording the proper protections for care home staff. Polly O'Malley considers the use of agency staff.
The doves of peace
Authors: Jennings Sue
Published: May 2014

Doves seem to be a world-wide symbol of peace, innocence, trust and gentleness. Doves occur in all the ancient belief systems: Hinduism, Islam, Judaism, and Christianity. Often the dove appears as a messenger and we are reminded of the dove bringing an olive branch to Noah as a sign that the floods have subsided and there is vegetation and land at last. Doves are often seen as a female symbol with links with fertility and motherhood. Doves allow us to appreciate the simple things and to be aware of hopefulness and calm.
The availability and use of allied health care in care homes in the Midlands
Authors: Sackley C , Hoppitt T , Cardoso K , Levin S
Published: May 2014

A recent study suggested that older people in care homes do not receive appropriate levels of access to health professionals. This study aimed to establish the access to and use of services provided by allied health professions to care homes in Oxfordshire and Warwickshire.
I do love to be beside the seaside
Authors: Jennings Sue
Published: May 2014

Summer is here and our thoughts turn to holidays: all those brochures offering us great adventures and luxurious breaks; yet we can still get a sense of holiday by staying at home. Perhaps we need to think of doing things a little differently to mark our holiday time: spending more time outside? Having special ice cream? Playing extra games with our friends?
News Analysis
Authors: Sims Beccy
Published: May 2014

Beccy Sims reports on the new analysis which calls into question pronouncements about the high standards of care provided by councils.
A brief overview of level three in health and social care
Authors: Whitehead Elizabeth
Published: May 2014

After succeeding at level two of the NVQ Health and Social Care, many candidates will choose to progress their studies to the next stage. Studying at level three can open doors to higher education and help care assistants build specialist knowledge.
Correct positioning: reducing the risk of pressure damage
Authors: Swann Julie
Published: May 2014

Ensuring that residents find a good position when sitting or lying can play an important role in minimizing pressure damage. Julie Swann discusses the risks of bad positioning, the avoidance of pressure ulcers and management of care after a stroke.
Promoting spiritual comfort in palliative care settings
Authors: Bèphage Gaëtan
Published: May 2014

Spiritual health is an essential component of care for people nearing the end of their life. Gaëtan Bèphage discusses the importance of promoting residents' spiritual health and comfort.
Active promotion of equality and individual rights
Authors: Weaver Dawn
Published: May 2014

Dawn Weaver discusses human rights, how to best promote quality and the value of diversity.
Managing employment issues in the economic downturn
Authors: O'Malley Polly
Published: May 2014

The care sector has, like many others, been affected by the recession. As councils are under pressure to save money, part one of this article discusses how to deal with reducing staffing overheads swiftly, effectively and fairly.
Changes to employment law that will affect care homes from October 2011
Authors: Phillips Nick
Published: May 2014

How will the proposed agency Workers Directive change the landscape? Nick Phillips provides an overview of the new regulations.
How and when to use antimicrobial dressings
Authors: Hampton Sylvie
Published: May 2014

Antimicrobial dressings are widely used but, as Sylvie Hampton explains, it is important for nursing staff to identify when to use them to avoid a clinical infection. This article also outlines the different dressings available.
Farewell to the default retirement age
Authors: Edwards Gareth
Published: May 2014

The abolition of the default retirement age will mean changes for some workers reaching retirement age. Gareth Edwards explains how this may be significant for the care sector.
Comparison websites: choosing a care home
Authors: Harris Debbie
Published: May 2014

We all need fast, accurate and detailed information when embarking on the process of arranging for a loved one to enter a care home. The utility of comparison websites in this endeavour is highlighted.
Heading for a fall… an issue of bedrail regulation
Authors: Butcher Martyn
Published: May 2014

This article looks at the background behind bed-rail regulation development and warns care home owners and managers that they have a legal requirement to implement systems to ensure
The Disability Discrimination Act 1995
Authors: Richardson Barbara
Published: May 2014

Employers should keep up-to-date with recent appeals relating to the Disability Discrimination Act (DDA) 1995. Barbara Richardson explores some of the important cases, and notes what employers should do.
Pressure ulcers: aetiology and identification
Authors: Morris Clare
Published: May 2014

Prompt detection of the early signs of pressure damage, followed by rapid treatment, can prevent an ulcer from occurring. Clare Morris outlines what to look out for
Paws for thought: involving animals in care
Authors: Heathcote Julie
Published: May 2014

Communal pets in care homes provide many benefits. In this article Julie Heathcote discusses how animals can affect the wellbeing of residents, and how they can be used in therapy.
The effect of food on emotional wellbeing and mental health
Authors: Dunne Annette
Published: May 2014

This article explores the evidence that supports the benefits of eating a healthy diet, with emphasis upon the role specific nutrients play in supporting positive mental health.
Providing excellent service for those with mobility impairment
Authors: Chadwick Mandy
Published: May 2014

Older people may find that their mobility is decreased for a number of reasons. Mandy Chadwick discusses how to ensure you adopt a best practice approach in your care home.
Creative care: How an active life can benefit physical and mental health
Authors: Nazarko Linda
Published: May 2014

Providing suitable recreation for older people can raise unique challenges. Here Linda Nazarko explains the importance of leisure
In a letter to NRC, the Minister of State for the Department of Health, Paul Burstow, outlines his vision for the future
Authors: Burstow Paul
Published: May 2014

Ministers come and go, but all of them seem to promise the same thing: real change in how we think about, fund and deliver social care. We have an unprecedented need for action and a huge ‘care defi cit’ as demand outstrips supply. Long-term care is a stand-out example of where we need pragmatic, non-partisan proposals to build a new and lasting settlement. One of the fi rst things Andrew Lansley and I agreed was the need for a swift and decisive review of the options for reforming social care. The Commission we are establishing will not be a talking shop, nor will it involve a protracted process of discussion and debate. I expect it to report within a year on the principles and practicalities of implementing a new system for funding care costs. This will be followed as quickly as possible with a White Paper and legislation.
The hand in hand nature of nutrition and cognitive decline
Authors: Shepherd Alison
Published: May 2014

A growing body of evidence suggests that nutrition may help reduce the risk of dementia. Alison Shepherd on how to meet and exceed the nutritional needs of those with the disease.
Perception: the Feldenkrais method and older people
Authors: Langer Kerstin
Published: May 2014

Kerstin Langer explains the motivation of movement and how the development of ‘a sense of self’ can lead to recovery.
Encouraging the bond between children and grandparents
Authors: Smethers Sam
Published: May 2014

For many years grandparents will have provided vital childcare and contributed to their family's finances. Sam Smethers and Glenda Cook discuss this very special relationship.
Moving on up: career prospects or registered nurses
Authors: Ashurst Adrian
Published: May 2014

The health and social care sectors are fertile grounds for career progression. Here Adrian Ashurst advises taking a ‘step by step’ approach, plus top interview techniques and how to win over the interview panel.
Current treatment of type 2 diabetes
Authors: Nazarko Linda
Published: May 2014

Linda Nazarko explains how food, exercise, medication and blood glucose monitoring help type 2 diabetes. Also discussed is a community initiative and the myths about diabetic foods.
Preventing falls: how to monitor risk and intervene
Authors: Downing Wendy
Published: May 2014

Older people falling over is all too often dismissed as an inevitable part of the ageing process. The reality is that there are a number of things care homes can do to help prevent falls in even their oldest residents.
Identifying common lesions and rashes in the elderly
Authors: Burr Sara
Published: May 2014

Staff should be able to prevent and manage skin disorders in the older person. Sara Burr explores what to look for and when to notify a dermatology specialist or general practitioner
Breaking the chain of infection
Authors: Cole Mark
Published: May 2014

Mark Cole highlights key areas of practice improvement for homes, including vaccination, hand hygiene and environmental cleanliness, to prevent illness in vulnerable older people
How residents can make complaints if services are failing
Authors: Dimon Carol
Published: May 2014

Frail older people may find it hard to complain about poor care or services. However, it should be a priority of the care home to ensure that they are supported in doing so and provided with information on the complains process, as Carol Dimon explains
The evolution of vicarious liability: when are employers responsible?
Authors: Cave Tabitha
Published: May 2014

Vicarious liability is a principle of strict, no-fault liability for wrongs committed by another person. It involves making an employer liable for the wrongs committed by an employee. The courts keep the concept within confined limits as Tabitha Cave explains
Recognising the symptoms: diagnosing and treating gout
Authors: Finney Diana
Published: May 2014

In the first of a two-part series, Diana Finney highlights the risk factors of developing gout, as well as the signs and symptoms to be aware of. With the prevalence increasing, it is important to have a sound knowledge of this medical condition
Supporting the use of medication in social care settings
Authors: Green Danielle
Published: May 2014

This optional unit assesses the health and social care worker's knowledge of the use and control of medication in social care settings. Danielle Green outlines how staff can support residents to maintain independence with medication management
A little and often Keeping donors on board
Authors: Slater Mark
Published: May 2014

Once you have been able to secure a donation or grant for your school from a new source, it is imperative that you continue to work hard to maintain and develop this relationship. After all, attracting funds to your school can be difficult. So when money is forthcoming, you now have a friendly prospect who may be willing to donate more in the future if you keep them informed with future plans.
Saving your energy Funding to support the environment
Authors: Baker Shari
Published: May 2014

Renewable energy is no longer solely the domain of the science lab or the geography lesson wind turbines, solar panels and wood stoves are becoming more commonplace, making schools more environmentally friendly, increasing learning and climate care awareness, as well as saving money on bills.
Making your mark How to build a stronger school
Authors: Grebot Macia
Published: May 2014

Many schools wonder why children pass their gate every morning on the way to a school further away. Macia Grebot believes that effective marketing can change parental perceptions and recommends membership of a specialist association.
The gene pool: Sink or swim?
Authors: English Veronica
Published: May 2014

As more and more common diseases have been found to have a genetic component, general practices are finding themselves responsible for genetic counselling. Veronica English warns of the dangers.
Volvulus: The twist in the tale
Authors: Leitao Palmira
Published: May 2014

Practice nurses should be acutely aware of the warning signs for this serious disorder of newborn babies, says Palmira Leitao.
Counselling in haemoglobinopathies
Authors: Bennett Lorna
Published: May 2014

Counselling is an essential feature in the primary prevention of haemoglobinopathies, Lorna Bennett advises.
Toxic shock syndrome
Authors: Burke Anne
Published: May 2014

Many cases of toxic shock syndrome are misdiagnosed as flu. Ann Burke outlines the symptoms of and treatment for this condition which, although rare, can be fatal.
Do we understand?
Authors: Saunders Diana
Published: May 2014

It seems ironic to me that despite working within the caring profession of nursing we are often ill prepared to meet the needs of discrete groups of our practice population. Perhaps it is, in part, because thankfully there are not great numbers of patients that fit into these groups. But that may be to their disadvantage.
Blind leading the blind?
Authors: Lane Richard
Published: May 2014

‘Blind people are ordinary human beings who can't see,’ says Richard Lane as he tells his experience of general practice as a blind person.
Treatment of venous leg ulcers
Authors: Williams Clare
Published: May 2014

In the third in her series, Clare Williams look at the treatment of leg ulcers.
Suturing in the surgery
Authors: Sodera Vija Kumar
Published: May 2014

Vija Sodera explains the basic techniques for repairing minor injuries.
What's in a name?
Authors: Saunders Diana
Published: May 2014

I heartily recommend the annual International Nurse Practitioner Conference to you. I attended the fourth of its kind, held in Edinburgh, this August. Not only are there clinical sessions — at nurse practitioner level — academic papers and debates on professional issues and education, but the international flavour extends your global friendships. Next year's is to be held in London, and I would love to be in the company of more practice nurses as the nurse practitioner debate involves us all.
Treating venous leg ulcers
Authors: Williams Claire
Published: May 2014

In the final part of her series, Clare Williams looks at how practice nurses can improve their treatment of leg ulcers.
A century of health visiting
Authors: Hawksley Barbara
Published: May 2014

In the year that health visiting celebrates its 100th anniversary, Barbara Hawksley traces the development of the eyes and ears of the primary health care team.
Whooping cough: still a problem
Authors: Jenkinson Douglas
Published: May 2014

Whooping cough is at an all-time low. But Douglas Jenkinson explains that we should not be complacent as whooping cough is still a highly infectious and serious disease.
The future of family planning
Authors: Urwin Jane
Published: May 2014

Jane Urwin provides an overview of the scope and variety of family planning services and the role of the practice nurse in their provision.
Preparing for the worst
Authors: Blatt Barry
Published: May 2014

As winter approaches, practices are being urged to prepare for meningitis. Barry Blatt reports.
A lifetime of misunderstanding
Authors: Flavelle Eileen
Published: May 2014

Eileen Flavelle examines the case of a young man whose learning difficulty has led to behavioural problems and social isolation all his life.
Nutrition and allergy
Authors: Anthony Honor , Birtwistle Sybil
Published: May 2014

Nutrition and allergies are closely related and it looks as if changes in diet are contributing to the epidemic increase in allergies, say Honor Anthony and Sybil Birtwistle.
Adult ear infections
Authors: Jani Piyush
Published: May 2014

Children might account for the majority of ear infections presented in general practice. But Piyush Jani takes a look at ear infections in adults.
Street surgery
Authors: Reilly Anne
Published: May 2014

Accidents and injuries which take place at major events in the UK are fielded by a force of first aiders. Anne Reilly describes the work of these saviours on the street.
Accountability
Authors: Walker Robert
Published: May 2014

With the shift in burden to primary health care, the coming years will see practice nurses managing more minor illnesses. Robert Walker discusses how this leads to appraisal of their role.
A global epidemic
Authors: MacKinnon Mary
Published: May 2014

Non-insulin dependent diabetes constitutes 85% of all diabetes in developed countries. Mary MacKinnon reviews the treatment of this disease which is prolific all over the world
Health economics: A simple guide
Authors: Cooke Mary
Published: May 2014

How do you put a price in health care? Mary Cooke explains the principles of health economics and how they help professionals in everyday practice.
Primary care: Leading the NHS
Authors: Robinson Ray , Steiner Andrea , Godber Edward
Published: May 2014

The current trend in the NHS is towards primary health care. Ray Robinson and colleagues explain the economic implications of this shift.
Auditing cervical smears
Authors: Edwards Mandy
Published: May 2014

Recent publicity on servical smears demonstrates that vigilance at all levels is paramount. Mandy Edwards stresses the practice nurse's role in this process and importance of audit.
In the beginning…
Authors: Gough Pippa
Published: May 2014

Two years after the original standards were agreed and one year after their implementation, Pippa Gough gives an inside view from the UKCC of the evolution of PREP.
A private view
Authors: Hinde Sue
Published: May 2014

Sue Hind gives her impressions of compiling a portfolio for PREP.
Not just skin deep
Authors: Yeung Roy
Published: May 2014

Port wine stains are not just a cosmetic problem, they cause much psychological distress. Roy Yeung describes the current treatments which can help reduce this social stigma.
Post-splenectomy management
Authors: Edwards Marilyn , Cieslik Wendy
Published: May 2014

Marilyn Edwards and Wendy Cieslik discuss the problems following a splenectomy and suggest a management programme.
A caring community
Authors: Gournay Kevin
Published: May 2014

With the media spotlight currently glaring down on care in the community, Kevin Gournay examines the resources primary care has to deal with patients with mental illness and finds that the practice nurse is dealt the short straw.
Suicide: Who supports the survivors?
Authors: Birch Heidi
Published: May 2014

Heidi Birch tells her personal experience of suicide and the support group she set up as a result.
Polycystic ovarian syndrome: diagnosis and management
Authors: Lockwood Gillian
Published: May 2014

Gillian Lockwood explains the management of this common but distressing disorder.
Falling between two fools
Authors: Richards Sue
Published: May 2014

In 1995 the UKCC commissioned a major survey into issues raised anecdotally by enrolled nurses. They suggested that they were being employed as, or being replaced by, healthcare assistants, that they were being denied opportunities to develop their careers, i.e. access to courses, and their role was being undervalued by employers. They are falling between two stools, employers being unwilling to allow them to carry out the full duties of a registered nurse, but being wasted in the role of are assistant.
Infected Wounds: Diagnosis and Treatment
Authors: Kiernan Martin
Published: May 2014

Diagnosis of wound infection should be based primarily on clinical criteria. Martin Kiernan explains.
Letters
Authors: Stones Marian , Wilcox Adrienne , Cooper Maggie
Published: May 2014

Don't give up the training fight: future PNs and patients need you

Adrenalin is an allergen too

Fears for condom fiasco girl
Improving Asthma Management
Authors: Stearn Ruth
Published: May 2014

The BTS asthma guidelines are often not followed in primary care. Ruth stearn looks at how audit can remedy this.
Infertility: Causes and Investigations
Authors: Grundy Lynne
Published: May 2014

Infertility is a subject which has received much attention in the media recently. With the average age of women having their first baby increasing it is likely to be an ever expanding field of medicine. This article seeks to present an overview of current causes, investigations and the role the practice nurse may play when seeing infertile couples.
Media Madness? It's Their Hormones
Authors: Paniagua Hilary
Published: May 2014

HRT has hit the headlines yet again. What is it about this routine treatment that causes such depth of feeling and such shallow understanding? Hilary Paniagua thinks it may be the ambiguous attitude health professionals adopt toward the menopause.
Impotence: A man's Secret?
Authors: Hurn Wendy
Published: May 2014

Many practices are now running successful erectile dysfunction clinics, as Wendy Hurn explains.
Born to be Bad
Authors: Richards Sue
Published: May 2014

Genetic testing for mental disorders brings with it a multitude of problems that may outweigh the benefits.
Urinary Tract Infections
Authors: Fisher Pam , Holmes Peter
Published: May 2014

Urinary tract infections have a number of causes and a variety of symptoms. Pam Fisher and Peter Holmes explain how to determine what's going on.
Assessing Continence: The Practice Nurse's Role
Authors: Winder Ann
Published: May 2014

In order to manage urinary incontinence and promote continence, the expectations of health professionals, governments and patients need to change. Incontinence is no longer a mop and bucket approach; real differences can be achieved by promoting continence and managing incontinence, with improved quality of life as the major motivating force.
Bedtime Blues: The Child with Nocturnal Enuresis
Authors: Eirew Rosalind
Published: May 2014

Loving and nurturing any child to adulthood is not easy. Patience and emotional maturity are needed to cope with a person who wets the bed, smells and has behavioural problems possibly related to this. Add a family unable to afford a washing machine, a dryer or even clean bed linen and a picture of gross misery for child and parent emerges.

Rosalind Eirew describes the causes and management of bedwetting in children.
Vaginal Thrush
Authors: Johnson Wendy , Johnson Stephen
Published: May 2014

The wider use of antibiotics has led to an increase in the incidence of fungal infections such as thrush. Wendy and Stephen Johnson look at how to detect Candida and what to advise the patient.
Community Practice Teachers
Authors: Hyde Val
Published: May 2014

Val Hyde provides information and guidance for aspiring community practice teachers of general practice nursing.
Understanding Ulcerative Colitis
Authors: Pullen Mandy
Published: May 2014

Ulcerative colitis affects more than 80000 people in Britain, and about 5000 people develop the disease each year (Stafford-Miller, 1993).

Ulcerative colitis is more common among whites than blacks and the prevalence in Jewish people is three to five times that in gentiles (Kelly, 1992). It affects men and women equally (Irving and Jones, 1993), and most commonly occurs in the age range 20-40 years. In the most familial pattern, two or more children of a first-degree relative are affected (Kelly, 1992). The disease is also reported to be more common in identical twins than in single births (Phillips, 1995a).
Consent and the Child Patient
Authors: Rodgers M E
Published: May 2014

In the second of her series, M E Rodgers examines the legal rights of children and parents in granting or refusing consent to treatment.
Diarrhoea
Authors: Johnson Wendy , Johnson Stephen
Published: May 2014

Diarrhoea is defined as the passage of more than 3 loose stools a day, due to an increase in stool water content (Watson, 1993). It should be differentiated from frequent passage of small volume stools and from faecal incontinence. There is a wide variation in normal bowel habit, which makes a more precise definition impossible.
Love in a Cold Climate
Authors: Blatt Barry
Published: May 2014

Leeds has one of the largest student populations in the country and one of the busiest sexual health clinics. Barry Blatt meets the team at Unisex.
Consent and the Incapable Adult
Authors: Rodgers M E
Published: May 2014

Defining incapacity to consent in an adult patient is a complex legal grey area. In her final article M E Rodgers looks at the issues involved.
Lyme Borreliosis: An Update
Authors: Cutler Sally
Published: May 2014

Lyme disease, or Lyme borreliosis, is a recently recognized tick-borne disease caused by spirochaetes belonging to the Borrelia burgdorferi sensu lato complex. Symptoms now known to be associated with Lyme disease have been described since 1909, when Afzelius first described the tick-associated skin lesion erythema migrans, now considered as the hallmark of this disease. The disease is encountered infrequently in the UK with an incidence of 0.14/100 000 general population, ten times lower than its European incidence. Lyme disease has not been recently imported, as B. burgdorferi, the spirochaete responsible, have been detected in British ticks collected over the last 100 years.
Irritable Bowel Syndrome
Authors: Fisher Pam , Holmes Peter
Published: May 2014

Thousands of people suffer from Irritable Bowel Syndrome, but many are reluctant to talk about it. Practice nurses are well prepared for dealing with sensitive problems such as this.
Insulin resistance in type 2 diabetes
Authors: Cowley Cheryl
Published: May 2014

Cheryl Cowley looks at practical ways of managing insulin resistance
Challenging Arthritis
Authors: Nicholson Marjorie
Published: May 2014

Marjorie Nicholson looks at Challenging Arthritis, a course designed to help people with arthritis become ‘expert patients’ and empower them to manage ther disease effectively
Erectile dysfunction
Authors: Vaughan Alison
Published: May 2014

Erectile dysfunction is not just distressing — it could be the first symptom of a more serious underlying problem
Effective pain control in cancer patients
Authors: Walker Robert
Published: May 2014

Effective pain control is one of the mainstays of good palliative care in general practice. In various studies (Grossman et al, 1991; Field, 1996), health professionals have been shown to underestimate the level of pain that a patient is experiencing. It has also been shown that family members can overestimate the level of pain in their relative (Elliott et al, 1996).
New cancer campaign launched
Authors: Slevin Maurice , Champion Bob
Published: May 2014

The national cancer support charity CancerBACUP launched a Freedom from Pain campaign last month, supported by Grand National winning Jockey and former cancer patient, Bob Champion MBE.
Setting up nurse triage in practice
Authors: Greaves Brenda
Published: May 2014

Brenda Greaves gives a personal account of how to successfully triage requests for home visits and sameday appointments
Uterine prolapse
Authors: Fisher Pam , Glenn Kate
Published: May 2014

Pam Fisher and Kate Glenn outline the diagnosis and treatment options available
Out of hours
Authors: Saunders Diana
Published: May 2014

The community health council (CHC) is often seen as a stick that beats the NHS. That is not always the case. Last night I attended a public meeting at a small town in Devon. The meeting was part of the consultation process for primary care trust (PCT) status. An issue raised by the public about the GP out-of-hours service was not on the agenda that night. However, concerns were raised and appropriate answers were given.
Assessment of the diabetic foot
Authors: Williams Clare
Published: May 2014

Clare Williams provides some guidelines for the assessment of the diabetic foot
Prognosis six months
Authors: Saunders Diana
Published: May 2014

Christine Hancock has identified the chronic shortage of nurses as the Government's biggest problem (RCN Congress, 3 April 2000). For practice nurses it is more about a shortage of time rather than a shortage of nurses wanting to be practice nurses.
Searching the Internet
Authors: Berrisford Simon
Published: May 2014

Since its conception in the mid-1980s, the Internet has turned into a monster, but it's important to remember that this monster can be tamed and trained to work for you, not against you.
How to interpret PACT data
Authors: Maynard Janet
Published: May 2014

PACT data is produced by the Prescriptions Pricing Authority every three months. It contains information relating to prescribing cost, and allows health authorities to assess their costs against others
The role of paroxetine in treating depression
Authors: Deahl M
Published: May 2014

Depression is reaching epidemic proportions in the western world. With each new generation, more people are becoming more severely depressed at a younger age
SAD on the internet
Authors: Laughton Jim
Published: May 2014

What little summer we have had again this year in the UK has quickly turned into autumn—the colder mornings, the darker evenings, and the rain, of course. But those fewer daylight hours and the weaker sun cause a significant health problem, which you may face as a practice nurse.
Making the most of vaccination
Authors: Greener Mark
Published: May 2014

Mark Greener explores how the influenza vaccine works and who should be immunized. He briefly introduces some recent advances in vaccine technology and international control initiatives.
Advances in asthma and COPD care
Authors: Bryan Jenny
Published: May 2014

Nurse-led clinics and new drug therapies were among the topics debated at the European Respiratory Society Congress in Berlin (22–26 September). Jenny Bryan reports.
Clinic Diabetes
Authors: Beckwith Sue , Wiltshire Sula
Published: May 2014

Rachel feels exhausted as her wedding day approaches, and her athletes' foot is rampant. Sue Beckwith and Sula Wiltshire look at how Rachel's practice nurse can help her adjust to a diabetes diagnosis.
Honesty the best policy
Authors: Cobb Alison
Published: May 2014

People with mental health problems are looking for a more open and honest approach to their treatment, according to Mind's (2001) yellow card survey for reporting drug side effects. The responses show the wide range of unpleasant, disabling and even life-threatening effects that psychiatric drugs can cause. These included weight gain, muscle tremor and spasms, loss of energy, stiffness, sickness, loss of sex drive and severe withdrawal reactions.
Can you identify the dermatological complaint?
Authors: Watts Jane , Peters Jill
Published: May 2014

The diagnosis is acne vulgaris. This is one of the most common skin disorders affecting young teenagers. It is caused by an inflammation arising around the philosebaceous follicles on the face, neck, shoulders and upper back. Acne is characterized by increased skin greasiness, open and closed comedones, and inflamed lesions such as papules, pustules and, in severe cases, nodules. Acne is classified in three main groups: mild, moderate and severe. This patient has mild-to-moderate acne.
A month is a long time
Authors: Saunders Diana
Published: May 2014

It is said that a week is a long time in politics. The month since I wrote my last editorial seems a very long time in world affairs and nursing. Last month I concluded with, ‘The world is dangerous and irrational enough, let's at least be protected against measles, mumps and rubella.’ Since then we have encountered the anthrax scare in the United States.