bluuebunny/crossref_metadata_2025 huggingface dataset:
Understanding cystic fibrosis
Authors: Madge Susan
Published: May 2014

Susan Madge explains this inherited long-term condition and its treatment to mark the national awareness week.
Case Study: Traveller returning with fever
Authors: Townend Mike
Published: May 2014

Swift diagnosis is needed if patients returning from abroad are ill. Dr Mike Townend explains what nurses should consider in a case of fever
Quit smoking with CBT
Authors: Marks David F
Published: May 2014

A psychological approach can help smokers change behaviour and quit for good.
Using folic acid in primary care
Authors: Morris David
Published: May 2014

Folic acid is increasingly being recommended to patients.
How to write a referral letter
Authors: Barlow Lynne
Published: May 2014

Providing consultants with clear and concise referral letters improves patient care.
Nursings role in public health
Authors: Croghan Emma
Published: May 2014

The government wants occupational health nurses, health visitors and school nurses to fulfil its public health agenda.
Management of otitis externa
Authors: Mills Linda
Published: May 2014

This inflammatory infection of the ear canal has a number of causes. Linda Mills explains the treatment regimen
Reducing falls among the elderly
Authors: Wild Sarah
Published: May 2014

A new intergenerational approach is encouraging older people to overcome their fear and talk about falls
Actively managing obesity
Authors: Wild Sarah
Published: May 2014

Clinics run by a health visitor have helped one practice achieve excellent results.
Risk assessment in travel health
Authors: Townend Mike
Published: May 2014

Assessing patients for health risks pre-travel is essential and not always simple. Dr Mike Townend explains the factors to take into account.
Boosting breastfeeding
Authors: White Caroline
Published: May 2014

Nurses in primary care and the community are in the ideal position to increase the number of UK mothers breastfeeding their babies.
The essentials of glaucoma
Authors: Vafidis Gilli
Published: May 2014

Glaucoma can be difficult to detect and monitor. Gilli Vafidis outlines the condition and its management.
Prescribing for dyslipidaemia
Authors: Morris David
Published: May 2014

Dr David Morris examines the drugs that can be prescribed to benefit the whole lipid profile
Chronic fatigue syndrome
Authors: Hardcastle Mark , Short Nigel
Published: May 2014

It is now accepted that chronic fatigue is not simply ‘all in the mind’.
Treating cases of threadworms
Authors: Green Tina
Published: May 2014

Threadworm infections are common and can be unseemly but are easy to treat.
Community innovation
Authors: Andalo Debbie
Published: May 2014

A community-based IV antibiotic service is benefiting both patients and district nurses.
Gaining skills in minor surgery
Authors: Persaud Joy , Mitchell Debbie
Published: May 2014

Nurse practitioners are well placed to provide minor surgery in general practice.
Professional Prescriber series: Generic or not?
Authors: Thompson Angus
Published: May 2014

In the first in a series of articles covering issues for nurse prescribers, independent prescribing adviser Angus Thompson discusses why the advice to prescribe generically is increasingly being challenged
Taking a family approach to child obesity
Authors: Wild Sarah
Published: May 2014

An innovative scheme has parents exercising alongside their children
Advances in breast cancer treatment
Authors: Harmer Victoria
Published: May 2014

New medications have changed outlooks for some types of breast cancer. Victoria Harmer offers an overview.
Tackling compliance issues in osteoporosis treatment
Authors: Cooper Alun
Published: May 2014

Compliance is often an issue in osteoporosis. Dr Alun Cooper looks at why patients fail to take medication and how clinicians can help
Infections in childhood part 1
Authors: Richardson Martin
Published: May 2014

Four part presentation covering the febrile child, and management of respiratory, gastrointestinal and urinary tract infections
Omega fatty acids
Authors: Phillips Frankie
Published: May 2014

In the second omega fats article, Dr Frankie Phillips examines further possible benefits of fatty acids
Subfertility part 2
Authors: Lim Min Yu , Ambrose Pat , Gaudoin Marco
Published: May 2014

Four part clinical focus describing the management of subfertility and the role for nurses
Diabetes in residential care
Authors: Wild Sarah
Published: May 2014

An innovative training programme has led to better management of diabetes in a care home
How to recruit a healthcare assistant
Authors: Chambers Ruth
Published: May 2014

Dr Ruth Chambers and Anne Longbottom outline the key issues practices need to take into account when employing a healthcare assistant in primary care
Diagnosing and managing chlamydia
Authors: Miles Kevin
Published: May 2014

Cases of chlamydia are increasing in the UK. Dr Kevin Miles gives an overview of diagnosing the infection and supporting patients
Vulvo-vaginal candidiasis in primary care
Authors: Feder Angie
Published: May 2014

Vaginal thrush is a common condition which can be managed with simple measures
Oxygen therapy in the community
Authors: Booker Rachel
Published: May 2014

Oxygen therapy can benefit many patients. Rachel Booker outlines its use and how provision is to change
Chickenpox
Authors: Eades Sarah
Published: May 2014

In healthy individuals, managing chickenpox is simple, but some groups of patients need extra care.
Spreading the word
Authors: Brudenell Kate
Published: May 2014

Patients can become ambassadors for healthcare initiatives. Kate Brudenell outlines five important steps that can prepare service users for a media role
Targeting people who are at risk of fractures
Authors: Bainbridge Penny
Published: May 2014

In the first of two articles on osteoporosis, Penny Bainbridge highlights those at increased risk of fragility fractures
Duodenal ulcers
Authors: Sprague Debra
Published: May 2014

Continuing our series on common conditions in primary care, Debra Sprague explains the symptoms, treatment options and long-term management of the irritating problem of duodenal ulcers
Targeting low HDL levels for treatment
Authors: Gupta Ajay Kumar
Published: May 2014

The efficient treatment of cardiovascular disease must not solely focus on LDL. Targeting HDL is equally important
Understanding the revised QOF
Authors: Applebee Kathie
Published: May 2014

Kathie Applebee provides nurses with a detailed guide to the new additions and changes to the quality and outcomes framework
Pelvic inflammatory disease
Authors: Lewis Natasha
Published: May 2014

Long-term complications can be caused by pelvic inflammatory disease.
Raising testosterone levels in men with hypogonadism
Authors: Carson Maggie
Published: May 2014

Low testosterone levels and options for treatment are explained by Maggie Carson, in anticipation of Men's Health Week, which runs from 12-18 June
Setting up an Implanon service
Authors: Rogers Melanie
Published: May 2014

Long-acting reversible contraceptives are more cost-effective and reliable than the Pill.
Health visitor hotline boosts access
Authors: Wild Sarah
Published: May 2014

An innovative new phone service offering instant access to a health visitor has been set up
Dysphagia - the case for caution
Authors: Griffith Richard , Tengnah Cassam
Published: May 2014

Difficulty swallowing is a common cause of non-compliance.
Improving the health of taxi drivers
Authors: Wild Sarah
Published: May 2014

A partnership between a nurse and a health promotion specialist is tackling the unhealthy lifestyles of drivers in Sefton, writes
Diagnosing and treating vitiligo
Authors: Gawkrodger David J
Published: May 2014

Correct management of this disorder is needed to avoid stigmatisation of the patient.
Hepatitis B - how much of a risk to travellers?
Authors: Grieve Sandra
Published: May 2014

As more people travel to remote areas and take part in high-risk activities, nurses need to boost their knowledge of hepatitis B, says Sandra Grieve.
How to write a business plan
Authors: Wilson Nicky
Published: May 2014

Nurses developing new services for patients must know how to argue their case for change.
Managing cardiometabolic risk
Authors: Cleator Jacqueline
Published: May 2014

Nurse-led clinics can target cardiometabolic risk factors effectively, says Jacqueline Cleator.
Can saw palmetto benefit men's health?
Authors: Huntley Alyson
Published: May 2014

The use of supplements for male urological disease has increased, writes Dr Alyson Huntley.
Identifying and managing endometriosis
Authors: Morris David
Published: May 2014

The diagnosis of endometriosis is often delayed. Dr David Morris outlines what to look for and which treatments can help.
A-Z Molluscum Contagiosum
Authors: Sprague Debra
Published: May 2014

This common viral infection occasionally requires referral but can often be left untreated.
Wellbeing for mind and body
Authors: Yeomans David
Published: May 2014

Addressing the physical health needs of those with severe mental illness has been shown to improve outcomes.
Bipolar disorder
Authors: Robson Debbie , Gray Richard
Published: May 2014

Four-part clinical focus on bipolar disorder, covering epidemiology, risk factors and diagnosis, making the diagnosis, treatment options for bipolar disorder, and prognosis and physical health
Developing a community kitchen to promote healthy eating
Authors: Mackereth Catherine
Published: May 2014

A community kitchen in Newcastle is giving local people a chance to cook healthy meals and learn about nutrition,
Palliative pain control in non-cancer patients
Authors: Auty Simon
Published: May 2014

Non-cancer patients can suffer considerable pain, but a structured multidisciplinary approach can relieve symptoms.
Protecting nurses against violence
Authors: Walsh Noel
Published: May 2014

There is much employers can do to ensure that nurses are safe from abuse and violence at work.
Superbugs in the community
Authors: Bloomfield Sally
Published: May 2014

Targeted hygiene is the way to prevent the spread of superbugs.
Identifying overactive bladder
Authors: Wilkinson Katherine
Published: May 2014

Identifying and assessing patients in primary care helps to ensure effective treatment.
Improving communication with non-English speaking patients
Authors: Beresford Laura
Published: May 2014

Non-English speakers can be a challenge for healthcare professionals. Laura Beresford offers some advice
Herpes simplex versus angular cheilitis
Authors: Gnanapragasam Vasa
Published: May 2014

A guide to the differential diagnosis of herpes simplex versus angular cheilitis
Avoiding religious bias in the workplace
Authors: Pasha Rehan
Published: May 2014

It is the responsibility of practices to avoid religious bias in primary care
Yellow fever prevention
Authors: Stringer Claire , Tucker Rosemary
Published: May 2014

A traveller to South America enquires about yellow fever vaccination.
Providing more effective care for people with epilepsy
Authors: Barr Fiona
Published: May 2014

Primary care nurses can take a lead role in addressing epilepsy patients' unmet needs with the help of tailored toolkits
Clinical Q&A - Practice dilemmas
Authors: Muir Gordon
Published: May 2014

Norethisterone use in a patient with menorrhagia, managing a patient with nocturia and normal blood tests, plus investigating and referring a possible case of ureteric stones. Our experts answer your queries.
Infected atopic eczema
Authors: Graham-Brown Robin
Published: May 2014

Atopic eczema is one of the most frequent dermatological consultations in primary care
Alcohol services in primary care
Authors: Bill Joanne
Published: May 2014

Primary care and community nurses can provide a key role in screening for alcohol problems and providing early interventions, writes Joanne Bill.
Supplements for joint health
Authors: Huntley Alyson
Published: May 2014

Supplements are popular among patients with osteoarthritis, but how advantageous are they, asks Dr Alyson Huntley
Prescribing for heart failure
Authors: Morris David
Published: May 2014

Patients with heart failure need stepwise treatment and careful monitoring, says Dr David Morris
How to ensure that nurses are involved in PECs and PBC
Authors: Hynes Donal , Sawbridge Yvonne
Published: May 2014

Nurses must have a role on professional executive committees and play a part in commissioning to improve outcomes, write Donal Hynes and Yvonne Sawbridge
The treatment of febrile convulsions
Authors: Knott
Published: May 2014

The basicsDr Laurence Knott outlines how to diagnose and treat febrile convulsions. Febrile convulsions are seizures associated with a high temperature, precipitated by an infection arising outside the nervous system, in a child who is otherwise neur
Treating a case of bacterial vaginosis
Authors: Brown Mary
Published: May 2014

Bacterial vaginosis is the most common cause of abnormal vaginal discharge. By Mary Brown
Postpartum stress urinary incontinence
Authors: Townsend Joanne
Published: May 2014

Pelvic floor muscle training can be effective if appropriate guidance is provided, explains Joanne Townsend
Progress in obesity
Authors: Haslam David
Published: May 2014

Much has changed with respect to how obesity is viewed and managed.
Dermatology - Treating pilonidal sinus
Authors: Hashmi Taqi
Published: May 2014

This common condition can be managed in a number of ways, writes Dr Taqi Hashmi.
Medical management of stable angina
Authors: Morris David
Published: May 2014

Treatment for stable angina aims to prevent MI and reduce the frequency and severity of attacks.
Optimising inhaler technique
Authors: Bell Jon
Published: May 2014

Many professionals cannot demonstrate correct inhaler technique.
Developing careers in general practice nursing
Authors: Griffiths Julie
Published: May 2014

The Working in Partnership Programme has created a framework to help practice nurses map out their careers.
Meeting access targets in general practice
Authors: Amis Carol
Published: May 2014

A multi-disciplinary ‘Same Day Team’ is boosting access for patients in Suffolk.
Providing access to topical negative pressure therapy
Authors: Benbow Maureen
Published: May 2014

Patients in primary care may not have access to topical negative pressure therapy. Maureen Benbow explains.
Investigating anaphylaxis
Authors: Radcliffe Michael
Published: May 2014

Case study: ‘Idiopathic’ anaphylaxis may be due to a less common allergen, writes Dr Michael Radcliffe.
Case study - Treating adult eczema
Authors: Stollery Nigel
Published: May 2014

The treatment of three different presentations of eczema is outlined by Dr Nigel Stollery.
When depression presents with anxiety
Authors: Rogers Melanie
Published: May 2014

Effective treatment and follow-up can achieve a good prognosis in patients with depression and anxiety, writes Melanie Rogers.
Tailoring oral contraception to patient need
Authors: Morris David
Published: May 2014

Prescribers need to consider the risk-benefit balance when choosing which oral contraceptive to offer their patient, writes Dr David Morris.
Medical management of asthma in adults
Authors: Morris David
Published: May 2014

The stepwise approach to asthma management is well established in primary care, writes Dr David Morris.
How asthma care is changing
Authors: Hall Julie
Published: May 2014

Recent innovations in asthma care and the future implications for practice are reviewed by Julie Hall.
Running super-efficient flu clinics
Authors: Burrows Rosemary
Published: May 2014

A 'super flu clinic' has enabled my practice to vaccinate 1,700 patients in five hours
An enterprising first year
Authors: Wild Sarah
Published: May 2014

England's first not-for-profit limited company co-owned by its nurses and therapists has got off to a flying start.
Preventing visual loss in people with diabetes
Authors: Gadsby Pam , Gadsby Roger
Published: May 2014

Good glycaemic control can help to prevent diabetic retinopathy. Pam Gadsby and Dr Roger Gadsby explain.
Achieving lipid targets with combination therapy
Authors: Izzat Lena
Published: May 2014

Ever tougher lipid targets are getting harder to achieve, especially in high-risk patients.
Practical prescribing - Syringe drivers
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers.
Working in partnership with pathology services
Authors: Hill Barry
Published: May 2014

Pathology laboratories can help practitioners to get the most out of diagnostic tests, thus aiding prompt diagnosis and treatment, writes Barry Hill.
Helping women choose the right contraceptive
Authors: Robinson Gina
Published: May 2014

Women should be offered advice on the full range of contraceptive options available, writes Gina Robinson.
Defusing the child obesity time bomb
Authors: Wild Sarah
Published: May 2014

Rotherham is investing in an innovative programme of weight management camps for overweight youngsters.
Practical prescribing - Proforma documents
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers.
Managing a new case of depression
Authors: Rogers Melanie
Published: May 2014

It can take time for a patient to come to terms with their depression, writes Melanie Rogers.
Pharmacological pain relief in osteoarthritis
Authors: Morris David
Published: May 2014

The choice of treatment in osteoarthritis will vary depending on a number of patient characteristics. Dr David Morris explains.
Primary biliary cirrhosis
Authors: Brown Harry
Published: May 2014

This condition may remain asymptomatic for some years.
Diagnosing and treating migraine
Authors: Kernick David
Published: May 2014

Migraine is a common presentation in primary care. Dr David Kernick explains how to make a diagnosis and advises on the treatment options.
Non-alcoholic fatty liver disease
Authors: Paulon Emma , Oben Jude A
Published: May 2014

Epidemiology, diagnosis, management and prognosis.
Depression in older patients
Authors: Chew-Graham Carolyn
Published: May 2014

An online, interactive programme may help health professionals detect and treat depression in older people.
Diagnosing breathlessness
Authors: Morris David
Published: May 2014

Further investigation revealed an unusual cause of breathlessness, writes Dr David Morris.
Illness in the returning traveller
Authors: Aziz Zara
Published: May 2014

It may be prudent to seek early expert advice on travellers who return with an illness, writes Dr Zara Aziz.
Conducting patient medication reviews
Authors: Courtenay Molly
Published: May 2014

Monitoring is needed when issuing repeat prescriptions.
Practical prescribing - Prescribing while a ‘trainee’
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers.
At a glance - Oral candida vs geographic tongue
Authors: Gnanapragasam Vasa
Published: May 2014

Discriminatory features and management.
Practical prescribing - Prescribing across several practices
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers.
Promoting patient participation
Authors: Harston Benny
Published: May 2014

Encourage patients to get involved in health promotion and other activities.
Reviewing concordance - Case study
Authors: Cornforth Amber
Published: May 2014

A supportive approach can help concordance, writes Amber Cornforth.
Practical prescribing - Black triangle drugs
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers
Practical prescribing - prescribing restrictions
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers.
Running a support group for new mothers
Authors: Bertram Lynn
Published: May 2014

In the second part of her series, Lynn Bertram explains how to facilitate a group.
Managing time in consultations
Authors: Moulton Liz
Published: May 2014

Well-managed consultations can ease time pressures for health professionals.
Clinical Focus - Chlamydia screening programme
Authors: Blume Alison
Published: May 2014

Contributed by Dr Alison Blume, locum consultant in genitourinary medicine, St Mary's Hospital, Portsmouth.
Managing hyperhidrosis
Authors: Halford Julie
Published: May 2014

Excessive sweating can make daily life difficult, but treatment is available.
Peripheral arterial disease
Authors: Parker David
Published: May 2014

Epidemiology, diagnosis, management and the role of cardiovascular risk factors
Optimising outcomes in rheumatoid arthritis
Authors: Oliver Susan
Published: May 2014

Prompt referral of patients with suspected RA can help to optimise treatment outcomes.
Using rescue therapy in COPD
Authors: Obeid Amira , Cherry Sandy , Wixey Amanda , Crotty Sarah , Gompertz Simon
Published: May 2014

Providing COPD patients with rescue therapy and advice on its use may help reduce admissions. Amira Obeid, Sandy Cherry, Sarah Crotty, Amanda Wixey and Dr Simon Gompertz outline the results of their study in Birmingham.
Managing recurrent aphthous ulcers
Authors: Shah Anish
Published: May 2014

The causes, features and treatment of this common condition are outlined by Mr Anish Shah.
Dealing with chickenpox
Authors: White Sharon
Published: May 2014

Incidence of chickenpox infection peaks during winter and spring.
The importance of primary care spirometry
Authors: Scullion Jane , Holmes Steve
Published: May 2014

Competence in the use and interpretation of spirometry is key.
Understanding pericardial disease
Authors: Brown Harry
Published: May 2014

Pericardial disorders are easily missed. Dr Harry Brown summarises what to look out for.
The relevance of ‘metabolic syndrome’
Authors: Cradock Sue
Published: May 2014

The usefulness of the term ‘metabolic syndrome’ has been much debated. Sue Cradock outlines past and present opinion and the latest definition.
Pathology question time - Testing blood sugar
Authors: Hill Barry
Published: May 2014

In his second pathology testing case study, Barry Hill covers the fundamentals of blood sugar testing in type-2 diabetes.
Opioid induced constipation
Authors: Kyle Gaye
Published: May 2014

Constipation caused by opioid analgesics can be challenging to manage, writes Gaye Kyle.
How to keep patient consultations to time
Authors: Kular Mona
Published: May 2014

Implement strategies to help time management, advises Dr Mona Kular.
Practical prescribing - Prescribing in mental health nursing
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers.
Travel health: Putting malaria into perspective
Authors: Ainsworth Steve
Published: May 2014

Could malaria become endemic in the UK? Steve Ainsworth puts this parasitic disease under the spotlight.
Management of irritable bowel syndrome
Authors: Brown Harry
Published: May 2014

The management of irritable bowel syndrome can be challenging, with no recognised effective drug treatment.
Leg ulcers: assessment and management
Authors: Vowden Peter
Published: May 2014

Although venous ulceration is a common condition, many patients are still not receiving appropriate treatment, writes Professor Peter Vowden
Night-time symptoms in Parkinson's disease
Authors: Robinson Gina
Published: May 2014

A poor night's sleep can mean daytime fatigue and drowsiness.
Practical prescribing - Using a V150 qualification after a career break
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers.
Managing acute diarrhoea
Authors: Hall Veronica
Published: May 2014

Advice on how to treat patients with acute diarrhoea is outlined by Veronica Hall.
Contraception and epilepsy
Authors: Kochhar Suneeta , Sinha Prabha
Published: May 2014

Women with epilepsy should be made aware that antiepileptic drugs can affect contraception. Suneeta Kochhar and Prabha Sinha explain
Cold storage of vaccines
Authors: Hill Barry
Published: May 2014

Following recent advice from the NPSA, all NHS organisations must ensure safe storage of all vaccines held on their premises, Barry Hill explains
Making a clinical training DVD
Authors: Rogers Melanie
Published: May 2014

Nurses have developed an innovative resource to help boost skills in women's health, writes Melanie Rogers
Managing infected wounds
Authors: Stephen-Haynes Jackie
Published: May 2014

Accurate assessment and an understanding of both subtle and overt signs of infection are important in managing wound infections.
Travel advice for people with diabetes
Authors: Owen Rebecca
Published: May 2014

Diabetes need not be a barrier to travel, where patients receive appropriate support from the primary healthcare team.
Strategies to treat osteoarthritis
Authors: Walker Jennie
Published: May 2014

In the management of osteoarthritis, it is important that emphasis be placed on patient empowerment and shared decision-making.
Managing childhood atopic eczema
Authors: White Sharon
Published: May 2014

A stepped aproach is recommended for the management of atopic eczema in children, which involves tailoring treatment to severity.
Meetings and presentations
Authors: Humpris Penny , Leff Daniel Richard
Published: May 2014

To be a good leader you must communicate effectively.
Reducing alcohol admissions
Authors: Davis Carol
Published: May 2014

A multi-disciplinary approach is reducing emergency hospital admissions in Newcastle.
Understanding atrial flutter
Authors: Campbell John , Iglesias-Postigo Angel
Published: May 2014

Atrial flutter should be treated in the same way as atrial fibrillation and immediate hospitalisation may be necessary
Barrett's oesophagus
Authors: Kochhar Suneeta
Published: May 2014

“Barrett's oesophagus or columnar-lined oesophagus refers to oesophagus where the normal squamous lining has been replaced by a metaplastic columnar epithelium.

Barrett's oesophagus is a pre-malignant condition of oesophageal adenocarcinoma.

About 10-15 per cent of patients with reflux disease develop Barrett's oesophagus.

If surveillance endoscopy is considered appropriate, it should be carried out every two years.”
Diagnosing and managing mumps
Authors: Watkins Jean
Published: May 2014

Despite the MMR vaccine programme and a dip in cases, mumps still occurs in non-immunised children and young peeple, writes Dr Jean Watkins
Protecting travellers from meningitis
Authors: Willcox Adrienne
Published: May 2014

Nurses need to understand the differences between a conjugate and a poly-saccharide vaccine to advise travellers to high-risk areas.
Normal nutrition in a palliative care setting
Authors: Holmes Susan
Published: May 2014

In the first part of this two-part series, Susan Holmes discusses the issues linked to ‘normal’ nutrition in patients with terminal and long-term, life-limiting illness
Improving adherence to contraception
Authors: Kipps Sarah
Published: May 2014

Adherence to contraception can only be addressed when individual women's expectations, beliefs and preferences are considered.
Cancer, vitamin E and HPV
Authors: Greener Mark
Published: May 2014

In-depth analysis of the latest research.
Caring for rough sleepers in London
Authors: Parr Chis
Published: May 2014

A west London centre for rough sleepers is providing vital health services, including on-the-spot access to free diabetes testing.
Improving palliative care in dementia
Authors: Nazarko Linda
Published: May 2014

Nurses can help to identify the symptoms indicative of dementia, support those with the condition and deliver high-quality palliative care, writes Linda Nazarko
Allergic rhinitis in children
Authors: Morris David
Published: May 2014

The impact of allergic rhinitis on quality of life and school performance in children and teenagers can be considerable.
Clinical Focus - Tinea corporis
Authors: Watkins Jean
Published: May 2014

Aetiology and epidemiology, presentation and diagnosis, management, follow-up and prevention.
How to deliver bad news to patients
Authors: Edwards Marilyn
Published: May 2014

It is easy to cause distress by giving bad news badly.
Atrophic vaginitis
Authors: Watkins Jean
Published: May 2014

Hot flushes and atrophic vaginitis are well-known symptoms of the menopause. Usually, these problems are the result of a reduction in levels of oestrogen after the menopause. At this stage, there is atrophic change, including thinning of the epithelium and a reduced production of the clear, naturally produced lubricating fluid in the vagina.
Managing depression in primary care
Authors: Rogers Melanie
Published: May 2014

Appropriate management of depression in primary care can improve remission and reduce relapse rates, and nurses play a crucial role.
ACS, COPD and vitamin A and AF
Authors: Mongin-Bulewski Carole
Published: May 2014

In-depth analysis of the latest research.
Discoid lupus erythematosus
Authors: Watkins Jean
Published: May 2014

Overall key points Discoid lupus erythematosus affects 12-48 per 100,000 of the population. It is an autoimmune disease, related to underlying genetic factors and triggered by UV light and certain drugs. The main aim of treatment is to improve the outlook for the long-term problems of scarring. Regular follow-up visits are needed to avoid the development of systemic disease.
Urinary tract infection
Authors: Litherland Anne Torine
Published: May 2014

Better knowledge of prevention and self-treatment strategies may reduce the stress and discomfort of UTI.
Cancer, dementia and statins
Authors: Greener Mark
Published: May 2014

In-depth analysis of the latest research.
Practical prescribing - Adjusting insulin on a PGD
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers
Taking the initiative
Authors: Dawes Dave
Published: May 2014

Dave Dawes provides practical advice for nurse leaders and entrepreneurs
HPV vaccine, rosacea and COPD
Authors: Greener Mark
Published: May 2014

In-depth analysis of the latest research, compiled by Mark Greener
The future of children's services
Authors: Wall Alison
Published: May 2014

There are challenges and opportunities for health professionals working with children, writes Alison Wall
Psoriasis and its comorbidities
Authors: Aldeen Taha , Basra Mohammad KA
Published: May 2014

Management of psoriasis depends on the extent of disease, sites affected, comorbidities, and the patient's lifestyle, write Taha Aldeen and Mohammad Basra
Prescribing LARCs to boost adherence to contraception
Authors: Kipps Sarah
Published: May 2014

Dispelling myths about long-acting reversible contraception and ensuring women make informed choices can tackle non-adherence.
News focus: a step closer to regional NHS pay
Authors: Lepper Joe
Published: May 2014

A pay ‘cartel’ in the south west of England could pave the way for widespread regional pay, writes Joe Lepper
Venous thromboembolic disease and pregnancy
Authors: Kochhar Suneeta
Published: May 2014

All pregnant women and those planning to become pregnant, should undergo a risk assessment for venous thromboembolism
Practical Commissioning
Authors: Gupta Andrea
Published: May 2014

Clinical commissioning group chair Andrea Gupta offers advice on influencing clinical commissioning
Hand osteoarthritis
Authors: Chagadama Debbie
Published: May 2014

Osteoarthritis (OA) is the most common musculoskeletal disorder and can involve any joint, but is most prevalent in the spine, hand, knee and hip joints.
Taking the initiative: Dave Dawes provides practical advice for nurse leaders and entrepreneurs
Authors: Dawes Dave
Published: May 2014

I am setting up independently and I have been advised that I need commercial insurance. What does this mean?
The prevention and treatment of IAD in community patients
Authors: Beeckman Dimitri , Gray Mikel , Woodward Sue
Published: May 2014

IAD is a common problem among patients with faecal or urinary incontinence.
Practical commissioning: your questions answered about influencing clinical commissioning
Authors: Gupta Andrea
Published: May 2014

I am very interested in applying for the nurse role on the board of my local clinical commissioning group (CCG) but have now been told the job description will require a registered nurse who has already acquired a specific set of leadership skills. What skills are required and are development opportunities being made available to frontline primary care nurses to help us to develop these skills?
Hirsutism: causes and management
Authors: Onselen Julie Van
Published: May 2014

Hirsutism is a common and frequently distressing condition for women. Julie Van Onselen disucuss support and management options available for women
A general overview of Prader-Willi syndrome
Authors: Pogson Delia
Published: May 2014

Delia Pogson outlines the pathogenesis of this rare disorder and discusses the multidisciplinary approach required to manage and treat this genetic condition
Taking the initiative: Dave Dawes provides practical advice for nurse leaders and entrepreneurs
Authors: Dawes Dave
Published: May 2014

I would appreciate advice on presenting an idea to commissioners in order to secure funding. What would you say were the key ‘dos and don'ts’?
Optimising insulin therapy
Authors: Hamson Kim
Published: May 2014

Kim Hamson investigates the management options available to practice nurses when moving people with type-2 diabetes onto insulin therapy
Skin protection in wound management
Authors: Brown Annemarie
Published: May 2014

Failure to manage the skin surrounding a leg ulcer can lead to additional problems and discomfort, explains Annemarie Brown
Managing epilepsy in childhood
Authors: Prosad Paul Siba , Eaton Megan
Published: May 2014

Families with a child affected by epilepsy should receive a written individualised epilepsy plan and long-term support.
The importance of assessing constipation
Authors: Kyle Gaye
Published: May 2014

Constipation is common and may have serious implications for a person's quality of life. Gaye Kyle explains what is needed for a thorough assessment
Diabetes, dementia and AF
Authors: Goodrick Steven
Published: May 2014

In-depth analysis of the latest research.
Acute diarrhoea
Authors: Hall Veronica
Published: May 2014

Diarrhoea is fairly complex in both its causation and definition. It is best defined medically in terms of frequency, consistency and either weight or volume within a 24-hour period: greater than three times per day and weighing more than 200g. However, patients may consider diarrhoea to be an increased stool liquidity, which can lead to misunderstandings. Diarrhoea is the most common reason for referral to a gastroenterologist in the UK.1
Interventions in alcohol use
Authors: Lacey Joanne
Published: May 2014

Nurses should look to use brief alcohol interventions to reach those who drink to a harmful extent
Antihypertensives, adherence, autism
Authors: Greener Mark
Published: May 2014

JOURNALS WATCH

In-depth analysis of the latest research, compiled by Mark Greener
Childhood rashes in pictures
Authors: Watkins Jean
Published: May 2014

PAEDIATRICS

A number of rashes symptomatic of common diseases of childhood are seen in infants and children, and it is important to be able to distinguish between them to deliver correct therapeutic advice, writes Dr Jean Watkins
Caring for people with eczema
Authors: Peate Ian
Published: May 2014

ECZEMA

Skin conditions are common in practice. Ian Peate details the diagnosis and treatment of patients that present with eczema
Assessment of the sick child in a general practice setting
Authors: Baird Anne
Published: May 2014

A practice has improved patient safety by addressing its management of sick children, writes Anne Baird
Knowledge and support
Authors: Neate Polly
Published: May 2014

Dealing with domestic violence in practice can be challenging. Polly Neate provides an overview of what is necessary to support those affected
Lichen planus in pictures
Authors: Watkins Jean
Published: May 2014

A relatively common, itchy, non-infectious rash, usually occurring in those over thirty, can present in a variety of different ways, writes.
HPV, depression, packaging
Authors: Greener Mark
Published: May 2014

JOURNALS WATCH

In-depth analysis of the latest research.
Type 1 diabetes in children
Authors: Kime Nicky
Published: May 2014

DIABETES

Many children are not diagnosed early enough. Nicky Kime highlights the symptoms and importance of an accurate early diagnosis
Contraceptive product update
Authors: Kochhar Suneeta
Published: May 2014

CONTRACEPTION

New contraceptive options are discussed by Suneeta Kochhar
Squamous cell carcinoma
Authors: Watkins Jean
Published: May 2014

Most squamous cell carcinoma develop in elderly, fair-skinned men, although there are other factors that may predispose a patient to the condition, including excess alcohol intake,writes Dr Jean Watkins
Joining together to boost care
Authors: Hall Julie
Published: May 2014

Share your valuable knowledge and insights with commissioners and ensure you influence service design and ongoing development, writes
Learning from serious care failings
Authors: Woods David , Wild Sarah
Published: May 2014

On 6 February, Robert Francis QC published his Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry.
Presentation and differential diagnosis of allergic rhinitis
Authors: Scullion Jane , Holmes Steve
Published: May 2014

Allergic rhinitis can impact on patients' quality of life, sleep, work and education, write Dr Steve Holmes and Jane Scullion
Childhood rashes in pictures
Authors: Watkins Jean
Published: May 2014

A number of rashes symptomatic of common diseases of childhood are seen in infants and children, and it is important to be able to distinguish between them to deliver correct therapeutic advice.
Itching in young children
Authors: Watkins Jean
Published: May 2014

SKIN IRRITATION

Itching is one of the most common dermatological complaints seen in practice. Jean Watkins discusses the causes and treatments in children.
Treatment of allergic rhinitis
Authors: Scullion Jane , Holmes Steve
Published: May 2014

Patients with allergic rhinitis symptoms should be adequately treated and educated
Managing diabetes in Ramadan
Authors: Kochhar Suneeta
Published: May 2014

Dr Suneeta Kochhar discusses considerations for Muslim patients with diabetes who wish to observe the fast during Ramadan
Targeting high cholesterol level
Authors: Dunne Annette
Published: May 2014

Annette Dunne explores reducing high blood cholesterol, a modifiable risk factor for cardio-vascular disease, from a nutritional perspective
Self-management of COPD
Authors: Bostock-Cox Beverley
Published: May 2014

COPD patients must be educated about how to identify and manage exacerbations, writes Beverley Bostock-Cox
In Your Workplace
Authors: White Graham
Published: May 2014

NHS Trust HR director Graham White offers advice on employment issues affecting nurses
Tailoring contraceptive advice
Authors: Kochhar Suneeta
Published: May 2014

Contraceptive counselling must be tailored to women's individual needs, writes Dr Suneeta Kochhar
The transition from paediatric diabetes services to adult care
Authors: Kime Nicky
Published: May 2014

The transition between paediatric and adult care is a vital time for diabetes patients says Nicky Kime, but transitional care is often inadequate, focused on service transfer rather than the individual
Managing cases of norovirus
Authors: Kochhar Suneeta
Published: May 2014

A norovirus outbreak can impact on wider patient care, impacting on hospital admissions and delaying transfers to the community, writes ‵Dr Suneeta Kochhar
Pregnancy, prescribing, sleep
Authors: Greener Mark
Published: May 2014

JOURNALS WATCH

An in-depth analysis of the latest research, compiled by Mark Greener
Allergic rhinitis in children
Authors: Batt Rebecca
Published: May 2014

Seasonal Allergy

Rebecca Batt discusses the effects of seasonal allergic rhinitis on children and the treatment options available
Alcohol, probiotics, diabetes
Authors: Greener Mark
Published: May 2014

Journals Watch

In-depth analysis of the latest research. Compiled by Mark Greener
Assessing and managing thrush
Authors: Kochhar Suneeta
Published: May 2014

GYNAECOLOGY

Thrush is a common condition which can be recurrent. Suneeta Kochhar provides an overview
Pre-conception and antenatal care in type 2 diabetes
Authors: Abayomi Julie , Wood Lorna
Published: May 2014

OBSTETRICS

Women with type 2 diabetes need additional care and support both before conception and during pregnancy, explain Julie Abayomi and Lorna Wood
Disaster training: lessons learnt from the 2008 Sichuan China earthquake
Authors: Hung Kevin KC , Chan Emily YY , Graham Colin A
Published: May 2014

Gaps in training have been identified from reviews of the experiences of prehospital medical personnel faced with previous disasters like the Sichuan earthquake in 2008. It would be useful to identify and develop standardised training and educational core competencies in pre-hospital disaster training adapted to the local situation and health system in China. This paper identified six areas of training needs for responders to enhance their effectiveness in disaster settings. Two levels of training for frontline first responders and disaster response managers may be the best approach to encompass the wide range of competencies expected to deal with disaster situations. Healthcare professionals globally have much to learn from the experiences and lessons of natural disasters in China.
Providing medical aid to Brazzaville, the Republic of Congo
Authors: King Richard
Published: May 2014

Following five explosions in Brazzaville, the Republic of Congo on 4 March 2012, a field hospital was flown in from South Africa to help deal with the aftermath. Donated by the Ichikowitz Family Foundation, it aimed to treat the injured patients who were in excess of 2 300.

On arrival, a singular old-style army tent, sponsored by the French petroleum company Total, was the only medical service on the site. The tent was manned by staff from the French charity Médecins d'Afrique.

Building the hospital from the ground up took eight days and several late nights, during which time the population of the neighbouring refugee camp was growing. A four metre high wooden fence was built around the camp and hospital to keep some sort of control. The Red Cross and several other non-governmental organisations (NGOs) became actively involved, supplying clean water and food aid to the people.

Since the events of 4 March 2012, the field hospital has gone on to provide medical aid to the communities of Brazzaville, dealing predominantly with human immunodeficiency virus (HIV), tuberculosis (TB), cholera, hepatitis A, typhoid and malaria.

This article is a personal perspective that explains the origins of the field hospital and the work that it has done since 2012.
Striving for the professionalisation of Australian paramedics
Authors: James Pip Lyndon
Published: May 2014

For paramedical practitioners to realise their full potential, national registration is an essential component in gaining recognition by the broader healthcare industry. This paper's purpose is to evaluate if the paramedic industry is considered a profession by informed members of the public in isolation from paramedic culture. An altruistic opportunity exists to engage with the consumer and affording them the opportunity to be commensurate of the issues of registration, with the pretence to improve the delivery of paramedical services. The current literature somewhat examines paramedic professionalisation, by identifying the hallmarks of recognised professions and what may be restricting paramedicine from achieving national registration. The research methodology for this study employed focus groups and purposive interviews. The respondents in the research study were 48 first year students enrolled in the Bachelor of Paramedic Practice degree at the University of Tasmania (Rozelle campus, Sydney). The key thematics illuminated in the research were: that the government, paramedics and paramedicine are all accountable for the implementation of national registration. Tertiary education is synergistic to national registration and has the potential to enhance the quality of service delivery. This research is a significant contribution to paramedicine's literature, as its workforce strives for acknowledgement of their unique niche in the healthcare industry.
Community perceptions of the professional status of the paramedic discipline
Authors: Murcot Pauline , Williams Brett , Morgans Amee , Boyle Malcolm
Published: May 2014

Background: Despite proactive steps towards professionalism, the Australian out-of-hospital emergency care sector has not been formally recognised as a healthcare profession among other healthcare professions and Government bodies. The objective of this study was to examine community perceptions of the ‘professional’ status of the paramedic discipline and explore which attributes community members perceive as being most desirable for paramedics.

Methods: Two structured focus groups were conducted with volunteer community members (n=10) from regional and metropolitan Victoria, Australia. Participants were asked a range of questions, including what title they used in describing paramedics, whether they considered the paramedic a professional, and what they perceived the desirable paramedic attributes were. Thematic analysis and incidence density qualitative data analysis methods were used to examine the responses.

Results: The results suggest that the paramedic discipline is perceived as a ‘profession’ by the general community. Participants consistently reported the following attributes as most desirable for paramedics: high levels of skills, caring, empathetic, non-judgemental, culturally sensitive, quick thinkers, inclusive (including family members) trustworthy, honest, good communicators, highly educated, maintain confidentiality, physical fitness and being well groomed. Interestingly, community members used a variety of titles in referring to paramedics, these included: ‘ambulance drivers’, ‘ambulance officers, ‘ambos’, and ‘paramedics’, although it was clear that the term paramedic confused many participants.

Conclusions: The general community recognises paramedics as professionals. Interestingly, the term paramedic is still not synonymous among community members, suggesting further lobbying and role clarification is required. The public perceptions of the paramedic role and the desirable attributes of a paramedic provide important information and an extra dimension regarding curriculum development, core competencies, and establishment of standardised curricula.
Participatory action research and action learning: changing clinical practice in nursing handover and communication
Authors: Wilson Val , Ho Aileen , Walsh Raelene
Published: May 2014

Combining participatory action research (PAR) and action learning (AL) is an effective mechanism for healthcare practitioners who wish to change clinical practice: The outcome of a study on nursing handover and multi-disciplinary communication.

Traditionally verbal handovers are lengthy and time consuming resulting in nurses spending an unacceptable time away from patient care.

They lack structure and the information presented is often repetitive, incomplete, inadequate, or incorrect and therefore does not always present sufficient information to plan appropriate patient care.

The primary purpose of this study was to review the effectiveness of the traditional nursing handover (in one clinical unit) with the aim of developing and implementing evidence-based strategies that would improve practice. In addition, this study aims to highlight the appropriateness and effectiveness of using PAR and AL within ePD.

The results of the project indicated early adoption by nursing and medical staff of a database tool developed to assist handover. This improved multi-disciplinary communication, increased staff satisfaction, focussed staff on discharge planning and problem solving as well as reducing the time spent in handover. There remained however, areas for improvement and these were identified in order to begin the next rotation of the PAR cycle.

This study suggests that by combining PAR with AL clinicians not only succeeded in changing handover practice but were then able to take what they learned and use it to further develop projects within the unit. It is therefore important to consider carefully the process by which knowledge utilisation takes place in order to ensure that learning is an intended outcome rather than an unexpected consequence of participation.