bluuebunny/crossref_metadata_2025 huggingface dataset:
What's Changed in Asthma?
Authors: Bellamy David
Published: May 2014

The British Thoracic Society (BTS) 1997 Asthma Guidelines have at last been published. Henceforth to be known as the British Asthma Guidelines, they update, extend and reinforce information contained in earlier editions of BTS asthma guidelines (published in 1990 and 1993). Representing a consensus view of experts in primary and secondary care, their recommendations are as much evidence based as possible. Their aim is to retain total control of asthma symptoms, giving the patient a normal lung function and quality of life. The main changes are listed in Table 1.
Assessment of pain in the elderly
Authors: Weir Evelyn C , Burrow J Gordon , Bell Frank
Published: May 2014

Evelyn C Weir, J Gordon Burrow and Frank Bell outline the various methods to assess pain in an elderly population
Irritable bowel syndrome
Authors: Allison Francis
Published: May 2014

Irritable bowel syndrome affects around a fifth of the population, and although it is associated with worry and stress, its exact cause remains unclear
A guide to abdominal assessment
Authors: Cox Carol
Published: May 2014

Dr Carol Cox provides on overview of abdominal assessment for those who have taken, or are interested in taking the relevant training
Migraine
Authors: Cunningham Sheila M
Published: May 2014

Migraine affects 10 to 20% of the population, and causes major problems for sufferers
Setting the mental health standard
Authors: Armstrong Liz
Published: May 2014

Liz Armstrong examines the implications for primary care of the new National Service Framework for Mental Health
Challenges and benefits: Why do research?
Authors: Paniagua Hilary
Published: May 2014

In the first of a series of articles on how to undertake research, Hilary Paniagua asks what are the benefits and explains how to begin.
Malaria
Authors: Howell Karen
Published: May 2014

In the first of two articles on malaria, Karen Howell investigates the epidemiology and transmission of malaria. Next month's article will discuss clinical features and prevention for travellers.
Schistosomiasis
Authors: Driver Carolyn
Published: May 2014

Carolyn Driver investigates the prevalence and clinical presentation of schistosomiasis, also known as Bilharzia, and explores the risks and prevention for travellers.
Clinic Women's Health
Authors: Young Felicity
Published: May 2014

Investigation reveals that Sara has a chlamydia infection. Felicity Young examines the practice nurse's role in detecting and treating sexually transmitted chlamydia, and the associated sexual health promotion issues.
Ageing impairs skin, not the need for self-esteem
Authors: Stone Lynette
Published: May 2014

Skin problems affect the majority of older people. Lynette Stone argues that older people are no less concerned about their skin than the young, and have an equal right to treatment for the serious disorders of the skin that afflict them.
Onychomycosis: A case suitable for treatment
Authors: Greener Mark
Published: May 2014

Mark Greener examines the causes, presentation, diagnosis and treatment of fungal nail infections (onychomychosis), a common, unsightly and unpleasant condition.
Clinic Women's Health
Authors: Keatley Sheila
Published: May 2014

When Sheila Keatley was diagnosed with cancer, poor communication and lack of access to support increased her distress. Sheila's experience provides a patient’s perspective of receiving a cancer diagnosis and reveals how practice nurses and other health professionals can assist patients to obtain good support.
Travelling in a Spin?
Authors: Berrisford Simon
Published: May 2014

Everyone and everything is on the move these days. It is enough to make your head spin.
Hepatitis B
Authors: Howell Karen
Published: May 2014

Travellers should be provided with accurate information about the travel and lifestyle risks of hepatitis B, including post-exposure treatment and the risk of chronic symptoms
Food intolerances and children's nutrition
Authors: Ball Heidi
Published: May 2014

Allergies to food are less common than is often thought and are most common in children. Heidi Ball explains who can benefit from allergy tests and exclusion diets and why they are unhelpful if used inappropriately.
Clinic Asthma
Authors: Weller Trisha
Published: May 2014

Kate has suffered recurring asthma symptoms since her childhood, and her breathing has deteriorated just before she embarks on a flight to Los Angeles.Trisha Weller considers how to advise her.
Yellow fever
Authors: Howell Karen
Published: May 2014

Yellow fever is a mosquito-borne virus prevalent in tropical and subtropical areas of Africa and the Americas. Karen Howell explains its epidemiology, clinical features and methods of control and prevention.
Delivering asthma drugs more efficiently
Authors: Ryan Dermot
Published: May 2014

Dr Dermot Ryan assesses the benefits of Qvar, a formulation that delivers inhaled beclometasone dipropionate more efficiently throughout the airways.
Eczema on your mind?
Authors: Carlyle Ruth
Published: May 2014

Just dry skin? An untouchable skin disease? People who live with eczema experience a range of reactions to the condition. On the one hand, people underestimate the impact that eczema has on daily living. On the other, there is the stigma: children with eczema are prevented from playing with other children; and adults feel discriminated against at work or have problems forming relationships.
Treating gastrointestinal disorders with diet
Authors: Oliver JD , Reilly Helen
Published: May 2014

Jo Oliver and Helen Reilly survey a variety of gastrointestinal disorders for which practice nurses can give practical dietary advice or refer patients to a state registered dietitian.
Clinic Asthma
Authors: Cuffwright Margaret
Published: May 2014

Rebecca has been hospitalized many times for asthma and misses a lot of school. Margaret Cuffwright explains how her medication should be reviewed and considers issues of concordance (compliance).
CLINIC Cardiac
Authors: Levie Caroline B
Published: May 2014

George has been diagnosed with angina and referred to a nurse-led coronary heart disease clinic at his GP surgery. Caroline Levie considers the strict life-style changes which the nurse encourages George to make.
Easy risk assessment to meet NSF targets
Authors: Squire Tracy
Published: May 2014

Tracy Squire discusses Risk, a computer program which assesses patients' risk of coronary heart disease. Risk has produced some surprising results in a deprived part of South Yorkshire
Reducing suffering with pulmonary rehabilitation
Authors: Fehrenbach Chris
Published: May 2014

Chris Fehrenbach argues that a pulmonary rehabilitation programme can reduce the impact of COPD on patients and members of their family and that practice nurses can be proactive in implementing such programmes
Letter
Authors: Hann Flo
Published: May 2014

Both the RCN and UNISON declined invitations to respond publicly to this reader's letter on the subject of nurses' pay. We encourage readers to raise your concerns about pay in this journal, however uncomfortable the message might be for those who claim to represent you.
Rehabilitating cardiac patients in primary care
Authors: Inch Judith
Published: May 2014

Judith Imich explains what practice nurses can achieve working with heart patients according to the National Service Framework for Coronary Heart Disease.
Managing hypertension in older people
Authors: McIntosh Iain
Published: May 2014

Iain McIntosh looks at the management of hypertension in people over the age of 60 years, as recommended by to Guideline 49 from the Scottish Intercollegiate Guidelines Network (SIGN).
June Smail OBE: Teacher and reformer
Authors: Smail June
Published: May 2014

June Smail's contribution to the education and professional development of practice nurses earned her an OBE in the New Year's Honours list.
The diabetes challenge
Authors: Hall Michael
Published: May 2014

Practice nurses are the front-line troops in the battle to help people with diabetes, not least because diabetes is on the increase. It is projected that by 2010 the number of people with diabetes in Britain will double from 1.5million now to over 3million. The NHS must be prepared to support these people.
Behind the guidelines: Informing best practice
Authors: Madge Philippa
Published: May 2014

Philippa Madge led one of nine groups which reviewed the evidence for the new asthma guidelines, due to be published this summer. She draws on her experience to explain the secrets of guideline making and its application to everyday practice.
PALS pilot in Hillingdon
Authors: Taylor Sue
Published: May 2014

Hillingdon PCT has piloted patient advice and liaison services (PALS) since April 2001. Sue Taylor reviews the experience so far.
How to give child immunizations
Authors: Willey Jenny
Published: May 2014

The administration of childhood vaccinations in primary care is usually delegated to a practice nurse. The nurse is accountable for this work and must have been trained to vaccinate and to recognize and treat anaphylaxis (DoH, 1996). Nurses also need to adhere to locally agreed patient group directions (PGDs), which enable them legally to administer vaccines to specified groups without a prescription from a doctor.
Dermatology Clinic
Authors: Watts Jane
Published: May 2014

Discoid eczema and small-plaque psoriasis are often difficult to distinguish but require quite different treatments. Jane Watts discusses these presentations and poses three questions to test your understanding.
Male suicide prevention: The practice nurse's role
Authors: Peate Ian
Published: May 2014

In the second of two articles on male suicide, Ian Peate discusses the practice nurse's role in helping to prevent men from taking their own lives.
A survey of practice nurses' views of the RCN
Authors: Martin Jeannett
Published: May 2014

Jeannett Martin reports the results of a survey which asked practice nurses for their opinions about the RCN's support for practice nursing
Dermatology Clinic
Authors: Watkins Jean
Published: May 2014

Keratoacanthoma, basal cell carcinoma and squamous cell carcinoma often have similar presentations and an accurate diagnosis is required for effective treatment. Dr Jean Watkins investigates and poses three questions.
Randomized controlled trials: An introduction
Authors: Martin Jeannett
Published: May 2014

Jeannett Martin explains the essential aspects of randomized controlled trials and how to evaluate them
Dermatology Clinic
Authors: Watkins Jean
Published: May 2014

Blisters may have a variety of diagnoses, including bullous pemphigoid and insect bite. Dr Jean Watkins discusses the presentation of these two forms and poses three questions to test your understanding.
CLINIC Respiratory
Authors: Matthews Heather
Published: May 2014

End-stage chronic obstructive pulmonary disease can be terrifying. Heather Matthews departs from the usual Clinic format to tell the true story of Father Fred’s experience of dying from smoking.
When to treat lower respiratory infections
Authors: Thomas Mike
Published: May 2014

Mike Thomas investigates the causes of respiratory tract infections and discusses which patients are in need of antibiotics and which are likely to recover without treatment
Smoking, sex and fertility
Authors: Cross Sue
Published: May 2014

Amelia and Graham have smoked since they were teenagers.They want to give up because they are trying to conceive. Sue Cross explains how to help them.
The importance of accurate assessment
Authors: Bentley Jenny
Published: May 2014

In the first of a three-part series on achieving quality in leg ulcer management, Jenny Bentley looks at the need for accurate assessment
Standards of advice
Authors: Driver Carolyn
Published: May 2014

Standards in travel health advice are being addressed by a new organization set up by the Department of Health. Carolyn Driver investigates
Professional development for health care assistants
Authors: Gear Janet , Jackson Kim
Published: May 2014

As part of our continuing series on practice nursing in the Winchester area, Janet Gear and Kim Jackson report on a project to develop the health care assistant role
Songs of praise for practice nursing
Authors: Rees Mags
Published: May 2014

Mags Rees is a facilitator for the Heartlink Project in Wales. She spoke to Lucy Jolin about heart disease and dermatology nursing.
Diabetes
Authors: Beckwith Sue
Published: May 2014

The practice nurse refers Amy to her GP who remembers that Amy had gestational diabetes in her early thirties with her third pregnancy. The National Service Framework for Diabetes (Department of Health, 2002) describes a correlation between gestational diabetes and the increased risk of developing type 2 diabetes later in life, and states the need for opportunistic screening of those who have significant risk factors such as gestational diabetes. United Kingdom Prospective Diabetes Study (UKPDS) 6 (1990) has shown that many people newly diagnosed with type2 diabetes already have complications. Retinopathy is the most common of these, occurring in up to 21% of newly diagnosed patients.
Cardiology
Authors: Carr Nancye
Published: May 2014

Warfarin is readily absorbed from the gastrointestinal tract after oral administration. It is metabolized by the liver and kidneys and excreted, with relatively no anticoagulation activity in the urine and the stools (Majerus et al, 1996). The process of eliminating vitamin K-dependent coagulation proteins to alter the normal blood coagulation takes about 5 days (Majerus et al, 1996). Any factor that alters this process owing to interference in absorption, distribution, metabolism or the elimination of warfarin has the potential to increase or decrease the level of anticoagulation. This will be reported as a higher or lower than anticipated international normalized ratio (INR).
Teaching technique:Part 2
Authors: Pearce Linda
Published: May 2014

Dry powder inhalers function by inspirational force. Disaggregating the powder and drug delivery depends on inspiratory flow. The internal resistance varies between devices and determines the effort needed to achieve a given inspiratory flow rate. It is important that patients do not breathe out into any of these devices once they have been loaded, because the moisture may cause the powder to clog.
Re-engineering nurse prescribing
Authors: Martin Jeannett , Baird Anne
Published: May 2014

Jeannett Martin and Anne Baird report on last month's Nurse Prescribing Conference held in Birmingham on 11–12 February.
Dermatology Clinic
Authors: Watkins Jean
Published: May 2014

Acne vulgaris and acne rosacea are both common but completely separate conditions. When presented with a case it is important to make a careful inspection of any lesions at the outset so that a correct diagnosis is made; the treatment and management of each condition is different. The following discussion outlines the appearance of these two conditions and how they can be identified. The appropriate treatments are then discussed.
CLINIC Lung function testing
Authors: Booker Rachel
Published: May 2014

In Part 1 of a 3-part series, Rachel Booker looks at how and why peak expiratory flow is measured and at the uses of spirometry.
CLINIC Cardiology
Authors: Carr Nancye
Published: May 2014

In the third of a three-part series on avoiding error in oral anticoagulation management, Nancye Carr looks at the importance of good communication between practitioner and patient
A new nasal spray treatment for migraine
Authors: Salt Rebecca
Published: May 2014

Rebecca Salt looks at a new nasal spray formulation of zolmitriptan, used for the treatment of migraine
Working to improve adolescents' health
Authors: Shaw Sue
Published: May 2014

Sue Shaw, practice nurse in York, has developed new ways to promote the health of adolescents. She spoke to Lucy Jolin.
Risk management
Authors: Driver Carolyn
Published: May 2014

Carolyn Driver looks at the information needs of practice nurses who make health risk assessments for travellers
Conference eve
Authors: Howie Kate
Published: May 2014

Over the last year Practice Nursing has published a series of articles highlighting a variety of innovations across the north and mid-Hampshire area. Our aim has been to showcase this year’s 21st RCN National Practice Nurse Conference and to encourage practice nurses to think about coming to Winchester from 30 June to 2 July.
Improve glucose control and meet GMS targets
Authors: Leivesley Kate
Published: May 2014

Kate Leivesley explores how to use the quality and outcomes framework of the new GMS contract to help pateints improve glycaemic control
Joyce Skeet: Setting up a new practice
Authors: Skeet Joyce
Published: May 2014

Lucy Jolin talks to Joyce Skeet about establishing a general practice and her new approach to tackling diabetes
Setting up a register to improve epilepsy care
Authors: Ballantyne Gloria
Published: May 2014

Gloria Ballantyne explains how to improve the management of epilepsy by conducting an audit of the practice's registered epilepsy patients
Hypothyroidism:A guide to clinical practice
Authors: Bell Richard , Hurel Steven J
Published: May 2014

Richard Bell and Steven Hurel explain the physiology and management of hypothyroidism
Irritant v allergic contact dermatitis
Authors: Watkins Jean
Published: May 2014

A large variety of topical preparations are frequently used by patients. These may be prescribed, recommended or used by a doctor or nurse, be available over the counter for patients to buy and use as they think fit, or be found lying around in a medicine cabinet. Some of these preparations may cause adverse skin reactions described as contact dermatitis.
Are GPs overpaid?
Authors: Young Lynn
Published: May 2014

It is not often that GPs' earnings reach national press headlines but last month we learnt that a few GPs were paid the enormous salary of over £200 000. The fact that this was earned during a time of huge NHS financial deficits, NHS redundancies and low pay rises for NHS staff makes it particularly hard to swallow.
Better care for longer life with Parkinson’s
Authors: Handley Jacqui
Published: May 2014

Advances in the understanding and treatment of Parkinson’s disease are lengthening the lives of patients, explains Jacqui Handley, who gives an overview of diagnosis and management
Ensuring children are assessed correctly
Authors: Lee Polly
Published: May 2014

Polly Lee highlights a tool to help practice nurses assess their skills in caring for young people and children
Motivating patients to return to work
Authors: Brading Jean
Published: May 2014

Making a return to work following an illness can be a difficult time and health professionals can help with the transition. Jean Brading explains how work can be good for both you and your patient
New opportunities for enterprising nurses
Authors: Cernik Kate
Published: May 2014

Kate Cernik explores the new opportunities that are opening up to nurses to set up as alternative providers of primary care services, using their experience and expanding their skills
A transdermal patch for overactive bladder
Authors: Billington Angela
Published: May 2014

Angela Billington reviews the management of overactive bladder and considers the use of a transdermal patch
A pat on the back
Authors: Cox Bev
Published: May 2014

The Department of Health kicked the New Year off to a good start by announcing in the report ‘Shaping the future’ that coronary heart disease (CHD) deaths have fallen by 35% since 1996 (2007). This puts us on track for the 40% reduction that was set as a target in 2000 when the national service framework for coronary heart disease was launched. At the time this target was thought to be ambitious, even though deaths from CHD were already showing an improvement. It is still fantastic news to hear that the target may not only be reached but, based on current trends, be beaten.
Clinical Q&A
Authors: Carrier Judith , Brassey Jon
Published: May 2014

The NLH Question and Answering Service was set up for primary care practitioners to ask any question related to their clinical practice. Below are two recent questions asked. For full answers and references please refer to website at www.clinicalanswers.nhs.uk .
Monica Fletcher: Lobbying for health
Authors: Fletcher Monica
Published: May 2014

Monica Fletcher has applied her nursing skills and passion to the challenges of directing an educational charity. She spoke to Liam Benison
Are you a potential Queen's Nurse?
Authors: Cook Rosemary
Published: May 2014

Rosemary Cook explains the role of a Queen's Nurse, the title recently re-introduced by the Queen's Nursing Institute
What's in a label? Choosing healthier food
Authors: Miles Lisa
Published: May 2014

As people become more concerned about managing their weight in the face of the rising incidence of obesity, Lisa Miles questions the effectiveness of new schemes to help consumers interpret the nutritional contents of packaged food
Detecting and managing sarcoidosis
Authors: Perry Margaret
Published: May 2014

Practice nurses may be asked about sarcoidosis when giving X-ray results to patients. As Margaret Perry explains, sarcoidosis is a rare, sometimes asymptomatic condition which can affect all organs of the body and is difficult to diagnose
Malignant melanoma
Authors: Watkins Jean
Published: May 2014

There is an increasing public awareness of the dangers of sun exposure and possibility of developing malignant melanoma. Thinning of the ozone layer, global warming and constant media reminders of the risks of exposure to the sun are bringing patients to the surgery at the first sign of a mole or blemish on the skin.
The management of cystic fibrosis
Authors: Dack K , Cunha A , Madge S
Published: May 2014

The management of cystic fibrosis is often difficult for the 7500 children and adults living with the disease. As K Dack, A Cunha and S Madge explain, the practice nurse can play a crucial role in the provision of support for patients
Telangiectasia
Authors: Watkins Jean
Published: May 2014

Telangiectases are common. They are described as ‘visible small blood vessels in the upper dermis, which blanch on pressure’ (Lawrence and Cox, 2002: 306). They may be seen on the skin, nailfolds and mucous membranes. In many cases there is no obvious cause. In others there may be an inherited factor, while in some, telangiectasia may be an indication of an associated disease process, related to the effect of a medication or an insult to the skin such as sun exposure or radiotherapy (Lawrence and Cox, 2002). Telangiectasia need not suggest specific diagnosis, but may be a sign that will sometimes add weight to the possibility of an underlying disease or aggravating cause.
Jacqui Phare: Passion and drive
Authors: Phare Jacqui
Published: May 2014

Jacqui Phare's nomination for the WiPP leadership course has reinforced her love for health care, she told Liam Benison.
Delivering the HPV vaccine in primary care
Authors: Gray Sarah
Published: May 2014

Sarah Gray explains why Cornwall and Isles of Scilly PCT decided to implement the HPV vaccination programme through general practices, and the challenges ahead
Obesity: Meeting the public health challenge
Authors: Margerison Holly , Lang Beckie , Steer Toni
Published: May 2014

Obesity is a growing problem in society. Holly Margerison, Beckie Lang and Toni Steer discuss its impact on health and explain some strategies for its management
Good food for the gut: Advising on prebiotics
Authors: Miller Lou , Jenkins Gill
Published: May 2014

Lou Miller and Gill Jenkins discuss the action and potential health benefits of prebiotics and their role in primary health care
Improving access to critical patient data
Authors: Braunold Gillian
Published: May 2014

Gillian Braunold outlines the aims of the electronic summary care record being piloted in a number of PCTs in England, and explains the measures put in place to protect access to patient information
Ensuring cervical cytology is inclusive for all women
Authors: Edwards Marilyn
Published: May 2014

Miss P was a lesbian who falsely believed that she did not need to have a smear test. Nurse A explained the importance of smears and Miss P agreed to have one. Abnormal cells were detected and treated. Marilyn Edwards investigates this significant event.
Mary White:?Care around the world
Authors: White Mary
Published: May 2014

Mary White talks to Lucy Jolin about her worldwide work, and discusses her plans for online cervical smear training
Managing psoriasis in a variety of forms
Authors: Watkins Jean
Published: May 2014

Jean Watkins explains the recognition, diagnosis and management of four forms of psoriasis: guttate, palmoplantar, acrodermatitis continua, and erythrodermic psoriasis
Carol Stonham: A Queen's Nurse
Authors: Stonham Carol
Published: May 2014

Carol Stonham has recently won the Queen's Nurse title for her work in the community. She spoke to Lucy Jolin.
A sore throat or something else?
Authors: Stevens Deborah
Published: May 2014

Sore throat is one of the most common conditions presenting in general practice. It is an umbrella term for tonsillitis, pharyngitis or laryngitis. According to Hopcroft and Forte (2003), it is also the most overtreated and most controversial of symptoms, and usually the most mundane. However, a sore throat can also fall into the ‘red flag’ emergency category, and it is vital to recognize the conditions of quinsy (peritonsillar abscess), foreign body and epiglottitis, which require urgent referral (Table 1). Similarly, sore throat may be the first presenting symptom of a more serious underlying condition such as diabetes or oropharyngeal neoplasm, and the advice of a senior colleague should be sought when the practice nurse suspects a patient may have a condition that is beyond her competency to diagnose and treat (Nursing and Midwifery Council (NMC), 2004).
Psychosocial effects of infertility
Authors: Kendall Julie
Published: May 2014

Discovering your own infertility is an agonizing experience which can be aggravated by the often traumatic experience of fertility treatment. Julie Kendall explains.
Rosey Foster: Bitten by the bug
Authors: Hill Rosalind
Published: May 2014

Rosey Foster's career spans over 30 years and her devotion to primary care and the voluntary sector is unwavering. She spoke to Rosalind Hill.
Cold and flu response sheds light on dementia
Authors: Benison Liam
Published: May 2014

Clive Holmes outlined a new hypothesis for the aetiology of dementia in a stimulating presentation at Dementias 2008 in February. Liam Benison reports
Assessing genetic factors in heart disease
Authors: Tonkin Emma , Rafi Imran
Published: May 2014

Researchers are constantly revealing more about the role of genetics in cardiovascular disease. Emma Tonkin and Imran Rafi discuss how to use this knowledge to support patients in general practice
Norovirus
Authors: Watkins Jean
Published: May 2014

Robert was a healthy, fit 3-year-old. He woke suddenly in the night distressed, after vomiting profusely. His parents got no more sleep as he continued to vomit at intervals and cry from time to time with stomach pains. By morning he was starting with diarrhoea as well. When he refused breakfast and vomited back his milk, they rang the surgery.
Actinic keratosis: Preventing skin cancer
Authors: Godsell Gill
Published: May 2014

Gill Godsell explains the diagnosis and treatment options for actinic keratosis and considers the current NICE guidelines
Sick notes: Who pays?
Authors: Champion Gillian
Published: May 2014

In three words: we all do, as tax payers.
Travelling with COPD
Authors: Townend Mike
Published: May 2014

Travelling by air and at high altitude can cause particular problems for people with COPD. Mike Townend considers the risks and best advice for travellers
Opinions have impact
Authors: Martin Jeannette
Published: May 2014

Opinions are not necessarily facts, but we all have them. Patients' opinions will be central to the future development of the NHS.
Lobbying for you
Authors: Howie Kate
Published: May 2014

I recently gave a presentation at this year's Practice Nurse Conference in Cardiff and highlighted some of the work that the National Steering Committee Members of the RCN PNA have been doing on behalf of our members, and practice nursing as a profession. We are committed to the development of practice nursing, ensuring we have a voice at all levels, and are keen to get involved in a variety of initiatives.
Recognizing non-motor Parkinson's symptoms
Authors: Senior Brian
Published: May 2014

The Parkinson's Disease Society is offering short education sessions to general practices to increase the understanding of issues faced by patients. Brian Senior explains
Joanne Smith: back to her roots
Authors: Smith Joanne
Published: May 2014

Joanne Smith is a senior lecturer in primary care, but she spoke to Lucy Jolin about her joy at revisiting practice nursing.
Applying standards for medicines management
Authors: Plastow Liz
Published: May 2014

Liz Plastow explains key standards for the administration of medicines relevant to the nurse in general practice, and offers some advice on their interpretation and application
Good use of spirometry in general practice
Authors: Booker Rachel
Published: May 2014

Spirometry is an important diagnostic test for respiratory disease which must be conducted by appropriately trained practitioners, Rachel Booker explains
Assessing and treating colds in children
Authors: Griffith Heather
Published: May 2014

The average healthy child has 3 to 8 colds a year. Heather Griffith reviews the key considerations in assessment and the signs of more serious illness to look out for
Understanding inhaler devices, 1: Principles
Authors: Booker Rachel
Published: May 2014

In the first of two articles on inhaled therapy for respiratory diseases, Rachel Booker looks at pharmacokinetics and basic principles
Bacterial meningitis
Authors: Watkins Jean
Published: May 2014

The phone rang during a busy morning surgery. A mother's 9-monthold baby had woken in the morning unwell with a fever, and refused her morning feed. She had vomited once and seemed restless.
Hope for dementia
Authors: O'Connor Chris
Published: May 2014

Over the last month dementia has been making headline news with the launch of the Department of Health's National Strategy for Dementia (Department of Health, 2009). Those of us who have worked with under-resourced services for people with dementia have read and watched with interest at how the media talks about a ‘dementia crisis’, as if it is a new development. Across the health economy from general practice to specialist services, we have all said and felt that we lack the resources to provide adequate and appropriate care to patients with dementia.
Providing a community response to acute need
Authors: Clarke Susi
Published: May 2014

NHS Barking and Dagenham has set up a multidisciplinary rapid response service to improve care in the community. Susi Clarke explains
The management of leg ulceration
Authors: Benbow Maureen
Published: May 2014

It is important to identify the risk factors associated with chronic wounds as early as possible to facilitate timely healing. Maureen Benbow considers best practice for the management of leg ulceration
Supporting patients after a diagnosis with diabetes
Authors: Edwards Marilyn
Published: May 2014

A diagnosis of diabetes type 2 has made patient A very anxious. She had gone away and researched diabetes on the internet, and read many ‘scare stories’. It was up to nurse B to reassure her and provide her with helpful information and support
Bacterial vaginosis
Authors: Watkins Jean
Published: May 2014

Tracey's boyfriend was complaining that she ‘smelled’ and was accusing her of ‘playing away from home’. The atmosphere at home was fraught and she went to the surgery hoping her GP or nurse could back up her protestations of innocence. As far as she was concerned, the only problem was a slight excess of a greyish/white, slightly frothy discharge. On examination, apart from a cervical erosion and discharge, a ‘fishy’ smell was noticed. The pH level of the vaginal fluid was found to be greater than 4.5, which led to suspicions of bacterial vaginosis.
Treatments and issues of choice in depression
Authors: Gray Richard , Pfeil Michael , Jones Martin
Published: May 2014

Richard Gray, Michael Pfeil and Martin Jones explain how to recognize depression and treat it according to patients' needs
Sooiee Li-Yan-Hui: Multi-tasker
Authors: Li-Yan-Hui Sooiee
Published: May 2014

Sooiee Li-Yan-Hui combines practice nursing with working in an out-of-hours service. She spoke to Liam Benison
A very harsh judgment
Authors: Cox Bev
Published: May 2014

Margaret Haywood has been struck off the Nursing and Midwifery Council register for breaching patient confidentiality. From November 2004 to May 2005 she covertly filmed elderly patients on a ward at Brighton and Sussex University Hospitals NHS Trust for a BBC Panorama television documentary to expose poor patient care. Practice Nursing invited Bev Cox and Linda Nazarko to consider the implications of this case.
Breast cancer overview: Current treatments
Authors: Blowers Elaine , Foy Sharon
Published: May 2014

Elaine Blowers and Sharon Foy outline the current treatments for breast cancer and the potential side effects
Explanation prescribing: Self-care in practice
Authors: Wrixon Sarah
Published: May 2014

Sarah Wrixon explains the launch of the Self Care in Practice movement and the value of empowering patients to take responsibility for the managing minor ailments
Patient confidentiality and data protection
Authors: Edwards Marilyn
Published: May 2014

Mrs Butters attended the practice hoping to collect the results of her 20 year-old daughter's swab test. She became hostile when the nurse explained that she could not disclose the information without written consent from her daughter
The art of learning to teach interprofessionally
Authors: Goldsmith Jan , Clarke Bob , Cross Sue
Published: May 2014

Jan Goldsmith, Bob Clarke and Sue Cross explain the aims and objectives of an interprofessional programme open to nurse educators
Online workshops for nurses could save time and money
Authors: White Mary
Published: May 2014

Mary White argues that online refresher and update workshops could offer a quick and inexpensive resource for professional development
Nursing participation in travel medicine
Authors: Willcox Adrienne
Published: May 2014

Nurses are leading the way in the field of travel health. Adrienne Willcox reports on the International Society of Travel Medicine conference
Effective use of drugs in Alzheimer's disease
Authors: McGuinness Bernadette , Wilson David , Todd Stephen , Passmore Peter
Published: May 2014

Bernadette McGuinness, David Wilson, Stephen Todd and Peter Passmore provide an introduction to the use of acetylcholinesterase inhibitors in Alzheimer's disease. They look at the potential benefits and limitations of the drugs, highlight the importance of regular review, and provide guidance about maximising the benefits of treatment, and deciding when to discontinue or switch medications.
Better understanding makes diagnosis faster
Authors: Dickens Helen
Published: May 2014

Helen Dickens explains why it is so important for people to seek advice if concerned about their memory.
Volunteer nursing in Peru
Authors: Stewart Agnes
Published: May 2014

Agnes Stewart enriched her nursing skills and experience by providing primary health care to villagers along the banks of the Amazon. She shares what she learnt aboard a boat for 2weeks
Age-friendly care
Authors: Harrop Andrew
Published: May 2014

It is not news that older people are the largest users of most health-care services. People over 65�years occupy almost two thirds of general and acute hospital beds and are more likely to visit their general practice than younger adults. With the exception of a few specialist areas, nurses will regularly come into contact with older people.
A reason to be grateful
Authors: Evans Suzanne
Published: May 2014

Suzanne Evans has faced the physical, psychological and social effects of cervical cancer. She tells her story
Mo Lewis: I found my niche
Authors: Williams Lynette Mary
Published: May 2014

Mo Lewis knew she wanted to nurse and teaching from a young age. She spoke to Lynette Mary Williams
Right on target
Authors: Greenfield Jenny
Published: May 2014

A team of East Sussex practice nurses have been planning the 2010 Royal College of Nursing Practice Nurse Association annual conference since 2004. That was when we put in our bid at the Winchester conference. We wanted this conference to be 10 years on from when Brighton held the conference in 2000. Some of us were part of the Brighton conference so it is interesting to see how times have changed.
Promoting practice nursing from the rooftops
Authors: Benison Liam
Published: May 2014

The recent Scottish Practice Nurses Association annual conference showed why practice nurses’ contribution needs to be better recognized and rewarded. Liam Benison reports
Revisiting diagnosis and assessment of asthma
Authors: Bostock-Cox Beverley
Published: May 2014

Beverley Bostock-Cox reviews the basic principles and evidence-based recommendations for making a diagnosis of asthma and supporting patients with self-management
Assessment of retinopathy
Authors: Gillibrand Warren , Holdich Phil
Published: May 2014

Warren Gillibrand and Phil Holdich explain the importance of screening all patients with diabetes annually for retinopathy as in the majority of cases effective treatment can be given to maintain visual function
Cuts at what cost?
Authors: Benison Liam
Published: May 2014

As I write, politicians are debating the harshest budget cuts since World War II (Institute of Fiscal Studies) (Elliot and Allen, 2010).
Meningitis and septicaemia: diagnosis and prevention
Authors: Beckett Gail
Published: May 2014

Meningitis and septicaemia can cause alarm, often because of their unexpected and rapid onset. Gail Beckett explains diagnosis, management and public health measures
Kath Hier: Facilitating primary care nursing
Authors: Mary Williams Lynette
Published: May 2014

Reorganizations in primary care have led Kath Hier to work in innovative nursing posts.
Meningitis ACW135Y vaccine for travellers
Authors: Willcox Adrienne
Published: May 2014

Keeping up to date with the frequent changes to vaccination recommendations is often a challenge for busy practice nurses. Selecting travel vaccines can cause anxiety because there is usually no universal ‘right choice’ — clinical decisions depend on the skilled assessment of the traveller as well as the trip and will differ between individuals.
Assessment and support of women with sexual dysfunction
Authors: Phillips Anne , Khan Karen E
Published: May 2014

Many women with diabetes experience sexual dysfunction, which can be caused by a variety of factors. Anne Phillips and Karen Khan discuss the practice nurse's role in helping women deal with this problem
Criteria for choosing hepatitis A vaccine
Authors: Driver Carolyn
Published: May 2014

Health professionals giving travel health advice to patients need to perform a risk assessment and then manage the risks that have been identified. This involves a mix of advice and prophylactic measures such as vaccination. An understanding of the diseases, their mode of transmission, and prevention strategies are important for this process.
Appropriate treatment choice
Authors: Pritchard Jillian
Published: May 2014

In the second of this two-part series, Jillian Pritchard outlines the effective treatment of thrush, which requires a sound diagnosis and choice of the most suitable therapy for the individual woman
Jan Gower: The commissioning role
Authors: Gower Jan
Published: May 2014

Jan Gower discusses the importance of having a local practice nurse involved in a commissioning role
Practice nurses ruled out
Authors: Selby Ana
Published: May 2014

Practice nurses have been ruled out of the registered nurse post on their local CCG governing body. Ana Selby suggests alternative ways that nurses can exert their influence on commissioning
Managing diabetes during the holy month of Ramadan
Authors: Wisher Ann Maria
Published: May 2014

Lifestyle and cultural activities can have challenging implications when managing people with diabetes. Ann Maria Wisher identifies the importance of advice about diet and fasting during Ramadan
Sexuality and intimacy in people with dementia
Authors: Bamford Sally-Marie
Published: May 2014

People with dementia may have personal and social needs with regards to sexuality and intimacy, but these are often misunderstood. Sally-Marie Bamford highlights the importance of improving levels of understanding
Childhood asthma: going back to the basics
Authors: Cremonesini David , Cremonesini Louise
Published: May 2014

David and Louise Cremonesini look at the management of childhood asthma and highlight the importance of assessing adherance and allergy on a regular basis
Understanding bleeding in the menopause
Authors: Holloway Debra
Published: May 2014

Debra Holloway outlines possible causes for bleeding in the menopause, offering advice on a variety of treatment and management options
Evidence-Based Management 60: Sexual dysfunction: refections on a neglected area of diabetes care
Authors: Raper Maria
Published: May 2014

Maria Raper shares her personal refections on how to achieve person-centred diabetes care and Quality and Outcomes Framework requirements. She also talks about the importance of discussing sexual dysfunction
Sarah Lang: Keep up to date
Authors: Lang Sarah
Published: May 2014

Sarah Lang talks about her work for the Vaccine Advice for CliniCians Service (VACCSline) and supporting excellence in immunization care
Treating IBS in practice: a new aspect of care
Authors: Read Nick , Rampersad-Smith Lystra
Published: May 2014

Nick Read and Lystra Rampersad-Smith provide an overview of irritable bowel syndrome (IBS) and discuss the practice nurse's role in treating it
The introduction of a new preventive vaccine for shingles
Authors: Oakley Simon , Goodband Adam
Published: May 2014

Simon Oakley and Adam Goodband look at the treatment and management of shingles and consider the efficacy of a preventive vaccine
Crystal Oldman: Focus on the frontline
Authors: Oldman Crystal
Published: May 2014

Crystal Oldman looks back on her experiences as a community nurse and her transition from nursing to managing the Queen's Nursing Institute
Preventing infection transmission in practice
Authors: Gorrell Michelle
Published: May 2014

Michelle Gorrell summarizes new guidance on infection prevention and control and looks at the role practice nurses play in implementing these standards
Leigh Toogood: A new perspective
Authors: Toogood Leigh
Published: May 2014

Leigh Toogood reflects on her transition from secondary to primary care and the need to provide new practice nurses with professional support
Coping with money worries
Authors: Hooper Roz
Published: May 2014

In the second article in a new series, Roz Hooper looks at how two practice nurses found advice and support from the RCN welfare service to resolve financial difficulties
SPNA 2013: working for practice nurses in Scotland
Authors: Aikman Rhona
Published: May 2014

Topics addressed at this year’s SPNA conference in Edinburgh included the changing nature of the population, managing long-term health conditions, polypharmacy in the elderly and the benefits of physical activity
Spirometry 2: performing the test
Authors: Loveridge Chris
Published: May 2014

In the second article of a series on spirometry, Chris Loveridge looks at how to perform the test and gives tips on delivering quality spirometry
Gastroparesis associated with diabetes: diagnosis and treatment
Authors: Morrison Gill , Weston Philip
Published: May 2014

Gastroparesis associated with diabetes can cause extremely unpleasant bloating, nausea and vomiting, which lead to erratic absorption of glucose. Gill Morrison and Philip Weston explore the management of this condition.
Cancer and diabetes: new links and new challenges
Authors: Morganstein Daniel , Feher Michael
Published: May 2014

Focusing on the links between diabetes treatment and cancer risk, Daniel Morganstein and Michael Feher discuss the complex clinical needs of patients with diabetes and cancer, and the management of both conditions.
Coopting support to help a man live independently with COPD
Authors: Hunter Claire
Published: May 2014

Claire Hunter discusses the care regimen put in place for an elderly man with chronic obstructive pulmonary disease (COPD) whose learning disability required clinical judgment to apply evidence-based practice
Are e-cigarettes an aid to smoking cessation?
Authors: Cope Graham
Published: May 2014

Graham Cope gives an overview of the physiological effects of electronic cigarettes and discusses the ethical dilemma associated with them
Managing asymptomatic bacteriuria in the elderly
Authors: McNulty Cliodna
Published: May 2014

Cliodna McNulty discusses the treatment of urinary tract infections in the elderly and how to minimize the emergence of antibiotic resistance through targeted prescribing
Body piercing and tattooing: a trend and its complications
Authors: Phillips Anne
Published: May 2014

Body art, particularly piercings and tattoos, is becoming increasingly common in adolescents and young adults. Anne Phillips discusses potential complications of these procedures and their management for people with diabetes
Helen Duncan: From fantasy to reality
Authors: Duncan Helen
Published: May 2014

Helen Duncan, who writes as Frion Farrell, is a practice nurse from Lancaster who has just published her first fantasy fiction novel
Smoking and COPD: accelerated lung ageing
Authors: Cope Graham
Published: May 2014

Graham Cope looks at the harmful effects of smoking on lung function and highlights the importance of smoking cessation interventions in people with chronic obstructive pulmonary disease (COPD)
Weight management and learning disabilities
Authors: Mulrooney Hilda
Published: May 2014

Hilda Mulrooney provides an overview of the contributing factors of obesity in people with learning disabilities and discusses practical ways to approach weight management
Familiar faces
Authors: Jackson Caroline , Miller Collette
Published: May 2014

Children love to look at photos of people they know and you will often find them looking through the family album to see who they recognise. Why not make a book together of all the people they know and love and come in contact with on a regular basis?
Using everyday objects
Authors: Pearson Linzi
Published: May 2014

Using everyday household objects can save you money and enrich children’s learning experiences. Items such as spoons and empty plastic bottles often keeps them more occupied than bought toys, says Linzi Pearson
Cut and stick a snowman
Authors: Jackson Caroline , Miller Collette
Published: May 2014

It may not be snowing outside but you can offer children that magical experience in a creative way before the snow has come and long after it melted away!
Every Child Matters: Enjoying and achieving
Authors: Wilcock Liz
Published: May 2014

The outcome ‘Enjoying and achieving’ covers National Standard 3: Care, Learning and Play. Liz Wilcock looks at how you might achieve this standard with children
Five little ducks
Authors: Jackson Caroline , Miller Collette
Published: May 2014

Children love songs and rhymes but they don’t all have the confidence or ability to sing along or join in with the actions. Using props is a brilliant way to get all children to take part in your singing sessions in some way.
Mrs Lily's spring story
Authors: Andrews Jackie
Published: May 2014

‘Thanks, Mrs Lily’ called the nursery school children as they crossed the road and went in through the school gate.
Getting parents involved
Authors: Taylor Pam
Published: May 2014

What can you do to give parents an insight into what nursery education is all about and encourage them to volunteer their help? Pam Taylor offers some starting points and overleaf are some guidelines for you to photocopy for potential parent helpers.
How to save energy - a check-list
Authors: Rodway John
Published: May 2014

Energy is probably not high on your list of priorities. However, excessive energy use diverts precious funds away from enhancing the learning experiences of children. This check-list from John Rodway suggests some ways of reducing the energy drain on precious learning resources. Some cost nothing to implement, it is just a matter of changing procedures. Others require a small investment that will normally pay for itself within a couple of years.