bluuebunny/crossref_metadata_2025 huggingface dataset:
Therapeutic options for urinary incontinence
Authors: Howard Faith
Published: May 2014

Conservative options should be explored before pharmacological or surgical alternatives, as they are associated with fewer side-effects, Faith Howard argues
Recognising heart failure symptoms
Authors: Bell Suzanne
Published: May 2014

Nurses have a key role in the diagnosis of this challenging disease in primary care.
Caring for depression
Authors: Rogers Melanie
Published: May 2014

Updated NICE guidance on depression has been summarised by Melanie Rogers.
Helping teenagers to stop smoking
Authors: Percival Jennifer
Published: May 2014

Providing consistent messages on the risks of smoking is key, writes Jennifer Percival.
Managing vulvovaginal candidiasis
Authors: Aziz Zara
Published: May 2014

Most women will have a candidal infection at some point in their life, writes Dr Zara Aziz.
Measuring BP in an obese patient
Authors: Cornforth Amber
Published: May 2014

Correct equipment and technique are crucial, says Amber Cornforth.
Managing allergic rhinitis
Authors: Morris David
Published: May 2014

A variety of drugs are available to provide relief from allergic rhinitis.
Prescribing for acne
Authors: Tubb Clive
Published: May 2014

Psychological issues and eczema needed consideration.
Practical prescribing - Controlled drugs administered by healthcare assistants
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers.
Social networking for nurses
Authors: Young Jim
Published: May 2014

Online interaction can improve clinical practice, but nurses should keep confidentiality in mind.
Child care and nurses’ duty of confidentiality
Authors: Dimond Bridgit
Published: May 2014

Nurses must balance confidentiality with welfare issues when working with young patients. Bridgit Dimond discusses the legal principles that should be considered
Recognising and assessing eczema
Authors: Van Onselen Julie
Published: May 2014

Prompt diagnosis of eczema type leads to better treatment choices and a better outcome for the patient, Julie Van Onselen explains
Clinical focus - Diabetic retinopathy
Authors: Gillibrand Warren , Holdich Phil
Published: May 2014

Epidemiology, aetiology, management and screening
Late-onset group B streptococcus infection
Authors: Anguita Maria
Published: May 2014

Testing pregnant women could save the NHS £37 million a year and safeguard babies who are at risk of death or permanent problems, writes Maria Anguita
The management of gastroenteritis
Authors: Shepherd Alison
Published: May 2014

In the second instalment of a two-part series on gastroenteritis, Alison Shepherd argues that management should involve a multidisciplinary team
Raynaud's phenomenon
Authors: Mawdsley Anne
Published: May 2014

Overall key points

Raynaud's phenomenon is very common and can be associated with pain and loss of hand function. Some more serious cases are associated with an underlying disease, such as scleroderma. Raynaud's phenomenon may be the first symptom of another disease, and specialist assessment is required if there are concerns about another condition or if the case is severe. Lifestyle changes can make a difference in the management of this condition.
Managing bipolar disorder
Authors: Gray Richard
Published: May 2014

Early diagnosis is essential to ensure patients are started, and remain, on effective treatment. Screening increases rates of detection.
Cardiac rehabilitation: the nurse's role
Authors: Conway Barbara
Published: May 2014

Barbara Conway and Dave Ferguson outline the contribution of nurse independent prescribers to the various stages of cardiac rehabilitation in a community-based service
Chocolate and weight loss
Authors: Mongin-Bulewski Carole
Published: May 2014

In-depth analysis of the latest research.
Antithrombotics and nausea
Authors: Mongin-Bulewski Carole
Published: May 2014

In-depth analysis of the latest research. Compiled by Dr Carole Mongin-Bulewski
The management of telangiectasia
Authors: Watkins Jean
Published: May 2014

Dr Jean Watkins provides an overview of some of the common dermatological conditions that can be grouped under the term telangiectasia
Parkinson's and atrial fibrillation
Authors: Mongin-Bulewski Carole
Published: May 2014

In-depth analysis of the latest research. Compiled by Carole Mongin-Bulewski
Preventing and managing obesity
Authors: Lazarou Chrystalleni
Published: May 2014

Dietary factors associated with the development of obesity are complex and still not fully understood.
Gout
Authors: Greener Mark
Published: May 2014

Overall key points

Up to 90 per cent of cases of gout arise from under-excretion of urate.

Acute gout usually develops rapidly, often beginning at night in the first metatarsophalangeal joint.

If drug and lifestyle changes do not adequately treat the underlying hyperuricaemia, patients can develop recurrences and chronic tophaceous gout.

Cardiovascular and other comorbidities are common.
Managing bronchiectasis
Authors: Ozerovitch Lorraine
Published: May 2014

Early diagnosis is important for good medical management, to control symptoms and prevent progression.
Refugees and asylum seekers
Authors: Dyson Simon , Culley Lorraine
Published: May 2014

The health of asylum seekers may deteriorate after entry to the UK.
Dietary issues after bariatric surgery
Authors: Phillips Frankie
Published: May 2014

Bariatric surgery is a viable option for weight loss, but lifestyle changes, including a healthy diet, remain vital to manage obesity, explains Dr Frankie Phillips
The management of wound exudate
Authors: Adderley Una
Published: May 2014

Wound exudate can play an important role in healing if it is managed appropriately and the correct dressing is chosen and applied.
Treatment options for managing psoriasis
Authors: Lawton Sandra
Published: May 2014

Psoriasis treatments should be tailored to individuals, as patients differ in how they tolerate, cope with and respond to various treatments.
Screening for breast cancer: the nurse's role
Authors: Harmer Victoria
Published: May 2014

Because primary care nurses are often the first port of call for queries on breast cancer screening, they should be armed with correct information.
Using ‘mindfulness’ to help treat anxiety and depression
Authors: Bashford Suzy
Published: May 2014

NICE recommends the use of mindfulness techniques as a psychological therapy.
Practical prescribing- Molly Courtenay
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers
Changes to the GMS contract 2012/13
Authors: Lepper Joe
Published: May 2014

Pay will be frozen, QOF thresholds will increase, but there may still be positives for practice nurses.
Alternative methods to treat migraine
Authors: Anguita Maria
Published: May 2014

Although there is no cure to migraine, a wide range of effective treatments and management techniques are available to reduce its impact.
Testing for prostate cancer in primary care
Authors: Peate Ian
Published: May 2014

Practice nurses are ideally placed to help men understand important issues relating to prostate cancer, testing and management of the condition.
Treating insect bites and stings
Authors: Sprague Debra
Published: May 2014

Though insect bites and stings tend to cause minor reactions, it is important that they are dealt with correctly in order to avoid complications.
Managing glucose in type-1 diabetes
Authors: Oliver Lindsay
Published: May 2014

Following a diagnosis of type-1 diabetes, the focus is on regulating blood glucose levels, carbohydrate counting and insulin administration
Helping to deliver the health visiting vision
Authors: Adams Cheryll
Published: May 2014

Health visitors must seize the opportunity to transform the profession and improve patient care.
Women's life perceptions
Authors: Elgán Carina
Published: May 2014

Investigating middle-aged women's life perceptions could help guide individualised health promotion work.
Play your part in commissioning
Authors: Alexander Sarah
Published: May 2014

Nurses at NHS Redbridge are core members of a front-running pathfinder consortium.
The role of rapid access chest pain clinics
Authors: Marshall Kathy
Published: May 2014

Rapid access chest pain clinics offer primary care teams quick assessment of patients presenting with chest pain.
Management of genital warts
Authors: Keefe Alison
Published: May 2014

A diagnosis of genital warts is frequently associated with emotional feelings of guilt, anger, and disgust, writes Alison Keefe
The role of cholesterol
Authors: Mulryan Chris
Published: May 2014

Chris Mulryan looks at the essential role that cholesterol plays in the body, and discusses the diseases that can be accelerated if levels are too high
Calcium, pneumonia and coffee
Authors: Greener Mark
Published: May 2014

In-depth analysis of the latest research.
Emotional burden of psoriasis
Authors: McAteer Helen , Renton Carla
Published: May 2014

Nurses can provide emotional support to patients in five key ways
Managing food allergy and food intolerance in infants
Authors: McManus Lindsey
Published: May 2014

Between 5- 6 per cent of young children in the UK suffer from a food allergy, which appear to be becoming increasingly common.
Glaucoma, coffee and smoking
Authors: Greener Mark
Published: May 2014

In-depth analysis of the latest research, compiled by Mark Greener
Patients and commissioning
Authors: Armstrong Rachel
Published: May 2014

Patients and the public have a vital part to play in influencing the clinical commissioning agenda, writes Rachel Armstrong
Breathing patterns, emotions and asthma
Authors: Upton Jane
Published: May 2014

Asthma is associated with high levels of psychosocial morbidity such as anxiety disorders and depression, writes Jane Upton
Men and eating disorders
Authors: Pete Ian
Published: May 2014

Around 10 per cent of people diagnosed with an eating disorder are male. Ian Peate looks at the causes and the needs in this under-diagnosed patient group
The assessment, diagnosis and management of asthma
Authors: Kaufman Gerri
Published: May 2014

Persistent asthma symptoms cause significant morbidity and poor control leads to increased hospital admissions, writes Gerri Kaufman
Olympic homage to the NHS
Authors: Higgins Bernadette
Published: May 2014

The NHS must evolve to meet need, while keeping true to its founding principles, writes Bernadette Higgins
Taking the initiative: Dave Dawes provides practical advice for nurse leaders and entrepreneurs
Authors: Dawes Dave
Published: May 2014

I am setting up a social enterprise organisation; could you provide advice on recruiting suitable team members?
Diabetes patients at risk of malnutrition
Authors: Hughes Siobhan
Published: May 2014

Malnutrition is often unrecognised in people with diabetes but community nurses can help educate patients and alert specialists if required.
Managing pain during the removal of wound dressings
Authors: Benbow Maureen
Published: May 2014

Pain and trauma during dressing removal causes distress and delays healing. Maureen Benbow explains how nurses can help minimise pain
Networking for education
Authors: Harris Sally
Published: May 2014

Practice nurses can address professional isolation by developing networking groups.
A case of compression therapy
Authors: Yarwood-Ross Lee , Haigh Carol
Published: May 2014

A venous leg ulcer can be managed by improving patient self-care
Dilemma: MMR and egg allergy
Authors: Higgins Bernadette
Published: May 2014

Questioning clinical practice does not always lead to clear or definitive answers.
Management of malodour in palliative wound care
Authors: Gethin Georgina
Published: May 2014

Georgina Gethin looks at the causes of wound malodour in palliative patients, and current management strategies
Weight loss in type 2 diabetes
Authors: Kime Nicky
Published: May 2014

OBESITY

Support from nurses is crucial to help obese and overweight patients achieve and maintain weight loss, explains Nicky Kime
Lichen planus in pictures
Authors: Watkins Jean
Published: May 2014

LICHEN PLANUS

A relatively common, itchy, non-infectious rash, usually occurring in those over thirty, can present in a variety of different ways, writes Dr Jean Watkins
Obstructive sleep apnoea
Authors: Brown Harry
Published: May 2014

Losing weight often leads to improvement in the symptoms of obstructive sleep apnoea, writes Dr Harry Brown
Pneumonia, diabetes and prostate cancer
Authors: Greener Mark
Published: May 2014

In-depth analysis of the latest research, compiled by Mark Greener
Holistic assessment: the patient and wound
Authors: Cornforth Amber
Published: May 2014

HEALING

Careful and accurate assessment of a wound and patient maximises wellbeing and healing. Amber Cornforth provides an overview
Holistic support for IBD patients
Authors: Todorovic Vera
Published: May 2014

Patients with IBD can self-manage and feel in control of the disease when empowered through provision of information and support, writes Vera Todorovic
Antihypertensives, adherence, autism
Authors: Greener Mark
Published: May 2014

In-depth analysis of the latest research.
Importance of pharmacotherapies for successful smoking cessation
Authors: Attar-Zadeh Darush
Published: May 2014

SMOKING CESSATION

Darush Attar-Zadeh clarifies some recent changes to smoking cessation therapies
Teamwork and change: what could we do differently?
Authors: Forrest Caroline
Published: May 2014

Conflict resolution can be aided by clarifying perceptions of the conflict and conflicting parties, building shared positive power, and developing ‘do-ables’
Improving diagnosis of malaria
Authors: Duncan Deborah
Published: May 2014

Imported cases of malaria are rising and UK practice nurses must enhance their ability to diagnose the disease, in additon to providing advice on prevention
Common scalp conditions
Authors: Watkins Jean
Published: May 2014

Scalp conditions that may present in primary care include male pattern baldness, psoriasis of the scalp and squamous cell carcinoma,
Management of gestational diabetes in primary care
Authors: Morris David
Published: May 2014

Perhaps the most influential role of primary care nurses in gestational diabetes is in its prevention,
Contraceptive options for women with medical conditions
Authors: Kochhar Suneeta
Published: May 2014

Women with a need for contraception should be given information about and offered a choice of all methods, according to NICE. Contraceptive counselling should be individualised to the woman and her needs. This involves understanding a woman's
A voice for community nursing
Authors: Woods David
Published: May 2014

Tucked away in a narrow street in Clerkenwell, London WC1, is the headquarters of the Queen's Nursing Institute (QNI), the small-but-influential charity dedicated to improving the nursing care of people in their own homes.
Clinical focus - Hirsutism
Authors: Rutkowski David , Ali Faisal , Yell Jennifer
Published: May 2014

Overall key points Hirsutism may be idiopathic or caused by use of medications or disease states Initial observations may be deceptive owing to use of cosmetics to conceal excess hair Physical examination,patient history, body mass index, and blood tests are used to diagnose hirsutism Treatment may include local, cosmetic treatments and systemic interventions to treat hormone imbalance Health professionals must consider the psychological impact of hirsutism and refer if necessary
The priorities for nurse education
Authors: Woods David
Published: May 2014

Nurses' leaders and health ministers are at odds over changes to nurse training and education, writes David Woods
Spotting sepsis as early as possible can save lives
Authors: Ellis Gemma
Published: May 2014

EARLY IDENTIFICATION

Many lives could be saved if healthcare practitioners were more aware of the signs. Gemma Ellis explains further
Pelvic inflammatory disease: a common cause of morbidity
Authors: Kochhar Suneeta
Published: May 2014

GYNAECOLOGY

Pelvic inflammatory disease is often asymptomatic and requires prompt treatment, explains Suneeta Kochhar
The fundamentals of eye health in people with diabetes
Authors: Phillips Anne
Published: May 2014

Diabetes

Regular eye screening is vital for people with diabetes, and nurses have an important role to play in encouraging attendance at screening, says Anne Phillips
Prehospital care data for traffic injury prevention: what Pakistani research tells us
Authors: Waseem Hunniya , Bhatti Junaid A
Published: May 2014

Pakistan is facing an increasing burden of road traffic injuries (RTI). Previous studies showed that prehospital care data could be useful in RTI burden assessment. Recently, an advanced prehospital care system based on international guidelines was established in Pakistan. Our situational analyses indicated several discrepancies in their data—for example, using single sheets for recording multiple patient data thus facilitating missing information; subjective reporting of outcome (stable or okay); no electronic data entry, and underused global position system tracking for identifying crash locations. Furthermore, no stakeholders were identified to use this data for prevention purposes. In conclusion, the great potential for prehospital care data has not been explored in Pakistan, and devoting appropriate structural and human resources could be the key for future RTI advocacy and decision-making for prevention purposes.
Paramedic clinical decision-making in mental health care: a new theoretical approach
Authors: Parsons Vaughan , O'Brien Louise
Published: May 2014

This article aims to present a new theoretical approach for examining paramedic clinical decision-making in relation to mental health care. Recent theorizing has begun exploring key clinical decision-making approaches that are particularly relevant to paramedic practice. These approaches have also revealed some important factors that influence clinical decision-making behaviours among paramedics such as prior experience and clinical and tacit knowledge. The literature, however, provides very little insight into the clinical decision-making strategies paramedics draw on and use when dealing with mental health patients, in particular, those patients who are dealt with under involuntary provisions of mental health legislation. In addition, the literature provides limited coverage to account for how paramedics deal with and mitigate risk factors relating to patients experiencing a mental health emergency. Following these shortcomings, this article will propose the use of hermeneutic phenomenological methods as a suitable and innovative interpretive research approach for examining paramedic clinical decision-making in relation to prehospital mental health care. It is argued that this approach is well suited for exploring how paramedics make sense of their experience providing emergency mental health care, how they perceive their role within the clinician-patient relationship, and the particular circumstances in which paramedics exercise their legislative responsibilities under mental health legislation.
Massive haemorrhage: a current perspective
Authors: Johansson Pär I , Ostrowski Sisse R
Published: May 2014

Trauma and massive haemorrhage are associated with coagulopathy secondary to tissue injury, hypoperfusion, dilution, and consumption of clotting factors and platelets occurring already at the scene of the accident. Concepts of damage control surgery have evolved prioritizing early control of the cause of bleeding by non-definitive means, while haemostatic control resuscitation seeks early control of coagulopathy. Haemostatic resuscitation provides transfusions with plasma and platelets in addition to red blood cells in an immediate and sustained manner as part of the transfusion protocol for massively bleeding patients and consequently limiting the amount of crystalloids and colloids are crucial for avoiding further impairment of haemostatic competence. Transfusion of red blood cells, plasma and platelets in a similar proportion as in whole blood prevents both hypovolaemia and coagulopathy. Results from recent before-and-after studies in massively bleeding patients indicate that trauma exsanguination protocols involving early administration of plasma and platelets are associated with improved survival. Furthermore, viscoelastic whole blood assays, such as thrombelastography (TEG) appear advantageous for identifying coagulopathy in trauma patients with severe haemorrhage as opposed the conventional coagulation assays. In our view, patients with uncontrolled bleeding, including trauma patients, should be treated with goal-directed haemostatic control resuscitation involving early administration of plasma and platelets and based on the results of TEG analysis. The aim of the goal-directed therapy should be to maintain a normal haemostatic competence until surgical haemostasis is achieved, as this appears to be associated with reduced mortality.
Improving cardiopulmonary resuscitation quality with help from a popular song
Authors: Fonte Miguel , Busto-Cuiñas Mercedes , Ignacio Oulego Erroz , Blanco Silvia Rodriguez , Rodríguez-Núñez Antonio
Published: May 2014

Pediatric cardiorespiratory arrest (CRA) is a rare event that leads to death or survival with neurological sequelae in many cases. CRA in children usually occurs at home, and therefore the training of paramedics and lay people is essential in order to improve the victim's outcome, regardless of their age. Simple and inexpensive ways of improving bystanders' quality of cardiopulmonary resuscitation should be implemented. We hypothesized that a very popular song, with a rhythm that fits the CPR chest compressions rate target would be an effective audio guidance to train schoolchildren in CPR.
What did they say? How children, families and nurses experience ‘care’
Authors: Lewis Peter , Kelly Margaret , Wilson Val , Jones Susan
Published: May 2014

The degree to which family-centred care is achieved in paediatric practice varies and is subject to multiple complex influences. As part of a strategy to improve patient care, one paediatric ward participated in a study to elicit how care was experienced by three stakeholder groups. This paper aims to discuss the experiences of care of children, parents and nurses in an acute care setting, highlighting the gap between espoused values of family-centred care and those realized in practice.

Semi-structured interviews were used to capture the experiences of the three stakeholder groups in relation to care planning and delivery. Data analysis was managed by means of cognitive mapping. Integration of data from each group on a single cognitive map enabled construction of a community narrative.

Three themes emerged from the data:

Relationships Decision-making So, what about the nurses?

An overarching theme of communication was found to be an integral part of all the themes. The research team are now working in collaboration with the ward nurses to feed back findings and develop ways of using the data to inform clinical practice.

Determination of what was real for children, parents and nurses in this setting is enabling staff to improve the way in which care is delivered. Nurses are using the findings in conjunction with continuing opportunities for development to bridge the gap between espoused values of family-centred care and the actual experience of caring and being cared for.
How to take a good clinical photograph: camera selection and image quality
Authors: Hall Sarah
Published: May 2014

Aesthetic nurses will often take before and after photographs of their patients to document their clinical practice and show the patient the extent of the aesthetic effects that have been achieved following treatment. However, to make the most of this opportunity and remain cost-effective, it is beneficial for practitioners to have guidance on what makes a good photograph, and what tools are needed for this. In this article, the author outlines the important and valuable functions of today's vast range of cameras.
Permayouth: exploring the never-ending human quest for eternal youth
Authors: Bradbury Eileen
Published: May 2014

In today's society, a high level of significance is placed on looking younger and fresher, and the means to achieve this are now widely available. However, it is important for aesthetic practitioners to consider the psychological impact of permayouth, and how patients go about choosing cosmetic procedures. In her third column, Consultant Psychologist Eileen Bradbury explores this complex topic
How to deal with concerns about VAT on cosmetic treatments
Authors: Donnelly Veronica
Published: May 2014

With the vast array of cosmetic treatments available in today's clinics, it can be confusing for practitioners to know whether VAT applies to their services. It is important to know what UK law says about medical exemption from VAT, and what preparations need to be made before and during an inspection. In this article, VAT-specialist Veronica Donnelly provides an overview of this complex and important topic
Can children and adolescents truly consent to medical aesthetic procedures?
Authors: Bradbury Eileen
Published: May 2014

In an age of ever-increasing pressure to look perfect, it is no wonder that children as young as 5 are significantly concerned with their facial appearance and body image. Looking at the underlying issues, Consultant Psychologist Eileen Bradbury explores the realities of childhood aesthetic procedures and discusses the role of adolescence in seeking out ‘quick fixes’ such as early prophylactic botulinum toxin
Future of dermal fillers: moves forward for regulation and quality assurance
Authors: Taber Sally
Published: May 2014

The question of whether dermal fillers should be reclassified as prescription-only medicines has been prominent in the aesthetics industry for many years, but it is only now that the Department of Health is paying attention to the regulation of cosmetic interventions. In this interview with Sally Taber, Journal of Aesthetic Nursing editor Natasha Devan finds out what the future of these medical devices is likely to be
Treating peripheral facial fat loss in patients with human immunodeficiency virus
Authors: Brown Sharron
Published: May 2014

Nurses play a fundamental role in the treatment of human immunodeficiency virus (HIV) associated facial lipoatrophy, as the treatment not only focuses on the visual facial changes, but also the psychological impact and resulting improvement of quality of life as the patient responds to reconstructive treatment. Poly-I-lactic acid injections is one of the treatment options available and allows for facial contours and volume to be restored while being minimally invasive. Nurses have the required skills to treat this iatrogenic problem, which has many complex issues around adherence to HIV therapy, stigmatisation around being HIV positive, self-esteem and body image. Treating facial lipoatrophy should be seen as medical aesthetics as it is reconstructive and not cosmetic.
Labelling for cosmetic products and medical devices: rules, regulations and requirements
Authors: Bowes Lorna
Published: May 2014

In the author's last article, she wrote about the new 2013 EU regulations for cosmetic products which changed to the new Cosmetic Products Regulation 1223/2009 in July 2013 ( Bowes, 2013 ). This paper will expand further on cosmetic product regulations by reviewing the legal labelling requirements for the cosmetics and ‘cosmeceuticals’ stocked by medical aesthetic practitioners, as well as their responsibilities as stockists selling directly to consumers. As it is equally important to understand the labelling requirements for medical devices such as dermal fillers, which are used frequently in aesthetic practice, the author will also explore these in the second half of the article. It is important to note that the labelling of prescription-only medicines, such as botulinum toxin, is outwith the scope of this article.
Making retail work for your clinic: a guide to identifying the best products and brands
Authors: Deakin Barbara
Published: May 2014

Stocking popular skin care brands in your clinic can benefit both your clinic and customers; however, it is important to ensure the display is relevant and refreshed on a regular basis to keep clients interested and coming back for more. In this article on making retail work for you, Clinic Manager Barbara Deakin offers advice on locating retail areas, monitoring displays and getting the most out of brand promotion
Parliamentary reception on the future of dermal fillers in the UK
Authors: Devan Natasha
Published: May 2014

Following the highly anticipated publication of Sir Keogh's final recommendations for the regulation of cosmetic interventions, practitioners are now waiting with baited breath for the Department of Health's implementation plan. To find out the latest information on the future of dermal fillers in the UK, Natasha Devan, editor of the Journal of Aesthetic Nursing, attended a seminar at the House of Lords
Finding the right PR team for your clinic: setting expectations early on for the pitch
Authors: Zadah Kate
Published: May 2014

If you are looking to hire a PR firm for your clinic, there are several factors that need to be considered before they pitch to you, including your business goals and budget. In her column, PR Professional Kate Zadah provides advice on how to pick your judging panel, set expectations early on in the pitching process and be aware of issues surrounding intellectual property and the role of journalists
Identifying common skin blemishes: cause, treatment and differential diagnosis
Authors: Bowes Lorna , Traill Frances Turner
Published: May 2014

Given that there is an increasing cosmetic exclusion list from NHS dermatology departments, aesthetic nurses are in a prime position, with the right training, to offer an excellent service to patients where there is no other professional alternative. Although many aesthetic nurses are familiar with skin care and well aware of the products that can be used to target common skin problems (e.g. acne and photodamage), many need to develop their knowledge surrounding dermatological conditions such as milia, moles and malignant melanoma. In this article, the authors outline the causes, treatments, differential diagnoses and essential points of patient communication for skin blemishes seen in clinics on a daily basis. Photos are provided as a visual reference and to enhance understanding.
Radiofrequency and aesthetic medicine: what, why and how?
Authors: Martin Jo
Published: May 2014

Although radiofrequency has been used frequently to treat indications such as varicose veins and ablate heart tissue, there has been an increased level of interest in this treatment modality following its use in non-surgical cosmetic procedures. The use of radiofrequency devices in aesthetic clinics has led to many benefits for clients, including skin tightening and the reduced appearance of fine lines, wrinkles, stretch marks and cellulite. In this article, the author describes how radiofrequency works, how it is controlled using different heads, what the most popular treatment indications are, and the contraindications aesthetic nurses should be aware of before providing radiofrequency procedures.
Completing a Yellow Card report following an adverse reaction to a medicine
Authors: Goddard Rachel
Published: May 2014

Aesthetic nurses are more than aware that medicines have the potential for unwanted effects. Whereas some adverse effects are predictable and dose-related, others are less predictable and may bear little relationship to the dose in question. Any suspected adverse reactions to a therapeutic agent, including complementary and herbal products, should be reported as an incident and the online or paper Yellow Card sets out the information required. In this article, the author summarises the Medicines and Healthcare Products Regulatory Agency's guidelines on completing a Yellow Card report.
An update on the European Standard and aesthetic nursing competencies
Authors: Bennett Sharon
Published: May 2014

As the decision to publish the European Standard is nearing, the British Association of Cosmetic Nurses' vice chair Sharon Bennett gives aesthetic nurses insight to the decisions made in the August meeting and what will happen next. She also informs readers about the new competency framework for aesthetic nurses in the UK, which has been accredited by the Royal College of Nursing
‘Everyone needs to respect the harmful effects that can occur post sun exposure’
Authors: Banwell Paul
Published: May 2014

Recent statistics published by Cancer Research UK showed that men are much more vulnerable to malignant melanoma than women. Although this could be owing to delays in seeking help and advice, there are several factors to take into consideration. Head of Queen Victoria Hospital's Melanoma and Skin Cancer Unit Paul Banwell answers essential questions on prevention and early diagnosis
Using carboxytherapy as an adjuvant aesthetic treatment for patients with alopecia
Authors: King Sharon , King Martyn
Published: May 2014

There are many existing, recognised treatments for hair loss, ranging from topical applications and oral preparations, to cosmetic injectable treatments and surgical interventions. However, despite the variety of options available, alopecia is a complex conditon to treat and no one product or procedure offers a perfect solution. In this article, the effectiveness of the use of carboxytherapy—a minimally invasive, cost-effective treatment as a standalone or adjuvant therapy—for patients with alopecia is discussed along with the authors' own personal experiences of its use in aesthetic practice.
Treatment of the upper facial musculature with botulinum toxin injections
Authors: Collier Helena
Published: May 2014

The understanding of key anatomical structures and their relevance to clinical practice will enhance not only treatment outcomes, but also patient safety. The aim of this article is to offer an overview of upper facial anatomy to encapsulate what every medical aesthetic practitioner needs to know to achieve a safe, successful treatment outcome following the injection of botulinum toxin. It is hoped that this paper will offer an insight into the upper facial muscles and how they respond when chemically denervated. Practitioners must demonstrate an in-depth understanding of the assessment and evaluation of the facial musculature both at rest and in dynamic motion, and also fully comprehend the process of injecting botulinum toxin in its entirety, to ensure the upper face retains a natural pattern of facial movement and expression, thus avoiding the inappropriate outcomes that are so often seen. Astute observation skills are essential to truly understand the variance seen in every individual's pattern of facial expression. The findings discussed by the author are primarily based on her clinical experience. Some information presented is subjective rather than objective and is offered as a balanced overview. The author will endeavour to share her approach, which has been honed over 8 years of experience treating upper facial muscles with botulinum toxin.
Where should aesthetic nurses practise? An evaluation of national health guidelines
Authors: Scanlon Chérie
Published: May 2014

Although non-surgical cosmetic treatments are medical, there is no licensing body for premises where minimally invasive procedures are provided. Despite this, the Royal College of Surgeons recommends that aesthetic practitioners should only treat patients if they believe the environment meets the standard of the licensing body. Chérie Scanlon explores the minefield of aesthetic practice settings in the UK
Men's body dissatisfaction: uncovering the challenges in providing support
Authors: Jankowski Glen
Published: May 2014

Although men have been found to report high levels of body dissatisfaction, there are several societal and cultural obstacles that get in the way of them finding support. In this article, PhD student Glen Jankowski gives aesthetic nurses an insight into the impact of male body dissatisfaction, the role of the media and its conflicting messages, and three key challenges in supporting men with this problem
Avoiding litigation: what aesthetic nurses need to know about informed consent
Authors: Luckman Mandy
Published: May 2014

The majority of non-surgical facial aesthetic procedures are elective, which means that patients may have high and sometimes unrealistic expectations. It is vital that all patients are given comprehensive information on the procedure they are seeking, so that fully informed consent can be obtained before treatment. In the first of a series of legal articles, Mandy Luckman highlights the need for consent forms and record keeping
Choosing patient and clinic management systems: capability versus usability
Authors: Crawford-Small Richard
Published: May 2014

The choice of software available to assist in managing a busy practice can be daunting, and there is some confusion as to the differences between systems. Richard Crawford-Small explains why all aesthetic practitioners may want to make use of patient and clinic management systems, and offers advice on how to weigh up the different options on the market through looking at usability and capability
A journey towards the high road or a green light to take the easy road?
Authors: SENIOR YVONNE
Published: May 2014

Although the Department of Health's response to Sir Bruce Keogh's review of cosmetic interventions left a sour taste in aesthetic nurses' mouths, it has led to some positive work being done by Health Education England. Yvonne Senior, co-founder of PIAPA, shares the association's thoughts on the state of the medical aesthetic industry post Keogh
EF Medispa, St John's Wood: a dermal needling treatment for mild acne scarring
Authors: ZADAH KATE
Published: May 2014

When providing advice on running a successful clinic, nothing is better than experiencing the patient journey yourself, from the reception to the treatment room. In this practice management series, PR professional Kate Zadah travels the UK visiting clinics and reviewing their layouts, customer service, treatment menus and follow-up care. She will also highlight areas for improvement for each one
Mucopolysaccharide disease and difficult intubation
Authors: Barnett Wesley
Published: May 2014

This article explores the set of syndromes known as the mucopolysaccharides (MPSs) and the specialised care provided by the anaesthetic team at the Royal Manchester Children's Hospital. Patients with this condition present the operating department practitioner (ODP) with significant difficulties during the perioperative period. However, the area of most concern for the ODP is the airway of a patient that has MPS. The complexities of MPSs mean that airway management is often very difficult and routine intubation impossible. As a result, the ODP forms a key part of the theatre team when trying to anaesthetise and intubate a patient with MPS. Along with the anaesthetist, the ODP uses specialised equipment to carry out a technique that has over time evolved and enabled patients with this set of problems to be safely anaesthetised for a range of surgical procedures.
Promoting a patient's right to dignity
Authors: Baillie Lesley , Parlett Gary , Huggins David
Published: May 2014

A sense of dignity is important to every individual, and so the NHS Constitution assures patients of their ‘right to be treated with dignity and respect, in accordance with their human rights’. However, there are regular reports about indignity in health care. Therefore, it is important to recognise and address potential indignity. People undergoing surgery are particularly vulnerable to loss of dignity for many reasons and this article aims to explore the meaning of dignity and factors affecting dignity, within the context of perioperative care. The legal, professional and health policy context for dignity in care is explained. The article then explores the potential for dignity to be diminished during perioperative care and highlights the important role of operating department practitioners in promoting dignity during this vulnerable time.
Airway management for perioperative practitioners
Authors: Higginson Ray , Parry Andy , Jones Bridie
Published: May 2014

Maintaining a patient's airway is a vital skill that all perioperative practitioners need to possess. Maintaining a patient's airway and facilitating breathing is the main priority in many anaesthetic situations from routine to emergency, although achieving airway control can sometimes be difficult. All health professionals need to be able to safely undertake airway management. The first, key, step in the management of an airway is a thorough assessment to ensure whether or not the airway is patent. This paper will discuss airway assessment and management related to perioperative and anaesthetic practice.
Performing urinary catheterisation
Authors: Hughes Kaylie , Patrick Nina
Published: May 2014

Urinary catheterisation is a clinical skill that is frequently performed in the operating theatre by health professionals. With its recent inclusion as a core competency that needs to be obtained by undergraduate operating department practitioner (ODP) students in the new BSc curriculum, the number of ODPs carrying out this skill regularly is likely to rise in the forthcoming years. Catheterisation should not be performed unless there is a clear indication due to the associated morbidity, such as catheter-related urinary infections, trauma and discomfort to the patient. This article discusses indications for catheterisation, methods of catheter insertion, complications associated with having an indwelling catheter and, most importantly, ways to minimise the risks and improve patient outcome and comfort.
Supporting infection prevention in the operating room
Authors: Aziz Ann-Marie
Published: May 2014

The importance of infection prevention and control (IPC) in the operating theatre (OT) cannot be overestimated and compliance with IPC practice is vital to reduce the risk of postoperative infection in patients. IPC in the OT assumes an even greater significance because of the vulnerability of patients who are exposed to invasive procedures increasing the possibility of infections occurring. This article provides an evidence-based framework to reduce the risk of patients developing postoperative infection and gives current information and advice on IPC practices that should be adopted in the OT to protect operating department staff from exposure to infectious agents. From providing optimal skin preparation of the patient to adhering to the basics of waste management, linen management and preventing sharps injuries this article encompasses the basic skills required to prevent infections in the OT and deliver high standards of care to all patients at all times.
Assessing emergency theatre start times
Authors: Kearsey Christopher , Barnes Thomas , North Rebecca , Toh Eugene
Published: May 2014

Introduction: Orthopaedic trauma lists have become increasingly long. In 2010, it was estimated that there were approximately 20 000 cases of major trauma in the UK, with a further 28 000 cases of trauma that did not meet the criteria of major trauma. This observational study aimed to assess the efficiency of theatre start times and identify the areas where time is lost and the potential financial implications of this.

Materials and methods: A retrospective observational study, conducted from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) theatre database at this unit, was included, with 275 individual surgical cases. This was undertaken over the last 2 years—including 97 weekends in total. The outcomes measured were: 1) number of orthopaedic cases, 2) number of other speciality cases, 3) the average transit, anaesthetic and procedure time of both orthopaedic and other speciality cases, 4) the number of lists which started with orthopaedic cases and 5) the average start time of orthopaedic and other speciality cases.

Results: There were a total of 275 cases carried out over the prescribed time period on the emergency theatre list. The majority of these were orthopaedic (54%). The other speciality cases (46%) consisted mainly of general surgery, gynaecology, urology, anaesthetic, general medicine, plastic surgery and paediatrics. Average transit times for orthopaedic cases were 15 minutes (0–52), compared with 14 minutes (0–38) for other specialities.

Discussion and conclusion: Theatres on Sunday were not starting at 09:00, when they are supposed to. For orthopaedic cases on the emergency list, on average start times were 1.5 hours (maximum of 2.5 hours) late. With anaesthetic time added on, it may be 12:30 before the patient is on the table. As a result, there is a potential loss of approximately £1500–£2000 every weekend and £78 000–£130 000 every year.
Supporting and promoting palliative care for older people
Authors: Walshe Catherine
Published: May 2014

Most health visiting roles prioritise the health and wellbeing of families and children, the care of older people is no longer a policy focus. However, when an older person faces a life limiting condition, the whole family should be the focus of care and support. Health visitors can have a key role here as part of a multidisciplinary team, by providing family care and support, providing information, using their communication skills, and in preventive care. Health visitors can contribute to enabling care for older people who are dying through this family-focused lens of care.
Working with communities to improve health: The Building Community Capacity programme
Authors: Pearson Pauline
Published: May 2014

This paper examines the aspiration set out in the Health Visitor Implementation Plan ( Department of Health, 2011 ) to work with communities to build up their capacity and use that capacity to improve health outcomes. It looks at why building capacity matters for families as well as communities. The nationally commissioned Building Community Capacity programme is centred on a web-supported work-based project, aiming to refresh health visitors’ skills and allow them make a real difference to communities. Participants had to seek out agencies and individuals with whom to collaborate, work out how to match strategic objectives and maximise resources, and ensure that suitable outcome measures could be identified. Successful projects identified key factors such as organisational leadership, clear commitment and investment. Some of the issues faced included the relatively restricted timescale placed on the projects and organisational demands, which meant some projects were building staff or organisational capacity rather than community capacity. A key consideration for the future is to ensure that projects make a difference to health and wellbeing in their local communities.
Advice to promote healthy neonatal skin and treat common skin disorders
Authors: Jones, Kathleen
Published: May 2014

The maintenance of good skin in newborns is important to enable the skin to protect the body from infection and other toxins. This article examines the evidence around the products and information which is available to parents and health professionals in order to provide optimum care for infants. The lack of research to guide policies and protocols for care of the skin hinders the provision of evidence-based care (Steen, 2008). Parents need to be informed about how to cleanse their infant's skin, and how to prevent and treat nappy rash and other common skin problems in newborns.
Reflecting on leadership in health visiting and the restorative model of supervision
Authors: Wallbank, Sonya
Published: May 2014

The model of Restorative Clinical Supervision was first piloted in 2007 to address the emotional demands on staff and to support them to build resilience levels, reducing their stress and burnout. Sonya Wallbank discusses how it is different from usual models of supervision with an emphasis on the professional and how they interact.
Attuning, listening and observing
Authors: Houston Anna
Published: May 2014

Deep listening is difficult because we are programmed to talk back, but listening is a common trait required of the health visitor's role. Anna Houston discusses the importance of listening more closely, hearing more clearly and observing more keenly.