bluuebunny/crossref_metadata_2025 huggingface dataset:
Attention deficit hyperactivity disorder in adults
Authors: Pitts Mark
Published: May 2014

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder constituting persistent hyperactive, impulsive and inattentive symptoms and behaviours that affect the functioning or development of the individual. ADHD is often thought of as a childhood disorder, but it has been recognised that ADHD continues into adulthood. A number of screening tools are available for use in adults. The assessment process should include consideration of ADHD symptoms and behaviours in different settings, full developmental and psychiatric history, and mental state assessment. The first-line treatment for ADHD in adults is medication according to the National Institute for Health and Care Excellence (NICE) guidelines. Currently there is limited research on psychological treatments for adults with ADHD.
The judicious use of antimicrobial dressings
Authors: Beldon Pauline
Published: May 2014

A variety of wound management products are now available for the healthcare practitioner (HCP) to employ in the management of the infected wound. It is vital that the HCP is firstly able to recognise when it is appropriate to use an antimicrobial dressing, that they understand how such dressings work, and whether they should be employed in place of antibiotic therapy or in conjunction with antibiotic therapy. This necessitates the HCP having the requisite skills in wound assessment, being able to recognise the difference between critical colonisation and infection and act appropriately. This article discusses the judicious use of antimicrobial dressings for HCPs.
Understanding adverse drug reactions: An overview
Authors: Greener Mark
Published: May 2014

Some adverse drug reactions (ADRs) are so dramatic that once seen they are never forgotten. However, many ADRs are more subtle and difficult to ascribe to a particular drug. Moreover, patients often do not bring ADRs to a health professional's attention. Therefore, nurse prescribers need to remain vigilant for, and report, ADRs. ‘Classic’ dose-related ADRs, such as respiratory depression with opioids, account for about 95% of ADRs that result in hospital admissions in the UK. Approximately 60–70% of serious ADRs are preventable. Hypersensitivity reactions (HSRs) account for about 20% of ADRs and include anaphylaxis with penicillin. However, while all drug allergies are HSRs, not all HSRs are allergies. Clinical studies may not always paint a full picture of a drug's tolerability, due to reporting bias, inclusion and exclusion criteria that result in an unrepresentative population, and enrolling too few patients to detect less common ADRs. As a result, nurses should report adverse events using the Yellow Card system, which offers a rich source of data about drugs and means that every nurse, in every practice, at every consultation helps ensure patients derive the maximum benefit from their medicines, while prescribers do the least harm possible. This review briefly introduces the classification of ADRs and underscores why it is so important that nurse prescribers report adverse events.
What is osteoporosis?
Authors: Webb Geoffrey P
Published: May 2014

Geoffrey P Webb discusses causes of osteoporosis and ways in which the incidence of osteoporosis-related fractures might be reduced.
The importance of nutritional screening in care homes
Authors: Coull Yvonne , McKenzie Jane
Published: May 2014

Screening is an ideal way of identifying undernutrition. The authors look at what it involves, and the actions that need to be taken for those at nutritional ‘risk’.
Oral health care: can training improve its quality?
Authors: Frenkel Heather
Published: May 2014

Today, many residents have retained some or all of their teeth. Heather Frenkel discusses the widespread neglect of oral health care, and how training can improve care standards.
A symptom not a disease: explaining incontinence
Authors: Nazarko Linda
Published: May 2014

Urinary incontinence is not inevitable in old age, but ageing and illness increase the risk of it occurring. In the first of two articles, Linda Nazarko explains exactly how and why clients can be incontinent.
Intermittent and indwelling catheterization: A guide
Authors: Pomfret Ian
Published: May 2014

Last month, the use of anaesthetic gel for catheterization was discussed. This article summarizes the different types of catheters and catheterization methods.
Preventing and treating skin tears
Authors: Nazarko Linda
Published: May 2014

Skin tears are a common problem in frail older people, yet nurses often lack guidance in how to treat them. Linda Nazarko explains what you need to know.
Part two: The history and use of aromatherapy
Authors: Myatt Anita
Published: May 2014

Anita Myatt looks at the therapeutic and historical uses of essential oils, from the tombs of ancient Egypt to the 21st century and beyond. It is a beneficial therapy for both care staff and residents.
Equipment and adaptations for helping stroke survivors
Authors: Swann Julie
Published: May 2014

In the last article in this stroke series, Julie Swann explains how teaching different techniques, adapting the environment and using assistive equipment can all help.
Addressing pain and tissue trauma during wound care
Authors: Hollinworth Helen
Published: May 2014

Helen Hollinworth explains why older people may experience pain during dressing changes and offers advice on how to tackle this, recommending some useful products.
Older people with dementia: Eating and drinking healthily
Authors: Stanner Sara
Published: May 2014

Weight loss is common in older people with dementia, particularly those with Alzheimer's disease, and feeding difficulties are major issues in their care, particularly in the later stages. Sadly dementia is associated with a number of common problems that can seriously impact on eating habits, such as:

▪ Forgetting to eat ▪ Forgetting how to use cutlery ▪ Poor co-ordination and, therefore, difficulties getting food into their mouth, ▪ loss of interest in eating or refuse to eat.
Maintaining the condition of ageing skin
Authors: Nazarko Linda
Published: May 2014

Ageing skin is more vulnerable to damage and infection. Effective skin and dermatology training can prevent problems from occurring and improve quality of care.
Visual impairments: assistive devices
Authors: Swann Julie
Published: May 2014

Julie Swann introduces some of the assistive equipment available for residents with visual problems and discusses the relative benefits on the independence and wellbeing of residents.
Malnutrition in care homes: improving nutritional status
Authors: Dunne Annette
Published: May 2014

Malnutrition impacts on physical and psychosocial wellbeing, and affects response to treatment. Annette Dunne explores the challenges of nutrition and how a resident's poor nutritional status can be turned around.
Compression bandaging for chronic oedema management
Authors: Muldoon Jeanette
Published: May 2014

In this article, Jeanette Muldoon explains how compression bandaging and compression hosiery can be used in the community by non-specialists with the right training to successfully treat chronic oedema
New system of regulation for adult social care in England
Authors: Close Ann
Published: May 2014

A new system of registration is now in place in England. Care home managers need to know how to comply with the standards and prepare for inspections. Ann Close from the CQC explains
Improving mental health through ‘giving’ activities
Authors: Cipriani Joseph
Published: May 2014

Joseph Cipriani discusses the need of older adults in care homes to engage in altruistic activities and provides examples of how these needs can be met.
CQC: how to achieve outcome 1 and 4
Authors: King Trisha
Published: May 2014

Outcome 1: respecting and involving people who use services

Outcome 4: care and welfare of people who use the service
E-learning as part of a blended training programme
Authors: Ashurst Adrian
Published: May 2014

E-learning is increasingly available, but is it really as good as face-to-face learning? Adrian Ashurst discusses the pros and cons of e-learning as part of a blended training programme.
Helping residents who struggle to dress
Authors: Swann Julie I
Published: May 2014

Clothing and getting dressed are more than just tasks care home staff have to help with. The way in which staff help can make all the difference to a person’s quality of life and independence, as Julie swann explains
What are functional foods and what they can do?
Authors: Taylor Rebecca
Published: May 2014

Popular functional foods include probiotics, cholesterol-lowering and nutrient-enriched foods, but can they support your residents’ health? Senior researcher Rebecca Taylor reviews the evidence.
Identifying heart failure and using specialist teams
Authors: Kirk Mary
Published: May 2014

People with heart failure who do not receive specialist care are at a higher risk of mortality. Mary Kirk outlines how nursing home staff can reduce the risk in these individuals.
NHS and Social Care Reforms: Implications for Care Homes
Authors: Hughes Rhidian
Published: May 2014

The health and social care sector is undergoing enormous structural change over a short space of time. Rhidian Hughes explains how it is set to affect care homes.
Part one: roles of the health and social care worker
Authors: Newson Pauline
Published: May 2014

This is the first of a two part article exploring roles in health and social care as well as how individuals should practise. The first article considers roles, accountability, responsibility, job descriptions and relationships. The second article will expand of issues around partnership working resolving conflicts and access to support and advice.
Minimizing respiratory infections through hygiene
Authors: Aziz Ann-Marie
Published: May 2014

Older people are at high risk of infections, so excellent infection control is crucial for protecting them. Ann-Marie Aziz explains how training, audits, and hygiene help to tackle the problem.
Practical care: open up to the great outdoors this summer
Authors: Knocker Sally
Published: May 2014

With the summer well and truly here, this is the perfect opportunity for an outing. sally Knocker explains how trips do not have to be big, but that imagination, planning and risk assessment can make going out a success.
Holiday pay and entitlement question and answer session
Authors: Edwards Gareth
Published: May 2014

Many things can complicate holiday entitlement. The rules and regulations around holiday pay and conditions can be difficult to navigate. Legal expert gareth edwards answers questions to tell you all you need to know.
NHS care not reaching out into Care Homes
Authors: Farrell Zoe
Published: May 2014

Zoe Farrell Reports on a recent report stating that care home residents receive Cinderella NHs healthcare services.
CQC: how to achieve outcome 5
Authors: King Trisha
Published: May 2014

Outcome 5: meeting nutritional needs of residents is dependent on care workers knowing how to prepare nutritious food to meet diverse needs
What role do relatives groups play in residential care?
Authors: Heathcote Julie
Published: May 2014

Relatives groups provide an opportunity for families to address concerns and difficulties they face when visiting relatives in residential homes. Julie Heathcote outlines what to consider when setting up a relatives group
Mental wellbeing: dementia care in diverse ethnic groups
Authors: Tribe Rachel , Lane Pauline
Published: May 2014

Icreasingly, care professionals will be working with residents with dementia from a wide variety of ethnic backgrounds. This article explains the challenges and how to support cultural diversity
Caring strategies for inappropriate vocalisations
Authors: Newson Pauline
Published: May 2014

When cognitive ability is severely affected behaviour can present carers with challenges when attempting to satisfy unmet needs. Pauline Newson explains how comprehensive assessment helps
Our outermost boundary: the skin
Authors: Wheeler Tracey
Published: May 2014

Care home staff need to recognise the natural ageing process and any problems that may occur in older people. Tracey Wheeler begins the series that covers each system of the human body
For the record: data protection obligations
Authors: Cave Tabitha
Published: May 2014

Staff must evidence that records are accurate and maintained and disposed of in accordance with clear management guidelines. Tabitha Cave outlines the legal framework and how homes can ensure compliance
Undercover boss: investigating care standards
Authors: Ashurst Adrian
Published: May 2014

Adrian ashurst discusses the impact of Channel 4's documentary that saw Pam Finnis, the managing director of HC-One, act as a care assistant to assess the quality of service and implement changes
Non-containment management options of urinary continence
Authors: Pellatt Glynis Collis
Published: May 2014

Glynis Collis Pellatt stresses the importance of non-containment methods of urinary continence management to promote continence in residents in nursing and care homes
Providing quality dementia care
Authors: Wilkinson Eric r
Published: May 2014

Eric Wilkinson explains that providing and sustaining good quality dementia care means incorporating three vital elements—the environment of the care home, staff support, and the person with dementia
Cellulitis in patients with chronic oedema
Authors: Riches Katie , Keeley Vaughan
Published: May 2014

Katie Riches and Vaughan Keeley advise on how to manage acute inflammatory episodes, with guidance from the Lymphoedema Support Network and British Lymphology Society
Just put a pad on: where is the dignity in that?
Authors: Keegan Wendy
Published: May 2014

Thorough assessment and treatment of residents with urinary and faecal voiding problems must be carried out in the home. Wendy Keegan provides useful information on choosing products for management
Devising a dementia toolkit for effective communication
Authors: Young Tony
Published: May 2014

Conversing with residents develops and maintains cognitive abilities, reduces anxiety and benefits staff. Tony young’s research findings supply homes with practical advice from research that provides person-centred support
Outcome 8: cleanliness and infection control
Authors: King Trisha
Published: May 2014

Trisha King explains how to implement the Department of Health's code of practice in line with the latest policies and procedures to minimize risk to a resident's health
Exudate: understand it, assess it, manage it!
Authors: Cook Leanne , Barker Clare
Published: May 2014

Knowledge of the correct levels of tissue fluid is vital to ensure a smooth healing process. Leanne Cook and Clare Barker offer advice on selecting appropriate dressings for residents
Power of attorney: letting residents decide
Authors: Knowles Michael
Published: May 2014

Michael Knowles provides information on different forms of legal action for decision making. Staff should keep these on record and pass on their knowledge to residents and relatives who wish to discuss the options
The effects of ageing on the gastrointestinal system
Authors: Gardiner Angela B
Published: May 2014

Staff have an important role in assisting older individuals with their daily care and helping to minimising the potential effects of some of the diseases and disorders as Angela gardiner explains
Visual impairment: setting sights on an independent life
Authors: Russo Alyssa , Bowen Dorothy
Published: May 2014

Alyssa russo and Dorothy Bowen provide practical tips to help staff recognise eye conditions and play a critical role in supporting residents with visual impairments to lead independent and productive lives
A pill for every ill: the dangers of polypharmacy in older people
Authors: Oboh Lelly
Published: May 2014

Rational polypharmacy may be necessary and beneficial in those with comorbidities, but inappropriate polypharmacy is associated with increased adverse drug events, hospital admissions, health-care costs and non-adherence, as Lelly Oboh explains
How organisational arrangements affect service provision
Authors: Killett Anne , Burns Diane , Hyde Paula , Poland Fiona
Published: May 2014

Organisational arrangements can shape what individual staff members do in the highlyskilled work of meeting residents’ needs. This research may challenge traditional views about care quality that focus attention only on care workers
Following NICE guidance to take positive steps to prevent falls
Authors: Wells Alison , Gray Sue
Published: May 2014

Falls are not an inevitability of old age. Health professionals can provide support for older people to help reduce the risk of, and harm from, falls, while maintaining quality and dignity in the care home setting
The CQC's proposals for a fresh start
Authors: Learner Sue
Published: May 2014

Sue Learner discuss the proposals set out by the Care Quality Commission in A Fresh Start for the Regulation and Inspection of Adult Social Care and what this means for providers
Diabetes and the impact on quality of life: a balancing act
Authors: Wright Kerri
Published: May 2014

Kerri Wright explores the impact that diabetes can have on residents' quality of life and the care interventions that nursing and care staff can implement to support residents with diabetes and ultimately improve their wellbeing
A house for a home: selling up to move in
Authors: Learner Sue
Published: May 2014

with the funding crisis increasing, it has emerged that one in four people would consider selling their homes to pay for old-age care. sue learner investigates
Moving and handling: support for residents with dementia
Authors: Sturman-Floyd Melanie
Published: May 2014

The majority of residents in care homes have a dementia-related illness. Moving and supporting people with memory problems can be challenging but Melanie Sturman-Floyd advises careful risk assessment and training to minimise injury risks to employees
Financial abuse in care homes: do you know what to look out for?
Authors: Knowles Michael , Campbell Annette
Published: May 2014

Michael Knowles and Annette Campbell consider some of the signs of financial abuse and how to minimise the risk in care homes. They also discuss the potential impact of the draft Care and Support Bill on staff and service providers.
Helping wounds to heal by improving nutrition
Authors: Nazarko Linda
Published: May 2014

Ageing and impaired nutrition can affect wound healing. Health professionals can support the nutritional requirements of residents to help promote wound recovery. Good nutrition can help wound healing, reduce discomfort and improve quality of life
How to … manage complaints and respond to feedback
Authors: Stott Ian
Published: May 2014

Having an effective system of complaints management in place will help to address issues promptly and foster a culture that responds to feedback and uses it to improve outcomes for residents as a result of the lessons learnt
Supervision and appraisal: how to support staff performance
Authors: Mackenzie Rob
Published: May 2014

Rob Mackenzie is active in the fields of clinical audit, staff training, policy and procedure creation and review, as well as managerial assistance. In this article, he describes the process of an audit of a group of care homes in Scotland
Back to basics: aged-related macular degeneration
Authors: Kerr Elizabeth
Published: May 2014

Aged-related macular degeneration is a complex condition with symptoms that are often misunderstood. Elizabeth Kerr provides guidance on how nurses and care assistants can recognise symptoms and improve the care they provide for residents
How to … prevent and manage falls in the care home
Authors: Swann Julie I
Published: May 2014

The frequency of falls increases with age and frailty. Julie Swann provides the top ten tips to prevent, manage and reduce falls in care and nursing homes, and also to cut down the associated costs of complications
Successful interventions to encourage active ageing
Authors: Jones Mark , Allen Charles
Published: May 2014

There are many consequences of an ageing population, not least the strain on public services such as the NHS. Mark Jones and Charles Allen introduce community hubs that help promote physical activity and social interaction for residents in care homes
Implementing the eligibility criteria for care
Authors: Learner Sue
Published: May 2014

A new assessment policy is being introduced to all councils in England, who will have to provide social care for people whose needs are deemed to be substantial or above
Social care costs in the balance: will the funding cap work?
Authors: Burnell Emma-Jane
Published: May 2014

Many disabled and older people face alarming costs in care provision. It will remain to be seen how many people will benefit from the new cap, bearing in mind the costs that are excluded as Emma-Jane Burnell explains
Inflammatory bowel disease: an overview on assessment
Authors: Bettany Jean , Gardiner Angela
Published: May 2014

This article provides an overview of inflammatory bowel disease, namely ulcerative colitis and Crohn's disease. Staff need to know the assessment process employed, as they attempt to support and enhance the quality of life for residents
Providing residents with support for a good night's sleep
Authors: Green Danielle
Published: May 2014

This optional competence-based unit assesses the health and social care worker's knowledge and skills in establishing conditions suitable for sleep and in supporting the individual, as outlined by Danielle Green
Hypertension in older people: assessment and management
Authors: Potts Katherine
Published: May 2014

Hypertension or high blood pressure is common and the prevalence increases with age. It is important that staff in residential and care homes are aware of this condition and its assessment, classification and management as Katherine Potts explains
The role of palliative care in pain relief and affirming life
Authors: Sander Ruth
Published: May 2014

Ruth Sander continues the three-part series on end-of-life care in this second installment, discussing how staff in care homes can improve residents’ and families’ quality of life through appropriate nursing and emotional support
Urinary catheterisation: reducing the risk of infection
Authors: Mangnall Joanne
Published: May 2014

With urinary catheterisation being one of the most frequently undertaken health-care interventions, it is vital to have an understanding of the associated risks of infection and how to reduce these through best practice
Improving medicines optimisation: an end to the drug round
Authors: Turner Steve
Published: May 2014

Steve Turner reflects on the implications of using technology in care settings, including how this will help improve safety and deliver the recommendations of the latest guidance on managing medicines in care homes
Practice managers: Meeting demands
Authors: Foster Rosey
Published: May 2014

Recently published documents are bringing practice managers' accountability in line with their colleagues'. Rosey Foster reports.
Coronary disease prevention: A study
Authors: Gaw Allan , Lindsay Grace , Ford Ian
Published: May 2014

A recent study has shown that the use of lipid-lowering drugs is a safe and effective way of reducing the risk of CHD. Allan Gaw and colleagues used this study to examine the role of practice nurses in screening.
By accident or design
Authors: Tingle John
Published: May 2014

John Tingle highlights some recent problems in emergency care services and looks at some of the implications for practice nurses of a recently pubished Audit Commission report.
Over the rainbow…
Authors: Paniagua Hilary
Published: May 2014

Hilary Paniagua gives her personal vision of PREP's contribution to the future of practice nursing.
Discharge planning
Authors: Worth Allison
Published: May 2014

The role of the practice nurse in the discharge of patients has been largely ignored. But, says, Allison Worth, surveys show they could offer an invaluable service.
Caring for Children with Diabetes
Authors: Waldron Sheridan
Published: May 2014

Managing diabetes in childhood is a difficult task for the child, parents and health professional, as Sheridan Waldron explains.
Caring for Children with Atopic Eczema
Authors: Van Onselen Julie
Published: May 2014

Julie Van Onselen explains the treatment and support necessary for sufferers and their families.
Never say Never Again
Authors: Richards Sue
Published: May 2014

The UKCC has been accused of being weak for shying away from imposing life bans, but Sue Richards says the principles we work under demand that everyone is given the chance to redeem themselves.
Which Dressing?: Part Two
Authors: Pudner Rosie
Published: May 2014

It is important to use the right dressing for the wound type, as Rosie Pudner explains in the final part of her series.
Asthma and the Menstrual Cycle
Authors: Weller Trisha
Published: May 2014

Hormonal variation in the menstrual cycle may affect asthma. Trisha Weller surveys the literature.
Contact Lens Use: Taking Care
Authors: Sculfor David
Published: May 2014

Contact lenses are no longer uncommon, and wearers may run into difficulties, as David Sculfor explains.
Managing minor burns effectively
Authors: Edwards Jacky
Published: May 2014

Jacky Edwards discusses the treatment of minor burn injuries and what it is necessary to know about assessment, referral, appropriate dressings and aftercare.
Money available for public health
Authors: Champion Gillian
Published: May 2014

It is over a year since the Secretary of State announced £3 million of ‘new’ money to create ‘community budgets’, which would support the public health role of teams of community practitioners (Mullally, 2001). In this context ‘community practitioner’ refers to health visitors, school nurses, midwives, practice nurses, and other nurses undertaking public health work. Each primary care organization (PCO) was allocated a share of the total budget, and is required to set up a community budget that can be accessed and managed directly by teams of community practitioners.
The new GMS era
Authors: Chiodini Jane , Ingram Mike
Published: May 2014

Jane Chiodini and Mike Ingram explain the provision of travel health services under the new GMS contract
Changes in measuring peak expiratory ﬂow
Authors: Miller Martin R
Published: May 2014

Martin Miller explains the reasons for the introduction of new peak flow meters and the differences between the new and old scales Martin
Treating non-alcoholic fatty liver disease
Authors: Ahmed Mohamed H , Byrne Christopher D
Published: May 2014

Non-alcoholic fatty liver disease is an important consequence of insulin resistance and diabetes. Mohamed Ahmed and Christopher Byrne explain ways of recognizing and treating it
The emergence of the nursing consultation
Authors: Willcox Adrienne , Munson Eileen
Published: May 2014

The number of nurses undertaking consultations with patients has risen substantially in the past century but there is debate about the disparity in training for nurses and other health professionals. In the first article in a three-part series, Adrienne Willcox and Eileen Munson examine the issues
Nursing tinnitus
Authors: McFerran Don
Published: May 2014

It is a good time to revisit a common, but poorly understood symptom as National Tinnitus Week nears (9–15 February 2009). Tinnitus is defined as an awareness of a sound sensation not caused by an external sound stimulus. It affects about 10% of the population. For most affected, the symptom is not particularly intrusive, although 0.4% have tinnitus that severely affects their life quality. Tinnitus can have almost any quality such as hissing, buzzing, ringing, whistling or even complex sounds. The tinnitus may be in one or both ears, the middle of the head, or may even seem to come from somewhere outside the body.
Clinical leadership for general practice nurses, part 1: Perceived needs
Authors: Burns Dianne
Published: May 2014

As UK primary care undergoes rapid change, general practice nurses face great challenges in providing quality care in a cost-contained environment. These challenges require the application of clinical leadership.

Aim: To describe the concept of clinical leadership from a general practice nurse's perspective and determine nurses' clinical leadership needs.

Methods: A small qualitative study (n=12) adopting a phenomenological approach and using one-to-one, in-depth interviews.

Findings (to be presented in three articles). Part 1: The perceived skills and attributes of clinical leaders were similar to those identified in previous studies with the exception of ‘political astuteness’ and ‘strategic influencing’. In parts 2 and 3, the factors influencing the development of leadership skills and the leadership mechanisms used by practice nurses will be explored.
Pruritis vulva part 6: infections
Authors: Watkins Jean
Published: May 2014

Irritation of the vulval area is an embarrassing problem for a woman. A compelling urge to scratch has to be restrained; at the same time she may be reluctant to seek professional help, especially from a male GP. It is likely she will take her problem to the practice nurse, or mention it when attending for another problem, once she feels sufficiently confident.
Depression in the elderly: ways to offer support
Authors: Hardy Sheila
Published: May 2014

Sheila Hardy outlines how practice nurses can identify depression in older patients and help them receive the appropriate treatment
Numbers attempting to quit smoking in Scotland rising
Authors: Duffy Sheila
Published: May 2014

New smoking cessation statistics show a 7.6% increase in quit attempts during 2010 in Scotland. Sheila Duffy discusses the importance of these services
Duty of care, part 2: best practice and assessment
Authors: Gawthrop Mary
Published: May 2014

In the second article in the duty of care series, Mary Gawthrop advises practice nurses on best practice for the pre-travel assessment
Care implications of the NICE quality standard for diabetes
Authors: Oldroyd Julie
Published: May 2014

Julie Oldroyd reviews each statement of the recently published NICE quality standard for diabetes in adults and examines its implications for clinical practice and service provision
Assessing and treating stress incontinence
Authors: Perry Margaret
Published: May 2014

Margaret Perry discusses the assessment and management of stress incontinence, reflecting on the experience of Jean, who asked for help after many years of keeping the problem to herself
Lower back pain: a need for thorough assessment
Authors: Concannon Michael
Published: May 2014

Making a detailed assessment is vital for an accurate diagnosis of lower back pain and appropriate management. Michael Concannon and Andy Bridgen explain how
Reviewing best practice in wound debridement
Authors: Young Trudie
Published: May 2014

Trudie Young investigates different methods of debridement and considers infection prevention, equipment availability, optimal environment and patient choice
Private fostering: how to keep children safe
Authors: Smith Hannah
Published: May 2014

Child protection is the responsibilty of everyone, says Hannah Smith. She explains the notification process for children who are living in, or thought to be living in, a private fostering arrangement and the practice nurse's responsibility
Lucy Botting: Never give up
Authors: Botting Lucy
Published: May 2014

Lucy Botting’s passion and persistence is driving nurses’ contribution to clinical commissioning and service improvement in London
Scotland's vision for general practice nursing
Authors: Kennedy Susan
Published: May 2014

National co-ordinator of NHS Education for Scotland, Susan Kennedy, outlines her involvement with introducing an annual work-based learning programme for nurses in general practice during her first year in post
A personal experience of living with type 1 diabetes for 56 years
Authors: Mayers Chris
Published: May 2014

Chris Mayers was diagnosed with type 1 diabetes 56 years ago. She discusses her personal journey and explains how treatment options for diabetes have changed for the better
Communicate your value
Authors: Young Lynn
Published: May 2014

Practice nurses have a right to ask for a review of their terms and conditions of service, but need to understand and be able to communicate their value to the practice, writes Lynn Young
Jean White: Listening and sharing
Authors: White Jean
Published: May 2014

The Chief Nursing Officer for Wales wants to see it become more accepted for nurses to challenge poor care
Diabetes UK: put feet first
Authors: Young Barbara
Published: May 2014

Diabetes UK is calling on practice nurses to help them reduce amputations in people with diabetes by 50% over the next 5 years
Ann Wagg: Involve the patient
Authors: Wagg Ann
Published: May 2014

Ann Wagg understands the importance of getting to know your patient and involving them in the treatment process
Commissioning master class in Cornwall identifies the importance of practice nurses
Authors: Jeffrey Paul
Published: May 2014

Cornish practice nurses and the Royal College of Nursing identify the need to raise the profile of practice nurses and their desire to develop the clinical commissioning process
How the signs and symptoms of common infections vary with age
Authors: Perry Margaret
Published: May 2014

Margaret Perry discusses how common infections may present with different signs and symptoms in the elderly compared to younger adults
Antipyretic use after infant immunization
Authors: Westcar Sharon , Ford Karen J , Kelly Sarah , Snape Matthew D
Published: May 2014

Sharon Westcar, Karen Ford, Sarah Kelly and Matthew Snape compare the effectiveness of ibuprofen and paracetamol on treating adverse reactions after immunization
Patient acceptability of intradermal influenza vaccine
Authors: Oakley Simon
Published: May 2014

Simon Oakley discusses the use of an intradermal influenza vaccine administered using a new microneedle injection system
Looking again at VTE 2: new oral anticoagulants
Authors: Bacon Sue
Published: May 2014

Sue Bacon discusses how the advent of new oral anticoagulants can change the management of anticoagulation in the treatment of deep vein thrombosis in the fInal article of a two-part series
The abuse of adults: identifying warning signs
Authors: Phillips Stephen
Published: May 2014

Stephen Phillips explores the concept of adult safeguarding and discusses how practice nurses can report such cases through legal, professional and ethical frameworks in the UK
Start active, stay active: care planning in CHD
Authors: Bell Alison , Cox Carol , Hill Marie
Published: May 2014

Alison Bell, Carol Cox and Marie Hill consider physical inactivity as a risk factor of coronary heart disease (CHD) and discuss how individualized care plans can encourage self-management
More therapy options for obesity needed
Authors: Leeds Tony
Published: May 2014

Tony Leeds identifies the need for a wider range of evidence-based, cost-effective, and safe interventions for weight loss and weight loss maintenance
Advance the patient advocate
Authors: Peate Ian
Published: May 2014

Professor Ian Peate says that one of the most important messages of the Francis Report for general practice is that the role of patient advocate must be strengthened
Improving follow-up care for cancer patients
Authors: Ozdilli Julia , Wilkinson Anne , Frew Gilmour
Published: May 2014

Traditional follow-up services for cancer are no longer meeting the needs of patients. Julia Ozdilli, Anne Wilkinson and Gilmour Frew outline new self-managed pathways of aftercare from NHS Improvement
Providing support for people with depression
Authors: Martin Karen
Published: May 2014

Karen Martin discusses the identification and assessment of depression in primary care, to help practice nurses to enable patients to understand their condition and access the appropriate level of support
Called to an NMC hearing
Authors: Catterall Lucy
Published: May 2014

Referral to an NMC fitness to practise hearing can be devastating for a nurse. Lucy Catterall explains how the RCN helped one practice nurse to conduct her defence
Managing gout: not a trivial matter
Authors: Finney Diana
Published: May 2014

Diana Finney gives an overview of the pathophysiology of gout and discusses treatment and management. Practice nurses can help patients understand gout and encourage lifestyle changes and treatment adherence
Reducing rotavirus gastroenteritis in children
Authors: Macdonald Emily , Lang Sarah
Published: May 2014

Emily Macdonald and Sarah Lang discuss the epidemiology and clinical features of rotavirus infection and consider why a vaccination programme is being introduced
Mental health support: reducing the carer's strain
Authors: Elkins Zöe , Weatherhead Ian
Published: May 2014

Zöe Elkins and Ian Weatherhead examine how an Admiral nurse in practice can reduce the emotional burden of those caring for individuals with dementia
BGTHA Annual Conference
Authors: Townend Mike
Published: May 2014

The theme of the British Global and Travel Health Association (BGTHA) Annual Conference was maternal and infant health. Mike Townend provides an overview of the topics addressed
Point of care testing: assessing DVT in practice
Authors: Thomas Susan
Published: May 2014

Point of care testing can be used to facilitate decision-making and simplify the referral process when managing and treating deep vein thrombosis (DVT)
Modelling with junk materials
Authors: Jackson Caroline , Miller Collette
Published: May 2014

Take a pile of cereal boxes, some old margarine tubs and a few scraps of fabric and let children explore! You’ll be stimulating their imagination as well as encouraging them to develop fine motor skills
Setting out the rules for new starters
Authors: Legerton-Cooper Selena
Published: May 2014

When children join you for the first time, what’s the best way to help them understand the behaviour you expect from them? Selena Legerton-Cooper shares some suggestions
Language and social development in early childhood
Authors: Kirby Amanda
Published: May 2014

It is important to know about the stages in language and social development so that you can tell whether a child needs help or is progressing along normal pathways. Dr Amanda Kirby highlights what happens at each stage in a typically developing child
Talking to children
Authors: Barber Jenny
Published: May 2014

If you were to record what you say over the course of a day, what would it tell you about the quality of your communications and the messages you are giving to children? Jenny Barber encourages you to think about how you talk to children
Mixing sand and paint
Authors: Jackson Caroline , Miller Collette
Published: May 2014

Why not try mixing two of your everyday materials? Using sand and paint together gives children a unique experience using resources they are comfortable with
Developing a sense of time
Authors: Taylor Pam
Published: May 2014

All children love looking at photographs, especially of themselves, so start with a board ‘Look how I’ve grown’ and get parents to bring in photographs of their children as a baby and now. The children will talk to each other about their photograph and be more than willing to talk about themselves in a group situation, developing speaking and listening skills.
Counting at home
Authors: Evans Jean
Published: May 2014

Children need to have practical mathematical experiences before they can understand what is really meant by three cups or five pencils. This is not as difficult to achieve as it sounds. your everyday routines at home will provide you with a variety of situations in which to explore numbers with your children.
What is High/Scope?
Authors: Hedley Sue
Published: May 2014

The High/Scope approach requires no special equipment or environment and is based on more than 30 years of longitudinal research and practice. The approach centres on the recognition and support of the unique differences in children aged between two and six and develops their self-confidence by building on what they can do.
Non-competitive games
Authors: Hislop Vicky
Published: May 2014

How many times have you heard young children say, ‘I can’t do that’ or have seen children stand at the edges when it comes to competitive physical games? Have you ever wondered why?
Playing catch
Authors: Newman Karen , Jarvis Matthew
Published: May 2014

A covered balloon has lots of advantages over a real ball: it is easy to pick up, it can be grabbed with one hand, it is light so that children will not flinch away from catching it and it moves relatively slowly, which makes it easy to catch, yet, unlike a balloon, it behaves like a real ball. Its weight means that it can be used indoors, or if space is restricted.
Disco dancing
Authors: Blanchard Chrys
Published: May 2014

Whilst today's teenagers are more likely to go to a rave or a gig, the disco still survives, mainly in the domain of fund-raising events, holiday night-life, weddings and birthday celebrations. The disco originated in the days when the music to dance to was all played on discs or records. Nowadays it is provided by CDs on hi-tech systems. Disco dancing really came into its own in the sixties, with the massive upsurge of pop music in Britain and the USA. The tempo was up, and the style of dancing became more free. Whereas before you needed a partner to dance (ballroom, boogie woogie, and rock and roll), now dancing in small groups, even solo, also became acceptable.
Supporting children with learning difficulties
Authors: Drifte Collette
Published: May 2014

As more pre-school age children with Special Educational Needs (SEN) are being educated in mainstream settings, the need for information and practical ideas is becoming greater among early years professionals.
Table-top maths
Authors: Garrad Barbara
Published: May 2014

If children can confidently count to ten, recognise the numbers, and begin to appreciate their value by the time they are four or five years old, then they will set off on their mathematical journey with confidence. There are many table-top games played with dice or cards which will help to develop a child's concept of number. Here are just a few to try.
A poem for harvest time
Authors: Williams Brenda
Published: May 2014

Most children enjoy listening to the rhythm and rhyme of a poem. Younger children gain confidence and learn to understand and appreciate rhyme by joining in and putting actions to the words, and older ones are intrigued by the story element in poetry, and the fun of rhyming words.
Using ICT as a tool for learning
Authors: Kent Gina
Published: May 2014

ICT needs careful planning and introduction. As with all equipment it is important for the adults to feel confident about what it can do and how to use the software and peripherals (printers, scanners, digital devices). Adults working with the children need time to play with computers and other ICT devices, allowing them to become independent and confident users.
Exploring Braille
Authors: Coulter Jacqueline
Published: May 2014

Most young children readily accept that some children have special communicative needs if they have first-hand experience of being with them, in a setting which actively supports inclusive practice. If, however, they don't know anyone with a visual, hearing or speech impairment then it is more difficult for them to appreciate the difficulties that others may have communicating. You will need to take account of this in your planning.
Valuing cultural diversity
Authors: Jones Meg
Published: May 2014

We all have a culture whether we are black or white, Asian or mixed heritage, Christians, Muslims, Jews or non–believers. Culture refers to lifestyle, belief, childrearing practices, family roles, customs, language and personal history. Culture is a wide all–encompassing word, and even within what we can identify as broad cultural norms there are an enormous number of variations.
Sweet dreams
Authors: Harries Judith
Published: May 2014

Collect autumn leaves, conkers, seeds, acorns, feathers and so on. Back at home you can prepare the materials for your child to use. Select small coloured leaves and make a hole near one edge with a hole punch. If possible, make holes in some of the seeds and conkers so they too can be threaded.
Organising sand play
Authors: Frankish Lorraine
Published: May 2014

Sand is so versatile, it should be on offer daily, but practitioners often have concerns about it becoming stale and uninteresting. Remember, though, that as young children need to become deeply involved in an activity in order to progress in their learning, they need to be given the time for sustained concentration. They will also need many opportunities to repeat activities to consolidate their learning. However, it is important to provide enough resources and to plan a wide variety of activities in order to achieve the best learning outcomes.
Encouraging creative thinking
Authors: Graham Jo
Published: May 2014

Although the Foundation Stage guidance doesn't mention creative thinking it underpins much of Personal, Social and Emotional Development (as well as Language, Literacy and Communication and Creative Development) and is very much at home in good early years practice.
The sound of the past
Authors: Graham Jo
Published: May 2014

History, for young children, starts at home. Pre-school children are still developing a sense of time, trying to untangle yesterday from last week or last year. The important thing for them to realise is that things change as time goes by and that they are taking part in that change. Things have not always been as they are today and they will not always stay the same.
Family law: Child contact disputes
Authors: Prescott Ashlie
Published: May 2014

What would you do if a parent who does not live with their child (the nonresident parent) arrived to collect or take their child away - and you knew that this was against the wishes of the parent with whom the child resides (the resident parent)? It's a situation you could easily find yourself in.
Getting started with computers
Authors: Scott-Baker Geoffrey
Published: May 2014

Advances in technology have turned computers into commodity items, and microchips appear in everything from televisions to toasters. I am confident that by the time the children in your group now reach adulthood the 'I' and 'C' will be dropped from ICT in much the same way that we talk about the engine in a car, leaving out the words 'internal' and 'combustion'.
Turn on to technology
Authors: Scott-Baker Geoffrey
Published: May 2014

When your child is young, start by introducing them to the words we use to talk about technology as well as explaining how to use it.
Sing a song together
Authors: Stobbs Nicola
Published: May 2014

Changing the words to well-known songs is an important skill children will need to have later for literacy work.
Balancing games
Authors: Warner Maureen
Published: May 2014

Plan a safe environment inside or outside with a line of simple apparatus to include climbing frames, ropes and swinging tyres. Some children may be afraid of climbing, so let older children demonstrate their skills. Help them develop language skills by using words such as ‘climbing’, ‘swinging’, ‘ up’, ‘down’, ‘over’, ‘under’ and ‘on top’.
Learning to balance
Authors: Warner Maureen
Published: May 2014

Hopscotch is a traditional game that hasn’t lost its appeal. It offers the challenge of balancing and counting at the same time!
Exploring music: the tambourine
Authors: Harries Judith
Published: May 2014

One of the most familiar instruments to young children is the simple tambourine. This is a singleheaded drum, made from a shallow ring of wood or plastic and covered on one side with parchment, skin or plastic. Small metal discs hung loosely around the ring create the jingly sound. The tambourine can be traced back to ancient civilisations including Greece, Egypt and Rome and is usually associated with dancing and celebrations.
Out for the count
Authors: Cox Anna , Moore Jane
Published: May 2014

Children love being outside and mathematical learning can easily happen out of doors. Try these simple activities to encourage children's mathematical thinking and problem-solving skills.
Exploring music: the triangle
Authors: Harries Judith
Published: May 2014

The triangle is a simple percussion instrument made from a steel rod bent into the shape of an equilateral triangle, open at one angle, suspended by a cord and struck with a metal beater. It has been popular in Europe since the Middle Ages and is often depicted in art being played by angels. It has an indeterminate pitch but seems to take on the pitch of any high instrument it accompanies.