bluuebunny/crossref_metadata_2025 huggingface dataset:
Physiotherapy as a profession: Where are we now?
Authors: Kell Clare , Owen Gwyn
Published: May 2014

In the early 21st century physiotherapy the UK is experiencing unprecedented challenges to its practice and professional project as it responds to both changes in health-care design and delivery and developments in science and technology.

This article analyses a wide range of discipline-specifi c and generic literature addressing the sociology of ‘profession’ to explore the impact of the changing contexts and demands of practice on the identity and professional claim of physiotherapy. The article aims to frame a discussion about 21st century professionalism in the historical and theoretical context of the profession. While the article explicitly explores physiotherapy in the UK context, the issues addressed will be of interest and relevance to all health-care professionals exploring their role in relation to the state and wider society.
Patient satisfaction with circuit class therapy and individual physiotherapy
Authors: Lynch Elizabeth , Harling Rachel , English Coralie , Stiller Kathy
Published: May 2014

The purpose of this observational study was to determine patients' levels of satisfaction with circuit class therapy and individual physiotherapy sessions on a stroke rehabilitation unit.

Forty-nine persons participated in both circuit class therapy and individual physiotherapy sessions as part of standard inpatient rehabilitation following stroke. A purpose-designed questionnaire was administered to investigate patient satisfaction.

High degrees of satisfaction were reported with both methods of physiotherapy service delivery. Individual sessions were perceived as being more tailored to participants' goals, whereas participants reported that circuit classes offered a more supportive environment than the individual therapy sessions. Participants were satisfied with the amount of supervision and assistance provided in both forms of physiotherapy service delivery. No distinct advantage was seen for one form of therapy over the other in terms of patient satisfaction.
Randomized controlled trials: Fundamental concepts
Authors: M Morrow Brenda
Published: May 2014

A clinical randomized controlled trial (RCT) is an experimental research study in which subjects are randomly allocated to receive or not receive an experimental preventative, therapeutic or diagnostic procedure, and then are followed to determine the effect of the intervention.

RCTs are considered the gold standard for clinical research design. However, in order for valid conclusions and appropriate recommendations to be made for clinical practice, the research needs to be methodologically sound and reported on in sufficient detail to allow reproducibility and critical appraisal.

This article will review the fundamental components of a RCT for the prospective investigator as well as for those attempting to implement evidence-based therapy and rehabilitation practice based on reports of RCTs.
Engaging women from South Asian communities in cardiac rehabilitation
Authors: Visram Shelina , Crosland Ann , Unsworth John , Long Sue
Published: May 2014

Aims

This study sought to describe experiences and perceptions of cardiac rehabilitation among a sample of women from South Asian communities in an inner-city area of Newcastle-upon-Tyne, UK.

Methods

Data were collected via eight semi-structured interviews with staff and a focus group discussion with nine clients from a community-based, culturally sensitive cardiac rehabilitation service.

Findings

A number of individual, cultural and practical barriers to participation were identified. Facilitators centred on whether the format and content of the sessions could be considered ‘appropriate’. For example, a women’s dance group proved to be successful through the selection of a familiar local venue, supportive session leader, and an activity that was felt to be both enjoyable and beneficial.

Conclusions

This study has shown that it is possible to engage hard-to-reach groups in cardiac rehabilitation and physical activity. Further work is needed to explore whether this research is applicable in other ethnic groups and whether the lessons learned could be successfully incorporated into mainstream health services.
Residential pain management programmes: Participants' hopes and expectations
Authors: Bustin BM , Hughes OG
Published: May 2014

Aims

The authors sought to identify the initial expectations held by potential participants of a residential pain management programme. Drawing on existing placebo literature, it was anticipated that such insight would provide greater opportunities to secure positive outcomes for participants.

Methods

Focus groups and questionnaires were undertaken with 17 potential participants of the programme, to explore their pre-programme expectations. Data were thematically summarized.

Findings

Participants provided a wealth of information about their hopes from the programme. Thematic analysis revealed that participants were not, however, describing their expectations of their own potential achievements from participating in the programme.

Conclusions

The data provided by the participants highlighted the relevance of self-efficacy in interpreting their current potential for change. It is recommended that researchers should exercise caution when selecting the methods and language for qualitative approaches, particularly around ‘hopes’ and ‘expectations’. These findings may have clinical implications for the evaluation of patients' preparedness for engaging in treatment in this area.
The working alliance in supported employment for people with severe mental health problems
Authors: Waghorn Geoff , De Souza Tara , Rampton Nicole , Lloyd Chris
Published: May 2014

Aims

This study examined the utility of the Working Alliance Inventory Short form (WAI-S) for measuring the working alliance between supported employment service providers and service users with severe mental health problems.

Methods

Service users (n=32) and their respective service providers (n=17, 32 pairs) from five supported employment services independently rated their working alliance using the WAI-S.

Findings

There was little correlation at item, factor, and total score levels, and low agreement between service users and service providers on 11 of 12 working alliance items of the WAI-S.

Conclusions

These findings challenge the validity of the working alliance construct in this context, suggesting that both the WAI and the WAI-S may not be optimal measures of the working alliance in supported employment. The contextual differences between psychotherapy and supported employment, and the greater divergence of user-provider perceptions, imply that the working alliance in supported employment may differ from the alliance in psychotherapy. Researchers are encouraged to investigate the nature of the working alliance in supported employment rather than project characteristics identified in other settings.
Determinants of physical activity participation following traumatic brain injury
Authors: Reavenall Sarah , Blake Holly
Published: May 2014

Aims

The objective of the study described in this article was to establish the environmental, social, or personal determinants associated with physical activity participation in people with traumatic brain injury (TBI).

Methods

A multi-centre cross-sectional questionnaire survey using a convenience sample was used at eight community day centres for brain injured populations. The participants were 63 individuals with traumatic brain injury (51 male, 12 female). Physical activity participation was based on the proportion of participants achieving the level of physical activity recommended for health (30 mins moderate activity, most days of the week). Standardized measures were used to assess activities of daily living (Extended Activities of Daily Living Scale), self-efficacy (Self-Efficacy for Exercise Scale), social support (Social Support for Exercise Scale) and mood (General Health Questionnaire-12).

Findings

Over half the participants were not active enough for health benefit. Active participants were more independent in activities of daily living (t = -2.21, P < 0.05), had greater self-efficacy for exercise (t = -3.02, P < 0.05) and were more educated (χ2=5.61, P<0.05) than inactive participants. Logistic Regression showed self-efficacy for exercise to be the only significant predictor of physical activity participation (β = 0.32, OR 1.03, P < 0.05).

Conclusions

Self-efficacy predicted physical activity participation. Efforts to increase self-efficacy among brain injured participants may encourage activity participation in those who are able and this warrants further investigation.
Development and Evaluation of the Consumer Recovery Satisfaction Survey
Authors: Henderson Anthony , Coall David , Lillee Alyssa , Isaac Mohan , Janca Aleksandar
Published: May 2014

Objective: The purpose of this study was to develop and evaluate a consumer satisfaction instrument for its psychometric properties and utility as part of a mental health rehabilitation service's quality improvement strategy.

Methods: The instrument was developed and evaluated qualitatively using the Nominal Group Technique and quantitatively using factor analysis and Structural Equation Modelling.

Findings: The study resulted in the development of Consumer Recovery Satisfaction Survey (CRSS), an instrument with strong psychometric properties.

Discussion: Satisfaction survey instruments tend to be biased towards identifying what is important to an organization. Consumers, however, have different priorities and this was evidenced through their significant contribution to the development and evaluation of the CRSS.

Conclusion: The CRSS is a standardized instrument that can be used with confidence as part of a mental health rehabilitation service's internal quality improvement programme as well as benchmarking against other organizations.
The power of home rehabilitation: a single case study
Authors: Lackie Rebecca , Bisset Leanne
Published: May 2014

This single case study reports on an 81-year-old woman who underwent a rehabilitation programme initially in a hospital inpatient setting, then in a home setting. There was a clinically significant improvement in functional outcomes following the home-based rehabilitation, but not following the inpatient rehabilitation programme. This case study illustrates that empowerment of the patient may sometimes be greater in the home environment, possibly due to different roles taken by the patient and therapist in the home compared with roles taken in a hospital environment. This patient reported feelings of being in more control at home, with greater capacity to set their own goals, and improved feelings of motivation with this increased level of engagement. This increased empowerment can lead to more effective outcomes for patients undergoing rehabilitation in the home, and must be considered as an ideal rehabilitation environment for some patients.
Perceptions of a client-centred approach among Slovenian occupational therapists
Authors: Krizaj Tanja , Hurst Jenni
Published: May 2014

Aims: The aim of the study was to explore how Slovenian occupational therapists use a client-centred approach in their current clinical practice.

Method: A generic qualitative approach was selected and twelve semi-structured interviews were completed to gain a deeper understanding of the use of a client-centred approach used by occupational therapists in the Slovenian health care system. A thematic analysis was used to analyse the data and identify the participants’ experiences.

Findings: The majority of the participants perceived that the use of a client-centred approach was beneficial to the occupational therapy process. While they experienced factors that would facilitate the use of this approach they also identified challenges to implementation in their own practice settings. Their experience of the Slovenian health care system was that it was still strongly influenced by the medical model.

Conclusions: All the participants expressed a willingness to incorporate a client-centred approach in their practice. They all identified the motivation of the individual occupational therapist and their willingness to undertake further education as essential. This study will inform and influence the development of this approach in occupational therapy practice in Slovenia.
Factors affecting myofascial pain pattern recognition in musculoskeletal therapists: an exploratory study
Authors: Kyte Derek , Rushton Alison , Eveleigh Gill
Published: May 2014

Aims:

To evaluate the ability of experienced musculoskeletal physiotherapists to recall and identify myofascial trigger point (MTrP) pain referral patterns associated with the cervical spine, and to determine the factors affecting myofascial pain pattern recognition in experienced musculoskeletal physiotherapists.

Methodology:

A questionnaire-based descriptive survey using mixed methods was employed. A specially constructed questionnaire was used in the study. Responses were subjected to descriptive, statistical, and thematic analysis.

Results:

Twenty-five experienced musculoskeletal (MSK) physiotherapists (mean qualification period=10.3 years, mean specialist MSK experience=7.52 years) took part in the study. 100% completed the questionnaire. The MTrP pattern recognition rate was 23.33%. Thematic analysis of the qualitative data revealed a number of factors that may help to explain this low rate within the study sample.

Conclusions:

This exploratory study highlights deficiencies in the ability of experienced musculoskeletal physiotherapists to recall and identify MTrP pain referral patterns associated with the cervical spine. Several factors were identified that may have contributed to the observed deficiencies in this area including: lack of education, knowledge and experience, difficulty with clinical recall, and notions surrounding clinical relevance.
Effects of Speech Therapy on Voice and Speech in Parkinson's After a 15-day Rehabilitation Course: A Pilot Study
Authors: Simberg Susanna , Rae Johanna , Kallvik Emma , Salo Benny , Martikainen Kirsti
Published: May 2014

Background/Aims:

Speech and voice symptoms appear in approximately 65-74% of patients with Parkinson's disease (PD), however, only a limited part of these patients seems to be referred to speech therapy. The purpose of the present study was to evaluate the effects of a two-part, 15-day rehabilitation course on speech and voice function in PD.

Methods:

Daily speech therapy sessions were provided both individually and in groups. Six participants with PD, and their spouses, participated in the study. Speech samples were recorded and they were analysed perceptually and acoustically. Additionally, the participants completed the Voice Activity and Participation Profile (VAPP). The spouses filled in a version of the questionnaire where they evaluated their spouses’ voice limitations and activity and participation restrictions.

Findings:

The results of perceptual assessment showed that the voice quality improved significantly both in the reading and the spontaneous speech samples. Also, acoustic analysis showed that average fundamental frequency and vocal range increased in the measurements made three months postonset of treatment. In addition, the results from the VAPP showed that the quality of life improved.

Conclusions:

This study provides indications that the participants benefit from the rehabilitation course and further studies are needed to evaluate the effects of this type of rehabilitation.
Application of a hermeneutic phenomenologically orientated approach to a qualitative study
Authors: Jones Fiona , Rodger Sylvia , Ziviani Jenny , Boyd Roslyn
Published: May 2014

Background:

Phenomenology enables researchers and clinicians to understand the lived experience of those affected by situations that are not easily measurable. This paper presents an example of the decision making undertaken to investigate the lived experience of adolescents with cerebral palsy in their transition to secondary school. The process engaged in undertaking this research is used as a means of highlighting key decision points when undertaking qualitative investigation of this kind.

Study design:

Hermeneutic phenomenologically orientated study

Study participants/setting:

Eleven parent-adolescent dyads of youth with cerebral palsy (8 males, 2 females, ages 12-14 years; Gross Motor Function Classification System (GMFCS) I=3, II=4, III=3, IV=1; Manual Abilities Classification System (MACS) I=5, II=2, III=4, IV=1, V=5; spasticity=10, dystonia=1; rural=1, regional=3, metropolitan=7).

Methods:

A step-by-step qualitative decision making pathway, including Colaizzi's methods, to facilitate investigation of the lived experience of adolescents with cerebral palsy was developed.

Results:

The paper presents four main phases in the decision making process required when designing or interpreting a qualitative research study, namely philosophy, methodology, research methods, and confirmation.

Conclusions:

A clear process in the construction of qualitative research has been developed. This should support researchers working in various fields of allied health and rehabilitation to investigate the experiences of service recipients where there is insufficient research to formulate hypotheses.
The development of media-driven clinical skills through using the ‘e-skills portfolio’
Authors: Stephens John , Parr Mike
Published: May 2014

Background:

The‘e-skills portfolio’ has been developed to give students the opportunity to engage in a creative approach to learning the distinctive core skills of: electrotherapy, manual therapy and therapeutic exercise. This paper aims to review the development and implementation of this e-skills portfolio within a pre-registration MSc physiotherapy programme.

Content:

Students work in small groups, and capture (through film or images) practice of clinical skills through simulation in the university setting. The analysis of the e-skills portfolio involved a pluralistic approach to: analysing data collected from two student discussion groups (n=21); reviewing submitted portfolio content; and teaching team reflections. Findings were then coded, and the emergent themes identified. Emergent themes from the data included assessment of skills and feedback, reflective practice, employment, continuing professional development through peer and self-coaching, and resource access.

Conclusions:

Engagement in compiling the e-skills portfolio appears to promote students' continuing professional development through a critical process of peer- and self-coaching and deliberate practice. This practice of using the e-skills portfolio is based within an adapted action research model, and appropriate learning support, particularly in IT, is a crucial element in this process.
Orthopaedic patient outcomes following interdisciplinary inpatient rehabilitation
Authors: Yan Kun , Pogoda Terri
Published: May 2014

Aims:

This study's primary aim was to identify factors associated with discharge disposition and length of stay (LOS) at an interdisciplinary inpatient rehabilitation unit for patients who underwent total knee arthroplasty/unilateral or bilateral knee surgery (TKA/KS) or total hip arthroplasty (THA).

Methods:

This was a retrospective medical chart review of 119 veterans receiving post joint replacement rehabilitation at a United States Department of Veterans Affairs Medical Center at an interdisciplinary inpatient rehabilitation unit between December 2008 and May 2010 following joint replacement surgery. Patient demographic, health/function, and outcome factors were abstracted.

Findings:

Approximately 96% of patients who received post joint replacement rehabilitation were discharged to a home setting. For every 1 point score increase on the Functional Independence Measurement (FIM) scale at discharge, patients were 1.29 times more likely to be discharged to home (95% CI=1.02–1.63; P<0.04), but this effect diminished after accounting for age. Older veterans had longer LOS. Discharge to a non-home setting following inpatient rehabilitation was associated with older age, lower functional independence at admission, and poorer functional gain between admission and discharge.

Conclusions:

Interdisciplinary inpatient rehabilitation is an effective transitional step from the surgical intervention to the home setting for veterans undergoing TKA/KS or THA.
Correlation between obesity and balance in school children
Authors: Sasidharan Abishek , Vijayappan Vijesh , Pillai Sithara , Khan Fayaz
Published: May 2014

Background

This study aimed to find out whether there is any relationship between obesity and balance among school-going children.

Methods

Five hundred school-going children, who were randomly selected, and had a mean age of 10.20 ± 1.51 years were recruited for the study. Obesity levels were assessed using Body Mass Index (BMI) and balance was quantified using the Paediatric Reach Test (PRT).

Results

The results showed a negative correlation between BMI and balance impairments in school children (R=0.45) and this correlation was significantly evident above the threshold level of BMI >22 kg/m2. The mean BMI was 19.94 ± 3.98 kg/m2 and the mean PRT score was 20.91 ± 4.30 points.

Conclusion

A high BMI above a certain threshold is correlated with balance impairment in school children; therefore, regular physical training is essential to maintaining the BMI within normal limits.
How to set up and run your own practice
Authors: Baraniak Catherine
Published: May 2014

Establishing a nurse-led practice may seem like a daunting task at first but, as Catherine Baraniak explains, the benefits can outweigh the challenges.
Will cell transplant lead to cure?
Authors: White Caroline
Published: May 2014

A procedure has enabled a patient with type-1 diabetes to produce his own insulin.
Brush up your presentation skills
Authors: Brudenell Kate
Published: May 2014

Public speaking can be a daunting prospect for many nurses, but basic preparation will help boost the communication skills that many practice and community nurses already possess.
Agenda for Change - will you be a winner or a loser?
Authors: Applebee Kathie
Published: May 2014

AfC is expected to offer better conditions for practice nurses. However, it could turn out to be a mixed blessing.
The importance of managing insulin resistance and weight
Authors: Haslam David
Published: May 2014

Early diagnosis and management of insulin resistance should be prioritised.
Your step-by-step legal guide to becoming a practice partner
Authors: Abbess Lynne
Published: May 2014

Nurses are being offered partnerships in practices, but must be aware of the pitfalls as well as the benefits.
Honey in modern wound management
Authors: White Richard
Published: May 2014

In the first of a two-part series, Dr Richard White explains the potential for honey in wound healing.
Q&A: Cardiology
Authors: Clark Andrew
Published: May 2014

Two questions on hypertension and congestive heart failure.
Putting cardiac rehabilitation in the spotlight
Authors: Polak Monika
Published: May 2014

A new audit will examine the provision and uptake of this vital service.
Job matching under Agenda for Change
Authors: Young Ghislaine
Published: May 2014

Nurse practitioner Ghislaine Young gives a personal account of AfC and explains why she believes NPs deserve a high-level banding
How to shine in media interviews
Authors: Brudenell Kate
Published: May 2014

Talking to a journalist may seem terrifying, but preparation and simple strategies may help.
Promoting better patient health
Authors: Persaud Joy
Published: May 2014

A practice in Liverpool has chosen a proactive approach to improving health awareness.
How to prevent relapse
Authors: Croghan Emma
Published: May 2014

Smokers may make many attempts to quit before they successfully stop.
Diabetes during pregnancy
Authors: CL Page Renee
Published: May 2014

Women who develop pregnancy-related diabetes may be at risk of future problems.
Longer lasting contraception
Authors: Reynolds Angela
Published: May 2014

To mark Contraceptive Awareness Week.
Homocysteine and dementia
Authors: McCaddon Andrew
Published: May 2014

Dr Andrew McCaddon explains the research which uncovered the link between Alzheimer’s disease and vitamin B
Providing a life force for terminally ill children
Authors: Wild Sarah
Published: May 2014

A nurse-led project across three London boroughs is providing specialist palliative care for children in their own homes.
Case History: Benefits of proactive screening
Authors: Gupta Ajay Kumar
Published: May 2014

Dr Ajay Kumar Gupta investigates a case which emphasises the need for active investigation of all patients at high risk of diabetes.
In partnership with sponsorship
Authors: Raisbeck Elspeth
Published: May 2014

Working with drug companies can prove a satisfying career for primary care nurses.
Preconceptual care in epilepsy
Authors: Irwin Beth
Published: May 2014

Beth Irwin examines the complex issues facing women with epilepsy who are planning to start a family
Case History: Diarrhoea and blood in the stools
Authors: Townend Mike
Published: May 2014

In his third travel health case study, Dr Mike Townend examines what to look for when a returning traveller presents with diarrhoea
Identification of dementia in primary care
Authors: B Iain
Published: May 2014

An early diagnosis of dementia is beneficial for a number of reasons, explains Dr Iain B McIntosh, but it requires proactive assessment by practitioners
How to turn your idea into a reality
Authors: Pearson Anne
Published: May 2014

Applying for funding for new initiatives need not be daunting if you follow some simple rules.
Prescribing for overactive thyroid
Authors: Morris David
Published: May 2014

Dealing with hyperthyroidism can be challenging. Dr David Morris offers some management hints
Progress in heart failure
Authors: Jarvis Sarah
Published: May 2014

Management of heart failure has changed markedly over the past five years. Dr Sarah Jarvis outlines how
Implementing baby massage
Authors: Livingstone Joanna
Published: May 2014

Parents and infants can reap many health benefits from this intervention.
Generating positive publicity
Authors: Healy Pat
Published: May 2014

Developing a good relationship with the media can help nurses raise awareness of new initiatives and assist health promotion.
Solving behavioural problems
Authors: Davis Carol
Published: May 2014

Children's mental health is the focus of an award-winning scheme set up by a primary care nurse.
Elderly travel health
Authors: B McIntosh Iain
Published: May 2014

More older people are travelling than ever and pre-travel preparation can make their trips less of a health risk.
Emergency plans for avian flu
Authors: B McIntosh Iain
Published: May 2014

This month the DoH will send information packs on bird flu to all practices. Caroline White
Shaping the NHS
Authors: Davis Carol
Published: May 2014

Nurses are developing their communication skills and learning to lead service development under the RCN Clinical Leadership Programme.
Examining the efficacy of hip protectors
Authors: Parker Martyn
Published: May 2014

Hip protectors are suggested as a cheap way to reduce fractures.
Focusing on heart disease in women
Authors: Nicholas Marina
Published: May 2014

The extent of heart disease in women is often underestimated. Marina Nicholas outlines the problem and how to redress the balance
Getting to grips with directed enhanced services
Authors: Applebee Kathie
Published: May 2014

Negotiating the various enhanced services can be confusing, but primary care management consultant Kathie Applebee has some useful advice
The case for a generic statin
Authors: Moon James , Bogle Richard
Published: May 2014

Switching from branded statins to generic simvastatin can bring significant cost benefits.
Professional Prescriber series: Prescribing data
Authors: Thompson Angus
Published: May 2014

In the fifth article in our prescribing series, independent prescribing adviser Angus Thompson discusses the various forms of prescribing data available and how nurse prescribers can use them to evaluate their practice.
A rare form of dermatitis
Authors: Stollery Nigel
Published: May 2014

A blistering rash may be dermatitis herpetiformis. Dr Nigel Stollery explains how to manage this rare autoimmune condition
Understanding pro- and prebiotics
Authors: Phillips Frankie
Published: May 2014

Pre- and probiotics are added to foodstuffs to support beneficial’ bacteria in the gut.
Identifying cat scratch disease
Authors: Thakkar Raj
Published: May 2014

A granulomatous infection can occur as a result of contact with pets
Pictures in practice: various cystic lesions
Authors: Watkins Jean
Published: May 2014

Essential pictorial guide to the identification of tricholemmal cyst, Bartholin's cyst, cyst of Moll, apocrine hidrocystoma, Gartner's duct cyst and meibomian cyst
What do our patients think about self-care?
Authors: Chambers Ruth
Published: May 2014

Professor Ruth Chambers discusses patients’ attitudes to self-management
Preserving renal function in diabetes
Authors: Kirby Mike
Published: May 2014

Renal disease is a common complication of diabetes. Professor Mike Kirby outlines its diagnosis and management
When surgery can be an option for obesity
Authors: Haslam David
Published: May 2014

The last resort for those unable to lose weight is surgery.
Patient participation in general practice
Authors: Applebee Kathie
Published: May 2014

Establishing a patient participation group can benefit both patients and practices.
Risks and symptoms of some rarer insect-borne infections
Authors: Townend Mike
Published: May 2014

Do not forget to consider rarer tropical diseases in a returning traveller.
Enhancing the strengths of teams in general practice
Authors: Applebee Kathie
Published: May 2014

An effective team can foster a sense of belonging and self-worth for its members
Managing obesity in severe mental illness
Authors: Holt Richard IG
Published: May 2014

Obesity Awareness Week runs from 13 to 19 March. Those with severe mental illness are notably at risk.
Bites and stings
Authors: Sprague Debra
Published: May 2014

In our ongoing series examining common conditions in primary care, Debra Sprague explains treatments, prescribing options, differential diagnoses and possible complications from insect stings and bites
Opinion: Will White Paper help improve care?
Authors: Pink David
Published: May 2014

Key issues will need addressing if those with long-term conditions are to benefit from DoH plan.
Reducing missed appointments
Authors: Applebee Kathie
Published: May 2014

Patients who fail to turn up waste consultation time. Kathie Applebee offers some tips to ensure attendance
Identifying and treating eating disorders in primary care
Authors: Young Maggie
Published: May 2014

The number of young people suffering from eating disorders is rising.
The role of diet in diabesity
Authors: McClenaghan Neville
Published: May 2014

Diet is a key factor in fighting the ‘diabesity’ epidemic. Dr Neville McClenaghan explains where carbohydrates fit in
Prescribing oral antiplatelets
Authors: Morris David
Published: May 2014

Antiplatelet agents can play a key role in reducing thrombotic risk in cardiovascular and cerebrovascular disease.
Introducing DESMOND for diabetes education
Authors: Varty Diane
Published: May 2014

The first NICE-compliant national education programme for type-2 diabetes is now being rolled out.
A practical guide to rosacea
Authors: Burr Sara
Published: May 2014

Rosacea may be stressful for patients, but the symptoms can be eased.
How to develop a CKD register
Authors: Bilton Jane
Published: May 2014

Under changes to the QOF practices should set up a chronic kidney disease register. Jane Bilton explains the process
Lichen striatus
Authors: Watkins Jean
Published: May 2014

AetiologyThe cause is not known. It is currently thought that a combination of genetic and environmental factors are involved. It can occur at any age, but more than half of cases occur in those between five and 15 years of age. The condition is rare. Sy
Managing Parkinson's disease over the longer term
Authors: Rhind George
Published: May 2014

Primary care needs to take a modern approach to the treatment of Parkinson's disease.
Pictures in practice: Conditions affecting the tongue
Authors: Stollery Nigel
Published: May 2014

Pictorial aid to diagnosing common conditions and problems associated with the tongue presenting in primary care.
Assessing and treating erectile dysfunction
Authors: Brown Harry
Published: May 2014

Taking a detailed but sensitive history is the first step when faced with a patient who has erectile dysfunction, says Dr Harry Brown.
Developments in travel health medicine
Authors: Grieve Sandra
Published: May 2014

Being up-to-date in travel health medicine is vital. Sandra Grieve reviews some recent changes in practice.
Prescribing for sore throats
Authors: Robinson Gina M.
Published: May 2014

A sore throat will sometimes require a prescription. Gina Robinson explains.
Paediatric diarrhoea
Authors: Stephenson Terence
Published: May 2014

Diagnosis and treatment
Hypocalcaemia
Authors: Hegab Amira , Vanderpump Mark
Published: May 2014

Clinical focus on hypocalcaemia
Case study: A nosebleed heralded trouble
Authors: Warburton Louise
Published: May 2014

Anaemia in the elderly can have many causes. Dr Louise Warburton shares a serious case
How to choose the right antihypertensive regimen
Authors: Morris David
Published: May 2014

NICE updated its adult hypertension guidance last year. Dr David Morris explains the supporting evidence
Tackling menstrual migraine
Authors: Dowson Andrew
Published: May 2014

Migraine associated with the menstrual cycle is both common and debilitating. Dr Andrew Dowson explains the management approach
How to care for artificial eyes
Authors: Dugdale Deborah
Published: May 2014

Keeping an artificial eye clean is a simple procedure
Problems of the feet
Authors: Stollery Nigel
Published: May 2014

Pictorial diagnostic aid of cement-contact dermatitis, hyperkeratosis, malignant melanoma, infected eczema, peripheral neuropathy and hallux valgus
Providing help for loved ones of patients with depression
Authors: Carr Caroline
Published: May 2014

Nurses have a role to play in providing advice and signposting services.
Q & A diagnostics - urine testing and black, tarry stools
Authors: Heath Dugal
Published: May 2014

Our experts answer your questions on whether urine testing in younger patients is cost-effective for identifying diabetes or haematuria, and how to manage a patient who presents with black, tarry stools
Prescribing for atrial fibrillation
Authors: Morris David
Published: May 2014

AF is an arrhythmia that is commonly treated in primary care. Dr David Morris advises on the best approach to take
Providing palliative care for nausea
Authors: Auty Simon
Published: May 2014

A systematic approach is the key to treating nausea and vomiting, whether cancer or non-cancer related.
Supporting community nurses
Authors: Wild Sarah
Published: May 2014

A pilot scheme to develop a band of assistant practitioners is benefiting patients with long-term conditions.
Understanding the risks of tighter glycaemic control
Authors: Pathmanaban Praveen , Bain Steve
Published: May 2014

The push for tighter glycaemic control may have disadvantages.
Anterior shoulder dislocation
Authors: Kochhar Suneeta , Hassan M Haydar
Published: May 2014

Shoulder dislocation requires careful rehabilitation.
Male cancer awareness
Authors: Gray Morag
Published: May 2014

Lung and bowel cancers are among the most common cancers in men. Professor Morag Gray provides an overview.
Emergency asthma inhaler use in schools
Authors: Hall Julie
Published: May 2014

A school asthma policy could help to reduce asthma-related morbidity and death, says Julie Hall
Modern lipid management
Authors: Nuttall Michael
Published: May 2014

NICE is proposing recommended treatment thresholds rather than targets for cholesterol management. Michaela Nuttall investigates.
Falls in older people
Authors: Oliver David
Published: May 2014

Four-part clinical article covering the significance of falls, causes and interventions, guidance, good practice and prevention, and secondary care services.
Prescribing treatments for osteoporosis
Authors: Sutcliffe Anne
Published: May 2014

A variety of agents can benefit patients with osteoporosis, but definitive guidance on their use is awaited, writes Anne Sutcliffe.
Treating children with atopic eczema
Authors: Lawton Sandra
Published: May 2014

A holistic and stepped approach to care is essential for children with atopic eczema, says Sandra Lawton.
What's in a nappy?
Authors: Welford Heather
Published: May 2014

Simple checks on a baby's stool can identify problems early and help the mother and child get the most from feeding.
Controlling blood pressure in type-2 diabetes
Authors: Tahrani Abd A , Barnett Anthony H
Published: May 2014

How much should blood pressure be lowered in type-2 diabetes? Dr Abd Tahrani and Professor Anthony Barnett assess the evidence.
Delivering out-of-hours care to the community
Authors: Smith Gemma
Published: May 2014

West Sussex PCT is responding to patients' needs by developing an innovative out-of-hours team.
Tackling chronic low back pain – Pain management
Authors: Wang Audrey
Published: May 2014

Remember to consider psychosocial factors in patients with chronic back pain, says Audrey Wang.
Flying with lung disease
Authors: Coker Robina K
Published: May 2014

How safe is air travel for those with lung disease? Dr Robina Coker analyses the evidence.
CVD - Putting the portfolio diet into practice
Authors: Jarvis Sarah
Published: May 2014

Eating a diet that includes a ‘portfolio’ of heart-healthy foods can help combat CVD. Dr Sarah Jarvis explains.
Benefits - Changes to incapacity benefit
Authors: William Nerys
Published: May 2014

Changes to incapacity benefit aim to help ill or disabled patients find suitable work.
Dermatology - Treating psoriasis in primary care
Authors: Stollery Nigel
Published: May 2014

Regular use of an emollient forms the basis of good care for patients with psoriasis.
Case study - Using the WHO pain ladder
Authors: Merriman Honor
Published: May 2014

Effective pain relief can be achieved using the WHO pain ladder.
Improving patient consultations
Authors: Moulton Liz
Published: May 2014

Analyse the factors that affect patient consultations and make changes accordingly, advises Liz Moulton.
Dealing with septic arthritis
Authors: Brown Harry
Published: May 2014

A complete cure can be achieved with prompt diagnosis and referral, says Dr Harry Brown.
Haemophilia
Authors: Lawrence Kingsley
Published: May 2014

Diagnosis and treatment.
Extended hours and the law
Authors: O'Dwyer Gerry
Published: May 2014

How will GPs' acceptance of extended opening hours affect nurses' terms and conditions.
CVD risk and the menopause
Authors: Currie Heather
Published: May 2014

Women are more likely to develop CVD after the menopause. Dr Heather Currie explains how to minimise their risk.
The safety of black cohosh
Authors: Huntley Alyson
Published: May 2014

Women should be aware of the safety issues relating to black cohosh, says Dr Alyson Huntley.
Supporting vulnerable patients
Authors: Rowley Georgina
Published: May 2014

Nurses need to fully understand the provisions of the Mental Capacity Act 2005.
The NHS at 60 - Halting the rise of hospital-acquired infections
Authors: Peters Jenny
Published: May 2014

In the wake of the NHS' 60th birthday celebrations, Jenny Peters reflects on standards of cleanliness in hospitals.
Fighting seasonal infections
Authors: Stanwell-Smith Rosalind
Published: May 2014

Good hygiene in addition to vaccination is vital in the fight against flu, says Dr Rosalind Stanwell-Smith
Practical prescribing - blood transfusion services
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers.
Nutrition and wound healing
Authors: Benbow Maureen
Published: May 2014

The body's increased nutritional requirements during wound healing need to be met to ensure a successful outcome, writes Maureen Benbow.
Learning disability - Detecting medical conditions
Authors: Ali Afia , Hall Ian
Published: May 2014

Underlying medical conditions in people with learning disability can be hard to spot.
Providing blood transfusions in patients’ homes
Authors: Pott Laura
Published: May 2014

A nurse-led transfusion service reduces hospital admissions and improves patient care.
Diagnosing eczematous conditions in children
Authors: Lawton Sandra
Published: May 2014

Eczematous conditions are common in children but can present a diagnostic challenge, writes Sandra Lawton.
Urinary tract infection in women
Authors: Stanton Professor Stuart L
Published: May 2014

Epidemiology, presentation, treatment and prevention.
Counselling skills for nurses
Authors: Bertram Lynn
Published: May 2014

Sensitive communication skills help nurses to manage patients’ needs.
A complementary approach to ADHD - Child health
Authors: Huntley Alyson
Published: May 2014

Complementary therapy for ADHD is popular.
Diagnosing incontinence
Authors: Townsend Joanne
Published: May 2014

An understanding of the different types of incontinence and how they differ is vital, says Joanne Townsend.
Pictorial Case Study - Recurrent abscesses
Authors: Gnanapragasam Vasa
Published: May 2014

A woman presents with recurrent abscesses and discharge.
Diet plan to achieve effective weight loss
Authors: Haslam David
Published: May 2014

Successful weight loss intervention can be delivered in primary care, writes Dr David Haslam.
Understanding the role of vitamin D
Authors: Phillips Frankie
Published: May 2014

Research suggests that vitamin D benefits more than just bone health.
Identifying non-infective rashes in children
Authors: Dickson Terrina
Published: May 2014

Several non-infectious rashes that can occur in children are outlined.
Proactive allergic rhinitis care
Authors: Dixon Lisa
Published: May 2014

Immunotherapy may benefit patients with severe allergic rhinitis, writes Lisa Dixon.
Managing thyroid disorders in adults
Authors: Morris David
Published: May 2014

Women are more at risk of thyroid disorders than men. Dr David Morris outlines the diagnosis and treatment options.
Reviewing a patient's secondary prevention treatment
Authors: Cornforth Amber
Published: May 2014

The routine review of a patient with CVD who is receiving treatment for secondary prevention is described by Amber Cornforth.
Tailoring antidepressant treatment
Authors: Rogers Melanie
Published: May 2014

Antidepressant dose and duration of treatment are important factors.
Consultation skills: Using the BATHE technique
Authors: Walton
Published: May 2014

Nurse practitioners can improve their consulting technique by asking five simple questions.
Tackling bacterial vaginosis - Vaginal discharge
Authors: Aziz Zara
Published: May 2014

This extremely prevalent vaginal problem merits diagnosis and treatment.
Primary dressings for venous ulcers
Authors: Cornforth Amber
Published: May 2014

Honey as a primary dressing under compression bandaging may aid ulcer healing.
Award-winning eczema care
Authors: Francis Ann
Published: May 2014

Health visitors are providing parents with education and management techniques.
Advising on gap year travel
Authors: Grieve Sandra
Published: May 2014

The flexibility of gap year travel makes careful risk assessment vital.
How to update your CV effectively
Authors: Hill Barry
Published: May 2014

Keep your CV up-to-date even if you are not currently job-hunting.
Getting to grips with evidence- based practice
Authors: Cornforth Paul
Published: May 2014

Nurses make complex clinical decisions in today's NHS, which must be based on evidence.
Finding the right emollient
Authors: Stollery Nigel
Published: May 2014

Working with the patient to ensure the selection of an emollient that is suitable for them is vital, writes Dr Nigel Stollery.
Supporting nurses to transform services
Authors: Pellett Candice
Published: May 2014

New guides from the DoH provide nurses with practical help on how to improve patient care Candice Pellett.
Practical prescribing - specialist practice qualification
Authors: Courtenay Molly
Published: May 2014

Q: I am a staff nurse working in the community setting. I do not hold a specialist practice qualification (SPQ). However, I believe I can undertake training that will enable me to prescribe from the Nurse Prescribers Formulary (NPF) for Community Practitioners.Could you explain the pre-requisites for this training; how long this training will take; and give me an idea of course content?
Recognising Reye's syndrome
Authors: Duncan Debbie
Published: May 2014

Medications containing salicylates have been implicated as causal.
First steps in hypertension care
Authors: Cox Beverley
Published: May 2014

It is vital to diagnose and treat hypertension at the earliest possible opportunity.
Managing acne
Authors: Tubb Clive
Published: May 2014

Combination therapy may be required for a successful outcome.
A case of acute-onset back pain
Authors: Lovatt Penny
Published: May 2014

The management of a patient with back pain presenting in a nurse-led acute care setting is outlined by Penny Lovatt.
Managing manipulative patients
Authors: Porter Kamilla
Published: May 2014

Taking a step back from patient interactions can help you find coping strategies.
Supporting BME patients to access palliative care
Authors: Wild Sarah
Published: May 2014

Trained volunteers are providing advocacy to cancer patients.
The burden of psoriasis and treatment options
Authors: Maguire Susan
Published: May 2014

Nurses can play a key role in identifying psychosocial and treatment issues that may affect clinical outcomes. Susan Maguire explains how
Managing skin rashes in adults
Authors: Van Onselen Julie
Published: May 2014

Various skin eruptions can occur as a result of dermatological disease.
Giving children the best start in life
Authors: Hyde Gina
Published: May 2014

Sure Start children's centres benefit from nurse involvement, writes Gina Hyde.
Pitching an idea to a commissioning group
Authors: Hall Julie
Published: May 2014

Frontline nurses can get involved in service redesign, writes Julie Hall.
Avoiding and coping with stress at work
Authors: Kular Mona
Published: May 2014

Be aware of the signs of stress and seek help early, advises Dr Mona Kular.
Reflecting on a patient's treatment non-adherence
Authors: Stephens Liam
Published: May 2014

Case study - An elderly patient with hypertension is not adhering to treatment.
Winter weather and COPD
Authors: Riley Jo
Published: May 2014

The winter cold can exacerbate COPD. Jo Riley explains how to minimise patients’ risk.
Pathology question time - Testing for anaemia
Authors: Hill Barry
Published: May 2014

In the first of a series of case studies, Barry Hill introduces the role of diagnostic testing in primary care practice.
Identifying food allergy
Authors: Brydon Mary J
Published: May 2014

Diagnosing food allergy requires a high index of suspicion. Mary Brydon advises on how to decide whether a patient has an allergy or is intolerant.
Effective consulting: the five key tasks
Authors: Tate Peter
Published: May 2014

Enhance your skills to meet the needs of the modern patient.
Practical prescribing - Opiates in coronary care and A&E
Authors: Courtenay Molly
Published: May 2014

Molly Courtenay helps resolve everyday issues for nurse prescribers.
Prescribing beta-agonists for respiratory disease
Authors: Scullion Jane
Published: May 2014

Beta-agonists play different roles in the treatment of asthma and COPD.
Prescribing for patients with renal impairment
Authors: Morris David
Published: May 2014

Measures can be taken to compensate for reduced clearance in patients with renal impairment, depending on the drug prescribed.
Ongoing care for patients with HIV
Authors: Aziz Zara
Published: May 2014

In this guide for the primary care team.
How to boost your income
Authors: O'Connor Carole
Published: May 2014

Nurses have transferable skills and experience that can be used to earn extra cash
Genetic haemochromatosis
Authors: Hill Barry
Published: May 2014

In the latest instalment in his case study series, Barry Hill examines the diagnosis of genetic haemochromatosis, an iron overload disorder