bluuebunny/crossref_metadata_2025 huggingface dataset:
Meningitis part 2: Prevention and protection
Authors: Donovan Claire
Published: May 2014

This is the second of three articles about meningitis. It provides information about the vaccinations currently available to prevent meningitis and the procedures which are followed when a case occurs in a school setting.

Vaccines have been extremely effective in reducing the numbers of cases caused by Haemophilus influenzae type b and Neisseria meningitidis (meningococcus) group C bacteria. Cases of pneumococcal meningitis have also reduced since the introduction of the pneumococcal conjugate vaccine. However, there is no vaccine currently available to protect against Neisseria meningitidis group B, the most common cause of bacterial meningitis in the UK. As vaccines cannot prevent all types of meningitis, cases in school settings will continue to occur.

The procedures undertaken by the Health Protection Unit will reduce the chance of a second case occurring. The school nurse can play an important role in giving accurate information and helping to reassure staff, pupils and parents.
Skilled to meet the health needs of the 21st century child
Authors: Sherwin Sarah
Published: May 2014

Sarah Sherwin reports on day two of the School and Public Health Nurses Association (SAPHNA) annual conference, which took place in Birmingham on 28 September. Presentations focused on leadership, integrated working and protecting the health of school-age children.
Are sexual health services in schools adequate?
Authors: Dodds Elizabeth
Published: May 2014

Background: Nottingham has one of the highest teenage pregnancy rates in England. One of the Teenage Pregnancy Strategy's aims was to improve Sex and Relationships Education (SRE) and sexual health services (SHS) in schools. However, evidence suggests that some schools do not prioritize these topics.

Methods: A mixed qualitative and quantitative questionnaire was distributed to teaching staff and school nurses within Nottingham secondary schools to ascertain what SRE and SHS were offered and their attitudes towards them. The results were descriptively analysed.

Results: A total of19 participants responded from seven schools. Four of the schools indicated that high quality SRE was being provided. Three schools appeared to only offer minimal SRE. Provision of SHS was varied, with few members of the teaching staff fully aware of the services provided in their school. Three schools indicated that no SHS were provided.

Conclusions: The study has highlighted inconsistencies in how SRE and SHS are implemented and prioritized in Nottingham secondary schools. This results in a postcode lottery as to whether teenagers receive appropriate SRE and SHS. Participants were unaware of what SRE or SHS are offered in their school. School nurses must promote the services they offer so that both teaching staff and students are aware of how and what services can be accessed.
Recognizing verbal bullying: A call for ‘zero indifference’
Authors: Steel Sue
Published: May 2014

Verbal bullying has been reported to be the most common form of abuse in schools, but it is not always taken seriously. Now the Anti-Bullying Alliance is calling for an end to the lack of attention.
Looking at the diagnosis and treatment of dysmenorrhoea
Authors: Perry Margaret
Published: May 2014

Dysmenorrhoea causes painful uterine cramps during menstruation and is a debilitating but common condition. However, a lack of awareness means that many young women may be suffering in silence and school days are being lost.

School nurses can play an important role in raising awareness of the condition, and providing advice.
Supporting children and young people with dry skin conditions
Authors: Van Onselen Julie
Published: May 2014

This is the first article of a new series of interviews with a range of professionals working with children and young people. This month, Julie Van Onselen, a dermatology nurse specialist, offers advice on supporting children and young people with dry skin conditions in schools.
Exploring educationalists' views on the need for school nurses in secondary schools in Greece
Authors: Mastrogiannis Dimos , Deltsidou Anna , Noula Maria , Poulaka Maria-Apostolia , Gesouli-Voltyraki Eftyhia , Fouka Georgia , Plakas Sotiris , Mantzorou Marianna
Published: May 2014

School nurses promote pupils' health, and their balanced physical, mental and social development. School nurses working in the Greek public sector are only employed in special schools and are supervised by the Ministry of Education and Religious Affairs, Culture and Sports. A study was undertaken to explore public secondary school teachers' beliefs about the role of school nurses and whether they thought they would be useful in schools.

The majority of respondents believed that the role of the school nurse is to provide first aid (63.9%). Teachers who said that they would feel more secure by the presence of a school nurse in their school were 41 times more likely to believe a school nurse would be useful in the case of school accidents (chi square=57.125, p<0.001,OR=41). The researchers believe that public schools in Greece need to employ school nurses and that the Greek government should consider taking appropriate measures towards this end.
Delivering young people-friendly smoking cessation
Authors: Croghan Emma , Bromley Karen
Published: May 2014

The consequences of smoking in adolescence are wide reaching, including health and financial consequences to the young person both at the time of smoking and in the long term. Although many young people are interested in making a quit attempt, general stop smoking services can be off putting for young people and may not answer their needs. It is therefore important that young people-friendly services are put in place and that school staff are able to direct students to them. This article looks at the delivery of young people-friendly services for smoking cessation, including treatment options.
Looking at the latest data on childhood obesity levels
Authors: Lepkowska Dorothy
Published: May 2014

Since 2005, nearly 7 million children have participated in the National Child Measurement Programme (NCMP). The latest NCMP data, released late last year, showed a small decrease in childhood obesity and overweight.
Information and resources on internet safety for children
Authors: Forward Catherine
Published: May 2014

This series of articles aims to gather a number of resources on specifc themes relevant to school nursing practice. This month, Catherine Forward looks at internet safety.
What price fieldwork education?
Authors: Knight Judith
Published: May 2014

Recent NHS Executive (1995) planning guidelines have re-emphasised the importance of fieldwork experience in the education of health-care professionals. Changes in attitudes and in practice have occurred in the provision of fieldwork placements since the implementation of Working Paper 10 (Department of Health, 1989). There has been a rapid expansion in the number of students on health-care education programmes which has placed additional demands on clinicians for placements.
Patient and carer satisfaction with inpatient rehabilitation and discharge planning: an audit
Authors: Vaughan CJ , Burn JPS , Bakheit AMO , Hanspal R
Published: May 2014

A questionnaire was developed by the authors to audit some aspects of care in a rehabilitation unit. As a result of this audit some areas of patients' and carers' dissatisfaction were identified, and measures to rectify this were implemented.
Radiotherapy in the management of cranial germinoma
Authors: Hammick Marilyn
Published: May 2014

Cranial germinomas are rare tumours and the radiotherapy technique used to deliver accurate and effective treatment to them is complex. The reported case is of a young man who was treated with combination cytotoxic drug therapy followed by craniospinal irradiation. Patient immobilisation, treatment planning and delivery are described. The pathogenesis of the disease, current management methods and support needed by the patient during the treatment are discussed within the context of a brief literature review.
The effects of mental practice on a simulated motor impairment
Authors: Hill KLM , Attree EA , Rose FD
Published: May 2014

The beneficial effects of mental practice have been widely reported. There are many potential clinical applications, especially for motor skill rehabilitation. This preliminary study explored the use of this technique using healthy volunteers with a simulated motor impairment. We concluded that mental practice may provide a useful adjunct for motor rehabilitation programmes.
A structured method for teaching word-processing skills to people with brain injury
Authors: Clegg Frances M , Rowe Anna L
Published: May 2014

Although there is now a large body of literature on the role which computers can play in neurorehabilitation, much of the focus is on improving cognitive skills such as memory and attention. Relatively little has been written about the facility of word-processing which computers offer, despite the fact that this is one of the greatest uses to which personal computers are put in office, educational and home environments. In this article we describe a method of teaching word-processing skills which we have developed for use with brain-injured people, and illustrate its success by means of two short case studies.
Task sequencing in a computerized kitchen environment
Authors: McBain Kenneth
Published: May 2014

In the 1980s, the use of computers for cognitive rehabilitation was found to be largely ineffective. Since then, significant advances have been made in computer technology and it is surely time to reassess the possible therapeutic uses of computers. This article reports a project that attempts to use a modern PCs capabilities for cognitive rehabilitation.
The role of diagnostic ultrasound
Authors: Hemming Jeanette
Published: May 2014

Ultrasound has developed rapidly over the last 25years and is used by most specialities. It provides a quick, non-invasive diagnostic investigation which complements other imaging techniques such as computed tomography and magnetic resonance imaging. This article will outline briefly a little of its history, its clinical applications, and recent advances.
The manpower shortfall in the NHS
Authors: Newman Garry
Published: May 2014

The NHS is facing a staffing crisis, which is nowhere more clearly illustrated than in the professions allied to medicine (PAMs). Many of the professions, particularly physiotherapy and occupational therapy, are experiencing difficulties in recruiting and retaining staff. This is leading to increased workloads for staff covering vacancies, longer waiting lists and a reduced level of service to the patient. Much has been written recently in both the national and health press about the practice of offering ‘golden hellos’ in an attempt to attract staff into areas where there are shortages. While this is obviously attractive to the members of staff concerned, it is a short-term solution which fails to recognise the real cause and extent of the problem.
Bathing and toileting equipment for the elderly
Authors: Judge Fiona , McClusky Jill
Published: May 2014

Toileting and personal care are vital activities of daily living for all people both in hospital and in the community. Everyone wishes to retain their dignity and remain independent or require as little assistance as possible. Appropriate equipment makes these tasks both safer and easier for clients and their carers. This article critically reviews and evaluates the various bathing and toileting equipment currently available for the elderly.
Iatroplacebogenesis: a useful therapeutic tool?
Authors: Harrison Karen , Barlow Julie
Published: May 2014

The placebo effect is ubiquitous, being present in every patient–treatment situation. In the era of prescientific medicine, the reputation of healers was built largely upon the power of this effect. In modern medicine the effect continues, and may be harnessed to enhance sound scientific treatment and thus facilitate recovery.
Health promotion and the role of occupational therapy
Authors: Spalding Nicola
Published: May 2014

This article presents some fundamentals of health promotion and highlights the skills that occupational therapists have to offer. The influence of legislation is discussed, and how difficulties at a local level hinder therapists from achieving their potential as health promoters. Finally, a specific health promotion programme for patients awaiting orthopaedic surgery and its evaluation is illustrated.
Looking round the Korner
Authors: Tattersall Reg
Published: May 2014

It is now 10 years since the original Korner committee recommendations were made for the therapy professions in an era when district-wide services were the norm. Since then there have been major changes in the way the NHS is organized and run, and the information needs of therapy managers are now very different. The questions managers must answer are ever changing. Generally this information cannot be satisfactorily provided by manual systems and many computer-based systems are now inadequate.
Objectivity in physiotherapy assessment
Authors: Nicholls David
Published: May 2014

Physiotherapists are clear about the meaning of objective and subjective information when assessing a patient. Objective data are considered to be a set of ‘facts’ representing the patients current status; the blood gas results, X-ray changes, goniometry measurements or lung function tests. Subjective information is used to embellish the objective facts: the patients' attitudes, opinions, social history and the physiotherapists interpretation of the facts (Goldberg, 1994; O'Shaughnessy, 1994).
Towards meaningful research in rehabilitation
Authors: Plant Rowena
Published: May 2014

Research in rehabilitation is often considered uninteresting, ill-defined and impossible to undertake. It is a revelation to many members of the public and health professionals that rehabilitation as a speciality exists, despite there being well over six million people with disabilities and continuing care needs in the UK (Martin et al, 1988). Those who are involved in the provision and receipt of rehabilitation appear to have no doubt as to its value; nevertheless, the call for ‘proof’ remains. It is not the intention of this editorial to consider appropriate methods of investigation but rather to address some of the assumptions which mitigate against meaningful research being undertaken in rehabilitation.
Menopause and the quality of life
Authors: Parsons A
Published: May 2014

Quality of life is not always adversely affected by the menopause. The initial symptoms of the menopause are caused by the change in oestrogen levels. Long-term oestrogen deficency increases the risk of osteoporosis and heart disease.
Menopause: nutritional intervention
Authors: Christie Samantha
Published: May 2014

Most dietary advice regarding the menopausal patient focuses on the micronutrient content of the diet, particularly calcium and vitamin D. This review aims to update the reader on some of the current issues regarding specific plant compounds that are potentially of great benefit to this group of women.
Workshop: Myofascial techniques in the elderly menopausal patient
Authors: Taylor Alison
Published: May 2014

Posture has a direct effect on wellbeing, and a feeling of wellbeing tends to affect posture.
Unemployment and health 1: the impact of unemployment on clients in therapy and rehabilitation
Authors: Steward Barbara
Published: May 2014

Unemployment among client groups is common, because ill health may result from being out of work, and because the chronically sick and disabled are selected out of the labour market. Future employment and health prospects for some clients are particularly poor at times of recession. Periods of high unemployment pose a special challenge to the therapists working in rehabilitation.
Evaluating multidisciplinary teams: an example of an audit framework
Authors: Hutchings Deborah
Published: May 2014

Multidisciplinary teams often spend substantial time in meetings discussing and planning the care of clients. It is becoming increasingly important to be able to justify this time as an effective use of resources. Audit can provide a formal evaluation of the resulting benefits to clients, and inform service improvement and resource allocation. Such an audit is described in this article.
Unemployment and health 2: the implications of unemployment for therapy and rehabilitation
Authors: Steward Barbara
Published: May 2014

Unemployment is experienced differently by different age, gender and geographically located groups, and disabled and chronically sick people are particularly vulnerable to unemployment, under-employment and downward mobility in employment. The rationale and selection procedures of rehabilitation need to be reviewed at times of high unemployment and recession, but the challenge of therapy may then be how to prepare people for unemployment in the short or long term.
Correspondence
Authors: Caan Woody
Published: May 2014

Directly on reading Rowena Plant's inspiring editorial promoting ‘meaningful’ research in rehabilitation (Vol 3(5) 1996, p.245), I made copies for the research therapists in this trust. It was especially timely for those colleagues who are grading and selecting research findings for the Channelling Research Into Standard Practice Project (Caan, 1995), as evidence-based rehabilitation will only become established if the ‘evidence’ available is both meaningful and convincing to practitioners.
The problem of pressure sores and how to treat them
Authors: Clarke Gwen
Published: May 2014

Pressure sores are a serious but largely preventable complication of illness and/or disability. They are the source of much pain and discomfort for the patient and are a constant drain on scarce NHS resources. This article outlines the causes and associated risk factors of pressure sore formation. It discusses the importance of risk assessment and highlights relevant measures health-care professionals and carers can implement to reduce the problems associated with pressure sore development. It is crucial that healthcare professionals have both theoretical knowledge and sound clinical skills in order to prevent the development of pressure sores and thus promote good patient care.
Physiotherapy support for carers of stroke patients: a survey of carer's opinions
Authors: Bailey Maggie , Rennie Nicola
Published: May 2014

This study surveyed carer's views concerning their involvement in physiotherapy stroke rehabilitation. Results showed that improvements could be made in areas of discharge planning and in soliciting carer's wishes relating to the rehabilitation process and their involvement in it.
Developing endurance in sport through training
Authors: MacLaren Don
Published: May 2014

Endurance is a key component of fitness for most sports. Training to increase endurance involves adaptations in both skeletal muscle and the cardiorespiratory system to increase the maximal oxygen intake. Both peripheral (relating to the muscles) and central (relating to the heart) changes are seen, and are important in adaptation. Endurance is affected by the frequency, intensity, duration and type of activity undertaken. Guidelines for increasing endurance are presented.
The exercise component of cardiac rehabilitation
Authors: Tipson Russell
Published: May 2014

Exercise training has become established as an integral component of cardiac rehabilitation, particularly for the post myocardial infarction patient. Indeed, many authors still use the terms cardiac rehabilitation and exercise rehabilitation synonymously. However, in a new era of varied medical alternatives this article discusses the current and future requirements for the exercise component of cardiac rehabilitation.
Patient handling training and work-related back pain
Authors: Nicholls JA
Published: May 2014

The experience of work-related back pain is associated with the handling of patients. The purpose of training is to reduce the incidence of handling-related pain, yet its effectiveness is limited. Training will only be effective if workers transfer taught knowledge from the training situation to the workplace. Whereas ergonomics has traditionally been associated with the ‘physical’ aspects of handling, this paper suggests that an ergonomic approach, by virtue of its cross disciplinarity, can support the process of designing effective training programmes, such that transfer is improved.
Assessment of the new Mangar bathlift
Authors: Harding Pat
Published: May 2014

The advances in the design of portable powered bathlifts have made a significant change in independence for thousands of people previously denied the pleasure of a good soak because they have difficulties getting in and out of the bath. Most occupational therapists will have a working knowledge of the Mangar bathlift. Developed in 1981, it was the first portable powered bathlift and many of the early models can still be seen working today. The bellows mechanism between the base and the seat is raised and lowered by low air pressure supplied by means of a portable air compressor. This compressor can either be powered by mains or battery pack.
A pilot study of services for school leavers with learning disabilities
Authors: Gilst Lenneke van , Hong Chia Swee
Published: May 2014

As there appears to be variation in the provision of community based facilities, research was undertaken to explore how providers view the current services for young people with a learning disability. A qualitative research design was utilized. Data were collected through interviews. Overall, there have been positive developments in the service provision. As many people with learning disabilities have both health and social needs, it is essential for all service providers to remain coordinated. For community care to succeed, effective, professional and inter-agency relationships will have to be maintained and further developed.
Patients presenting with memory difficulties
Authors: Burge Kathryn
Published: May 2014

‘When you see hoof prints think of horses not zebras’. This piece of advice, picked up by an occupational therapist many years ago, is passed on regularly to students and junior staff in East Gloucestershire NHS Trust. It means do not be tempted to be too clever, but consider the obvious and commonplace first — specifically when assessing and problem solving with a patient or client. As therapists, particularly occupational therapists, we should be focusing on how people function, and addressing difficulties in practical, relevant ways. This is especially true when dealing with an elderly patient who presents with problems with their memory.
Occupational therapy services with elderly people: an initial study
Authors: Spalding Nicola J , Hong Chia Swee
Published: May 2014

Very little has been published on occupational therapy services with elderly people despite it being an expanding area of health care. The purpose of this investigation was to explore current practices by occupational therapists initially using the East Anglia region. Another intention was to use the results to inform the teaching of undergraduate occupational therapy students at the University of East Anglia.
Dyspraxia: self-confidence and self-esteem
Authors: Lee Michele
Published: May 2014

There has recently been a great deal of interest in preschool children with dyspraxia in the medical and teaching professions, as well as in the media. The importance of self-esteem and self-confidence has been highlighted. Early intervention to prevent delinquency and behavioural problems developing later in life for these children has been stressed.
Information technology: a vital part of continuing professional development?
Authors: Lambert Rod , Shutt Robin
Published: May 2014

This article is the next in the series produced following the conference on continuing professional development (CPD) held at the University of East Anglia. It explores the origins and proposed function of the NHS Information Management and Technology (IMT) strategy in its initial format. It then considers five perspectives on how IMT can and should be used within plans for CPD. The perspectives are: update on current technology; IMT to inform practice; IMT to inform planning; analysis of present practice; and IMT to inform management decisions. The article concludes that the inclusion of IMT within individual plans for CPD, can enhance our ability to play a major role in our own professional development, the future of our professions, and the NHS as a whole.
Clinical reasoning: a student's nightmare
Authors: Hassenkamp Anne-Marie
Published: May 2014

This article aims to collect a few thoughts about some of the issues that students are faced with when engaging in clinical reasoning. These issues are diverse and include areas such as the roles of the therapist and patient within the different models in use in physiotherapy, the assumptions made within these and the resulting attribution of responsibility for the patient's health. Implications for undergraduate educations are considered.
Rehabilitation: realizing the potential nursing contribution
Authors: Nolan Mike , Nolan Janet
Published: May 2014

This article highlights the present renewed interest in the subject of rehabilitation and describes the nursing role as it is portrayed in the literature. It is argued that the focus of rehabilitation is too narrow, concentrating mainly on the physical aspects of care, and that the nursing contribution is under-developed. The article is the first in a series which will subsequently consider rehabilitation in multiple sclerosis, arthritis, spinal injury, myocardial infarction and stroke. The series will conclude with suggestions as to how rehabilitation in general, and nursing in particular, can respond more adequately to the needs of chronically ill and disabled people and their family carers.
Multiprofessional team working with a peer group
Authors: Burley Peter
Published: May 2014

In late 1994, the registrar at the Council for Professions Supplementary to Medicine (CPSM) received a summons to attend as a witness in March 1995 at a Parlimentary Select Committee. Select Committees are established by either House of Parliment to inquire in detail into particular matters; this one has been appointed by Lords to investigate science and technology and had set up a panel to deal with medical research and the NHS reforms. This editorial reports on how the CPSM responded to the summons in terms of multiprofessional team working.
Assessment of pain in an elderly population: practical difficulties
Authors: Weir Evelyn C , Burrow J Gordon , Bell Frank
Published: May 2014

Few studies focus on pain assessment in an elderly population. This article considers the applicability of several methods of pain assessment for an elderly subject group. Methods are discussed in terms of practical usage, preference, failure rates and sample studies. Assessment techniques for pain assessment in the older adult with pain are discussed. Problems particular to an elderly population are outlined. Complexities of pain assessment in the older adult are detailed with recommendations.
The place of portfolios within continuing professional development
Authors: Stewart Sandra
Published: May 2014

This is the first in a series of articles looking at a possible model of continuing professional development (CPD) as suggested at a recent conference on professional development held at the University of East Anglia. This article puts CPD into the framework of legislative changes affecting the professions supplementary to medicine and explores how CPD might be taken forward by health-care professionals as a processbased activity which ensures that therapists are not only taking responsibility for identifying their own learning needs but also providing evidence that CPD is taking place. Subsequent articles will discuss particular ‘tools’ for CPD to which this article will allude.
Protection of title and the chiropractic profession
Authors: Copland-Griffiths Michael C
Published: May 2014

This article reviews international chiropractic legislation and illustrates the effects of protection of title or lack of it. In the UK the Chiropractors Act will only provide protection of title. It is suggested that while this may prove challenging for the profession it may force diversification and prove of benefit to patients.
Rehabilitation in multiple sclerosis: the potential nursing contribution
Authors: Nolan Mike , Nolan Janet
Published: May 2014

This article, the second in a series focusing on aspects of rehabilitation, considers the potential nursing role in relation to multiple sclerosis (MS). It begins with a brief description of the experience of MS as recounted by the individuals affected, which is then contrasted with current interventions which focus primarily on physical aspects of care. A number of areas of potential improvement are outlined, together with suggestions for a more comprehensive nursing role.
INTRODUCTION
Authors: Beresford Susan A
Published: May 2014

If we stop to consider our lifestyles, many people in modern western societies undertake very little walking. Apart from walking short distances to the shops or around the park, our populations are taking to wheels (Napolitano, 1996). That said, many people in the UK have been reluctant to consider powered wheelchairs or scooters in this context. This situation appears to be charging as more powered wheelchairs and pavement scooters are seen in towns and country areas across Britain today. Powered wheelchair designs are improving all the time and many more companies are joining in the quest for customers, by including powered wheelchairs in their catalogues.
The prescription of wheeled walking frames
Authors: Anslow R , Spicer J , Weyman N , Groom M , Pinnington LL , Ward CD
Published: May 2014

Wheeled walking frames can greatly enhance the independence of the user, but inappropriate use can be hazardous. This paper summarizes the findings of an evaluation of commercially available frames. Thirty regular users trialled eight frames. The advantages and limitations of each model and some prescription guidelines are presented.
People from South Asian communities: talking about stroke
Authors: Mille N , Chavda P , Gadhok K
Published: May 2014

Cultures vary according to the importance and sensitivity of different healthrelated topics. Failure to appreciate this can be a source of communication breakdown. Our interest is in possible communication barriers after stroke. We asked individuals from Asian communities who had had a stroke how difficult a range of subjects were to talk about with different people.
Reflections on clinical effectiveness in therapy: a practical approach
Authors: Donaghy ME
Published: May 2014

This paper was delivered as a keynote lecture at the second evidence-based practice conference for therapists working in mental health. It considers current strategies aimed to improve the quality of health-care provision, opportunities for individual practitioners to reflect critically and analytically on practice, and the scope for the professions allied to medicine to achieve clinical effectiveness.
Wheelchair special seating: need and provision
Authors: White Elizabeth A
Published: May 2014

Special seating is needed by people who lack the postural ability to sit unsupported in a standard wheelchair. The majority of users are children and people with neurological impairment. Seating options range from sculpted cushions and backrests designed to be used with a conventional wheelchair, to customized, fully contoured seating systems.
Back to basics in OT: genericism or specialism?
Authors: Ilott Irene
Published: May 2014

This paper, presented at the second evidence-based practice conference for therapists working in mental health, explores the complexity associated with three popular slogans. These are quality and equality in the public sector, evidence-based health and social care, and finally, occupation as doing, being and becoming.
The clinical reasoning process
Authors: James Gill
Published: May 2014

In the professions allied to medicine, there has been a growing concern to address perceived deficits in clinical practice. This originated in medicine in 1978 when Elstein et al (1978) published their work on clinical decision making. Subsequently, other health-care areas have identified similar problems — particularly with the ability of novice practitioners to take appropriate therapeutic decisions which will result in the reversal of the patient's dysfunction.
To label or not to label: that is the question
Authors: Addy Lois M , Dixon Gill
Published: May 2014

This article discusses whether it is beneficial, or indeed necessary, to use diagnostic labels. It focuses in particular on children with developmental coordination disorder (DCD) from the perspective of both the professional therapist and the parent.
Planning and implementation of care: the patient's role
Authors: Abbott Stephen
Published: May 2014

This study explores the views and experiences of people living in the community who receive rehabilitation services. Although services were highly valued, there had been delays and interruptions in provision. Few subjects were consulted during assessment for their own ideas concerning their rehabilitation needs, resulting in inappropriate interventions.
Serving and employing disabled people within the NHS
Authors: Scullion Philip
Published: May 2014

This article considers ‘reasonable steps’ that need to be taken to ensure equity in the health services provided to disabled people and in the employment of disabled people in the health sector. It focuses on a consultation process being undertaken by the Disability Rights Commission and on the implications of the new Looking Beyond Labels guide from the NHS Executive.
Physiotherapists' knowledge of patello-femoral pain syndrome
Authors: Brown Joan
Published: May 2014

A retrospective survey of patellofemoral pain syndrome patients' physiotherapy records was undertaken to remedy the knowledge gap regarding symptoms, findings, treatments and outcomes. The survey findings concluded that only 46% of patients’ knees were pain free at discharge, highlighting a number of areas which require further research.
Factors associated with GP referrals to physiotherapy
Authors: Carter RH , Densley JA , Galley CM , Holland A , Jones LE , Dunn CDR
Published: May 2014

The aim of this study was to determine some of the factors that influence GP referral rates to physiotherapy. Resource issues (access and waiting lists) seem to be the major determinants of the referral rates. This study also suggests, however, that the physiotherapy profession, by promoting its own role and effectiveness, may itself contribute to increase these rates.
What makes stroke units effective?
Authors: Edmans Judi
Published: May 2014

An observational study investigated the differences between a stroke unit and conventional rehabilitation wards. Differences included having established philosophies, policies and procedures that were applied by all disciplines, 24 hours per day, and having the multidisciplinary team ward-based.
Considerations when prescribing manual wheelchairs
Authors: Turner Christine
Published: May 2014

All equipment is bound to have advantages and disadvantages. Making the right choice can be very daunting but it is important at an early stage to carefully evaluate core goals. Compromise is inevitable as it is unlikely that a single wheelchair can fulfil all requirements.
Out-of-hours care: 7-day working without the weekday support?
Authors: Harden BE , Cross J , Thomas S , Hove R Ten
Published: May 2014

The NHS aspires towards 7-day working for allied health professionals (Department of Health (DoH), 2000a). However, insufficient staff numbers and years of inadequate investment look likely to prevent this from becoming a reality in the medium term. Yet services need to deliver much-needed improved access to care, reduced length of stay and prevention of admission to offset the capacity issues faced by the majority of NHS trusts. Weekend and evening overtime rotas are seen by many trusts as a stop-gap measure to address the above issues. However, unlike appropriately funded 7-day working, the issues of access to senior opinion and the development and maintenance of competence in this situation are much less clear.
Swift and Clean: setting new standards in equipment design
Authors: Nursey Michael
Published: May 2014

Increased standards have put the onus on shower equipment manufacturers to design products with good hygiene as an key consideration. The Swedish company Etac have spent 4 years designing Swift and Clean. Both products are reviewed with particular emphasis on the care of people suffering with dementia living at home.
Expectations and stress in junior occupational therapists: 1
Authors: Rugg Sue
Published: May 2014

The first in a two-part series, this article reviews the literature on occupational stress and expectations, applying the material to occupational therapy practice. It explores a range of potential influences on such expectations, including workers' age and their experience of work. This material forms the basis for a small quantitative study, published in part two.
Performance of warm-up and conditioning exercises by golfers
Authors: Draper Louisa J , Rushton Alison
Published: May 2014

Although golf is a popular sport, the golf literature is incomplete and inconclusive in exploring warm-up and conditioning exercises and their use. This preliminary study aims to describe the extent to which golfers perform the exercises advocated within the existing literature.
BOOK REVIEW
Authors: Hong Chai Swee
Published: May 2014

Despite academic preparation from college, students are often apprehensive when they embark on clinical practice in psychiatry. They are confronted with a range of questions such as: how do I engage clients in the assessment process? or how do I approach clients if they exhibit violent behaviour?
The role of the new Health Professions Council
Authors: Brook Norma
Published: May 2014

The Health Professions Council replaced the Council for Professions Supplementary to Medicine on April 1 2002 as the new independent nationwide regulatory body for the 12 health professional groups.
Learning survival skills from older people
Authors: Macefield Jan , Keogh Anne M
Published: May 2014

Renal rehabilitation is complex; efficient goal-planning is needed to ensure that the process is as effective as possible. Through the use of a case study, this article assesses the feasibility and usefulness of 'life goals' questionnaires for older people within a renal setting. The development and use of a patientcentred goal-planning approach to renal rehabilitation is recommended.
Patient compliance: comparison of patient and staff perceptions
Authors: Boucher Terry , Connolly Sarah , Pierce Elaine , Hewitt Gwen
Published: May 2014

The aim of this preliminary study was to compare patient and staff perceptions of patient compliance and the factors that influence judgments on compliance in a neurorehabilitation unit. A number of recommendations are made for future research in this complex field.
Recreation in stroke rehabilitation part one: a review of the literature
Authors: Cowdell Fiona , Garrett Dawne
Published: May 2014

Stroke is one of the most significant causes of morbidity and mortality in the UK. However, a review of the literature reveals a paucity of studies on stroke rehabilitation. The majority of literature is quantitative in nature, with relatively few studies seeking patients' own views.

This article reviews the studies that have investigated the concept of recreation as a part of stroke rehabilitation. It reveals that at present, no research has been undertaken specifically to investigate patients’ perceptions of the need for recreational activity while undergoing stroke rehabilitation.
Festivals and holidays: Australia Day
Authors: Hammond Paula
Published: May 2014

Stories can be a great way of teaching about other cultures. Paula Hammond tells a tale about an important national holiday in Australia, and offers some post-story activity ideas.
Good communication: Developing listening skills
Authors: Riddall-Leech Sheila
Published: May 2014

Sheila Riddall-Leech offers some useful techniques for developing good partnerships with parents and children.
The hand-over
Authors: Smith Craig
Published: May 2014

Despite the boys’ best efforts, the hand-over between the new nanny and myself went smoothly, and their tricks and pranks didn’t send her running out of the door refusing to come back!
The power of words: When language is delayed
Authors: Thornton Stephanie
Published: May 2014

‘How much does it matter when a child’s speech is markedly delayed?’ Dr Stephanie Thornton asks.
Writing and retaining reliable records
Authors: Lindon Jennie
Published: May 2014

Jennie Lindon considers how you can protect the children in your setting.
Sharing visions for early childhood
Authors: Stone Tunja
Published: May 2014

Tunja Stone shares her experience of attending the Early Years Educator conference in London.
A banging bonfire night! Giving thanks...
Authors: Cruikshank Sarah
Published: May 2014

Sarah Cruikshank reveals the history and traditions behind two seasonal celebrations. She suggests some practical suggestions for related activities in your setting.
Parents as partners: What does it mean?
Authors: Griffin Sue
Published: May 2014

In the penultimate article in our series about babies and under-threes, Sue Griffin reflects on the importance of practitioners’ relationships with parents
Going Dutch: Sinterklass
Authors: Vogood Carolein
Published: May 2014

Carolein Vogood introduces a celebration from the Netherlands and suggests some related activities.
Feeding, weaning and nutrition
Authors: Griffin Sue
Published: May 2014

In the second of our series on working with babies and under-threes, Sue Griffin looks at aspects of practice relating to nutrition.
Sounding out the Early Years Foundation Stage
Authors: Cruickshank Leon , Cruickshank Sarah
Published: May 2014

In the third of our series on technology and the Early Years Foundation Stage (EYFS), we look at how you can make and use sound recordings to add another dimension to your practice and the learning experiences you offer.
Holiday heaven
Authors: Smith Craig
Published: May 2014

Well, I am very glad to say that we all arrived back from our skiing holiday in France with no broken bones, sun tans and big smiles on our faces.
Making sense of the world through emotions
Authors: Thornton Stephanie
Published: May 2014

Dr Stephanie Thornton examines the way children develop an awareness of their environment.
Child about town
Authors: Youngman Angela
Published: May 2014

Angela Youngman reveals how town walks provide a variety of play and learning opportunities.
Cultural calendar!
Authors: Durkin Sharonne
Published: May 2014

Sharonne Durkin reveals how after-school clubs worked together to raise money and celebrate multiculturalism.
On your marks, get set, grow!
Authors: Youngman Angela
Published: May 2014

Angela Youngman gives some green finger-tips for growing tasty vegetables.
Real music for kids? Enter the kindie scene
Authors: Griggs Amy
Published: May 2014

Child Care editor Amy Griggs investigates the new kids’ music on the block and talks to musician Caroline Chan in a quest to discover what makes a good children’s song.
Picnic pizzazz: Hummus bi tahini
Authors: Kidd Sheila , Musters Fiona
Published: May 2014

A simple to make, nutritious, delicious recipe based on Cook and Learn Together by Sheila Kidd and Fiona Musters.
Health and happiness: Keeping baby safe and well
Authors: Griffin Sue
Published: May 2014

Child consultant Sue Griffin looks at good safeguarding practice.
Settling children into your setting
Authors: Bennett Tina
Published: May 2014

Registered childminder Tina Bennett gives some tips on welcoming a child into your group.
Don’t badger a badger!
Authors: Garner Lynne
Published: May 2014

Each month Lynne Garner puts a different animal in the spotlight. She gives some facts and figures to get you started on a project and provides a related practical activity. This month she looks at a seldom seen woodland creature.
Organic maths
Authors: Jackson Abbi
Published: May 2014

Abbi Jackson suggests some fun mathematically-based activities to do outside.
What a card!
Authors: White Hilary
Published: May 2014

Hilary White suggests some intriguing ideas for craft projects with cardboard tubes. Based on an extract from The Arts and Crafts Handbook by Hilary White, order from Practical Pre-school Books www.practicalpreschoolbooks.com
Selling your setting
Authors: Lewis Liz
Published: May 2014

Effective marketing doesn’t have to be expensive. Follow these simple ideas to get your new business off to a flying start.
Story of a male childminder
Authors: Banks Louise , Griggs Amy
Published: May 2014

There has been a lot in the news recently about the need for more male childcarers – and rightly so. Ex-army commando Neil Sinclair explains why he loves being childminder – and why he thinks it’s his toughest job to date!
Imagine...
Authors: Dawson Susanna
Published: May 2014

Someone once asked me which of my toys I couldn’t manage without. I said my box of Duplo, as I believe it is a toy that children of all of ages can use and enjoy.
Observation techniques: Written
Authors: Riddall-Leech Sheila
Published: May 2014

Sheila Riddall-Leech discusses different ways you can record your observations.
Childcare strategy
Authors: Bayram Liz
Published: May 2014

Liz Bayram, chief executive of the National Childminding Association, comments on how childminders and nannies can work more closely with children’s centres.
Arts and crafts: Drawing with pencils
Authors: White Hilary
Published: May 2014

Based on an extract from The Arts and Crafts Handbook by Hilary White. Order from Practical Pre-school Books www.practicalpreschool.com
Five little ducks...
Authors: Smith Craig
Published: May 2014

I’m not even half-way through my teaching practice and I’m sick of the sight of them already!
You are what you eat: Diet and the under-fives
Authors: O’Neill Siobhan
Published: May 2014

School nutrition has been a Government priority in recent years, but with reports highlighting the importance of pre-school diet, will ministers be turning their attention to childminders?
Problem solving, reasoning and numeracy
Authors: Riddall-Leech Sheila
Published: May 2014

This month Sheila Riddall-Leech looks at observations in the context of the third of the six areas of learning.
Insects and engines
Authors: White Stephie
Published: May 2014

The school holidays have arrived with a bang, and I now have all three of the children I look after all day, every day, which though sometimes exhausting is also a lot of fun.
Creating your own cards
Authors: Youngman Angela
Published: May 2014

Angela Youngman provides some tips for making your own games.
Fear of new situations
Authors: Thornton Stephanie
Published: May 2014

What’s the best way to deal with a child who is very nervous of new situations? Dr Stephanie Thornton discusses.
Middle ear infection
Authors: Anguita Maria
Published: May 2014

Maria Anguita considers the causes, diagnosis and treatment of this common childhood condition.
Ofsted reports back…
Authors: Leeson Patrick
Published: May 2014

The Ofsted Annual Report tells a positive story for the early years sector. Patrick Leeson reveals more.
Easter facts and fun
Authors: Garner Lynne
Published: May 2014

Seasonal information and ideas to help you create an exciting topic-based project.
Scottish news update
Authors: McEwan Leigh
Published: May 2014

The latest childminding information from Scotland.
Safety inspectors
Authors: Hampshire Viv
Published: May 2014

Role-play can be a fun way to learn some a serious lessons.
Urinary tract infection
Authors: Anguita Maria
Published: May 2014

Some advice on symptoms, together with tips for helping to prevent this infection from developing in the first place.
Tips for two-year-olds
Authors: Fawcett Liz
Published: May 2014

Northern Ireland childminders have been working to improve the provision they offer their toddler charges. Liz Fawcett explains…
Having fun in the sun!
Authors: Doyle Phoebe
Published: May 2014

While we have been longing for the summer there are certain precautions we need take heed of in order to protect the little ones and their delicate skin. Phoebe Doyle gets to grips with summer skincare basics.