The older person with diabetes: considerations for care

Older age is associated with considerable changes, for example, in social role, functional ability, and work and income status. It can be an opportunity to take on new hobbies and interests, to travel...

Are district nurses well placed to provide equitable end-of-life care to individuals who are homeless?

A PICO question was implemented to develop the question for this literature review (see Table 1). Once the focus question was identified, inclusion and exclusion criteria were set to enable a focused...

Managing the skin manifestations of systemic conditions

Pruritis is defined as the desire to scratch, and it can occur as a common feature of a skin condition, but also can present as generalised pruritus with no rash or previous history of skin disease,...

Patient satisfaction with a hospital-in-the-home service

The @home service is a nurse-led integrated care team (including dedicated GPs and consultant sessions) that aims to provide hospital care to patients in their homes or usual place of residence. It is...

Caseload management: a district nursing challenge

The importance of effective caseload management is highlighted by its inclusion as one of the three core components in the district nursing service model (DHSC, 2013). As a key component of the...

Shifting perspectives in palliative and end-of-life care: a personal view

Duty of candour and community nursing

Nurses have been subject to a professional duty of candour under all recent versions of their code (NMC, 2018b), and the wording in the current code is as follows:.

The power of placebo

Interestingly, a UK study conducted in 2013 found that 97% of 783 surveyed GPs have prescribed a placebo to patients at some point in their careers, and that prescription of placebos, such as sugar...

Are you IT savvy?

“It is likely that many district nursing clients do not have high digital literacy levels.” .

Carer support: time for a rethink?

Non-invasive positive pressure ventilation in the home setting

NPPV has multiple functions to support breathing (Table 1). The ventilator provides positive pressure at two different levels that work in time with breathing: the inspiratory positive air pressure...

Assessment and management of eczema in adults in the community setting

Eczema can be classified as endogenous, exogenous or having no known cause (Ashton et al, 2005). Endogenous eczema develops as a result of internal factors that compromise the skin's integrity, for...