Alternative to antibiotics for managing asymptomatic and non-symptomatic bacteriuria in older persons: a review

Around 10–20% of women experience a symptomatic UTI in their lifetime (Foxman, 2002; 2014). However, a comprehensive literature review of seven different medical databases found this value to be even...

Establishing a structured plan to provide high-quality end-of-life care in community settings

The initial blueprint for the care plan was constructed in collaboration with the professional development lead and IT analyst from the East Suffolk and North Essex NHS Foudation Trust (Table 1). The...

Alcohol use by people in their seventies is not an exception: a preliminary prospective study

In the decade spanning 2005 to 2015, the number of older adults consuming alcohol, or those with AUD, has increased tenfold in women and fourfold in men, and the alcohol-related burden of disease is...

Causes of and factors that exacerbate faecal incontinence in older people

When older people present with faecal incontinence, their condition is generally managed passively, with the use of pads, rather than a full assessment being completed (Harari, 2009). This may be due...

Dignity in death: implementing the NHS Long Term Plan

Employment cases of note (February 2019)

Since 2013, whistleblower protection has only been available to workers who reasonably believe that their disclosure is in the public interest. Can allegations by a worker that they have been defamed...

Smoking cessation in 2019

Encouragingly, smokers in Great Britain are on the decline, as an increasing number of people are attempting and succeeding at quitting (Office for National Statistics, 2018). Nonetheless, the overall...

Improving service delivery

‘It is not simply the innovation and its implementation but also the context and interaction between these elements which influence success.’ .

Reflections on cold weather and older age

Compassionate leadership in district nursing: a case study of a complex wound

While we might intuitively know what ‘leadership’ looks like, definitions are often coloured by the perspective of the individual and the context in which ‘leadership’ is being defined, with the...

Managing deterioration in older adults in care homes: a quality improvement project to introduce an early warning tool

The measures for evaluating processes and impact are presented in Table 2. These included outcome, process and balancing measures..

Administering intravenous therapy in patients' homes

Nurses should always observe hand hygiene before performing any aseptic technique (NICE, 2014), and home IV therapy must always be an aseptic technique. Hands should be washed with soap and warm water...