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Drew Payne

Community staff nurse, Whittington Hospital NHS Trust, London, UK Member of the Royal College of Nursing

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Reducing the burden: managing lymphoedema and its complications

It is a complicated system that drains out fluid from the body's tissues and returns it back into the circulator system. It is a passive system, relying on the body's own movements to drive it and to...

Venous eczema: more than just a rash

Venous eczema is a rash that affects the skin of the lower legs (Gawkrodger, 2006). It is not caused by any infection (non-infective) and does not cause the affected area to swell (non-inflammatory);...

Use a wrap instead: using compression wraps in lymphoedema and venous disease

The lymphatics are a complex system that drain fluid out of the body's tissues and back into the circulatory system. Initial lymphatics are made up of a single layer of endothelial cells—the cells...

Caring for older LGBT+ people

Unfortunately, many LGBT+ people are distrustful of healthcare, often having a reluctance to fully engage with it. This is due to the prevalence of homophobia..

Intravenous diuretic administration in the home environment

Chronic heart failure (CHF) is a condition associated with ageing (Waterhouse, 2014). Heart failure affects approximately, 1-2% of the adult population, raising to 70% of the adult population over 70...

Catheters at home: managing urinary catheters in the home environment

In their literature review, Waskiewicz et la (2019) found that there were four factors that affected patients' ability to manage their own catheter. These were education, knowledge, empowerment and...

The challenge of infection control in patients' homes

Effective hand hygiene remains one of the cornerstones of good infection control. Since its conception in 1979, the, originally six-, now seven-stage, handwashing technique (World Health Organization...

Aerosol-generating procedures in home care

COVID-19 is a novel, or new, coronavirus (World Health Organization (WHO), 2020). Coronaviruses are named after the crown-like spikes that cover their surface (Centers for Disease Control, 2019), and...

Managing incontinence in people with dementia

Urinary incontinence can be classified into seven types (Bardsley, 2016), as follows:.

Skin integrity in older adults: pressure-prone, inaccessible areas of the body

The skin is at its thickest on the palms of the hands and soles of the feet and thinnest on the eyelids (Lavers, 2017). It comprises three separate layers—the epidermis, the dermis and the...

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...

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British Journal of Community Nursing provides clinical education dedicated to nursing in the home. Our goal is to help you develop your skills, improve your practice and manage cases more effectively.

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