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Linda Nazarko

Nurse Consultant Physical Health, West London NHS Trust

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Medication management: how medication review improves lives and reduces waste

Adverse drug reactions are ‘unintended, harmful events attributed to the use of medicines’ (Coleman and Pontefract, 2016). Ageing affects the body's ability to absorb and excrete medicines and...

GLP-1 receptor agonists and their role in managing type 2 diabetes

The World Health Organization (2023) defines diabetes as a chronic, metabolic disease characterised by elevated levels of blood glucose (or blood sugar), which over time can lead to serious damage to...

Diabetic bladder dysfunction

In order to void normally and to maintain bladder control, it is necessary to have a coordinated, sustained bladder contraction of adequate size and duration, a decrease in resistance of the bladder...

Stoma care: an update

The small intestine extends from the pyloric sphincter of the stomach to the ileocecal valve (Figure 1). It is 4–6 metres long and consists of three segments: the duodenum, the jejunum and the ileum..

Type 2 diabetes post pandemic: enabling your patients to regain control

‘…a chronic, metabolic disease characterised by elevated levels of blood glucose (or blood sugar), which leads over time to serious damage to the heart, blood vessels, eyes, kidneys and nerves.’ .

Can medication increase the risk of falls? The importance of medication review

‘Rational use of medicines requires that patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at...

Scabies: an update for community nurses

Scabies is one of the most common dermatological conditions and affects more than 200 million people at any given time. While scabies occurs worldwide, it is most common in hot, tropical countries and...

Treating head lice: a case study

Head lice (Pediculus humanus capitis) are tiny parasitic insects that infest the hairs of the human head and feed on blood from the scalp. Female head lice lay eggs near the scalp. These eggs are...

Red legs: how to differentiate between cellulitis, venous eczema and lipodermatosclerosis

Cellulitis is an acute infection of the dermal and subcutaneous layers of the skin, often occurring after a local skin trauma (Bailey and Kroshinsky, 2011)..

Type 2 diabetes: an update for community nurses

Diabetes is a chronic, metabolic disease characterised by elevated levels of blood glucose (or blood sugar), which over time, can lead to serious damage to the heart, blood vessels, eyes, kidneys and...

Eczema and the older person

Certain factors accelerate skin ageing. The skin is easily damaged by ultraviolet light, and excessive sun exposure can cause dryness, irregular pigmentation, loss of collagen and deep wrinkling....

Catheter-associated urinary tract infections in the community

Urinary catheters used appropriately can enable people with urinary incontinence to remain dry when other methods have failed. They can enable people who are dying to remain at home. They can help...

A good idea badly implemented? Revised National Early Warning Score 2 in community settings

In 2017, a revised form of NEWS (NEWS2) was released (RCP, 2017). This system measured the same six physiological measures as NEWS (respiratory rate, oxygen saturation, temperature, systolic blood...

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