District nursing using neighbourhood care principles in practice: reflecting on our experience

The Buurtzorg organisation uses a two-pronged approach to improve patient and staff experience. The first principle is a patient-centred model of care, described as the onion model with the patient at...

The challenges homeless people face when accessing end-of-life care: what district nurses need to know

Homelessness is often thought of as ‘rough sleeping’, yet a wider definition is generally used that HCPs should be aware of. Crisis (2022a) defines homelessness as:.

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)..

Skin tear prevention in older adults

Campbell et al (2018) state that many of the misunderstandings or misdiagnoses surrounding skin tears have resulted from a more specific terminology, classifying them as wounds. Such misdiagnoses...

Facilitating healthy deaths at scale

‘I could never have imagined how difficult the position of caregiver at end-of-life would be and…. the stress on us as a family cannot be overstated’. .

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...

Diet and stoma care

Health professionals in the community-including both nurses and dietitians-can play a key role in supporting patients to achieve a balanced diet, avoiding nutritional deficiencies, achieving optimal...

Patient decisions in a domiciliary setting

There are numerous reasons why a patient may want, or require, a practitioner's help in making a decision while receiving treatment and care at home. The most obvious need is for information and...

Anticipatory grief and bereavement: the perspective of an individual with autism

A broadly autoethnographic approach was adopted in conceptualising and writing this article. The language used is intentionally ‘informal’, as a letter composed in a more academic style and language...

Roles and responsibilities of the community palliative care key worker: a scoping review

This review sought to provide an overview of the existing literature on the role and responsibilities of the palliative care key worker. Despite being advocated in policies and guidelines (NICE, 2004;...

Resuming activities with a stoma

Management of COPD exacerbations in the community