Recognition and assessment of dementia in primary care

Dementia is an umbrella term that is used to describe a group of symptoms that are characterised by behavioural changes and loss of cognitive and social functioning. It is caused by progressive...

Housebound patients with diabetes needing support with insulin—a project to improve service standards

Julia, aged 58 years, has had type 2 diabetes for 5 years. When reviewed as part of the project, she was prescribed metformin, gliclazide and long-acting insulin once daily. Julia is housebound due to...

Constipation in community-dwelling adults with intellectual disability

Constipation is a more common clinical symptom among people with intellectual disabilities compared to other cohorts of the population (Hardy et al, 2013). Research studies have identified that...

Home versus in-patient treatment for deep vein thrombosis

The main objective of this updated Cochrane systematic review (Othieno et al, 2018) was to compare the incidence and complications of VTE in patients treated at home versus those treated with standard...

Supporting the bereaved in palliative care

Providing support for the bereaved can include some of the following:.

Nurses' duty of confidentiality towards patients

‘He who hath a secret to keep, must keep it a secret that he hath a secret to keep’. .

Vaping for smoking cessation

‘We know that vaping is a route to cutting down or quitting smoking, and there is evidence that it is not a route into smoking among young people, a group whom we would actively discourage from...

Making care ‘personal’

‘The strategic priorities for community health services include improved crisis response and re-enablement care, providing ‘anticipatory care’, enhanced care in care homes and using digital...

The vital role of nursing associates

Oxygen alert wristbands (OxyBand) and controlled oxygen: a pilot study

For long now, it has been known that prolonged exposure to high concentrations of oxygen in animal models leads to diffuse alveolar damage, alveolar collapse, haemorrhage, infiltration of inflammatory...

A coaching program to improve quality of life in older people in Japan: a randomised controlled trial

The findings of the present study confirmed that the developed programme was effective in improving QOL, which has been shown to be strongly related to healthy life expectancy (Kaplan and Camacho,...

Management of swallowing problems in community settings

Swallowing is a complex activity required to move food from the mouth to the stomach, involving different muscles and nerves working together, and it requires close coordination between digestive and...

Is care for people with long-term conditions ‘proactive’, ‘preventive’ and ‘patient centred’?

Ambitious plans for change to improve the management of LTCs are underway. With the development of ‘50 vanguards’ as part of the NHS Five Year Forward View, sustainability and transformation...

How to manage incontinence-associated dermatitis in older adults

Beeckman (2017) identified the following four conditions under MASD: IAD; intertriginous dermatitis (ITD; related to perspiration); periwound MASD (due to wound exudate); and peristomal MASD...

Community nursing and antibiotic stewardship: the importance of communication and training

Growing evidence supports the use of theoretical frameworks to identify barriers and facilitators to health professional behaviour, and one such approach is the behaviour change wheel (BCW) (Michie et...