Behind the Rituals
All posts from: August 2012
Do nurses know enough about wound care?
An international, multidisciplinary study has highlighted the need for all health professionals to receive a basic level of education about wounds in undergraduate and postgraduate education programmes.
The researchers identified the research and education priorities in wound management and tissue repair. The top items that were consistently ranked in both research and education as priority areas included: pressure ulceration, diabetic foot ulceration, dressings and wound infection. Significantly, these priority issues were closely related to an ageing population with increased risk of long-term conditions and wound care requirements.
What is the ideal nursing skill mix?
Discussion around staffing frequently focuses on numbers of staff.
The research found that the average proportion of registered nursing staff - compared to unregistered healthcare assistants - on day shifts was 56%.
Dame Christine Beasley, the previous chief nursing officer for England, has previously said the ratio of nurses to assistants should not fall below 60:40.
The research found the proportion of registered nurses to assistants varied from 43% to 68% between trusts.
Should directors of nursing/chief nurses wear uniform?
Opinion is divided on whether or not directors of nursing should wear uniform - both among directors themselves and other nurses.
As board directors, should they wear smart business clothes?
Or does this make them invisible to the nurses they lead, and to patients and their families?
What do you think?
Do we underestimate substance misuse among older adults?
In a two part series on substance misuse and older adults the author suggests that one in six older men and one in 15 older women are drinking enough to harm themselves and the prevalence of illicit drug use among older Europeans is increasing.
The nature and pattern of alcohol and drug misuse in older people and the associated psychological and physical comorbidity are different from those in younger people. The development of substance misuse is more likely to be associated with alcohol, and prescribed and over-the-counter medicines.
It is suggested practitioners routinely ask older people questions about their use of alcohol and drugs. In view of the complexity of the health and social issues involved, care, management and treatment should be tailored to meet the specific needs of this vulnerable group.