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Nursing Times
December 2002

View all stories from this issue.

  • A brief guide to the new supplementary prescribing

    VOL: 98, ISSUE: 49, PAGE NO: 26ROSEMARY COOK, MSC, PN CERT, RGN, IS NURSING OFFICER, DEPARTMENT OF HEALTH, LEEDSThe term ‘supplementary prescribing’ (SP) has been adopted to describe a new form of prescribing that can be undertaken by non-medical health professionals after a doctor has made a diagnosis and drawn up a clinical management plan (CMP) for the patient.
  • Anti-emetics

    VOL: 98, ISSUE: 49, PAGE NO: 48Michele Butler, MmedSci, BSc, RGN, RNT, CertED (FE), senior lecturer in clinical science, School of Biological and Molecular Science, Oxford Brookes UniversityMolly Courtenay, PHD, MSc, Cert Ed, RNT, RGN, lecturer, Southampton UniversityIndependent nurse prescribers working in palliative care are able to prescribe a number of products from the Nurse Prescribers' Formulary that may relieve nausea and vomiting associated with cancer and chemother
  • Can quality-of-life measures help in the care of urology patients?

    Jerome Marley, BSc, RN, PGDip (Advanced Nursing), PGDip (Nurse Education)Lecturer Practitioner in Urological Nursing, Craigavon Area Hospital Group Trust and School of Nursing at the University of Ulster, Jordanstown, Northern IrelandEvaluation is an essential element of the patient care process. Clinical, laboratory and radiological tests are increasingly used to help evaluate patient outcomes (Staniszewska, 1998) and nursing care. But much nursing activity centres around more hol
  • Developing the new role of clinical housekeeper in a surgical ward.

    Lesley Lack, BSc (Hons) Nursing Studies, RN, Dip Research.Ward SisterA study carried out by the Dorset County Hospital infection control team, which had been monitoring the incidence of methicillin-resistant Staphylococcus aureus (MRSA) and collecting microbiological data in one ward for more than two years, identified an environmental strain of MRSA as a causative factor in the increase of postoperative infections (Rampling et al, 2001). As a result, domestic cleaning resources we
  • Diagnosis and management of candidiasis vaginitis

    VOL: 98, ISSUE: 49, PAGE NO: 30Terry Hainsworth, BSc, RGN, is practice nurse, Judge’s Close Surgery, and clinical lead, practice nursing, Mid Sussex Primary Care TrustCandidiasis vaginitis, or thrush, as it is more commonly known, is a fungal infection of the vagina. It is the most common cause of vaginal discharge in women during their reproductive years (Tettersall et al., 1998). The British Society for Medical Mycology (1995) suggests that 75% of women are affected by vaginal
  • Does cancer nursing education influence patient care planning?

    Cancer is the second most common cause of death for men and women after coronary heart disease (Department of Health, 1996). But the problems of the disease go beyond the morbidity and mortality statistics. A diagnosis of cancer elicits feelings of dread and terror.
  • Employing a range of methods to meet patient information needs

    Jessica Greenwood, BSc (Hons), RN, Dip (Nurs).Urology Clinical Nurse Specialist, The Princess Grace Hospital, LondonProviding patients with information has been high on the political and nursing agendas for many years. Over a decade ago, the Government addressed the issue by stating that hospitals should 'offer clear and sensitive explanations of what is happening on practical matters such as where to go and who to see, and on clinical matters, such as the nature of an illness and
  • Helping obese patients lose weight

    Sue McArdle, RNPractice Nurse, Gedling Primary Care Trust, NottinghamOver half of women and about two-thirds of men are overweight. One in five adults in England is now clinically obese, with a body mass index (BMI) of more than 30kg/m2, a figure that has trebled in the past 20 years (National Audit Office, 2001).
  • How research helps nurses learn from patients with dementia

    VOL: 98, ISSUE: 49, PAGE NO: 33Alison Breen, RMN, is community psychiatric nurse, Pathfinder, Twinwoods Health Resource Centre, Bedfordshire.I read Jackson's article with interest as I knew it would be relevant to my practice and would provide me with up-to-date, factual knowledge to underpin my clinical work. I found it also led me to reflect on the two-way educational process within my role.
  • Implementing a chlamydia pilot screening programme

    VOL: 98, ISSUE: 50, PAGE NO: 34Toni Gleave is community health adviser/research nurse, St Catherine's Hospital, Birkenhead, WirralChlamydia trachomatis is a common sexual infection with serious long-term morbidity. A recent chlamydia pilot screening programme carried out on the Wirral and Portsmouth revealed that opportunistic screening for genital Chlamydia trachomatis in a targeted group of 16-24-year-olds was a feasible, acceptable and effective model for the initiation of a nat
  • Informing the Future: 1. A review of nursing roles and responsibilities in community infection contr

    Heather P. Loveday, MA, RN, RNT.Principal Lecturer (Research), Richard Wells Research Centre, Thames Valley University...
  • Liver cirrhosis


    VOL: 98, ISSUE: 49, PAGE NO: 29WHAT IS IT?

    VOL: 98, ISSUE: 50, PAGE NO: 33 All nurses are likely to be responsible for the administration and management of some form of intravenous (IV) therapy. A brief overview of the main types and routes for this administration follows.
  • Patient preferences for a single or shared room in a hospice

    VOL: 98, ISSUE: 50, PAGE NO: 39Steve Kirk, MBA, is chief executive and director of nursing, St Gemma's Hospice, LeedsThere are several terms used to describe the type of care most professionals aspire to provide, including patient-centred and person-focused care. There has also been a focus in recent years on individualised patient care (Price, 1999), patients' rights (Ryland, 1996) and putting the patient at the centre of the caring process (Binnie et al, 1999).
  • Patients' perception of health care

    Rachel Leaver, BSc (Hons) Health studies, RN.Clinical Nurse Specialist, Continent Urinary Diversions, University College Hospitals NHS Trust, London; and Council Member, British Association of Urological NursesIn the past the NHS has been accused of being a paternalistic organisation (Dieppe and Horne, 2002). Using patients' views to improve health-care delivery has only developed over the past decade or so (Wensing and Elwyn, 2002). But despite all the recent changes, are patients
  • Reducing the risks of malnutrition by ensuring adequate dietary intake

    Linda Nazarko, BSc Hons, MSc, RN, FRCN.Visiting Senior Lecturer, South Bank University, LondonNutritional status is crucial to a patient's state of health. Today, as people are living longer, this is becoming a major issue.
  • Sensitivity enables nurses to provide better postoperative care

    VOL: 98, ISSUE: 50, PAGE NO: 38Jennifer Gorman, RGN, is staff nurse, transplant unit, Harefield Hospital, MiddlesexI read the article a few weeks after beginning my first job as a nurse on a transplant unit. It has a well-stocked resource room but the many conditions catered for on the ward meant that finding information covering the basics of care for patients after transplants was difficult. The article focused on the postoperative care of patients who had undergone heart transpl
  • Taking a holistic approach

    VOL: 98, ISSUE: 49, PAGE NO: 52Pauline Barnes, MSc (clinical nursing), RGN, MRM, nurse clinician for surgical services, St Helen's Hospital, MerseysideI am one of four nurse clinicians, qualified at Master's level in clinical nursing, in a nurse-led surgical unit, and an independent nurse prescriber. Our unit admits patients for elective surgery in urology, orthopaedics and general surgery. My role replaces that of a junior doctor, and I am responsible for patients on three inpatie
  • The benefits of implementing an electronic patient record system

    VOL: 98, ISSUE: 49, PAGE NO: 34Elloise Maddock, DipNMA, RN (Child), is nursing practice facilitator, North Staffordshire Royal InfirmaryWhen people are asked to define what nursing is, what nurses do, and what skills are required to provide holistic multidisciplinary care, few people are likely to mention the need to be computer literate.
  • The differential diagnosis of chest pain

    VOL: 98, ISSUE: 50, PAGE NO: 30Julia Hubbard, MSc, BSc, PGDE, DipN, RGN, is adult branch leader, School of Nursing and Midwifery, University of East Anglia, NorwichChest pain is a frequent complaint of patients seeking urgent medical assistance, and accounts for an estimated 2-4 per cent of all A&E visits in the UK (Becker, 2000). Generally, acute chest pain should be considered cardiovascular in origin until proven otherwise and it is common in clinical practice to err on the cons
  • The nature and causes of violent incidents in intensive-care settings

    Terry Ferns, BSc (Hons), PGDE, RN.Lecturer Practitioner, University of Greenwich/Queen Elizabeth Hospital, London; he was formerly part of the Staff Development Team, Adult Intensive Care, Guy's and St Thomas' Hospital Trust, LondonThis paper reports on a study into the incidence, nature and causes of physical violence experienced by nurses working in intensive-care environments.
  • Tuberculosis

  • Tuberculosis: diagnosis and care

    Vikki Knowles, BSc (Hons), RN.Clinical Nurse Specialist - Respiratory Medicine, Department of Respiratory Medicine, Kingston Hospital. With acknowledgement to Carol Hart, MBE, TB Nurse Specialist, Kingston HospitalTuberculosis (TB) remains the leading infectious cause of adult death in the world today, with eight million people developing active disease and three million deaths occurring each year as a result (NRTC, 2000).
  • Using antibacterial drugs

    VOL: 98, ISSUE: 49, PAGE NO: 50Michele Butler, MmedSci, BSc, RGN, RNT, CertED (FE), senior lecturer in clinical science, School of Biological and Molecular Science, Oxford Brookes UniversityMolly Courtenay, PHD, MSc, Cert Ed, RNT, RGN, lecturer, Southampton UniversityMichele Butler, MmedSci, BSc, RGN, RNT, CertED (FE), senior lecturer in clinical science, School of Biological and Molecular Science, Oxford Brookes University
  • Wound-bed management: key principles for practice

    Mark Collier, BA (Hons), RN, ONC, RCNT, RNT.Lead Nurse/Consultant - Tissue Viability, United Lincolnshire Hospital NHS Trust (ULHT), Pilgrim Hospital, Boston, LincolnshireWound-bed management or preparation is a concept that has been introduced to professionals working in wound care in recent years (Collier, 2001; Collier, 2002). It can be argued that wound-bed management is simply overall good wound care (Dowsett, 2002). However, this author believes that it allows the practiti


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