Issue : 13 November 2007
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Hot flushes good news for breast cancer patientsSubscription
Hot flushes, night sweats and painful joints can be a sign that breast cancer drugs are working, a new study suggests.
Aspirin does not reduce the risk of heart attack or stroke for patients who have diabetes but no previous cardiovascular disease, a new study reports.
Infection rates and parenteral nutritionSubscription
Patients receiving higher calorific intakes of parenteral nutrition (TPN) are at increased risk of bloodstream infections, claim US researchers.They studied 200 patients receiving TPN, of which 49% contracted an infection.Infected patients received 36 kcal on average per day, compared with 31 kcal for ...
Whooping cough and admission ratesSubscription
Early discharge from paediatric intensive care (PICU) increases the risk of readmission and poor outcomes in infants with whooping cough, warn New Zealand researchers.They studied 72 children admitted to PICU with pertussis over four years. Of these 19 had to be readmitted to the unit. Most subjects were less than 12 months old. Apnoea or paroxysmal cough was present in ...
Empathy needed for domestic abuse screeningSubscription
A&E nurses should ask open-ended questions to help encourage abused women to reveal evidence of domestic violence, suggest US and Canadian researchers.They reviewed 871 interactions between clinicians and patients in emergency departments, of which around a third included screening for domestic violence.‘We ...
Taking part in music-based activities, such as playing handheld instruments or singing action songs, can help children with cancer to cope better, suggests a small US study.
Sick A&E nurses should go homeSubscription
A&E nurses who contract viral infections should be sent home at the first sign of illness and not return to work until they are symptom free for 48hours, say Scottish researchers.
NHS trusts are raking in almost £100m a year from car parking charges, according to new figures released yesterday.In 2005-06, patients and visitors paid £98m to park outside hospitals and GP surgeries, a rise of 26% on the previous year, according to figures revealed by the Commons health select committee.The committee last year revealed that some trusts charged up to £76 a day for parking and rates varied from 30p to £4 per hour.A ...
New hospital patients not screened for MRSASubscription
Only 2% of hospital trusts are screening new patients for MRSA, according to new figures released by the Conservative Party. The Tories made a Freedom of Information request on MRSA screening and isolation practices from all hospital trusts in England. Of the 82 trusts that responded, the party said only 32% could provide any data on the number of patients screened.They also said that no trusts were able to provide figures on the numbers of patients ...
The number of terminally ill people able to die at home has more than doubled under a new palliative care scheme piloted by a cancer charity.The Marie Curie Delivering Choice Programme, piloted in Boston, Lincolnshire, has seen the number of patients dying at home increase from 17% to 42% since the scheme was implemented in 2004.
Blood pressure management seriesSubscription
Click the links below to download the Practical Procedures on blood pressure management from Nursing Times.
Adverse drug reactions and interactionsSubscription
The decision to use medicines to treat or prevent ill health is a matter of balancing risk and benefit and must take account of the efficacy of the drug, the likelihood of adverse reactions developing as a consequence of its use and their potential seriousness.
Respiratory procedures seriesSubscription
Click the links below to download the Practical Procedures Respiratory Series from Nursing Times.
The way in which a drug behaves in the body over time is known as its pharmacokinetic profile. This describes the way in which the drug is absorbed, distributed around the body, metabolised and excreted, once it has been administered.
The management of clinical risk has particular relevance for practitioners involved in the preparation and administration of medicines as there is an increasing trend towards litigation in cases of error.
Compliance and concordanceSubscription
When medicines are administered in hospital there is a high degree of certainty that medicines are given to or taken by the patient for whom they are intended. In the community, however, such certainties do not exist, and one of the major drawbacks of our reliance on pharmacotherapy in treating ill health is that, either intentionally or unintentionally, a high proportion of patients do not take or use their medicines in the way that is intended.
In recent years a number of key events have highlighted the dangers associated with inaccurate administration of medicines. The death of a patient in 2001 due to the inadvertent administration of vincristine via the intrathecal route prompted a range of activities coordinated at national level to improve the safety of patients prescribed intrathecal chemotherapy.
The administration of medicinesSubscription
The administration of a medicine is a common but important clinical procedure.
Key Questions - Non-medical PrescribingSubscription
Fiona Peniston-Bird, consultant on the development and implementation of non-medical prescribing. What is supplementary prescribing?