Treatment and management of acute appendicitisSubscription
Acute appendicitis is an inflammation of the appendix due to infection (Bruce and Finlay, 1997).
Reducing the risks of parenteral nutritionSubscription
Mary Bird, RGN.Intravenous and Nutrition Nurse Specialist, Peterborough and Stamford Hospitals NHS TrustNUTRITION
VOL: 100, ISSUE: 39, PAGE NO: 32
Nurse prescribing was first suggested by Cumberlege (Department of Health and Social Security, 1986) in a review of community nursing. It is now almost five years since the first nurse prescribers started prescribing. Stoma appliances and accessory products have always been on the Nurse Prescribers’ Formulary (NPF), which is a supplement of the British National Formulary.
Laxatives are drugs that change faecal consistency, speed the passage of faeces through the colon and aid in the elimination of stool from the rectum (Edmunds, 2003). They are used mainly to treat constipation and to prepare the bowel before surgery or investigative procedures. They may also be used in bowel training for patients who have lost neurogenic control of the bowel.
The number of health care-associated infections has increased over the years and generated a lot of interest and concern. The attention tends to be focused on methicillin-resistant Staphylococcus aureus (MRSA), but the less publicised Clostridium difficile is a growing problem. It increases length of hospital stay, causes significant morbidity in patients, affects nurses’ workloads, adds to the cost of cleaning, laundry and disposables, and can lead to ward closures. All NHS trusts ...
Gastrointestinal haemorrhage may be associated with an underlying disease state or trauma, or it may arise as a rare complication of investigative procedures such as diagnostic endoscopy.
VOL: 100, ISSUE: 20, PAGE NO: 48 Maureen Coggrave, MSc, RN, is research training fellow for ‘Action Medical Research’ at the National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, and the physiology department, St Mark’s Hospital, Harrow
A percutaneous endoscopic gastrostomy tube (PEG tube) also has an internal securing device. This may be a polyurethane cone, button, or air-filled foam sac. Correct positioning of both devices is essential to minimise complications.
The process is commonly divided into three phases: oral, pharyngolaryngeal and oesophageal, which represent the anatomical structures involved in swallowing. The process requires a sophisticated means of voluntary and reflex central control for coordinated execution (Miller, 1982) (Box 1). Disruption of swallowing can have serious effects, with complications such as malnutrition, pulmonary aspiration and the associated psychosocial stigma of being unable to eat.