This third article in our series on the effects of bedrest on body and mind explores how prolonged bedrest compromises the activities of the gastrointestinal, endocrine and nervous systems
A nurse-led, rapid-access pathway for diagnosing pancreatic cancer as early as possible has won the Cancer Nursing category in the 2018 Nursing Times Awards
At the East Yorkshire School of Endoscopy, nurses and healthcare assistants working in endoscopy departments can take a one-day course encompassing theoretical learning backed up by simulation training
Patients with coeliac disease need to adhere to a gluten-free diet, including when they are in hospital. This means staff in catering departments and on wards need to be aware of the condition and its consequences
One of the keys to eradicating hepatitis C virus infection is to find infected people who are not engaged with health services and offer them treatment with direct-acting antivirals. This article comes with a handout for a journal club discussion
Developing a comprehensive hospital alcohol liaison service involves all staff in assessing patient risk and making appropriate referrals. This initiative won the award for Emergency and Critical Care in the 2016 Nursing Times Awards
Researchers exploring the experiences of patients with an ileostomy found that the stoma and its complications can be traumatic and that patients need psychological support
Inappropriately placed nasogastric tubes can cause serious harm to patients. This summary of an NIHR-funded study includes an online self-assessment to test your understanding of the research
The many functions of the digestive system are differently affected by age, making older people more prone to gastrointestinal conditions
A Cochrane review has concluded that, while bowel management is a significant issue for patients with neurogenic bowel disorders, the evidence base for effective interventions is poor
Older people in hospital are at risk of constipation, which is often poorly managed. Failure to treat the condition can lead to increased morbidity and longer hospital stays
Amended coeliac disease guidelines mean some symptomatic children can now be diagnosed without having to have a biopsy of their small bowel
Patients who are critically ill are at greater risk of malnutrition and nurses must be able to accurately assess their nutritional needs to help them recover
Assessing and supporting patients who have IBDSubscription
Assessing, treating and supporting people who have inflammatory bowel disease can be complex, but nurses can embed the 6Cs into care to ensure it is of a high quality
Understanding the causes and symptoms of IBDSubscription
Inflammatory bowel disease can have a negative impact on a patient’s quality of life. Understanding the condition and its aetiology will help nurses provide optimal care
PEG tubes: dealing with complications Subscription
Complications arising from the insertion of percutaneous endoscopic gastrostomy (PEG) tubes can be life-threatening, so nurses should be able to identify and manage them
Safe removal of knotted nasogastric tubesSubscription
Knotting or looping of nasogastric tubes when in situ can distress the patient on removal. Nurses should know how to recognise and respond to the situation
This article reports on a competency framework to improve nurses’ skills in caring for people with liver disease. It can be usefully complemented by our learning unit on liver disease
Nurses are increasingly likely to encounter patients with advanced liver disease and have a vital role in improving end-of-life care for this group
The review was undertaken to establish the effect of cholinesterase inhibitors on people with mild cognitive impairment. There is little evidence that the treatment modifies disease progression to dementia
Probiotics in antibiotic-associated diarrhoea Subscription
Antibiotic therapy may cause diarrhoea. Robust evidence is needed to establish the effectiveness of probiotic use in preventing or treating antibiotic-associated diarrhoea
Assessment and management of diarrhoeaSubscription
A new Nursing Times Learning unit complements Royal College of Nursing guidance on the identification, assessment and management of diarrhoea
Norovirus outbreaks: containment or closure?Subscription
A study examined whether containing affected patients in single rooms and bays was more efficient at managing an outbreak of norovirus than closing entire wards
Crohn’s disease in adults and childrenSubscription
Crohn’s disease has a significant impact on the lives of patients. New NICE guidance outlines evidence-based pathways of care
Managing upper gastrointestinal acute bleedingSubscription
NICE guidance emphasises the role of endoscopy in treating patients who have upper gastrointestinal bleeding.
PEG feeding tube placement and aftercareSubscription
PEG tube nursing care: Care must be taken when deciding to use, siting and managing percutaneous endoscopic gastrostomy tubes (PEG tubes) to avoid errors or complications that could prove fatal
The efficacy of using X-rays to determine whether or not nasogastric tubes are correctly positioned was measured using retrospective data.
Guidance has been issued for nurses on the insertion of balloon gastrostomy tubes, as more patients are receiving enteral feeding.
Supplementary hydration and nutrition is often needed for people with acute stroke. Dehydration is a predictor of poor outcomes including discharge to long term-care.
How to manage chronic constipation in adultsSubscription
There are various options available to treat this common condition, but effective treatment relies on obtaining a thorough patient history.
Nursing care planning in Ehlers-Danlos syndromeSubscription
Care planning for patients with this connective tissue disorder must take a holistic approach.
People with this debilitating condition need individualised treatment that takes into account their perception of symptoms and the effect on their quality of life.
A strategy to reduce avoidable pressure ulcersSubscription
Nurses have a role to play in monitoring the success of strategies to reduce avoidable pressure ulcers and to provide accountability and maintain motivation
Involving patients in preventing infectionsSubscription
New guidance highlights the importance of patient and carer involvement in preventing healthcare-associated infections.
In 2004, a child died after being fed through a nasogastric tube that had been misplaced in her lungs.
Recognising the appropriate support and treatment needed for a first-time mother presenting with stress incontinence boosted her confidence and enabled improved symptom control.
Exploring the benefits of anal irrigationSubscription
Bowel dysfunction can have detrimental effects on psychological, physical and social functioning. Two case studies show the impact of an anal irrigation system.
Management of stoma complicationsSubscription
Most patients who have a stoma experience complications at some point. Nurses need to provide prompt assessment, advice and referral for specialist help if required
An expert nurse advises on safe, effective care and when to contact a specialist nurse
Does abdominal massage relieve constipation?Subscription
Massage has been used for constipation since the nineteenth century: how effective is it?
A study showed colorectal nurse specialists have an important part to play in follow-up care for colorectal cancer patients
Using massage to ease constipationSubscription
Abdominal massage can relieve constipation symptoms and boost quality of life
Patients with bowel dysfunction should be rectally assessed, but many nurses are either wary of undertaking this procedure or unaware of its importance, says Gaye Kyle
NICE’s first guideline on idiopathic childhood constipation and its implications for nursesSubscription
Idiopathic constipation can affect all aspects of a child’s life. A member of NICE’s guideline development group outlines their first ever guideline on this condition
Developing a magnetic sign system to ensure patients receive appropriate nutritional careSubscription
Good nutritional care is crucial to patient recovery. A trust produced a pictorial magnetic system to enable staff to easily identify nutritional needs
Appendicitis presenting as gastroenteritis: the importance of making a correct diagnosisSubscription
It is vital to be aware of the atypical presentations of appendicitis in children. This case study demonstrates how delayed diagnosis can result in serious illness
Detecting problems after gastrostomySubscription
An NPSA Rapid Response Report outlines how to ensure that complications occurring after gastrostomy are detected and responded to without delay
Malnutrition is often unrecognised and its consequences can be devastating. Ensuring patients receive adequate nutrition and hydration is fundamental.
Childhood idiopathic constipation can cause anxiety, despair and frustration for children and parents. New guidance offers best practice recommendations
Poor standards of school toilets contribute to continence problems in children. School nurses should encourage schools to improve facilities, says Jenny Perez