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Issue : August 2004

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  • Assessing the value of the internet in health improvementSubscription

    Clinical31 August, 2004

    The internet provides easier access to health information than ever before, but is it enabling us to lead healthier lives? It has been estimated that it took 30 years for people to get used to the idea of radio, approximately 13 years to be gripped by television and yet the internet has been accepted in about five years (Adams, 2000). The internet seems to be everywhere and everything appears to be on it.

  • Recognising and managing adult patients who are critically sickSubscription

    Clinical31 August, 2004


  • Factors influencing the selection of appropriate pain assessment toolsSubscription

    Clinical31 August, 2004

    It is recognised that the under-treatment of pain is a major yet avoidable public health problem (Gordon and Dahl, 2004). Studies performed in the past 20 years have shown poor pain control in postoperative, acute, chronic and patients with cancer.

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    Evaluating an education project in mental health of older peopleSubscription

    Clinical31 August, 2004

    To enhance the delivery of appropriate care to older people with mental health problems, and to ensure carers and service users are well informed, The National Service Framework for Older People (Department of Health, 2001) and the Audit Commission (2000) advocate that mental health services develop training to support staff working with older people in the primary and secondary care sectors.

  • Lactulose.Subscription

    Clinical27 August, 2004

    VOL: 102, ISSUE: 05, PAGE NO: 31

  • Identifying and managing the complications of diabetes.Subscription

    Clinical24 August, 2004

    Diabetes is a common chronic condition that, if not adequately controlled, can lead to acute metabolic complications such as diabetic ketoacidosis (DKA) in type 1 diabetes and hyperosmolar nonketotic coma (HONK) in type 2 diabetes. The discovery of insulin and its use as a therapeutic agent in the management of type 1 diabetes in the early 1920s led to the apparent miraculous recovery of extremely sick patients with DKA, who were brought back from the brink of death (Bliss, 1982).

  • Emerging concerns related to CJD.Subscription

    Clinical24 August, 2004

    News that a second death from Creutzfeldt-Jakob disease (CJD) has been linked to blood transfusion has led to concern that the disease could affect far more people than previously thought (Peden et al, 2004). The first person to die from CJD after receiving a blood transfusion from a donor who subsequently developed variant CJD - the form acquired by eating beef infected with bovine spongiform encephalopathy (BSE) in the 1980s - was revealed last year. This led to radical changes in ...

  • Using action learning to support and develop the role of matrons.Subscription

    Clinical24 August, 2004

    Gary Etheridge, PGD, BSc, RGN, is director of nursing, midwifery, quality and risk, West Hertfordshire Hospitals NHS TrustJenny Thomas, BSc, CertManagement, RGN, is a management consultant

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    Media representation of people with mental health problems.Subscription

    Clinical24 August, 2004

    Anderson (2003) states that throughout the past decade there has been an increase in media attention on issues relating to community care and the discharge of people from institutions. He maintains that newspapers in the UK have a great deal of influence when reporting violent incidents involving patients who have mental health problems. Most research into news reporting and mental illness has looked at whether negative images lead to negative public attitudes.

  • LevodopaSubscription

    Clinical20 August, 2004

    VOL: 101, ISSUE: 47, PAGE NO: 27

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