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Issue : January 2001

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  • Blood pressure

    Blood pressure measurementSubscription

    Clinical25 January, 2001

    Training in the measurement of blood pressure has been lacking in both the basic and continuing education of nurses and doctors. Many also appear to think they do not need to update their knowledge through further training and assessment.

  • Trial removal of a catheterSubscription

    Clinical25 January, 2001

    Removing a catheter is a nursing procedure that can usually be undertaken on an outpatient basis. Nurses can therefore take direct medical referrals to undertake the procedure. It is best undertaken on a Monday, Tuesday or Wednesday so as to allow the patient time to receive bladder ultrasound if there is residual urine but insufficient to warrant catheterisation. When considering where the trial removal should take place - in the patient’s home, in an outpatient clinic or in hospital ...

  • Dialectical behavioural therapy: a working perspectiveSubscription

    Clinical25 January, 2001

    Dialectical behavioural therapy (DBT) is a cognitive behavioural treatment of borderline personality disorders. Diagnostically there is sometimes an overlap between patients diagnosed as suffering from a multi-impulsive disorder, known in the Diagnostic and Statistical Manual of Mental Disorders III (American Psychiatric Association, 1987) as ‘borderline personality disorder’, and those diagnosed as suffering from an eating disorder.

  • Care of patients on the moveSubscription

    Clinical25 January, 2001

    VOL: 97, ISSUE: 04, PAGE NO: 35Phil Jevon, BSc, RN, PGCE, is resuscitation training officer, Manor Hospital, Walsall Hospitals NHS TrustBeverley Ewens, BSc, RGN, is consultant nurse, Manor Hospital, Walsall Hospitals NHS TrustMore than 11,000 critically ill patients require inter-hospital transport each year (Mackenzie et al, 1997; Intensive Care Society, 1997).

  • Improving rehabilitation careSubscription

    Clinical25 January, 2001

    VOL: 97, ISSUE: 04, PAGE NO: 37

  • Evidence-based psychological interventions in mental health nursingSubscription

    Clinical18 January, 2001

    VOL: 97, ISSUE: 03, PAGE NO: 34 Graham Paley, PhD, BSc, CPN, RMN, is a research fellow at the centre for the Analysis of Nursing Practice, Leeds Community and Mental Health Services Teaching NHS Trust/Leeds Metropolitan University David Shapiro, PhD, MSc, BA, FBPsS, CPsychol, is a research professor at the University of Leeds

  • An integrated care pathway for leg ulcer managementSubscription

    Clinical18 January, 2001

    VOL: 97, ISSUE: 03, PAGE NO: 10Tracy Evans, Cert HSC, is integrated care pathway coordinator, Doncaster Royal Infirmary and Montagu Hospitals NHS TrustThere is evidence that the type and quality of care delivered to patients with the same condition who are treated in a single health care district will often vary (Macario et al, 1998). Integrated care pathways (ICPs) provide a means of addressing such inequity.

  • blood pressure

    Postural hypotension: symptoms and managementSubscription

    Clinical18 January, 2001

    Postural hypotension is a common problem in older people, it can present with clinical symptoms of dizziness, syncope and falls when the patient changes position

  • Using the internet to update practiceSubscription

    Clinical18 January, 2001

    VOL: 97, ISSUE: 03, PAGE NO: 5John Unsworth, MSc, BA, RGN, PGCE, is a nurse consultant, intermediate care, Northumbria Healthcare NHS TrustThe drive towards evidence-based practice has gathered considerable momentum over the past 10 years (Hamer, 1999). Modern wound care, in common with many other aspects of practice, requires the practitioner to be aware of the best treatments available, as well as evidence of their effectiveness (Stotts, 1999).

  • Measuring lying and standing BP - 2Subscription

    Clinical18 January, 2001

    VOL: 97, ISSUE: 03, PAGE NO: 41

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