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Issue : January 2003

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  • waiting room woman sexual health

    Sexual health in cancer careSubscription

    Clinical28 January, 2003

    The sexual concerns of patients have generally been neglected in health care (Dustow, 1994). In cancer care specifically there appears to be a conception that people with cancer do not have sex. But Shell (1995) suggests that supporting patients to retain an intimate relationship during their cancer treatment may allow them and their partner moments when they do not have to look cancer squarely in the face. Savage (1989) describes sexuality as the ‘uninvited guest’ in the nurse/patient ...

  • Cardiac_ecg_cardiology.jpeg

    Myocardial infarction: signs symptoms and treatmentSubscription

    Clinical28 January, 2003

    Myocardial infarction (MI) occurs as a result of prolonged myocardial ischaemia that leads to irreversible injury and necrosis of myocardial tissue because of inadequate blood supply. 

  • pharmacy_pharmacist_prescription_prescribing_antibiotics.jpg

    The supply of antibiotics by NHS walk-in centre nurses using PGDs.Subscription

    Clinical28 January, 2003


  • ntl_blood_anaemia.jpg

    Iron deficiency anaemiaSubscription

    Clinical28 January, 2003


  • blood.jpg

    NT Skills Update - RED BLOOD CELL COUNTSubscription

    Clinical28 January, 2003


  • Generic  medical records

    Multidisciplinary patient records in a palliative care settingSubscription

    Clinical21 January, 2003

    The Government’s white paper The New NHS: Modern, Dependable (Department of Health, 1997) and the consultation document A First Class Service (DoH, 1998) focused on modernising the NHS and improving the quality of care for patients. The concept of clinical governance was developed and defined as a ‘framework through which the NHS organisations are accountable for continuously improving the quality of the services and safe-guarding high standards of care by creating an environment in ...

  • generic  allergy  peanuts

    Identifying food allergies in childrenSubscription

    Clinical21 January, 2003

    Food intolerance is an umbrella term encompassing any reproducible adverse reaction to a food that may produce a number of different responses, including allergy. A food allergy is a reproducible adverse reaction to a specific allergen or its ingredient - usually a protein - and is mediated by an immunological response. Food allergy affects 1.4-1.9 per cent of adults and five per cent of children in the UK (Sicherer, 2002). About 10 million people are affected in the UK with as many ...

  • nutrition_vegetables.JPG

    Benchmarking and nutritionSubscription

    Clinical21 January, 2003

    Nutrition for hospitalised patients can be compromised by a number of common factors. These have been identified as a failure to detect or recognise poor nutrition, lack of patient nutritional data, for example weight and weight loss, lack of relevant referrals, fragmented working practices, and failures in education and training (British Association of Parenteral and Enteral Nutrition, 1999).

  • gastrointestinal_stomache.jpeg

    Management of intestinal failureSubscription

    Clinical21 January, 2003

    Intestinal failure (known as ‘short bowel syndrome’) occurs when a large portion of the intestine is unable to function, resulting in malabsorption of nutrients, electrolytes and gastrointestinal secretions (Forbes, 1997).

  • Blank

    A nurse-led outpatient service for patients with DVT.Subscription

    Clinical21 January, 2003

    Every year deep vein thrombosis (DVT) occurs in about one in 2,000 people in the general population, ranging from less than one in 3,000 in those below the age of 40 to one in 500 in those over 80 (Department of Health, 2002). Thrombosis usually develops as a result of venous stasis or slow flowing blood around venous valve sinuses. Extension of the primary thrombus occurs within or between the deep and superficial veins of the leg. The propagating clot damages valves and may cause ...

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