Issue : January 2003
View all stories from this issue.
NT Skills update - ELECTROCARDIOGRAMSubscription
Washable products for womenSubscription
This case study focuses on 55-year-old Dave Croft, who has a moderate learning disability and has been diagnosed as having bipolar disorder (this is currently in remission). In 1996, after the closure of the old-style residential institution that had been his home for nearly 30 years, he moved to an eight-bed NHS unit for people with learning disabilities/mental health needs and/or challenging behaviour.
Men’s health issues are relatively neglected in comparison with women’s. Men often avail themselves less of medical literature and doctors than do women (Peate, 1997). Although the numbers of men affected by testicular cancer may seem relatively small, its detection is essential because the disease affects young men in their reproductive years. About half of all cases occur in men aged less than 35 years (Cancer Research UK, 2002; see Fig 1).
Diabetes: signs, symptoms and making a diagnosisSubscription
At least 1.3 million people in the UK have diabetes. It can affect people of all ages and all ethnic groups. This first article in a three-part series provides an overview of type 1 and 2 diabetes. It explains the aetiology, signs and symptoms and how a diagnosis is reached. Risk factors and psychosocial implications are also considered.
Drinking water in schoolsSubscription
Children do not drink enough during the school day - and the resulting dehydration contributes to continence problems (Box 1). One important part of treating these problems is an adequate and regular fluid intake during the day (Haines et al, 2000). However, it is not uncommon for pupils to go six or seven hours without a single drink, and those who do drink usually drink less than they need (Almond, 1993; Haines et al, 2000).
Manual evacuation of faecesSubscription
Controversy surrounds the manual evacuation of faeces by nurses, and many are confused about their professional and legal responsibilities when asked to undertake this procedure. The argument that it is a well established and successful procedure is supported by many professionals, but there is very little documented evidence of its effectiveness as a method of bowel management.
Pelvic floor muscle exerciseSubscription
The ICS Standardisation Committee (Abrams et al, 2002) defines the symptom of stress urinary incontinence as the complaint of involuntary leakage on effort or exertion, or on sneezing or coughing. Genuine stress incontinence (now known as urodynamically proven stress incontinence) is the involuntary loss of urine occurring when, in the absence of a detrusor contraction, the intravesical pressure exceeds the maximal urethral pressure. These definitions tend to look at the urinary mechanism ...
Provision of absorbent garmentsSubscription
VOL: 99, ISSUE: 01, PAGE NO: 63Linda Morrow, MSc, RGN, RM, Dip DN, continence adviser, Lothian Primary Care NHS TrustThe current challenge to continence services in England - to make equitable provision of absorbent products to patients regardless of where they live - was met by Scottish services 10 years ago.
Utilising frequency volume chartsSubscription