Issue : January 2003
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Sexual health in cancer careSubscription
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 ...
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.
Iron deficiency anaemiaSubscription
NT Skills Update - RED BLOOD CELL COUNTSubscription
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 ...
Identifying food allergies in childrenSubscription
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 ...
Benchmarking and nutritionSubscription
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).
Management of intestinal failureSubscription
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).
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 ...
NT Skills update: WOUND VACsSubscription
WHAT IS VAC?
Update on access to nutritional supportSubscription
VOL: 99, ISSUE: 03, PAGE NO: 55...
Living with intestinal failureSubscription
A number of studies have examined the quality of life of patients with intestinal failure (Jeppesen et al, 1999; Richards and Irving, 1997). Common factors reported are feelings of anger, anxiety and depression resulting from a profound sense of loss.
Diabetes: new treatments and guidanceSubscription
As the number of people with diabetes increases, the consequences of untreated or inadequately treated diabetes are being realised. People with diabetes are more likely to have coronary heart disease, to have a stroke, to develop renal failure and require dialysis or a renal transplant, to have visual impairment and to develop foot ulcers. They may also require amputation as a result of peripheral vascular disease or neuropathy. The cost of these complications has been estimated to ...
VOL: 99, ISSUE: 03, PAGE NO: 43
The aim of treatment for diabetes is to alleviate the symptoms, maintain quality of life and slow the progression of specific and non-specific complications. This Part looks at treatments for diabetes and related complications.
Anorexia nervosa is the strongest predictor of adolescent mortality with a rate 15 per cent higher than depression (Gowers et al, 2000). The term anorexia nervosa was first coined by Sir William Gull in the late 19th century but knowledge of the illness remained scant until the 1950s. The seminal work by Ancel Keys into starvation, involving a group of conscientious objectors in the 1950s, along with an increase in the popularity of psychiatry, promoted an interest among clinicians ...
The importance of good record-keeping for nursesSubscription
Comprehensive records are essential in healthcare and nurses need to dedicate time to documentation
Cystic fibrosis and exocrine gland disorderSubscription