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Issue : January 2004

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  • A campaign to raise awareness of microalbuminuria screeningSubscription

    Clinical1 January, 2004

    Heather Daly, Nurse Consultant - Diabetes.University Hospitals of Leicester NHS TrustDiabetes could cost you your kidneys: act now! was the slogan for this year's World Diabetes Day. Nurses around the world have been taking part in a campaign to raise awareness about the importance of microalbuminuria screening.

  • A fracture liaison service for patients with osteoporotic fracturesSubscription

    Clinical1 January, 2004

    Mayrine Fraser, BSc, RGN.Osteoporosis Nurse SpecialistOsteoporosis is characterised by low bone mass and microarchitectural deterioration of bone tissue, leading to enhanced bone fragility and a consequent increase in fracture risk. The disease presents clinically as fractures that occur at any site in the skeleton and typically occur with minimal trauma (World Health Organization, 1994).


    Access to secondary care for people with learning disabilitiesSubscription

    Clinical20 January, 2004

    The Department of Health’s document Valuing People (DoH, 2001a) insists that secondary health services should be accessible to people with learning disabilities. There must be no discrimination against people with learning disabilities and support must be provided to help patients to understand and cooperate with their treatment while in hospital.

  • Acute wounds: an overview of the physiological healing processSubscription

    Clinical27 January, 2004

    VOL: 100, ISSUE: 04, PAGE NO: 50 Marion Richardson, BD, CertEd, RGN, RNT, DipN, is senior lecturer and programme leader, emergency nursing, University of Hertfordshire When an injury occurs and the skin is damaged, the process of tissue repair begins immediately, but some wounds can take up to two years or more to heal completely. 

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    Antibiotic resistance and the prescribing dilemmaSubscription

    Clinical13 January, 2004

    A study soon to be published in the journal Respiratory Medicine claims that deaths caused by pneumonia have risen since the Department of Health told prescribers in 1998 not to give antibiotics for coughs, colds and sore throats (NT News, 6 January, p9).

  • Assessing patients' eligibility for fully funded nursing careSubscription

    Clinical13 January, 2004

    VOL: 100, ISSUE: 02, PAGE NO: 38 William Anderson, RGN, is clinical nurse, specialist care of older people/lead nurse for free nursing care, Canterbury & Coastal Primary Care Trust Hilary Bungay, PhD, MA, HDCR, is Senectus programme manager, Centre for Health Service Studies, University of Kent

  • Generic  back pain

    Barriers to the provision of effective pain managementSubscription

    Clinical20 January, 2004

    According to the Agency for Health Care Policy and Research, institutions have a responsibility for pain management and patients should have access to the best level of pain relief that may safely be provided (McCaffery and Pasero, 1999). 

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    Catheter-associated urinary tract infections: primary care guidelinesSubscription

    Clinical13 January, 2004

    In primary and community health care settings, long-term (>28 days) urinary catheterisation (LTC) is most commonly used in managing older people and those with neurological conditions. Studies suggest that in the UK LTC is used in 0.5 per cent of people aged 75 or over (Kohler-Ockmore and Feneley, 1996) and in four per cent of people receiving domiciliary care (Getliffe and Mulhall, 1991).

  • child obesity fat weight scales weighing

    Childhood obesity: its incidence, consequences and preventionSubscription

    Clinical20 January, 2004

    The increasing incidence of childhood obesity raised concern in 1990, when an estimated 18 million children under the age of five worldwide were classified as being overweight (WHO, 1998). Interestingly despite this warning the incidence continues to increase.

  • Contraceptive choices that workSubscription

    Clinical1 January, 2004

    Freda Barber, BSc (Hons), RN, RM.

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