Issue : January 2004
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Preoperative-assessment clinics have been introduced in many specialist areas over the last few years. Some are multidisciplinary, others are predominantly medically focused and an increasing number are nurse-led (Sutcliffe and Potter, 2000). They have evolved from the need to deliver quality health care within an environment where there are limited resources, such as theatre time and hospital beds.
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).
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.
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.
WHAT IS IT?
VOL: 98, ISSUE: 48, PAGE NO: 28AETIOLOGY AND RISK FACTORS
VOL: 101, ISSUE: 38, PAGE NO: 35
Stress urinary incontinence (SUI) has been defined as the complaint of involuntary leakage of urine on effort, exertion, sneezing or coughing (Abrams et al, 2002). It becomes known as urodynamically proven stress incontinence (USI) when filling cystometry (a test of bladder function) shows a rise in intra-abdominal pressure, without a detrusor muscle (bladder muscle) contraction, causing urine loss via the urethra.
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
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).