Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

Issue : January 2004

View all stories from this issue.

Sort By: Newest firstOldest firstA-ZZ-A

  • TrimethoprimSubscription

    Clinical29 January, 2004

    VOL: 101, ISSUE: 05, PAGE NO: 31Generic/proprietary names

  • The challenge of managing patients with multiple sclerosis

    The challenge of managing patients with multiple sclerosisSubscription

    Clinical27 January, 2004

    Multiple sclerosis (MS) is the most common disabling neurological condition in young adults in the UK (Perkin and Wolinsky, 2000). It occurs all around the world, but is more common in countries with temperate climates. The UK, Scandinavia and Iceland have the highest rates of MS in the world.

  • 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. 

  • Evaluating the effectiveness of Tegapore wound-contact materialSubscription

    Clinical27 January, 2004

    VOL: 100, ISSUE: 04, PAGE NO: 66

  • needle

    The development of an online quiz for drug calculationsSubscription

    Clinical27 January, 2004

    Medication errors, always a focus for media attention, are of concern to the general public and medical practitioners alike. According to the Department of Health (2000) document An Organisation With a Memory 25 per cent of litigation claims relate to medication errors. This has prompted the government to set a target to reduce such errors by 40 per cent by 2005.

  • The role of EEGs in the treatment and prognosis of epilepsy

    The role of EEGs in the treatment and prognosis of epilepsySubscription

    Clinical27 January, 2004

    It is thought that electroencephalogram (EEG) analysis may provide us with a better understanding of the dynamics of the human brain (Adeli et al, 2003) and so presumably help us understand more fully conditions such as epilepsy. However, Fowle and Binnie (2000) state that an EEG reading can be abnormal in people who do not have epilepsy and normal in people who do.

  • generic  wound with stitches

    Procedures for cleansing, closing and covering acute woundsSubscription

    Clinical27 January, 2004

    Every wound and patient is different so there is no single method for the management of acute wounds. However, there are some guiding principles that can assist in the decision-making process. Most wounds are suitable for primary closure, for example with sutures, while for other wounds closure is either delayed or not attempted (healing by secondary intention).

  • cake_food_obesity_nutrition_diet.jpeg

    Food allergies, food intolerance and food-related anaphylaxisSubscription

    Clinical27 January, 2004

    There has been a dramatic rise in the incidence of allergies in the UK in recent years. This problem is compounded by the fact that the nature of allergic disease has also become increasingly complex. Previously rare and potentially life-threatening disorders such as peanut allergy are increasingly common (Grundy et al, 2002), while growing numbers of patients have disorders affecting several systems.

  • Personality disorder

    Personality disorderSubscription

    Clinical27 January, 2004


  • Typhoid vaccine.Subscription

    Clinical22 January, 2004

    VOL: 101, ISSUE: 34, PAGE NO: 37Generic and proprietary names

  • Nurse with child

    Piloting a nurse-led gynaecology preoperative-assessment clinicSubscription

    Clinical20 January, 2004

    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.

  • 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). 

  • 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.


    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.

  • Eczema finger


    Clinical20 January, 2004


  • Varicose veinsSubscription

    Clinical15 January, 2004


  • Warfarin.Subscription

    Clinical15 January, 2004

    VOL: 101, ISSUE: 38, PAGE NO: 35

  • HiRes Alamy urinetestA47E73

    Current treatments for patients with stress urinary incontinenceSubscription

    Clinical13 January, 2004

    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.

  • 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

  • pharmacy_pharmacist_prescription_prescribing_antibiotics.jpg

    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).

  • Newham Hospital

    The development of an accredited bowel-management courseSubscription

    Clinical13 January, 2004

    Bowel management - particularly digital rectal examination (DRE) and the manual removal of faeces - has been a contentious issue for some time. In the past few years this has been brought to the fore by a number of cases of professional misconduct by nurses.

  • continence384.jpg

    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).

  • community services woman carer care worker

    Listening to carers talking about the subjects of continence and toiletingSubscription

    Clinical13 January, 2004

    Toilets and continence play critical roles in the lives of people who care for a relative at home. Issues around toileting are central to the relationship between the carer and the person being cared for, with the bathroom often becoming the most important place in the house.

  • baby rash

    Erythema infectiosumSubscription

    Clinical13 January, 2004


  • breasts bra

    Understanding the benefits and risks of breast augmentationSubscription

    Clinical13 January, 2004


  • Child cancer

    Piloting cross-boundary training to develop cancer care nursingSubscription

    Clinical13 January, 2004

    The emphasis on lifelong learning is clearly evident in government policy from 1997, with most progressive organisations encouraging the implementation of lifelong leaning approaches as an integral part of staff development (Marchington and Wilkinson, 2002).

  • Yellow fever vaccineSubscription

    Clinical8 January, 2004


  • Warts and VerrucasSubscription

    Clinical8 January, 2004


  • eyes__glasses__optician__exam.jpg

    Managing the care of patients who have visual impairmentSubscription

    Clinical6 January, 2004

    VOL: 100, ISSUE: 01, PAGE NO: 40 Sue Watkinson, PhD, MSc, PGCEA, BA, RN, is senior lecturer, research studies, Thames Valley University, London Eileen Scott, BSc, RN, RM, Higher Award in Nursing, DipN, is sister, Central Eye Service, Central Middlesex Hospital, North West London Hospitals Trust Ophthalmic and general nurse practitioners are currently addressing the changing role of nursing practice. 

  • 182_Cigarette_Colourbox.jpg

    The role of nurses in reducing the use of tobaccoSubscription

    Clinical6 January, 2004

    The fact that smoking is harmful to health is well known by both health professionals and the general public:

  • infectioncontrol384.jpg

    The impact of environmental cleanliness on infection ratesSubscription

    Clinical6 January, 2004

    In any environment occupied by humans, microbes will be present in varying numbers (Collins, 1988). They enter the environment through a variety of routes, for instance, in body fluids, faeces, the respiratory route, and skin scales that have been shed. Dust is a hazard because it is largely made up of skin scales, and they are constantly being shed into the environment.

  • Upper respiratory tract carriage and transmission of

    Upper respiratory tract carriage and transmission of pneumococciSubscription

    Clinical6 January, 2004


  • Kidney Xray anatomy

    Kidney stonesSubscription

    Clinical6 January, 2004


  • 000071_noel-image_gi


    Clinical1 January, 2004

    VOL: 101, ISSUE: 48, PAGE NO: 33Generic and proprietary names

  • West Nile virusSubscription

    Clinical1 January, 2004

    VOL: 101, ISSUE: 26, PAGE NO: 28What is it?

  • The need to protect children from second-hand tobacco smokeSubscription

    Clinical1 January, 2004

    Sinead Jones, PhD, MPHDirector, BMA Tobacco Control Resource Centre, EdinburghSecond-hand tobacco smoke is the main source of indoor air pollution in the UK. This chemical cocktail contains more than 50 ingredients which cause cancer. Yet, even though for two decades scientific evidence has demonstrated that exposure to second-hand smoke is harmful, children are still exposed every day.

  • The patient experience of receiving bad news from health professionalsSubscription

    Clinical1 January, 2004

    People always remember being given bad news, no matter how well it is delivered. Health-care professionals have a responsibility to minimise the trauma of this experience by being well prepared (Radziewicz and Baile, 2001).

  • How a personal account contributes to nurse knowledge: Rachel's storySubscription

    Clinical1 January, 2004

    Joan Livesley, BSc, MA, RSCN.Lecturer, University of SalfordStory-telling is an important tool for nurses seeking to explore and discover the meanings of their own personal and professional experience and the experiences of those with whom they work.

  • Returning home after surgerySubscription

    Clinical1 January, 2004

    Jill Riley, MSc, BA (Hons), RN, RM.

  • Surgical management of aortic and mitral valve disease: an overviewSubscription

    Clinical1 January, 2004

    Rachel Matthews, MSc, RGN. Lead Patient Care Adviser for Extending Choice in Heart Surgery, Cardiac and Renal Services, Barts and the London NHS Trust

  • 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.

  • Raising awareness and reducing the risk of needlestick injuriesSubscription

    Clinical1 January, 2004

    Joanna C. Trim, BSc, RN. Clinical Skills Trainer, University Hospital Birmingham NHS Trust

  • Contraceptive choices that workSubscription

    Clinical1 January, 2004

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

  • The properties of hydrogel dressings and their impact on wound healingSubscription

    Clinical1 January, 2004

    Karen Lay-Flurrie, RN, Staff Nurse. Windsor Wing Day Hospital, Hemel Hempstead General Hospital, Hertfordshire, and student on the BSc (Hons) programme at the University of Hertfordshire This paper examines the composition and properties of amorphous hydrogels. 

  • 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).

  • Health teams take to the road to update patients with spinal injuriesSubscription

    Clinical1 January, 2004

    Michele Paterson, RGN, ONC.Spinal Nurse Specialist, Queen Elizabeth Spinal Injuries Unit, GlasgowAdvances in knowledge around spinal cord injuries and the technology available to patients and professionals mean specialist units must constantly evolve to respond to patients' needs.

  • Reflective thinking: turning a critical incident into a topic for researchSubscription

    Clinical1 January, 2004

    Malcolm Elliott, BN, MN, RN. Lecturer, Department of Nursing, University of Wollongong, New South Wales, Australia A critical incident is one which causes a person to pause and contemplate the events that have occurred to try to give them some meaning. 

Show  10 per page20 per page50 per page