Issue : June 2003
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As far back as 1986, the Cumberlege Report Neighbourhood Nursing: A Focus for Care (DHSS, 1986) identified that very complicated arrangements for prescribing had arisen in the community. It was apparent that nurses were wasting considerable amounts of time requesting prescriptions from the GP for items such as wound dressings. The report suggested that allowing nurses to prescribe could rectify some of these problems. Today many community nurses are prescribing from a limited formulary. ...
Using film dressingsSubscription
Film dressings were one of the first modern wound-dressing products. They are extremely flexible, transparent and adhesive. They have no capacity to absorb fluid but are able to ‘breathe off’ small amounts of fluid by a process known as moisture vapour transpiration (MVT).
Understanding wound inflammationSubscription
Superficial burns and superficial partial-thickness burns can be managed at home or on an outpatient basis. More severe injuries should be referred for specialist treatment at a burns unit. If a superficial partial-thickness burn does not show signs of healing after 10 days, the patient should be referred to the local burns and plastic surgery service as the injury may be infected or deeper than had originally been suspected.
A burn or scald, however minor, is painful and distressing. Patients with non-complex injuries may find that their quality of life is affected by pain, wound dressings and fear of disfigurement, as is the case, albeit for a shorter period of time, with more complex injuries.
Short-stretch compression bandages have been shown to be as cost-effective and efficient as other compression systems in healing venous ulcers, independent of associated factors (Scriven et al, 1998; Nelson, 1996). However, as they do not contract around a limb they do not exert pressure during inactivity (resting pressure) (Klose Norton, 2003). But their stability creates a high resistance to stretch when pressure is applied through internal muscle contraction and joint movement ...
Until recently there has been a lack of courses demonstrating how to undertake sharp debridement. The clinical governance framework has highlighted that nurses frequently perform the procedure without having received formal education and training (Fairbairn et al, 2002). Clinical governance, which includes risk management, clinical audit and evidence-based practice, aims to help all clinicians to improve quality and safeguard standards of care. The framework seeks to ensure that health ...
Constipation: causes and curesSubscription
Constipation should be considered as the passing of small, hard stools with difficulty. The most popular definition is described by Pfeifer and Wexner (1996) as two or more of the following: