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Issue : March 2003

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  • Bowel

    Managing the complications of diverticular diseaseSubscription

    Clinical25 March, 2003


  • Teen pregnancy

    The biopsychosocial aspects of unwanted teenage pregnancySubscription

    Clinical25 March, 2003

    Adolescents are becoming sexually active at an increasingly younger age. 

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    Emergency contraception: a pilot study by school nursesSubscription

    Clinical25 March, 2003

    The health of the Nation (Department Of Health, 1992) stated that by the year 2000 unintended teenage pregnancy should be reduced by half. Having failed in this undertaking the government set a similar target in Our Healthier Nation (DoH, 1998) but extended the deadline to the year 2010. The high rate of teenage pregnancy in this country is shameful according to prime minister Tony Blair, as recorded in the report by the Social Exclusion Unit (1999).


    Clinical25 March, 2003


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    Clinical18 March, 2003

    VOL: 99, ISSUE: 11, PAGE NO: 29

  • inhaler_asthma_outside.jpg

    Review of the new asthma guidelinesSubscription

    Clinical18 March, 2003


  • Blood sample blood test diagnostic test assessment

    Managing hypoxia and hypercapniaSubscription

    Clinical18 March, 2003

    The main objective when treating hypoxia (a deficiency of oxygen in the tissues) and hypercapnia (a high concentration of carbon dioxide in the blood) is to give sufficient oxygen to ensure that the patient is safe and his or her condition does not deteriorate.

  • anatomy heart learning study tuition2

    Palliative care for patients with end-stage heart failureSubscription

    Clinical18 March, 2003

    People with heart failure have a poor prognosis (Cleland et al, 1987), and when their condition becomes increasingly unstable it is necessary to change the focus of management. 

  • A new chance to share good practiceSubscription

    Clinical18 March, 2003

    VOL: 99, ISSUE: 11, PAGE NO: 43Karen Clancey MSc, BA, RGN is nurse consultant, Pennine Acute NHS TrustAs the new chair of the Association of Respiratory Nurse Specialists (ARNS) it gives me great pleasure to introduce this supplement, particularly as this issue focuses on the new British Thoracic Society/Scottish Intercollegiate Guidelines Network asthma guidelines (2003), a guide on inhalers and an introduction to blood gas analysis.

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    Ward-based blood gas analysisSubscription

    Clinical18 March, 2003


  • generic skin cream

    Herpes Zoster (shingles)Subscription

    Clinical18 March, 2003


  • paediatrics_child_doctor_patient_stethoscope_examination_consultation_.jpg

    Children's hospital at homeSubscription

    Clinical18 March, 2003

    Rugby Children’s Hospital at Home is an innovative community-based service for acutely ill children (Box 1). It enables children to be cared for at home during their illness by offering a plan of care in partnership with the child’s parents. The child is visited as frequently as needed to ensure his or her safety and according to the child’s condition (Samwell, 2000).

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    An introduction to blood gas analysisSubscription

    Clinical18 March, 2003

    Blood gas analysis is a procedure that is associated with high dependency, intensive care and respiratory units, but equipment used to carry out blood gas analysis is now commonplace on hospital wards and in some community services. 

  • A national audit of chronic constipation in the communitySubscription

    Clinical18 March, 2003

    VOL: 99, ISSUE: 11, PAGE NO: 34

  • mental health

    Presenting the case for acute mental health wardsSubscription

    Clinical18 March, 2003

    During the past 10 years, acute mental health admission wards have come under increasing scrutiny. This has not generally cast acute wards in a positive light (Standing Nursing Midwifery Advisory Committee (SMAC), 1999), describing them for the most part as non-therapeutic and suggesting that they offer little privacy and minimal staff contact for patients.

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    Inhaler devices for childrenSubscription

    Clinical18 March, 2003

    The use of inhaled medicines for the management of asthma is common and is the preferred method of treatment (NICE, 2000a). It is recommended that bronchodilating drugs, such as beta2-agonists, which provide symptom relief, and anti-inflammatory drugs, such as corticosteroids, are administered by inhalation (NICE 2000a). However, the number of devices available can leave the practitioner and the patient confused about which is the most appropriate inhaler. Guidance from the National ...

  • bread

    Coeliac DiseaseSubscription

    Clinical11 March, 2003


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    Central venous linesSubscription

    Clinical11 March, 2003

    A central venous line is a device inserted into the superior vena cava or right atrium. 

  • community services woman carer care worker

    Evaluation of an evidence-based nursing tool for acute hospitalsSubscription

    Clinical11 March, 2003

    The routine documentation of nursing care is an everyday part of nursing practice, which provides a permanent record of the care given to a patient and the patient’s response to that care. The NMC (2002) states that good record-keeping:

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    Clinical11 March, 2003


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