Issue : March 2003
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Adolescents are becoming sexually active at an increasingly younger age.
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).
SKILLS - CERVICAL SCREENINGSubscription
SKILLS - SOURCE ISOLATION NURSINGSubscription
VOL: 99, ISSUE: 11, PAGE NO: 29
Review of the new asthma guidelinesSubscription
Managing hypoxia and hypercapniaSubscription
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.
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
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.
Ward-based blood gas analysisSubscription
Herpes Zoster (shingles)Subscription
Children's hospital at homeSubscription
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).
An introduction to blood gas analysisSubscription
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.
VOL: 99, ISSUE: 11, PAGE NO: 34
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.
Inhaler devices for childrenSubscription
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 ...
VOL: 99, ISSUE: 10, PAGE NO: 30AETIOLOGY AND RISK FACTORS
Central venous linesSubscription
A central venous line is a device inserted into the superior vena cava or right atrium.
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:
SKILLS - FEEDING THE DEPENDENT PATIENTSubscription
DEPENDENT PATIENT FEEDING
Post-herpetic neuralgia is a neuropathic pain syndrome that is notoriously difficult to manage. It is preceded by an acute attack of herpes zoster (shingles) and usually occurs at the site of shingles skin lesions. While acute herpetic pain occurs before and during the presence of the shingles rash, post-herpetic neuralgia is pain that continues beyond the normal healing time of the rash.
A guide to risk assessmentSubscription
Mental health service users experience increased risk in relation to a number of specific problems, including an increased risk of suicide, self-injury, neglect, exploitation (physical, financial or sexual) and violence towards others.
VOL: 99, ISSUE: 09, PAGE NO: 45
Achieving a healthy relationship between manager and employee may be challenging but it is necessary if employees are to feel supported and content. The examination of this relationship and whether there is a connection between its quality and the retention of mental health staff are the focus of this study.
Mental health services have undergone unprecedented changes in the past decade with frequent exhortations in government documents for all agencies to work together to provide care for people with mental heath problems (Department of Health, 2001a; 1999). By 2004 all primary care groups will have become primary care trusts, and it is expected that the number of GPs currently providing personal medical services as opposed to general medical services, will also have increased, with more ...
The use of psychosocial interventionsSubscription
The latest figures show that 27 per cent of men and 15 per cent of women are drinking more than the recommended limits of alcohol (Office for National Statistics, 2000). Weekly limits advise men to drink no more than 21 units and women no more than 14 units - and not to drink all these in one day. Of greater concern, perhaps, is that almost half of those drinking above these limits are consuming amounts known to be placing their health and personal well-being at risk (that is more than ...
AETIOLOGY AND RISK FACTORS
Of all the questions we have faced as consultant nurses, the most frequent has been about the practice element of our role. The perspective we have outlined in this article has been developed on the basis of our own values and beliefs about practice development, our understanding of the consultant nurse role, our experiences, the expectations of others of the role and our own development work within the role.
NT SKILLS UPDATE - ADULT TRACHEOSTOMY CARESubscription
WHAT IS IT?
Martha Stewart, BSc (Hons), BA, RN, DN
Brendan Docherty, MSc, RN, PGCE; Martina Douglas, BSc (Hons), RN, DMS.Brendan-Clinical Manager - Cardiology and Critical Care, Queen Elizabeth Hospital NHS Trust, London, and Honorary Fellow, Healthcare Research Unit, City University, London; Martina-Senior Sister, Practice Development, Coronary Care Unit/Cardiology Ward 12, Queen Elizabeth Hospital NHS Trust, London.…
Why we can't give up on smokingSubscription
Amanda Clark, RN, MA.Deputy Editor, Professional Nurse'Sick of smoking? Why not give up?' This invitation is the theme of this year's National No Smoking Day on Wednesday 12 March.
Guy Jukes, Trainee ODP.
Daniel O’Neill, BSc (Hons), RN, GIBiol, PGDip, ALS, ATNC. Staff Nurse and Student Extended Nurse Practitioner, Accident and Emergency Department, Frimley Park Hospital, Surrey This paper examines the use of the stethoscope in relation to clinical assessment within the acute sector, in particular in accident and emergency departments (A&E).
Housekeeping: redesigning a roleSubscription
Jenny Kay, BA Hons, RGN, RSCN, MBA.Director of Nursing, Dartford and Gravesham NHS Trust, Darent Valley Hospital, Dartford, KentThe NHS housekeeping initiative was announced as part of The NHS Plan, following extensive consultation with patients, staff and stakeholders (DoH, 2000). The aim is that by 2004 over half of all trusts will have a ward housekeeping service (NHS Estates 2001; 2002).
Christina Fairhead, RGN, RHV, NEBSM, ENB 950, ENB 970.
Eileen Mann, BSc (Hons), RN, SCM, DPSN, PGCHE.
Fran Hall, MSc Pain Management, RN.
Jacqui Fletcher, BSc (Hons), RN.