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Issue : May 2002

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  • Nurse concern: a predictor of patient deteriorationSubscription

    Clinical28 May, 2002

    VOL: 98, ISSUE: 22, PAGE NO: 38

  • Chest compressionsSubscription

    Clinical28 May, 2002

    VOL: 98, ISSUE: 22, PAGE NO: 47PHIL JEVON, RESUSCITATION OFFICER, MANOR HOSPITAL, WALSALLSponsored by PfizerIn a cardiac arrest, chest compressions support the circulation by increasing intrathoracic pressure and directly compressing the heart (Maier et al., 1984). Even when performed correctly, they still achieve only 30% of the normal cardiac output (Paradis et al., 1989). A sound technique is important to maximise blood flow:

  • The use of refocusing in acute psychiatric careSubscription

    Clinical28 May, 2002

    VOL: 98, ISSUE: 22, PAGE NO: 44Nick Bowles, MA, BA, RMN, is senior lecturer, School of Health Studies, University of Bradford; Peter Dodds, RMN, is senior nurse, Oakburn Ward, Lynfield Mount Hospital, BradfordNick Bowles, MA, BA, RMN, is senior lecturer, School of Health Studies, University of Bradford; Peter Dodds, RMN, is senior nurse, Oakburn Ward, Lynfield Mount Hospital, Bradford

  • Aromatherapy massage: its use in a ward settingSubscription

    Clinical28 May, 2002

    VOL: 98, ISSUE: 22, PAGE NO: 36Paula Mullins, DipRef, DipArTh, MThCert, DipA/P, ITEC (Indian head massage), CertEd, is aromatherapist, reflexologist and researcher, acute stroke rehabilitation unit, Guy’s and St Thomas’ Hospital NHS Trust, LondonEssential oils can be extracted from the petals, leaves, roots, buds, twigs, wood bark, resin or fruit of certain plants. In a few cases, every part of the plant growing above ground is used.

  • Total parenteral nutrition: how to reduce the risksSubscription

    Clinical28 May, 2002

    VOL: 98, ISSUE: 22, PAGE NO: 40Lorraine Bosonnet, RGN, is Macmillan nurse, upper gastrointestinal tract, Royal Liverpool and Broadgreen University Hospitals NHS Trust

  • Katie Lemon discusses armomatherapySubscription

    Clinical28 May, 2002

    VOL: 98, ISSUE: 22, PAGE NO: 35Katie Lemon is an aromatherapist working in private practiceThis week's leading clinical article is on aromatherapy, an area of increasing importance to nurses (p36). Since the foundation of the International Federation of Professional Aromatherapists in 1985, practitioners have been re-evaluating their roles as therapists.

  • ECGs: how to recognise an abnormal recordingSubscription

    Clinical21 May, 2002

    VOL: 98, ISSUE: 21, PAGE NO: 40

  • Patient feedback on liaison mental health care in A&ESubscription

    Clinical21 May, 2002

    VOL: 98, ISSUE: 21, PAGE NO: 34

  • Food intake in labour: the benefits and drawbacksSubscription

    Clinical21 May, 2002

    The issue of whether to restrict the oral intake of food and fluids to women during labour has caused extensive controversy over the years. The basis of the argument is that women in labour who have been allowed to eat or drink, and then require a general anaesthetic, are at risk of death, owing to aspiration of their gastric contents - this is known as Mendelson’s syndrome (Mendelson, 1946).

  • Extended nursing roles in intermediate care: a cost-benefit evaluationSubscription

    Clinical21 May, 2002

    VOL: 98, ISSUE: 21, PAGE NO: 37

  • Chris Hart discusses liaison psychiatrySubscription

    Clinical21 May, 2002

    VOL: 98, ISSUE: 21, PAGE NO: 33Chris Hart, mental health editor, Nursing TimesThe interface between mental health liaison nurses and nurses in a general hospital is still in its infancy. Although mental health liaison nursing established itself as a specialty a few decades ago, many general nurses do not know what it involves.

  • The role of anatomy and physiology in interpreting ECGsSubscription

    Clinical14 May, 2002

    VOL: 98, ISSUE: 20, PAGE NO: 34Amanda Roberts, RN, DipHE, is staff nurse, Intensive Care Unit, Royal Cornwall Hospital, TruroCoronary heart disease is responsible for more than 135,000 deaths a year, according to the National Service Framework for Coronary Heart Disease (Department of Health, 2000). The framework has also established coronary care as a government priority, which means that it is important for nurses to develop a range of skills in keeping with this initiative.

  • A support group for self-harm patientsSubscription

    Clinical14 May, 2002

    VOL: 98, ISSUE: 20, PAGE NO: 40

  • Making a Difference: the implications for nurse educationSubscription

    Clinical14 May, 2002

    VOL: 98, ISSUE: 20, PAGE NO: 38 Maggie Lord, MA, BSc, PGCEA, RGN, RNT, is a senior lecturer at the Faculty of Health Studies, Buckinghamshire Chilterns University College, Chalfont St Giles

  • Boosting patient accessSubscription

    Clinical14 May, 2002

    VOL: 98, ISSUE: 20, PAGE NO: 37

  • Jean Flanagan discusses the future of nurse educationSubscription

    Clinical14 May, 2002

    VOL: 98, ISSUE: 20, PAGE NO: 33Jean Flanagan is an NT clinical adviserIn the intense debate that surrounds nurse education, opinions on its purpose fall into two distinct camps. Some people value theoretical learning and some value practical learning. But why not value both?

  • Walk-in health centres are a politician's follySubscription

    Clinical7 May, 2002

    VOL: 98, ISSUE: 19, PAGE NO: 38Peter May, MD, is a GP at The Grove Medical Practice, Shirley, SouthamptonPeter May, MD, is a GP at The Grove Medical Practice, Shirley, Southampton

  • Diabetes nursing for inpatientsSubscription

    Clinical7 May, 2002

    VOL: 98, ISSUE: 19, PAGE NO: 51

  • Glycaemic control in type 2 diabetesSubscription

    Clinical7 May, 2002

    VOL: 98, ISSUE: 19, PAGE NO: 56

  • NHS walk-in centres and the expanding role of primary care nursesSubscription

    Clinical7 May, 2002

    VOL: 98, ISSUE: 19, PAGE NO: 36

  • Childhood obesity and type 2 diabetesSubscription

    Clinical7 May, 2002

    VOL: 98, ISSUE: 19, PAGE NO: 49

  • NHS Direct: the early yearsSubscription

    Clinical7 May, 2002

    VOL: 98, ISSUE: 19, PAGE NO: 39Sandra Nolan, BA, RGN, is education and professional development coordinator, NHS Direct North West CoastIn January the Audit Commission acknowledged that NHS Direct has relieved other patient services in the NHS (National Audit Office, 2002). This marked a sea change for the service, which was conceived by the Conservative Party, delivered by the Labour government and has been contentious from the outset.

  • The National Service Framework for DiabetesSubscription

    Clinical7 May, 2002

    VOL: 98, ISSUE: 19, PAGE NO: 59

  • Important new partnershipsSubscription

    Clinical7 May, 2002

    VOL: 98, ISSUE: 19, PAGE NO: 47

  • Autonomic dysreflexiaSubscription

    Clinical1 May, 2002

    Jennie April Walker, BSc Hons, RN, Dip CPC. Staff Nurse, Spinal Trauma and Disorders Unit, Queen’s Medical Centre, Nottingham Autonomic dysreflexia is a sudden and exaggerated autonomic response to stimuli in people with spinal cord injuries or dysfunction. 

  • Forensic skills for nursesSubscription

    Clinical1 May, 2002

    Dr David Sadler, MB, ChB, FRCPath, MD.Senior Lecturer, Department of Forensic MedicineForensic medicine and forensic science, as portrayed in fiction and on television, are a source of great fascination to us all. However, in real life, the health professionals who have to deal with the victims of trauma are more likely to find forensic situations a source of considerable uncertainty and anxiety.

  • Influences on patient participation and decision-making in careSubscription

    Clinical1 May, 2002

    Dr Saras Henderson, BSc (Nursing), MEd, PhD, RN, RM. Senior Lecturer, School of Nursing and Midwifery, Curtin University of Technology, Western Australia. Dr Henderson is now on secondment as Project Officer, Scope of Nursing Practice, at the Nurses Board of Western Australia, East Perth, Western Australia The need for patients to participate in and make decisions about their care has gained consensus among health professionals in recent times (Kravitz and Melnikow, 2001). 

  • Toxicity and adverse effects of herbal complementary therapySubscription

    Clinical1 May, 2002

    Jennifer Kelly, MSc, BA (Hons), RN, DipN, DipNEd. Senior Lecturer, Homerton School of Health Studies, Cambridge

  • Training nurses to place tunnelled central venous cathetersSubscription

    Clinical1 May, 2002

    Sue Benton, RN, SCM.Sister, RadiologyNurses have been successfully inserting tunnelled central venous catheters (TCVCs) since 1991 and have accepted this expansion of their role in order to improve the quality of the service to patients (Hamilton, 1995).

  • Using the Roper, Logan and Tierney model in a neonatal ICU

    Using the Roper, Logan and Tierney model in a neonatal ICUSubscription

    Clinical1 May, 2002

    Over the past 30 years nursing has evolved from a task-oriented to a logical and systematic approach to care, using theories and models to guide practice (Pearson et al, 1996). Models of nursing outline a framework for nursing care that is systematically constructed and of scientific origin (Fawcett, 1995).

  • Nursing considerations for fluid management in hypovolaemiaSubscription

    Clinical1 May, 2002

    Brendan Docherty, MSc, RN, PGCE. Critical Care Manager, Queen Elizabeth Hospital NHS Trust, London; and Honorary Visiting Fellow, Healthcare Research Unit, City University, London

  • The role of sunscreen preparations in preventing skin cancerSubscription

    Clinical1 May, 2002

    Pauline Buchanan, BSc (Hons), RN, RM, ONC, DipN.

  • Pulmonary rehabilitation for patients with COPDSubscription

    Clinical1 May, 2002

    Anne McDermott, BA (Hons), RN, DipN.

  • Wound healing and potential therapeutic optionsSubscription

    Clinical1 May, 2002

    Andrew KingsleyCNS Infection Control and Tissue Viability, Northern Devon NHS TrustWound healing is a complex process that involves interacting cells, cytokines, enzymes, carbohydrates and proteins in cascades and sequences that are linear in character but occur seemingly simultaneously across the wound bed as different areas progress at different speeds. The process can be divided into inflammation, proliferation and maturation phases (Cox, 1993).

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