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Issue : November 2003

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  • anatomical skin

    Legionellosis: epidemiology, management and preventionSubscription

    Clinical25 November, 2003

    Legionellosis or legionnaires’ disease has attracted media attention again with a new outbreak in Hereford (see p7). Legionellosis is an acute bacterial pneumonia most frequently caused by the Gram-negative bacillus, Legionella pneumophila, although other species of legionella have been attributed as causal agents of the disease (Burton and Engelkirk, 1996).

  • Patient-controlled analgesia after coronary artery bypass grafting

    Patient-controlled analgesia after coronary artery bypass graftingSubscription

    Clinical25 November, 2003

    Analgesia following any thoracic surgery is important to reduce the risk of pulmonary and cardiovascular complications. Research shows that patients with higher pain scores have significantly higher levels of atelectasis (failure of the lungs to expand properly), cardiac ischemia and arrhythmia (Tsang and Brush, 1999; Watt-Watson and Stevens, 1998; Gravlee and Rauck, 1993), so optimal analgesia is essential.

  • Simple coping strategies for people who hear voices

    Simple coping strategies for people who hear voicesSubscription

    Clinical25 November, 2003


  • generic  diabetes child

    Chronic obstructive pulmonary diseaseSubscription

    Clinical25 November, 2003


  • teenagers_schoolchildren.jpeg

    Evaluation of the use of drama in sex and relationship educationSubscription

    Clinical25 November, 2003

    The UK has the highest rate of teenage pregnancies in western Europe. Every area of the UK is affected, although rates are higher among the most vulnerable groups. Of those teenagers who are sexually active, half use no contraception the first time they have sexual intercourse. Teenagers who do not use contraception have a 90 per cent chance of conceiving and those who do not use condoms are exposed to a range of sexually transmitted infections.

  • feeding_bag.jpg

    Preventing health care-associated infections during enteral feedingSubscription

    Clinical18 November, 2003

    In the late 1980s, enteral feeding became common practice in hospitals for patients who were unable to feed themselves. It was therefore inevitable that those requiring long-term artificial feeding - that is, for more than 30 days - would continue this practice at home.

  • Generic  nutrition  apple  water

    A consistent and reliable tool for malnutrition screeningSubscription

    Clinical18 November, 2003

    About three million people in the UK (roughly five per cent of the population) are underweight (Office of Population Censuses and Surveys, 1994), a state that can have a detrimental effect on health and quality of life. Although malnutrition can affect anyone, the most vulnerable groups include patients with chronic diseases, older people, those recently discharged from hospital and those who are poor or socially isolated. The condition affects about one in three residents of care homes, ...

  • Child cancer

    The provision of nutritional support for people with cancerSubscription

    Clinical18 November, 2003

    Nutritional support is one of the most fundamental aspects of nursing practice. Evidence suggests that many patients are malnourished when admitted to hospital and this is a particular problem for patients with cancer (Whitman, 2000).

  • Acute pancreatitis: symptoms, diagnosis and management

    Acute pancreatitis: symptoms, diagnosis and managementSubscription

    Clinical18 November, 2003

    The pancreas is an elongated gland situated just behind the stomach. 

  • patient.JPG

    Educating nursing staff involved in the provision of dementia careSubscription

    Clinical18 November, 2003

    Dementia is a clinical syndrome evidenced through a set of symptoms that classically include a decline in memory and thinking - present for six months or more - of a degree sufficient to impair functioning in daily living (World Health Organization, 1993). From the onset the individual experiences difficulty with communication or in the completion of everyday activities such as managing finances, shopping or food preparation. As the disease progresses, basic functions such as mobility, ...

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