Issue : October 2001
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When there's no time to nurseSubscription
VOL: 97, ISSUE: 43, PAGE NO: 29Phil Barker, PhD, RNNursing is either dying or dead on its feet. I haven't quite worked it out yet, but my reading of the runes is that there isn't much to choose between these two dire scenarios.
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VOL: 97, ISSUE: 43, PAGE NO: 34Peter Groom, RGN, is charge nurse, outreach team for ICUs, Southampton University Hospitals NHS TrustThe intensive care unit (ICU) has long been seen as a 'no go area' within hospitals, where the staff are elitist and the doors are shut. It functions as a separate entity to the wards and the hospital it serves, acting in isolation from departments that supply and siphon its patients. But all this is changing.
A proactive approach to preventing abuseSubscription
VOL: 97, ISSUE: 43, PAGE NO: 32
How to use medical devices safelySubscription
VOL: 97, ISSUE: 43, PAGE NO: 36
Insertion of an oropharyngeal airwaySubscription
VOL: 97, ISSUE: 43, PAGE NO: 39PHIL JEVON, RESUSCITATION OFFICER, MANOR HOSPITAL, WALSALL; JAGTAR SINGH POONI, CONSULTANT IN ANAESTHESIA AND INTENSIVE CARE, CITY HOSPITAL, BIRMINGHAMPHIL JEVON, RESUSCITATION OFFICER, MANOR HOSPITAL, WALSALL; JAGTAR SINGH POONI, CONSULTANT IN ANAESTHESIA AND INTENSIVE CARE, CITY HOSPITAL, BIRMINGHAM
Vaccinating against influenza and pneumococcusSubscription
VOL: 97, ISSUE: 42, PAGE NO: 32Margaret Umeed, MSc (MedSci), RGN, is a specialist nurse practitioner (general practice nursing) in Glasgow and a freelance lecturer with a special interest in immunisation and travel health medicine
VOL: 97, ISSUE: 42, PAGE NO: 41PHIL JEVON, RESUSCITATION OFFICER, MANOR HOSPITAL, WALSALLTo ensure adequate ventilation during cardio-pulmonary resuscitation, prompt assessment of the patient's airway is essential, together with effective airway management. It may not be possible to restart an arrested myocardium without adequate oxygenation (Resuscitation Council (UK), 2000).
Benchmarking: how do you do it?Subscription
VOL: 97, ISSUE: 42, PAGE NO: 30
Pain assessment in a day-bed unitSubscription
VOL: 97, ISSUE: 42, PAGE NO: 38Tanya Lord, BSc, RGN, RM, is staff nurse, day-bed suite, Western General Hospital, EdinburghPain management has become a priority at Edinburgh's Western General Hospital since a patient survey carried out by the Picker Institute in 1999 found that 58% of surgical patients had pain all, most or some of the time.
Slowing the progression?Subscription
VOL: 97, ISSUE: 42, PAGE NO: 36
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Elective Admissions to Suit the IndividualSubscription
VOL: 97, ISSUE: 41, PAGE NO: 30Liz Allen, RN, is lead nurse, the Easi-Book and preassessment service, Walsall Hospitals NHS TrustThe government is committed to reducing the number of patients waiting for an operation and the length of time they wait, and to improving the quality of the service they receive throughout the entire process.
Setting up a sexual health clinic in a schoolSubscription
VOL: 97, ISSUE: 41, PAGE NO: 38Delya Lane, BMedSci, RGN, RSCN, is a school nurse at the Ivy Lodge Clinic, SheffieldPatricia Day, BMedSci, PGCE, RGN, is a school nurse at Norfolk Park Health Centre, SheffieldBecoming a mother at a young age can have a catastrophic effect on the life chances of both the young women involved and their children.
Pills won't cure ills caused by povertySubscription
VOL: 97, ISSUE: 41, PAGE NO: 29Tracy McFall, BSc, RGN, OHNThere are many times on the wards or in the community that I've been disillusioned by the care patients receive. I have frequently been asked to give care without any knowledge of a person's circumstances - whether they are living on the poverty line, whether their house is damp or whether they have any relatives or friends who can help with the shopping or the kids.
VOL: 97, ISSUE: 41, PAGE NO: 32 Ursula O’Leary, MSc, DipPainManagement, RN, was nurse manager at St John’s Hospice at the Hospital of St John and St Elizabeth, London, at the time of writing
VOL: 97, ISSUE: 41, PAGE NO: 41PHIL JEVON, RESUSCITATION OFFICER, MANOR HOSPITAL, WALSALLThe term cardiac arrest implies a sudden interruption of cardiac output. It may be reversible with appropriate treatment (Handley, 1999). The patient will collapse, lose consciousness, stop breathing and will be pulseless. He/she may also present with a short grand mal convulsion which lasts only a few seconds.
Waste disposal for the ostomate in the communitySubscription
VOL: 97, ISSUE: 40, PAGE NO: 51ELAINE SWAN, RN, SCM, BN, is advanced nurse practitioner (colorectal), Walsall Hospitals NHS TrustELAINE SWAN, RN, SCM, BN, is advanced nurse practitioner (colorectal), Walsall Hospitals NHS Trust
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Time to put the R back in TPRSubscription
VOL: 97, ISSUE: 40, PAGE NO: 32 Captain Gary Kenward, BSc, RGN, is project leader, in-hospital cardiac arrest prevention project Nicholas Castle, DipIMC, RN, is resuscitation training officer, Frimley Park Hospital, Camberley, Surrey; Colonel Timothy Hodgetts, FRCP, FRCSEd, FFAEM, FIMC, FRGS, Dip MedEd, L/RAMC, is professor of emergency medicine and trauma, University Hospital Birmingham NHS Trust
VOL: 97, ISSUE: 40, PAGE NO: 43 PHIL JEVON, RESUSCITATION OFFICER, MANOR HOSPITAL, WALSALL
Between a rock and a hard placeSubscription
VOL: 97, ISSUE: 40, PAGE NO: 31Eileen Shepherd, RGN, DipNTo visit a relative who is lying in bed with any form of restraint, including cot sides, is disturbing, but to see a relative lying on a mattress on the floor can appear on the surface to be barbaric.
VOL: 97, ISSUE: 40, PAGE NO: 36Alice Webster, MSc, BA, RGN, RHV, RM, is health visitor/development, Eastbourne and County Health Care NHS TrustThe idea behind Sure Start is to reshape and add value to local services for families. The project offers support for parents and carers by delivering a variety of multi-agency services.
Bladder health and continence careSubscription
VOL: 97, ISSUE: 40, PAGE NO: 55
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Margaret McGovern, RN.
Helena Baker, RGN.Freelance Nurse Consultant, Chelmsford, EssexBedwetting is the most prevalent of chronic childhood disorders (Hicks and Clark, 1999), and families who are affected may feel isolated and stigmatised. This article discusses the nature of bedwetting - including definitions and epidemiology - treatment strategies and the role of the health visitor and practice nurse in managing this problem.
Shamim Ghani, BSc (Hons), RN, DN.Formerly a practice nurse at Bromley-by-Bow Healthy Living Centre, LondonLike many areas of the country, Bromley-by-Bow in east London struggles to meet the health needs of a large ethnic-minority population. Among the Bangladeshi population living in this area, as with many other people of Asian origin, a high proportion have heart disease, diabetes and respiratory illness (DoH, 2000).
H Charles, PhD, MSc, BSc, RGN, RSCN, NDN, PWT.
Helen Bedford, PhD, RN, RHV. Senior Research Fellow, Centre for Paediatric Epidemiology and Biostatistics, Institute of Child Health, London
Janet Richardson, BSc (Hons), PhD, CPsychol, RN, DipDN, PGCE, RNT.
Linda Pearce, MSc, RN, SCM, OHNc, N Pract Dip.
Aidan MacDermott RN, MSc. Research Nurse, Cardiology Department, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Trust, Newcastle upon Tyne
Petra Kopp Open Learning Editor, Words at Work, Brighton, has adapted this paper from the chapter ‘Policy and policy management’ in the Emap Healthcare Open Learning module General Nursing Perspectives in the Care of the Older Person …
Sara Morgan, RN, DipN. Staff Nurse, Emergency Unit, University Hospital of Wales, Cardiff. The work on which this paper is based was undertaken as part of a BSc (Nursing) degree at the University of Wales College of Medicine, Cardiff
Julie-Ann MacLaren, MA, BSc (Hons), RGN, DipN (Oncology), ENB237, ENB998.