Nurses’ understanding of pain treatment is essential for its effective management. Yet effective pain control often eludes those who most need it particularly when opioid analgesics are involved.
The only way health professionals can be sure of spotting it is if initial assessment on admission is thorough, and is repeated at appropriate intervals. It is also important that all members of the healthcare team are clear about what treatments or interventions are appropriate.
Looking out of my window at the garden on a lovely sunny day reminds me of my Dad. He loved the summer, sitting in the back garden with my Mum.
News that a West Midlands trust is to extend a scheme whereby unemployed people deliver patient care makes me deeply uncomfortable.
The recent report on community nursing released at RCN Congress highlights the pressure that community nursing is currently under.
Along with “What biology coursework is now on You Tube?” and “How can you revise when your physics book is downstairs?” Sadly my daily lecture on the benefits of a plan, to-do lists, colour pens and PostIt notes is greeted with, at best, rolling eyes and a “whatever”.
One parent has cancer, and has been on the Liverpool Care Pathway for weeks. She and her family have received excellent care and support, which has focused on keeping her comfortable and offering emotional and practical support to her and her loved ones.
You realise what trouble we are in when policy advice is being given on whether it is best to look after patients on a trolley in A&E or on a trolley in a ward corridor. We seem to have got past the point where either of these situations are unacceptable and are now being seen as inevitable.
Listening to recent news reports on discharge from hospital at night I wondered where were the nurses representing the needs of a 94-year-old man sent home at 1am in the morning.
After all, who would ever assume the bulk of NHS care commissioning could be done effectively without the involvement of the largest group of health professionals.
It was probably not much of a surprise to nurses out there on the frontline that their experiences are nearer to those of nurses in Greece, a country facing economic meltdown, than nurses in countries we would feel more usually feel comparable with such as Holland.
When I was a student there were very few options for dressing a wound; eusol and paraffin, paraffin gauze, hydrogen peroxide or a dry dressing.
The subject of assisted suicide, it seems, just won’t go away.
I was up in Glasgow for the Diabetes UK annual conference last week.
As a student nurse I was taught to address patients formally - Mr, Mrs, Miss, Ms - unless they requested otherwise. It was drummed into us that patients must never be labelled as bed numbers or by their diagnosis - “the stroke in bed 4” was deemed unacceptable as were terms of endearment such as “sweetheart”.
Our Practice section contains two articles about the use of illegal drugs – one about the legal and ethical issues nurses face when their patients use cannabis for therapeutic reasons, and one discussing nurses’ attitudes to substance users, and whether drugs should be decriminalised.
News that a training course for practice nurse training is to be accredited by the Royal College of General Practitioners (RCGP) is significant.
I was watching some student nurses deliver some sensitive and effective care on a ward last week.
“It’s so bizarre how differently one is treated in a Sisters uniform…” @lopo485