Issue : September 2003
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The use of surgical face masks is synonymous with acute health care and is so deeply ingrained that to question it would have been unheard of until recently. However, in some practices the use of masks has been abandoned over recent decades, for example when dressing wounds. Both the use and withdrawal of surgical face masks has occurred in an ad hoc manner that is incompatible with evidence-based practice. This article will discuss the available evidence.
In November 2002 the National Specialist Commissioning Advisory Group (NSCAG) agreed funding for the Christie Hospital in Manchester to be the second centre in the country registered to treat the rare condition pseudomyxoma peritonei. The NSCAG was established in 1996 to advise the government on identification and funding of patient services that required central intervention to ensure equity of access, clinical effectiveness and/or economic viability (NSCAG, 1998). The North Hampshire ...
Negotiating the information mazeSubscription
Before the invention of the internet, patients who wanted to find out more about their disease would be confined to wading through heavyweight medical books or incomprehensible research papers. Even then, access was limited as few patients had membership rights to the specialist libraries containing these sources.
In a recent Department of Health inpatient survey carried out at the Royal Marsden Hospital (DoH, 2002), a number of patients felt that their pain was not adequately controlled.
Bereavement, whether it is sudden or expected, can be a bewildering and distressing experience. In the immediacy of a bereavement, relatives may experience numbness and disbelief, combined with an overwhelming sense of isolation and vulnerability. These feelings may be intensified in members of an ethnic minority group. Issues such as lack of effective communication, if the bereaved relatives’ first language is not English, and lack of awareness and sensitivity of funeral rites among ...
Symptoms are also subjective and patients have to describe their effect to the health care professionals involved in their treatment and management. Using reliable and valid assessment tools can help patients to verbalise and clarify their symptom experience into a more objective form, which can then be measured.
WHAT IS IT?
Although many patients with cancer report positively on their experience of care, others claim they are not receiving the information and support they need at different stages of their care pathway. The national cancer patient survey (Department of Health, 2002), for example, showed wide variations in the quality of care delivered across the country.
Guidelines from the Association of Anaesthetists of Great Britain and Ireland state that criteria need to be in place in all recovery units to ensure the safe discharge of patients to surgical wards (AAGBI, 2002).