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Aby Mitchell

Lecturer, Public Health, Health Promotion and Primary Care, University of West London

Transanal irrigation at a glance

The bowel is part of the digestive system. It is made up of the small bowel (small intestine) and the large bowel (colon and rectum). The small bowel is longer than the large bowel, but it gets its...

Skin assessment in adults

Early recognition of people who are at risk of developing skin breakdown is an essential part of prevention. Assessment of the skin should be part of a holistic approach and carried out regularly in...

Using simulation exercises to improve student skills and patient safety

‘A technique to replace or amplify real experiences with guided experiences, often immersive in nature, that evoke or replicate substantial aspects of the real world in a fully safe, instructive and...

Prescribing practice: an overview of the principles

UK prescribing law is ever changing, so it is important that prescribers consistently update their knowledge of legislation. There are several legal, professional, and regulatory frameworks to support...

The influence of anaemia on pressure ulcer healing in elderly patients

Anaemia is defined by the World Health Organization (WHO)(2011) as a blood disorder in which haemoglobin levels are below 120 g/litre in females and 130 g/litre in males. This is a condition...

Self-harm wounds: assessment and management

The skin is the largest organ in the body and there are two main divisions; the outer epidermis and deeper dermis. The epidermis is made up of five layers of cells. The dermis is divided into two main...

Tympanic thermometers support fast and accurate temperature monitoring in acute and alternative care

Thermoregulation is a process that allows the body to maintain its core internal temperature. Thermoregulation has three mechanisms: afferent sensing, central control and efferent responses. The body...

The assessment and management of hypergranulation

Granulation tissue forms in the proliferation phase of wound healing (Figure 1). Granulation comprises newly growing capillaries from the base of the wound and leads to the formation of new blood...

Virtual IPE: a brave new world of learning

Students are allocated to multidisciplinary breakout groups within which they can get to know each other, discuss the scenario and make a plan for assessment, treatment and management from each...

Introducing advanced level practice and the scope of developing new roles

According to HEE (2017), advanced clinical practice is delivered by experienced, registered health and care practitioners. HEE (2017) defines it as ‘a level of practice characterised by a high degree...

Pandemic inspires innovative use of virtual simulation to teach practical skills

This teaching approach draws on experiential learning theory (Kolb, 2014) and uses transformational, pragmatic underpinnings of drama to develop nursing students' assessment and decision-making...

Assessment of wounds in adults

Also known as the integumentary system, the skin is regarded as the largest organ in the body. There are two main divisions of the skin: the outer epidermis and the deeper dermis. The epidermis is...

Advance care planning and syringe drivers in palliative and end-of-life care

The term palliative care is sometimes referred to as end-of-life care, but they are not, strictly speaking, the same. Marie Curie (2018) has sensitively explained the difference between the two terms....

Physical health assessment for people with a severe mental illness

Making Every Contact Count (MECC) is an approach to behaviour change that uses any interaction between a health professional and a patient as an opportunity to engage with a patient to make positive...

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