Seeking informed consent prior to examination or treatment is a fundamental legal and ethical requirement within duty of care, regardless of a health professional's governing body or experience...
Max, a 65-year-old gentleman with no prior past medical history, had been admitted to the emergency department as a ‘resus pre-alert’ at the beginning of this admission 1 week previously. Ambulance...
The recognised normal range for serum sodium concentration (SNa) in adults is accepted as 135-145 millimoles per litre (mmol/litre). Hyponatraemia is more commonly an excess of total body water rather...
Simulation has been used in medical, nursing and dental education for the past 60 years (DH, 2011). It is defined as:.
Stones form in the presence of increased urinary supersaturation, which occurs when the urine solvent contains more solutes than it can hold in solution (Khan et al, 2016). Supersaturation results in...
PAD affects more than 200 million people worldwide (Yang et al, 2017) and is the third most common clinical presentation of atherosclerosis after coronary artery disease (CAD) and stroke (Song et al,...
‘Health professionals working at the level of advanced clinical practice will exercise autonomy and decision making in a context of complexity, uncertainty and varying risk, holding accountability...
Clinical supervision is clearly an important factor in the development of ACPs. With the advent of the HEE (2020) workplace supervision document, it can only be hoped that its necessity and importance...
UTI is defined as an infection of the urinary system, involving lower tract, upper tract or both (NICE, 2020a). The pathogens responsible for UTI include Escherichia coli (E. coli), which accounts for...
Advanced clinical practice has been primarily influenced and shaped by service need and has faced, and continues to face, several challenges during its development. To meet the growing demand for...
The term vasculitis refers to a relatively rare and poorly understood set of conditions, causing inflammation of the blood vessels, and AAV is a sub-group within this collection (Ball et al, 2014)....
TLOC accounts for 3% of all attendance in emergency departments in the UK (Petkar et al, 2006) and has a lifetime prevalence of 50% (NICE, 2014). Data shows vast international differences in admission...
Acute pyelonephritis, known in clinical practice as an upper urinary tract infection (UTI), is defined as a tubulointerstitial disorder characterised by inflammation of the renal parenchyma caused by...
Risk factors for pulmonary embolism include pregnancy, cancer, obesity, previous deep vein thrombosis (DVT) or PE, varicose veins, recent surgery, hospitalisation and immobilisation or lower limb...
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