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Clinical Skills

Assessing the patient's needs and planning effective care

Planning care is essential in the delivery of appropriate nursing care. Following assessment of a patient's needs, the next stage is to ‘plan care’ to address the actual and potential problems that...

Critical thinking and diagnostic reasoning of the heart and cardiovascular system

Chest pain is a common complaint, comprising up to 25% of emergency department attendances (Byrne, 2014). Not all of these will have a cardiac complaint; however, it is crucial to recognise important...

Managing anaphylaxis in adults

‘A serious multi-systemic hypersensitivity reaction that is usually rapid in onset and may result in death.’ .

The reliability and validity of the OSCE as an assessment of capability within advanced practitioner curricula

The Advanced Practice Team at the University of Dundee has held iterative discussions with educators (both in the UK and other countries in Europe) who deliver AP curricula. These discussions have...

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...

Enhancing the utility of virtual surgical pre-assessment

All consultant anaesthetists (n=6) and the sister-in-charge in the department (representing the views of the nurses) who were directly involved in telephone pre-assessment during the COVID-19...

The global elements of vital signs' assessment: a guide for clinical practice

Changes in respiratory function are increasingly recognised as the most sensitive indicator of clinical deterioration (Cahill et al, 2011). Respiratory rate is an early and extremely good indicator of...

Empathy and patient advocacy: a medical student's perspective

‘Part of effectively advocating for patients requires demonstrating empathy for them, which, in turn, helps them trust that they are being listened to’ .

A brief overview of fetal alcohol syndrome for health professionals

Alcohol is a teratogen that has a toxic effect on the developing fetus (BMA, 2007a). FASD is seen as a non-diagnostic umbrella term (Riley et al, 2011; Nash and Davies, 2017; Blagg and Tulich, 2018)...

Chronic limb ischaemia: case study and clinical literature review

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,...

Measuring and monitoring fluid balance

Fluid shifts happen when the fluid in the body moves between fluid compartments. Physiologically, this occurs by a combination of hydrostatic pressure gradients and osmotic pressure gradients. Osmosis...

An exploratory study into the teaching of clinical examination skills in advanced practice

‘Most errors in the physical examination … [which lead to adverse outcomes] … are related to not performing an examination.’ .

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