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Clinical

The role of ACPs in recognising and treating diabetic ketoacidosis and hyperosmolar hyperglycaemic state

In the UK, DKA is a significant concern, particularly among young adults aged 18 to 24 years, where the incidence is highest (Joint British Diabetes Societies for Inpatient Care, 2023). The frequency...

Diagnosing acute appendicitis: a case study

Mr Dean appeared well groomed, was alert and oriented. He had a high body mass index at >30 and was obviously in pain when moving to sit on the treatment couch..

The fundamentals of diabetes care

The prevalence of diabetes has increased globally, with significant implications for healthcare organisations. According to Diabetes UK, more than 5 million people in the UK are living with diabetes,...

Principles of safe inter-hospital transfer of critically unwell adults

The Intensive Care Society (ICS) (2021) has outlined the levels of care a person requires, according to their condition: Ward-level care: this reflects the care of an acutely unwell person with needs...

Cardiac amyloidosis at a glance

Amyloidosis occurs when amyloid fibrils, which are aggregates of low molecular weight proteins, become insoluble and resistant to degradation. They then deposit in organs and connective tissues...

A guide to removing surgical staples

The body is capable of regenerating certain types of cells, such as epithelial cells and this is considered the most effective method of healing, as the regenerated tissue retains the same...

A guide to pain assessment and management in adults

Knowledge of pain processes has changed considerably over the past 500 years, when there was the belief that pain is a sensation linked to body fluid imbalance, evil spirits or a punishment from God...

What influences the inclusion of skin tone diversity when teaching skin assessment? Findings from a survey

This study aimed to explore the experiences of people involved in teaching skin assessment to pre- and post-registrants in both clinical and higher education settings to identify the barriers and...

The nervous system and associated disorders

The nervous system is a complex network of specialised cells called neurons, which transmit electrical and chemical signals throughout the body to communicate with and control other cells. It is...

Loneliness and the COVID-19 pandemic: implications for practice

Loneliness is difficult to accurately define. Several theories and definitions have been put forward in an attempt to explain loneliness (Table 1). Early theorists described loneliness as a universal...

Altered pathophysiology in common neurological conditions

Alzheimer's is a neurodegenerative disorder affecting approximately 50 million people worldwide (Breijyeh and Karaman, 2020), making it the most common cause of dementia among older adults. The...

Alcohol-related dementia

According to Public Health England (Burton et al, 2016), alcohol is increasingly a leading cause of death in the 50–69 age group in England. This group has the highest rate of alcohol consumption, and...

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