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Clinical

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...

The ‘loneliness pandemic’: implications for gerontological nursing

All human beings develop an intrinsic need to remain connected with others, therefore social distancing—ie, efforts to maintain physical distance between people and reduce in-person contact to reduce...

Nursing considerations for patients undergoing robotic-arm assisted joint replacements

The preoperative phase of RAA can be divided into three stages—education, assessment and planning—which is in line with the principles of enhanced recovery after surgery (ERAS) (Zhu et al, 2017; Kaye...

Blood transfusions in adults: ensuring patient safety

The UK national haemovigilance surveillance programme, SHOT, repeatedly identifies that patient are harmed, and some die, as a result of being given the incorrect type of blood..

Colour vision deficiency: the ‘unseen’ disability

In 2020, 724 516 nurses, midwives and nursing associates were registered with the Nursing and Midwifery Council (NMC), of whom 10.7% identified as male and 89.3% as female (NMC, 2020). The prevalence...

Recognition and management of neonatal sepsis

Neonatal infections are divided into early-onset sepsis (EOS) occurring within the first 48 hours of birth, and late-onset sepsis (LOS) occurring between 2 and 28 days after birth (Cailes et al,...

Guideline for the management of long tunnelled external ventricular drains in chronic hydrocephalus

Empowerment of parents/guardians in the management of their children's condition is not new in health care. Chronic conditions often require parents/guardians to undertake medical or nursing duties...

COVID-19 vaccines and vaccine administration

COVID-19 is an infectious respiratory disease caused by the novel coronavirus, severe acute respiratory syndrome 2 (SARS-CoV-2). Transmission is primarily via respiratory (droplet and aerosol) and...

Adolescence: physical changes and neurological development

Puberty has been described as one of the most profound biological transitions in a person's life (Susman and Rogol, 2014). Among the many endocrine and paracrine activities, one catalyst for these...

Faith-sensitive end of life care for children, young people and their families

Many religions have a strong belief in the sanctity of life, which means that there may be concerns around treatments and care that can be perceived as hastening death, ranging from opioid pain relief...

Central venous pressure monitoring in critical care settings

The Frank-Starling law states that the force or tension developed in a muscle fibre depends on the extent to which it is stretched..

Law and ethics in palliative care of children and young people

The United Nations Convention on the Rights of the Child (UNCRC) 1990 defines a child as anyone under 18 years of age. Until a child reaches 18 years of age, an adult (usually their parent—see the...

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