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Clinical

Understanding reflux problems in infants, children and young people

In reflux and GORD the stomach contents (feeds) and acid are expelled upwards from the stomach through the lower oesophageal sphincter (cardiac sphincter) into the oesophagus and mouth (Terblanche,...

Measuring peak expiratory flow in adults with asthma

According to Dougherty et al (2015), in healthy individuals without any pathological conditions of the airways factors that determine PEF include:.

The role of the registered nurse in supporting frailty in care homes

‘Any interaction between an older person and a health or social care professional should include an assessment which helps to identify if the individual has frailty.’.

Cannulation in adults

Where possible, informed consent should be obtained. This will include ensuring that patients are aware of (Dougherty and Lister, 2015):.

Recording a 12-lead electrocardiogram (ECG)

The ECG machine is a complex device that records the characteristic spread of electricity through the heart during each cardiac cycle (Davey, 2008). The 12-lead ECG machine has 10 cables, which attach...

Communicating effectively using the TALKS mnemonic

Addressing issues as soon as they are recognised as problematic is the first step in managing them effectively. In a team that functions optimally, any issues will be addressed first by a peer so when...

A nurse's introduction to attention deficit hyperactivity disorder

ADHD has had a long history of reclassification and debate. Until very recently the diagnosis of ADHD was not included within the international classification of diseases (ICD-10) (World Health...

Does oral care with chlorhexidine reduce ventilator-associated pneumonia in mechanically ventilated adults?

The combination of chlorhexidine and tooth brushing have been investigated; clinical trials have shown that a reduction in dental plaque, which acts as host to intra-oral colonising bacteria, also...

Pain management in new amputees: a nursing perspective

Good quality pain management will result in reduced pain severity, adequate pain relief, low functional interference, few adverse effects from pain or its treatment, and patient satisfaction with...

Benign acute childhood myositis: importance of early recognition

A previously healthy 10-year-old boy presented to the paediatric assessment unit (PAU) with a 4-day history of bilateral leg pain, which was progressively worsening. There was no change reported in...

The implications of health policy for nursing

The challenge of an ageing society is that the traditional way of moving through the NHS, by which patients see their GP, are referred for treatment in hospital, treated, discharged and return home,...

The importance of respiratory rate monitoring

The body requires oxygen as an important part of its energy provision process. The respiratory system provides the body with oxygen and removes carbon dioxide as a waste product. This is the process...

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