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Focus

Implementing technology to support the deteriorating patient in acute care: evaluating staff views

To explore nursing staff and healthcare support worker views regarding the upcoming implementation of an electronic documentation and reporting system for an EWS in a tertiary referral inner city...

Pelvic organ prolapse and pessaries, an alternative to surgery

This is sometimes called a prolapsed womb or prolapsed vagina. It is when the vaginal walls, vaginal vault, uterus or any combination of these prolapse and move down the vagina. It can also affect the...

Improving the pathway for men with suspected prostate cancer

Urology consultants, cancer managers and I met with the Clinical Commissioning Group (CCG) to identify ways in which we could work towards achieving the best practice pathway. Referrals were being...

Review of a paediatric inflammatory bowel disease service during the pandemic and the impact of the CNS role

The authors undertook a retrospective review of clinical records and the IBD database from January 2019 to September 2020 at the Evelina London Children's Hospital, a tertiary paediatric...

An audit of the British Thoracic Society asthma discharge care bundle in a teaching hospital

Healthcare organisations use clinical audits to measure their current clinical performance against an explicit set of established criteria. Clinical audits are recommended in certain chronic...

Why not choose intermittent self-catheterisation?

A combination of medical conditions left Paul Carter (not his real name), who is in his mid-fifties, chair/bed bound. He lives in his own home, supported by a full package of carers. Due to a poor gag...

Continence issues in individuals living with multiple sclerosis

Bladder and/or bowel dysfunction in MS can occur at the onset of the disease or any time during its course. It can impact either the bladder or bowel directly, through plaques damaging the areas of...

The global mental health burden of COVID-19 on critical care staff

The authors started by asking the participants a few general questions around their wellbeing and anxieties (Table 2). The feeling of support from the general public was strong, with 74% of...

Service evaluation of the bereavement care delivered in a UK intensive care unit

The main aim was to evaluate the service delivery of the bereavement care that is provided in a 20-bed general ICU. In addition, the study aimed to explore the experience of bereavement care currently...

Can teledermatology meet the needs of the remote and rural population?

In 2018, the Cochrane database of systematic reviews analysed 22 studies with this sole objective: ‘to determine the diagnostic accuracy of teledermatology for the detection of any skin cancer in...

Introducing an ANP-led temporal artery biopsy service for patients with suspected giant cell arteritis

GCA is associated with several potentially insidious symptoms; however, none of them are specific enough (pathognomonic) to the disease to be definitively diagnostic. Typically, patients will present...

Nurse-led service for children with gastrostomies: a 2-year review

The nurse specialist maintained a database of all the PEGs and primary PEG-Js inserted in paediatric patients (<18 years of age) between 4 January 2015 and 17 August 2015. All procedures were...

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