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Using e-health tools and PROMs to support self-management in patients with inflammatory bowel disease

In order to test the concept of using PROMs to support practice and follow up a small-scale service improvement pilot project was designed. The aim of the study was to understand whether empowering...

The management of urinary tract infections in older patients within an urgent care out-of-hours setting

UTI is defined as an infection of the urinary system, involving lower tract, upper tract or both (NICE, 2020a). The pathogens responsible for UTI include Escherichia coli (E. coli), which accounts for...

An ideal pathway when diagnosing type 1 diabetes

Type 1 diabetes mellitus (T1DM) is an autoimmune disease that occurs when a person's pancreas stops producing insulin, the hormone that controls blood-sugar levels. T1DM develops when the...

Diabetes care in secondary care

One side-effect of the COVID-19 pandemic has been the rise in diabetes-related referrals to diabetes specialist care teams by non-specialists, unfamiliar with inpatient diabetes management, which is a...

Challenges and opportunities identified for lymphoedema services in Wales during the COVID-19 pandemic

Initial scoping of staff perceptions regarding the impact of the pandemic on services, patients and roles as well as the acceptability of study method shaped the study. Four scoping questions were...

Guidelines for managing people with lymphoedema remotely: a post-COVID-19 response document

This document presents pragmatic guidance for lymphoedema services. It is based on analysis of the national response of Lymphoedema Network Wales (LNW) during the first few months of the COVID-19...

Myringotomy and insertion of grommets as day surgery: a case study

Jack was admitted through the surgical day ward on the morning of his bilateral grommet procedure. A student nurse (from now on referred to as ‘the nurse’ and supported by a registered nurse)...

The role of the registered nurse first assistant within the perioperative setting

An RNFA is a non-medical practitioner who performs surgical interventions during surgery and provides medical care to the perioperative patient under the supervision of a consultant surgeon (AORN,...

Oesophageal mucosal tears caused by suboptimal nasogastric tube insertion: a case study

A 78-year-old woman was admitted to the authors' hospital with pneumonia. She had previously experienced a cerebral infarction. Emergency tracheal intubation was performed because her heart rate was...

Critical care nursing during the COVID-19 pandemic: a story of resilience

The four components of resilience are not redundant concepts during a pandemic; however, the ways in which they play out may be idiosyncratic and unconventional. Their portrayal can help broaden our...

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