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Decompensated cirrhosis: targeted training of acute medical teams to improve quality of care in first 24 hours

This quality improvement project had a focus on the evidence-based care of patients with decompensated liver disease, which could potentially impact on safety outcomes and mortality rate. The aim was...

The actual cost of clinical negligence in the NHS

‘This unsustainable situation is driven by an outdated legal system rather than deteriorating clinical standards. Legal reform is desperately needed.’

Insanity as a defence to a criminal charge

When a person with a mental disorder is prosecuted it is open to them to argue that they are not guilty by reason of insanity. This legal defence is available at common law to any criminal charge. For...

Understanding the impact of money on people's health and wellbeing

The invisibility of financial insecurity and poverty means that for best outcomes, nurses and midwives should not wait for the person to ask for help. Instead, they should talk to people in their care...

HIV: no one is safe until we are all safe

Over the past 2 years the pandemic has dominated the world's attention, leading to a focus on health and how pandemics can impact on the lives and livelihoods of individuals. We have once again seen,...

A long-overdue resource to tackle racism

The resource highlights four key areas that make up the nursing and midwifery anti-racism resource framework, with actions for consideration as an individual, and as a leader. The resource also...

Is vitamin D supplementation of potential benefit for community-living people with Alzheimer's disease?

Increased age may result in significant changes, such as the accumulation of harmful substances and the lack of essential vitamins and minerals in the body (Fusco et al, 2007; Rahal et al, 2014)....

Nutrition in palliative care: issues, perceptions and opportunities to improve care for patients

Many patients experience profound symptoms during and after cancer treatment, which may result from the local effects of the cancer itself, the metabolic response to the cancer, including cachexia,...

Coming together to make a difference to nutritional care

'As we approach the end of the year it is always a good time to reflect on the months gone by and the progress made. In May 2022, I was successful in my application to join the National Nurses...

The nutritional needs of people living with a stoma

A urostomy is formed with a piece of small bowel so, in the initial postoperative period, there can be disruption to bowel function. This is not usually a long-term issue but fluid intake can be. It...

A career supporting children and their families

‘I then focused on our 24-hour telephone service that gives our patients direct access to a nurse … I introduced a set of paediatric-specific guidelines that would ensure any advice given would be...

On being poor

Being poor exposes people to a number of unbearable conditions that prevent individuals, families and communities achieving fulfilment and being the best they can be.

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