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Running a weight-management programme with a psychological focus within a lymphoedema service

Initially, the author's lymphoedema service ran two pilot groups, with no specific inclusion criteria—eight patients joined the first group and nine joined the second. The groups ran consecutively....

Lymphoedema and cancer: an overview

Lymphoedema is a chronic swelling that is caused by the lymph fluid not being able to drain properly. The result is leakage into the surrounding tissue and accumulation of the lymph fluid and fat in...

Chronic kidney disease and renal replacement therapy: an overview for the advanced clinical practitioner

The following broad definition of CKD from the Kidney Disease Improving Global Outcomes group (KDIGO) has been widely adopted:.

Developing pre-registration nurses' resilience to mass casualty situations through the pedagogy of simulation

A mass casualty event has been defined as ‘an event which generates more patients at one time than locally available resources can manage using routine procedures. It requires exceptional emergency...

Keeping warfarin patients safe during the COVID-19 pandemic: review of an INR self-testing programme

Between June 2020 and January 2021, 71 patients and two nursing homes were trained in the use of the CoaguChek XS device at King's College Hospital NHS Foundation Trust. Only one patient was unable to...

Co-constructing conversations about suicide: the Meeting Space Framework

Pesut and Thorne (2007) discussed the necessity of nurses adopting an orientation to spirituality in practice and a reciprocal role based on humanity. Noticing and responding to suicidal persons is...

Evaluating a psychological support service focused on the needs of critical care and theatres staff in the first wave of COVID-19

Research from previous pandemics has shown that working with additional pressures has both a physical and psychological impact on healthcare workers. For example, about 10% of those working in health...

Introducing nurse prescribing in Gibraltar: the impact on palliative care

Palliative care is defined as the active holistic care of people with advanced, progressive illness (National Institute for Health and Care Excellence (NICE), 2021). Specialist palliative care...

The clinical negligence system reform debate is heating up

‘Former health secretary Jeremy Hunt has questioned whether clinical negligence lawyers are blocking vital reforms because the status quo is too lucrative to change.’ .

Disputes about a person's best interests: Is there a need to go to court?

The Mental Capacity Act 2005 does not define a best interest. Instead, it sets out a checklist of factors that have to be taken into account when determining the best interests of a person who lacks...

Does quality matter to you? Ward accreditation and improving patient care

As a Darzi Fellows Alumni, I'm drawn to Lord Darzi's definition of quality (Darzi and Department of Health (DH), 2008), which has three criteria: patient safety, patient experience and effectiveness...

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