Overt and covert hepatic encephalopathy (HE) are debilitating complications of cirrhosis. HE results in a poor quality of life for patients and their caregivers and, unless there is access to liver tr...
Patients with cirrhosis are at risk of hepatic encephalopathy (HE). While its pathogenesis is not fully understood, the circulation of increased levels of ammonia through the bloodstream to the brain ...
Atrial fibrillation (AF) is an important risk factor of stroke and contributes to 20% of strokes in the UK; however, with appropriate intervention, the risk can be reversed. For patients with a diagno...
The use of electronic monitoring of vital signs is becoming increasingly widespread in general hospital settings in the National Health Service (NHS) in the United Kingdom, and numerous advantages whe...
Transanal irrigation, also known as anal or rectal irrigation, has been used for some years in the treatment of both chronic constipation and faecal incontinence. The procedure involves insertion of a...
This article provides an overview of the metabolic brain dysfunction hepatic encephalopathy (HE). HE is caused by severe liver cirrhosis and patients will often be treated in a liver unit, but patient...
Health-care models must evolve in order to deliver proactive care to the growing numbers of patients with long-term conditions. The House of Care model seeks to do this through championing person-cent...
Chronic oedema and leaking lymphorrhoea can be distressing and challenging for patients to live with. This article introduces the Chronic Oedema ‘Wet Leg’ Pathway, which became an output from the Lymp...
Atrial fibrillation (AF), a major cause of thromboembolic stroke, is under-detected. Our aim was to compare the established pathway of AF detection, reporting to point-of-treatment decision, with a pi...
Liver disease is the third highest cause of premature mortality in the UK (Williams et al, 2014). The revised Royal College of Nursing (RCN) competence framework for health professionals caring for pe...
Hypertrophic cardiomyopathy (HCM) is the most common cause of sudden cardiac death (SCD) in young adults and often occurs without warning as the primary disease event. The autosomal dominant inheritan...
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