Guide to hepatic encephalopathy

This article, supported by Norgine, summarises the presentation, diagnosis and management of hepatic encephalopathy....


Safe and effective catheterisation for patients in the community

Approximately 450,000 people use long-term urinary catheters in the UK. Permanent catheters are used by 3% of the community population and occupy an estimated 4% of a district nurse's caseload in the ...


Helping older people with a stoma recover with dignity

Nurses and care assistants must make dignity a priority when caring for residents with a stoma. In this article, Jennie Burch explores how understanding the physical recovery, emotional concerns and p...


Flying high for heart failure: considerations for air travel

As the general population appears to be living longer and developing multiple health conditions, the popularity of travelling by air to different destinations is also increasing. Therefore, it is of p...


Managing ADHD in children and young people

Attention deficit hyperactivity disorder (ADHD) is one of the most prevalent disorders seen in both child and adolescent mental health services and paediatric services. It is estimated that around 5% ...


Different views on hepatic encephalopathy: patients, relatives and nurses

This study aimed to explore how patients with liver cirrhosis experienced overt hepatic encephalopathy (HE), how patients' close relatives perceived having a relative with HE and how nurses described ...


Approaches to managing chronic constipation in older people within the community setting

Constipation is a common presenting problem within the community setting, but its treatment is often unsatisfactory. It is important for nurses to remember that constipation is a symptom and not a dis...


Reviewing the importance of the cold chain in the distribution of vaccines

Vaccination is an effective public health measure to prevent and control a number of infectious diseases. However, since vaccines are biological products and are sensitive to both heat and cold, they ...


Developing a working knowledge of ethical principles in research

It is essential that nurses develop a working knowledge of the ethical principles and implications of research, not only to help them assess the quality of studies underpinning their practice, but al...


An introduction to the management of paediatric patients with coeliac disease

Coeliac disease is a systemic autoimmune condition triggered by ingestion of gluten in genetically susceptible individuals. It affects about 1% of children and young people in the UK. Treatment of coe...


Treating malnutrition in older people

While the ongoing problem with obesity frequently makes it into the news, malnutrition is an equally significant problem, especially in the older population. Catherine Blaikley offers some valuable gu...


Technical errors in ECG recording and treatment delays

This case concerns a patient who was admitted to hospital as an emergency on the basis of presenting symptoms and abnormal features on his electrocardiogram (ECG). The ECG that was recorded on admissi...

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