Minimising pain and medical adhesive related skin injuries in vulnerable patients

When adhesive tapes or dressings are removed from unprotected skin, varying amounts of superficial stratum corneum are removed along with them and this may be further exacerbated by the repeated...

Changes and opportunities

Wounds: patient care, clinical evidence or simply costs?

‘Is this an attempt at cost saving for purely financial reasons, without regard for clinical outcomes?’ .

Service improvement study to improve care for patients who developed a surgical site infection after discharge

An SSI is a wound infection that can develop after a surgical procedure (National Institute for Health and Care Excellence (NICE), 2019). Between 2013 and 2018 the incidence of SSIs following surgery...

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Compression in young people living with lymphoedema

Management of lymphoedema is lifelong and is focused around reducing and re-routing the swelling by applying compression and carrying out lymphatic massage, maintaining healthy skin and preventing...

Home oxygen therapy in patients with COPD: safety issues for nurse prescribers

‘… responsible and accountable for the assessment of patients with undiagnosed and diagnosed conditions and for decisions about the clinical management required, including prescribing.’.

BJN Awards: respiratory nurse of the year 2019: runner up

‘This work can be extremely challenging as I balance the parents' and child's wishes with the overall aim of allowing the child to live the best and longest life possible with their cystic fibrosis’.

Understanding reflux problems in infants, children and young people

In reflux and GORD the stomach contents (feeds) and acid are expelled upwards from the stomach through the lower oesophageal sphincter (cardiac sphincter) into the oesophagus and mouth (Terblanche,...

Measuring peak expiratory flow in adults with asthma

According to Dougherty et al (2015), in healthy individuals without any pathological conditions of the airways factors that determine PEF include:.

Reflecting on the communication process in health care. Part 2: the management of complaints

Receiving a complaint is a challenge and could be construed not as a negative, but as a positive, if it has prompted reflection on the issue of concern, and enabled the nurse to evaluate the...