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Clinical

Managing anaphylaxis in adults

‘A serious multi-systemic hypersensitivity reaction that is usually rapid in onset and may result in death.’ .

Transitioning end-of-life care from hospital to the community: case report

This article concerns the case of Martin Jones (not his real name), aged 59 years, who had been diagnosed with pancreatic cancer. He had undergone a partial pancreatectomy to remove the tumour and was...

The global elements of vital signs' assessment: a guide for clinical practice

Changes in respiratory function are increasingly recognised as the most sensitive indicator of clinical deterioration (Cahill et al, 2011). Respiratory rate is an early and extremely good indicator of...

A brief overview of fetal alcohol syndrome for health professionals

Alcohol is a teratogen that has a toxic effect on the developing fetus (BMA, 2007a). FASD is seen as a non-diagnostic umbrella term (Riley et al, 2011; Nash and Davies, 2017; Blagg and Tulich, 2018)...

Chronic limb ischaemia: case study and clinical literature review

PAD affects more than 200 million people worldwide (Yang et al, 2017) and is the third most common clinical presentation of atherosclerosis after coronary artery disease (CAD) and stroke (Song et al,...

Acute abdominal surgical presentations in children

A study conducted in Taiwan over 3 years, identified that 10% of 3980 paediatric patients who presented to the emergency department (ED) with abdominal pain had a true ‘acute abdomen’ (Tseng et al,...

Measuring and monitoring fluid balance

Fluid shifts happen when the fluid in the body moves between fluid compartments. Physiologically, this occurs by a combination of hydrostatic pressure gradients and osmotic pressure gradients. Osmosis...

The ‘loneliness pandemic’: implications for gerontological nursing

All human beings develop an intrinsic need to remain connected with others, therefore social distancing—ie, efforts to maintain physical distance between people and reduce in-person contact to reduce...

Nursing considerations for patients undergoing robotic-arm assisted joint replacements

The preoperative phase of RAA can be divided into three stages—education, assessment and planning—which is in line with the principles of enhanced recovery after surgery (ERAS) (Zhu et al, 2017; Kaye...

Blood transfusions in adults: ensuring patient safety

The UK national haemovigilance surveillance programme, SHOT, repeatedly identifies that patient are harmed, and some die, as a result of being given the incorrect type of blood..

Colour vision deficiency: the ‘unseen’ disability

In 2020, 724 516 nurses, midwives and nursing associates were registered with the Nursing and Midwifery Council (NMC), of whom 10.7% identified as male and 89.3% as female (NMC, 2020). The prevalence...

Recognition and management of neonatal sepsis

Neonatal infections are divided into early-onset sepsis (EOS) occurring within the first 48 hours of birth, and late-onset sepsis (LOS) occurring between 2 and 28 days after birth (Cailes et al,...

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