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Clinical

Guideline for the management of long tunnelled external ventricular drains in chronic hydrocephalus

Empowerment of parents/guardians in the management of their children's condition is not new in health care. Chronic conditions often require parents/guardians to undertake medical or nursing duties...

COVID-19 vaccines and vaccine administration

COVID-19 is an infectious respiratory disease caused by the novel coronavirus, severe acute respiratory syndrome 2 (SARS-CoV-2). Transmission is primarily via respiratory (droplet and aerosol) and...

Adolescence: physical changes and neurological development

Puberty has been described as one of the most profound biological transitions in a person's life (Susman and Rogol, 2014). Among the many endocrine and paracrine activities, one catalyst for these...

Faith-sensitive end of life care for children, young people and their families

Many religions have a strong belief in the sanctity of life, which means that there may be concerns around treatments and care that can be perceived as hastening death, ranging from opioid pain relief...

Central venous pressure monitoring in critical care settings

The Frank-Starling law states that the force or tension developed in a muscle fibre depends on the extent to which it is stretched..

Law and ethics in palliative care of children and young people

The United Nations Convention on the Rights of the Child (UNCRC) 1990 defines a child as anyone under 18 years of age. Until a child reaches 18 years of age, an adult (usually their parent—see the...

Recognising and supporting families through domestic violence and abuse

The current definition of DVA includes any incident of threatening behaviour, violence, abuse or control that occurs between two adults or young people over the age of 16 years, who are or have been...

Body dysmorphic disorder in children and young people

BDD is an increasingly prevalent condition (Himanshu et al, 2020) with psychological and functional impacts, so recognition and treatment is essential. Furthermore, suicide rates in the UK among...

Congenital heart disease in children

The 20-week antenatal scan is the primary point at which the structures of the heart are examined. The heart is one of the first organs to be formed in utero. By 8 weeks' gestation, the heart's atria...

The importance and meaning of prayer rituals at the end of life

A ritual is the undertaking of specific activities or behaviours that express symbolic, often culturally influenced, meaning, whereby specific thoughts and feelings are experienced individually, or as...

The Mental State Examination

Concepts closely related to what is now known as the MSE in current day practice have been used in psychiatry for decades (Kareem and Ashby, 2000). The use of the MSE when considering an individual's...

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