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Clinical

Advance care planning

ACP is a process that supports patients at any stage of health, and is a means of extending autonomy by planning for future care in the event if someone becomes unable to make their decisions or...

Effective decision-making: applying the theories to nursing practice

Linda was a 71-year-old who had been admitted to the cardiac ward following an episode of unstable angina. She was on continuous cardiac monitoring as recommended by the National Institute for Health...

Monitoring respiratory rate in adults

Health professionals use several terms to describe irregular respiratory rates, including:.

Lower limb assessment

Venous insufficiency includes a broad spectrum of venous complaints which range from telangiectasias or ‘spider veins’ (named for their spider web appearance) and varicose veins, to chronic venous...

The diagnosis and management of pulmonary embolism

Risk factors for pulmonary embolism include pregnancy, cancer, obesity, previous deep vein thrombosis (DVT) or PE, varicose veins, recent surgery, hospitalisation and immobilisation or lower limb...

How to manage the care of the dehydrated child

The NHS defines dehydration as the body losing more fluid than it is taking in (NHS website, 2019). Dehydration in children is usually caused by diarrhoea and vomiting or systemic infection, but can...

Clinical trials involving children and young people

It is widely recognised that due to developmental and physiological differences (Joseph et al, 2015; Naka et al, 2017) children and young people's participation in clinical trials is integral to the...

Fabricated or induced illness in a child

The first population-wide estimates were made by McClure et al (1996) by collating 128 reports of Munchausen's syndrome by proxy, non-accidental poisoning and non-accidental suffocation sent to the...

Should known allergy status be included as a medication administration ‘right’?

A 3-year-old child was brought into the emergency department (ED) of a hospital in the Middle East by his parents. The father informed the ED nursing staff that the young child had been unwell with a...

Mental health: working with people who hear voices

Traditionally, based on a biomedical model of disease, such experiences have been understood as symptoms of psychiatric illness requiring treatment (Payne et al, 2017)..

How can all nurses support parenting?

Although it is recognised that community healthcare practitioners are often the professionals who are at the forefront of community interventions that support parenting, all healthcare workers will at...

Children and young people in care

There are several terms used to identify children and young people who are, or have experience of being, in care. In England, the term used in clinical practice is ‘looked after child’ abbreviated to...

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