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Service evaluation of the bereavement care delivered in a UK intensive care unit

The main aim was to evaluate the service delivery of the bereavement care that is provided in a 20-bed general ICU. In addition, the study aimed to explore the experience of bereavement care currently...

Can teledermatology meet the needs of the remote and rural population?

In 2018, the Cochrane database of systematic reviews analysed 22 studies with this sole objective: ‘to determine the diagnostic accuracy of teledermatology for the detection of any skin cancer in...

Introducing an ANP-led temporal artery biopsy service for patients with suspected giant cell arteritis

GCA is associated with several potentially insidious symptoms; however, none of them are specific enough (pathognomonic) to the disease to be definitively diagnostic. Typically, patients will present...

Nurse-led service for children with gastrostomies: a 2-year review

The nurse specialist maintained a database of all the PEGs and primary PEG-Js inserted in paediatric patients (<18 years of age) between 4 January 2015 and 17 August 2015. All procedures were...

Using e-health tools and PROMs to support self-management in patients with inflammatory bowel disease

In order to test the concept of using PROMs to support practice and follow up a small-scale service improvement pilot project was designed. The aim of the study was to understand whether empowering...

The management of urinary tract infections in older patients within an urgent care out-of-hours setting

UTI is defined as an infection of the urinary system, involving lower tract, upper tract or both (NICE, 2020a). The pathogens responsible for UTI include Escherichia coli (E. coli), which accounts for...

An ideal pathway when diagnosing type 1 diabetes

Type 1 diabetes mellitus (T1DM) is an autoimmune disease that occurs when a person's pancreas stops producing insulin, the hormone that controls blood-sugar levels. T1DM develops when the...

Diabetes care in secondary care

One side-effect of the COVID-19 pandemic has been the rise in diabetes-related referrals to diabetes specialist care teams by non-specialists, unfamiliar with inpatient diabetes management, which is a...

Challenges and opportunities identified for lymphoedema services in Wales during the COVID-19 pandemic

Initial scoping of staff perceptions regarding the impact of the pandemic on services, patients and roles as well as the acceptability of study method shaped the study. Four scoping questions were...

Guidelines for managing people with lymphoedema remotely: a post-COVID-19 response document

This document presents pragmatic guidance for lymphoedema services. It is based on analysis of the national response of Lymphoedema Network Wales (LNW) during the first few months of the COVID-19...

Myringotomy and insertion of grommets as day surgery: a case study

Jack was admitted through the surgical day ward on the morning of his bilateral grommet procedure. A student nurse (from now on referred to as ‘the nurse’ and supported by a registered nurse)...

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