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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)...

The role of the registered nurse first assistant within the perioperative setting

An RNFA is a non-medical practitioner who performs surgical interventions during surgery and provides medical care to the perioperative patient under the supervision of a consultant surgeon (AORN,...

Oesophageal mucosal tears caused by suboptimal nasogastric tube insertion: a case study

A 78-year-old woman was admitted to the authors' hospital with pneumonia. She had previously experienced a cerebral infarction. Emergency tracheal intubation was performed because her heart rate was...

Critical care nursing during the COVID-19 pandemic: a story of resilience

The four components of resilience are not redundant concepts during a pandemic; however, the ways in which they play out may be idiosyncratic and unconventional. Their portrayal can help broaden our...

Changes to nurse-to-patient ratios in intensive care during the pandemic

‘Ventilated patients must have a registered nurse/patient ratio of a minimum 1:1 to deliver direct care. A greater ratio than 1:1 may be required to safely meet the needs of some critically ill...

Equal efficacy of gastric and jejunal tube feeding in liver cirrhosis and/or alcoholic hepatitis: a randomised controlled study

All patients provided informed written consent to take part. Overall, the study was conducted in accordance with the Declaration of Helsinki. The experimental protocol was approved by the Central...

Using dried blood spot testing for diagnosing viral hepatitis

A DBS sample is obtained by a finger-tip skin puncture using a lancet, then collecting capillary blood onto a filter paper test (see Figure 1). This technique was developed by Ivar Christian Bang in...

A Guide to the Gut Microbiome and its Relevance to Critical Care

If abnormalities in the gut microbiome may be a risk factor for —or directly contribute to—particular diseases, then attempting to alter the gut microbiome back to a ‘normal’ state may be an...

Supporting the individual to engage with compression therapy

‘What is the difference between those who are reluctant and those who are accepting of their LTC in their lives? .

COVID-19 and hand hygiene: the vital importance of hand drying

Residual moisture on the hands and the amount of time hands are wet or exposed to wetness, are factors of importance in terms of hand hygiene and infection prevention. Water exposure can cause...

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