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Advanced clinical practitioners

Dermatological assessment: history-taking and examination

Allowing the patient to tell their story without interruption is crucial (Cappella and Street, 2024). This approach helps them share their concerns and feel heard. Begin the consultation with open...

Assessing and managing lower limb oedema: a clinical review

It is crucial to determine the cause of oedema because this will guide the management plan (Figure 1). Lymphoedema can be classified into primary and secondary forms. Table 1 describes the...

The role of ACPs in recognising and treating diabetic ketoacidosis and hyperosmolar hyperglycaemic state

In the UK, DKA is a significant concern, particularly among young adults aged 18 to 24 years, where the incidence is highest (Joint British Diabetes Societies for Inpatient Care, 2023). The frequency...

Empowering advanced clinical practitioners in managing acute dermatological emergencies

If the patient is relatively stable, the clinician should take a comprehensive history: Table 1 summarises the key points that need to be considered during this process of taking a patient's history....

Research as part of the advanced clinical practitioner role

Healthcare is constantly changing, with the evidence base expanding exponentially (Tsay and Yang, 2005). As independent practitioners, ACPs need research capability to keep abreast of the developing...

Chronic kidney disease and renal replacement therapy: an overview for the advanced clinical practitioner

The following broad definition of CKD from the Kidney Disease Improving Global Outcomes group (KDIGO) has been widely adopted:.

Critical thinking and diagnostic reasoning when advanced practitioners assess and treat skin conditions

The possible list of differential diagnoses within the integumentary system is vast (Lynch, 1994). Although it is unlikely that those working outside the dermatology specialty will have a depth of...

Conducting a consultation and clinical assessment of the skin for advanced clinical practitioners

As with any consultation, when obtaining a history, questions should be presented in an open and sensitive manner. This is particularly pertinent for a skin complaint as patients may not know the...

From expert to advanced clinical practitioner and beyond

‘Health professionals working at the level of advanced clinical practice will exercise autonomy and decision making in a context of complexity, uncertainty and varying risk, holding accountability...

Clinical supervision for advanced practitioners

Clinical supervision is clearly an important factor in the development of ACPs. With the advent of the HEE (2020) workplace supervision document, it can only be hoped that its necessity and importance...

Critiquing a published healthcare research paper

For those embarking on a higher degree such as a master's, taught doctorate, or a doctor of philosophy, the relationship between research, knowledge production and knowledge utilisation becomes clear...

Leadership and management for nurses working at an advanced level

‘Advanced clinical practice is delivered by experienced, registered health and care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making....

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...

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