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Shingles in adults: what the practice nurse needs to know

The overall incidence in adults is estimated to be 1.85 to 3.9 cases per 1000 population (National Institute for Health and Care Excellence (NICE), 2021), with an increasing occurrence in older adults...

COPD, exacerbation and self-management: a literature review

COPD prevalence is also associated with socioeconomic deprivation and high-risk occupational industrial areas, and environmental and metabolic risk factors have the highest impact on disease...

Acute onset low back pain leading to a diagnosis of cauda equina syndrome: a case study

CES is documented as a rare and challenging neurological condition to diagnose (Greenhalgh et al, 2018). It is defined by Zusman et al (2020) as a significant compression of the nerve roots in the...

Health inequity in the UK: exploring health inequality and inequity

The UK has an ageing population; with life expectancy at birth of around 79 years for men and 83 years for women (Office for National Statistics (ONS), 2021a). A demographic trajectory also influenced...

Meeting the challenge of insulin resistance in general practice

Insulin resistance is a reduced response to the hormone insulin (Bikman, 2020: 6), with insulin resistance a key component of metabolic syndrome (Gallagher and LeRoith, 2020). In metabolic syndrome...

New NICE draft guidance encourages less use of SSRIs for mild to moderate depression

This is an important move and on a personal level, I am in agreement, since experiencing the iatrogenic harms of medications I did not need. I was prescribed quetiapine by a community psychiatrist...

Understanding HPV and cervical screening

HPV is a group of viruses that most sexually active people come into contact with during their lifetime: it is estimated approximately 8 in 10 people will be infected with HPV at some point in their...

Insulin for diabetes: 100 years of therapy

During the summer of 1921, an unlikely team consisting of Frederick Banting, a newly established physician specialising in orthopaedics and a professor of physiology, and Charles Best, one of his lab...

Prescribing errors in general practice

The Medicines and Healthcare products Regulatory Agency (MHRA, 2014) defines a medication error as: ‘a patient safety incident where there has been an error in the process of prescribing, preparing,...

Assessment and examination of the respiratory system

Taking a patient history is an essential element in establishing a diagnosis and is used to get a deeper understanding of the patient's symptoms. The purpose of a systematic health history is to...

Lack of political recognition for nurses working in general practice

Given that the first time nurses and GPs heard about the acceleration of the programme was when the Prime Minister announced it in the media on the evening of Sunday 12 December, the response in...

Practice nursing: saving the Cinderella service

‘It's no surprise that many of my colleagues tell me they feel undervalued and invisible.’ .

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