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Dermatology prescribing update: eczema

Emollients are first line therapy in eczema, this is evidence-based UK guidance (NICE, 2007; 2018; PCDS, 2019). Complete emollient therapy should always be advised, this is: ‘everything that goes on...

Understanding safety-netting in remote consulting

Safety-netting advice is given to patients to prepare them for the possibility that their symptoms and signs may worsen or not resolve as expected, and to help them identify those symptoms and signs...

Rollout of the COVID-19 vaccination programme

‘Practice Nursing provides nurses working in general practice with the tools to reach their full potential and deliver the best possible care to their patients. Our monthly journal informs and...

What a year it has been

‘What a year of extreme changes for providing health care and advice through face-to-face and non face-to-face consultations. The speed in which this was implemented and the ease at which GPNs and...

Management of bleeding in women on HRT

Post-menopausal bleeding is defined as unscheduled vaginal bleeding that occurs a year after the last natural menstrual period (SIGN, 2002), or any breakthrough bleeding on cyclical HRT, or...

Understanding skin infections in older adults

Hahnel et al (2017) investigated the prevalence of skin diseases in older nursing home residents while also exploring the possible associations of these with demographic and medical characteristics....

How to communicate effectively while wearing face masks

Communication can be defined as transaction and message creation. The process of communication occurs in the context consisting of physical space, cultural and social values, and psychological...

COVID-19 and its effect on the nursing team in primary care

April 2020 saw the development of two ‘hot hubs’ in Lewisham, at opposite ends of the borough, to which patients with a COVID-suspected diagnosis were referred. Our local primary care federation, One...

ACT NOW in diabetes and foot assessments: an essential service

There were 7545 major amputations in people living with diabetes in England across three years from 2015–2018 (Public Health England, 2019). There is also a postcode lottery for amputation rates with...

‘Head held high and carrying on’: Reflections from GPNs on the impact of COVID-19

Early on in the pandemic, advising patients about their at-risk category took a lot of time and energy. There was a rapid move from face-to-face to virtual consultations, which proved a challenge due...

COVID-19 and the loneliness epidemic

As we settle in for a winter of COVID-19 disruption, with millions of people already in lockdown and unable to mix with other households, my thoughts have turned to the issue of loneliness. This is a...

Managing diabetes during the COVID-19 pandemic

The virus responsible for the disease known as COVID-19 was identified as SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), which belongs to the coronavirus group of viruses that commonly...

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