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Clinical

Starting a new school with asthma – what to advise

GPNs are more than alert than most health professionals to the rise in number of exacerbations of asthma as children start school or go back to school each September..

Sciatica in primary care – a case discussion

The sciatic nerve is defined as a collection of two nerves, the common fibular and tibial nerves, originating from the L4-S3 of the sacral plexus, leaving via the greater sciatic foramen and traveling...

Management of vitamin B12 deficiency in primary care

According to World Health Organization (WHO 2023), vitamin deficiencies are a major global health concern. Although iron, vitamin A, and iodine deficiencies are the most common worldwide, vitamin B12...

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An introduction to forest bathing for practice nurses

Social prescribing is now a central part of primary care. It is defined by NHS England (2020) as ‘an approach that connects people to activities, groups, and services in their community to meet the...

Direct oral anticoagulants in general practice

DOACs were first licensed in the UK for thromboprophylaxis following orthopaedic surgery. The phase III clinical trials assessed the DOACs (dabigatran, rivaroxaban and apixaban) to be non-inferior to...

Pulmonary rehabilitation – an essential part of respiratory care

Pulmonary rehabilitation is an exercise and education programme designed for people with lung disease who experience symptoms of breathlessness (NHS England, 2020). PR is primarily an evidence-based...

Urinary tract infection in an older patient: a case study and review

Mrs M, an 87-year-old lady living in a nursing home, was referred to the community ANP by the senior carer. The presenting complaint was reported as dark, cloudy, foul-smelling urine, with new...

COPD: what GPNs need to know from the latest GOLD update

An updated definition of COPD is included in the guidelines, reflecting the symptoms (productive cough and breathlessness) that are linked to persistent, often progressive and non-fully reversible...

Vaccine-preventable food- and water-borne diseases

Poliomyelitis (Polio) is a viral infection that is potentially paralysing and mostly affects the under 5's. This disease is spread via the faecal-oral route and humans are the only natural known host...

Managing chronic kidney disease, diabetes and coronary artery disease

Whatever the cause of an individual’s CKD, there is a universal emphasis on HT control (Pugh et al, 2019); HT being both a cause and symptom of CKD. NICE (2021) guidance for blood pressure control is...

Scabies: an update for nurses

Scabies is one of the most common dermatological conditions and affects more than 200 million people at any given time. While scabies occurs worldwide, it is most common in hot, tropical countries and...

Chronic kidney disease: the canary in the coal mine

The guardian of cost-effective care in the UK (except Scotland) is NICE, which has recently been very active in this area, producing new and updated CKD (NICE, 2021a) and type 2 diabetes guidelines...

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