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Clinical

GLP-1 receptor agonists and their role in managing type 2 diabetes

The World Health Organization (2024) defines diabetes as a chronic, metabolic disease characterised by elevated levels of blood glucose (or blood sugar), which over time can lead to serious damage to...

Managing Bowen's disease in primary care settings

Bowen's disease is a rare condition thought to affect approximately 15 per 100,000 people in the UK each year (GP Notebook 2020). Although the condition can affect both males and females,...

Venous eczema: an update for nurses working in primary care

Chronic venous disease develops because of an interplay between genetics and environmental factors that increases venous pressure, leading to substantial changes in the whole structure and functioning...

Diagnosing and managing psoriasis in primary care

There are several types of psoriasis, some more common than others. Chronic plaque psoriasis is the commonest type accounting for more than 80% of cases (Yoo, 2023) and can occur as large plaque,...

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...

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