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Clinical Focus

Dysphagia: causes, diagnosis and treatment – an update for practice nurses

An individual requires intact motor and nervous systems to swallow normally. When there are problems the person can develop dysphagia, difficulty eating, drinking or swallowing (Royal College of...

Influenza, vaccines and new developments

Influenza A is an enveloped, segmented, negative-strand RNA virus, belonging to the Orthomyxoviridae family. Influenza A viruses are divided into subtypes based on the proteins on the surface of the...

A service improvement project to improve follow up screening rates of women with gestational diabetes

Pregnancy often serves as a catalyst for women to make positive health choices, highlighting the significance of targeting this actively engaged demographic (Thayer et al, 2020). Post-natal screening...

Vaginal symptoms in the menopause: cause, impact and treatment combination options

A combination of vaginal, vulval and / or urinary symptoms comes under the umbrella term – GSM (genitourinary syndrome of the menopause) but is historically termed vaginal atrophy (VA), and more...

The impact of social media interventions on adult influenza vaccination: A systematic review

This systematic review followed PRISMA guidelines (Prisma, 2020). Our inclusion criteria comprised of peer reviewed systematic reviews, intervention studies (randomised controlled trials,...

Influenza vaccination – still a priority

Influenzae is caused by a member of the RNA viruses of the family Orthomyxoviridae family of which there are four types of seasonal influenza viruses: types A, B, C and D (Gov. UK, 2023). They are...

Allergic rhinitis and asthma – one airway, one approach

Allergic rhinitis (AR) is a condition which affects the nasal mucosa and, in some cases, other organs including the eyes, palate, and lungs (Hossenbaccus et al 2020). The condition results from an...

Capturing the perspectives on treatment of chronic non-cancer pain using non-pharmacological approaches

Some patients with CNCP are treated with opioids amongst other adjuvant pharmacological therapies (BMA 2017, Appendix 1). However, it is commonly found that opioids are ineffective over time resulting...

Streptococcal infections (Strep A) in primary care settings

Infections caused by Strep A typically come in waves and in previous years outbreaks have occurred around March to April (McKechnie 2022). However, in December 2022, there was a reported increase in...

Identifying and managing osteoporosis: a role for nurses

The NICE quality standards cover priority areas in the management of osteoporosis in adults. (NICE 2017) The four quality statements will provide a framework for the remainder of this article:.

Malaria: an update for nurses in general practice

Endemicity and transmission patterns vary. Despite disruptions to prevention, diagnosis and treatment during the pandemic, countries largely averted further setbacks to malaria control with only...

How to complete a safe and effective contraceptive consultation

The FSRH have produced a service standard for record keeping in sexual and reproductive healthcare consultations (FSRH, 2019a). It recommends clear documentation of clinical history, assessment,...

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