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Clinical Focus

What practice nurses need to know about the NICE chronic kidney disease guidelines

Chronic kidney disease (CKD) is defined as a reduction in kidney function, or damage to kidney structure, which has persisted for greater than 3 months and which is associated with other...

Giving travel advice in the uncertain age of COVID-19

Links to recent and upcoming changes in guidance for all 4 areas of the UK (England, Scotland, Wales and Northern Ireland) - https://www.gov.uk/coronavirus.

New approaches to an old challenge: what can we do about smoking?

Raising the subject of smoking with patients should be standard practice in all healthcare settings, but we know from a study published by Cancer Research UK (2019a) that only 53% of primary care...

Back to school with asthma in 2021

Back to school planning in 2021 may be hampered by a primary care system facing a backlog of care, plus a patient population who may be reluctant to access care. According to surveys by Asthma UK...

Sexual history taking in primary care

STIs still carry a degree of stigma in society and to enable a patient to feel free to disclose information to the health professional they need to be confident that their privacy will be respected....

Supporting people to self-manage their allergic rhinitis

Allergic rhinitis symptoms that are not controlled lead to adverse effects that significantly impact quality of life; these include headache, sore throat, hearing problems, sleep disturbance, poor...

Recurrent venous leg ulcers: management in general practice

Once the VLU has healed, the focus needs to be on the prevention of recurrence. However, despite the high recurrence rate and associated costs of treating open ulceration, current Commissioning for...

Cardiovascular disease: the gender divide

According to statistics from the British Heart Foundation (BHF) there are 830 000 women in the UK living with coronary heart disease (CHD), and around 380 000 women in the UK have survived a heart...

Conversations of opportunity in diabetes care

Consultations in healthcare practice are often described as a science; the process of gathering and extracting information in a structured manner with the aim of arriving at a care planning...

Understanding personal asthma action plans

The National Review of Asthma Deaths (NRAD) (Royal College of Physicians, 2014) investigated the clinical records of 195 adults and children who died of asthma between February 2012 and January 2013....

Understanding the pathogenesis of heart failure

Normally, cardiac physiology is able to meet the body's metabolic demand through sufficient cardiac output (CO) defined as stroke volume (ml) eg 70 ml, x heart rate (beats per minute) e.g. 70b pm,...

Remote asthma consultations in primary care

In a speech on the future of healthcare delivered in July 2020, Matt Hancock, the secretary of state for health and social care, said that ‘Coronavirus has catalysed deep structural shifts in...

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