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Clinical Focus

Recognition and management of sepsis in the urgent care out of hours setting

Sepsis is a life-threatening and common condition prompted by a microbial infection that causes the immune system of the body to react robustly; failure to provide timely treatment could lead to death...

The overtreatment of type 2 diabetes in frail older people

The Action to Control Cardiovascular Risk in Diabetes (ACCORD) study found that people with tighter glycaemic control (HbA1c <42 mmol/mol) had excessive mortality, particularly in those with multiple...

SAFER PRACTICES in the COVID-19 pandemic

The first part of the mnemonic, SAFER, has two purposes. Firstly, to ensure that the clinician comes to the consultation with the medical knowledge, along with the clinical assessment skills and...

Assessing and treating adults with hearing loss in primary care

There are several recognised risk factors for hearing loss in adults that practice nurses should be aware of..

Responding to errors in the storage, handling, and administration of vaccines

Vaccines, like all biological substances, degrade over time. Exposure to extremes of heat, cold, sunlight or fluorescent light can accelerate this process. Recommended temperature ranges are detailed...

Understanding the NICE guidance on endometriosis

Endometriosis is an oestrogen-dependent chronic condition where endometrial tissue forms lesions outside the uterus (Figure 1), which induce a chronic, inflammatory reaction (Dunselman et al, 2014).

Ebola virus disease: are you up to date?

Ebola virus disease (EVD) is classed as a ‘viral haemorrhagic fever’ (VHF)—a group of acute, severe infections often associated with haemorrhage and multi-organ failure. It is a rare disease seen in...

Non-contraceptive benefits of hormonal contraception

There is extensive evidence from epidemiological studies that combined oral contraceptives offer a reduction in the risk of ovarian, endometrial and colorectal cancers. Additionally, intrauterine and...

Occupational therapy outcomes in patients with Parkinson's disease

Research has shown that reduced emotional wellbeing and social functioning are at greater levels during the later stages of Parkinson's; however, a direct relationship between duration of disease and...

Opportunities for practice nurses when managing heart failure

In most patients, in order to formulate an appropriate treatment plan diagnosis is based on a combination of the following factors:.

Interventions in infected venous leg ulceration in clinical practice

As venous leg ulcers often take several weeks or even months to heal, they are at risk of developing wound infections (Barrett, 2017; National Institute for Health and Care Excellence (NICE), 2019) In...

Caring for your migrant patients and providing for their needs

Migrants come to the UK for a variety of reasons, but most commonly they come to work, study or accompany family members. According to the most recent estimates, the leading countries of origin of...

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