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Clinical

Understanding autoimmune diseases in primary care

The function of the body's immune system is to recognise foreign elements and destroy them before they cause problems. In healthy individuals, specialised systems regulate the immune system to ensure...

Dysphagia in the older person: an update

There are four phases in a normal swallow (Table 1). Oropharyngeal dysphagia is described as difficulty initiating a swallow or passing food through the region of the mouth or throat. Oesophageal...

Improving outcomes for people living with breathlessness

The experience of breathlessness is complex and influenced by a number of factors including emotional, environmental, cultural and social and requires a holistic approach to optimise its management...

Seasonal asthma: should it be managed differently?

Asthma is an inflammatory condition where the airways have become hyperreactive in response to a trigger (eg house dust mite, pollen, cats, viruses and temperature changes). The inflammatory cascade...

Urinary incontinence in men: what the practice nurse needs to know

Urinary incontinence has been defined by the International Continence Society (ICS) as ‘any involuntary leakage of urine’ (Abrams et al, 2003; Haylen et al, 2010). NHS England (2018) estimate that, in...

Managing allergic rhinitis in children and young people

Allergic rhinitis affects many children and young people in the UK causing significant symptoms and a reduction in quality of life. It can be poorly perceived by children, their families and health...

Evidence-based management of disease-related malnutrition: updated guidance

The Managing Adult Malnutrition in the Community panel has updated its guidance for community healthcare professionals. The updated guide reflects the latest evidence and best practice and is...

COPD, exacerbation and self-management: a literature review

COPD prevalence is also associated with socioeconomic deprivation and high-risk occupational industrial areas, and environmental and metabolic risk factors have the highest impact on disease...

Acute onset low back pain leading to a diagnosis of cauda equina syndrome: a case study

CES is documented as a rare and challenging neurological condition to diagnose (Greenhalgh et al, 2018). It is defined by Zusman et al (2020) as a significant compression of the nerve roots in the...

Understanding HPV and cervical screening

HPV is a group of viruses that most sexually active people come into contact with during their lifetime: it is estimated approximately 8 in 10 people will be infected with HPV at some point in their...

Assessment and examination of the respiratory system

Taking a patient history is an essential element in establishing a diagnosis and is used to get a deeper understanding of the patient's symptoms. The purpose of a systematic health history is to...

Identification and management of dysfunctional breathing in primary care

The ‘breathing drive’ is responsive to the body's requirements detected by feedforward and feedback loops from the brain and receptors in the respiratory system, with underlying ‘background’ control...

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