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Clinical

Understanding skin infections in older adults

Hahnel et al (2017) investigated the prevalence of skin diseases in older nursing home residents while also exploring the possible associations of these with demographic and medical characteristics....

Improving physical health in people with severe mental illness

How a person is affected by their mental illness will have an impact on their behaviour, communication and ability to take on board information and advice. Understanding the symptoms will be helpful...

Increasing physical activity in people with COPD

The fundamental mechanisms of physical inactivity in COPD are poorly understood, with a number of published theories available (Barnes and Celli, 2009; Troosters et al, 2013). One widely accepted...

Insulin safety: what is all the fuss about?

When a clinical decision is made to commence insulin therapy, the initial assessment and discussion with the person with diabetes is paramount, and using this framework will provide the reader with a...

Understanding COVID-19 in at-risk patients

Because COVID-19 is a new disease, there is still a huge amount to learn, and scientists are desperately trying to uncover many of the unknown elements. What is known is that there are a number of...

Asthma guidelines: which is the best of three?

The GINA report of 2020 (GINA, 2020) is the only guideline so far to have published guidance during the pandemic, although both the BTS and NICE have published separate documents on the subject. GINA...

Inhaled therapy for asthma

For severe or difficult asthma, a relatively new treatment exists for initiation by specialist care only. Monoclonal antibody (MAB) injections are given by intramuscular injection once a month to...

Bronchiolitis: treatment and management in an urgent out of hours care setting

Bronchiolitis is an acute inflammation of the bronchioles that predominately affects children under the age of two years, but most common in the first 12 months of life. Respiratory syncytial virus...

Common questions on emergency and postcoital contraception

A systemic review of safety data (Jatlaoui et al, 2015) for adverse events relating to use of EC in healthy women concludes that such events are rare..

Pre-diabetes and cardiovascular risk: detonating the time bomb

Worldwide, there are more than 400 million people with pre-diabetes, and it has been estimated that more than 470 million people will have prediabetes by 2030 (Middelbeek and Abrahamson, 2014).

Monitoring respiratory rate in adults

Health professionals use several terms to describe irregular respiratory rates, including:.

Measles: An overview for practice nurses

The disease is most likely to occur in late winter or spring. Spread occurs via respiratory droplets, which can remain active and contagious, either airborne or on surfaces, for up to 2 hours (Chen,...

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