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Primary care

The re-emergence of the peripatetic educator in general practice

As there is a strong need of flexibility to manage a workforce to align with organisational change involving a people strategy, thus the peripatetic educator role was reintroduced to primary care due...

Implementing a hosting model in general practice for adult nursing

In 2014, the publication of the Five Year Forward View (NHSE 2014) presented a significant policy shift; the main point of delivery for patient’ care and services moved from secondary to community and...

Management of vitamin B12 deficiency in primary care

According to World Health Organization (WHO 2023), vitamin deficiencies are a major global health concern. Although iron, vitamin A, and iodine deficiencies are the most common worldwide, vitamin B12...

Understanding pelvic organ prolapse and urinary incontinence in women

POP is the downwards descent of one or more of the bowel, bladder, womb or – in women who have had a hysterectomy – the vaginal cuff (Haylen et al, 2016). While not life threatening, POP can cause...

Anaemia in primary care: iron deficiency and anaemia of chronic disease

Iron deficiency anaemia (IDA) is the most common cause of anaemia and is a problem worldwide, with an estimated 500 million people affected, occurring both in low-income countries such as sub-Saharan...

Anaphylaxis: how to recognise and manage in primary care

‘a serious systemic hypersensitivity reaction that is usually rapid in onset and may cause death. Anaphylaxis is characterized by potentially life-threatening compromise in airway, breathing and/or...

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...

Management pathways for erectile dysfunction in primary care

Epidemiological evidence suggests that 8% of men in their 40s report moderate or complete ED and this increases to 40% of men in their 60s (McKinlay, 2000). Risk factors for developing ED are shown in...

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...

Pay, terms and conditions for primary care nursing teams

Recruitment into primary care remains slow with the number of nurses wanting to make the move out of the acute and community sectors generally outweighing the ability of general practice teams to...

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:.

Recognition and assessment of dementia in primary care

Dementia is an umbrella term that is used to describe a group of symptoms that are characterised by behavioural changes and loss of cognitive and social functioning. It is caused by progressive...

Less is more when reducing antimicrobial prescribing

AMR arises when the organisms that cause infection evolve methods to survive attempts to kill or suppress them. This can happen naturally, but it is accelerated by the inappropriate use of...

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