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Primary care

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...

AMR: effective infection prevention and control measures

As a result of AMR, standard treatments become ineffective and infections persist and may spread to others. The O'Neill (2016a) report estimated that by 2050, 10 million lives a year and a cumulative...

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...

Urinary incontinence and pelvic organ prolapse in primary care

There may be considerable variation across CCGs and in primary and secondary care with regards to formulary restrictions. Dependent on formulary rules, some practices may restrict the number of drugs...

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