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Primary health care

What practice nurses need to know about the NICE chronic kidney disease guidelines

Chronic kidney disease (CKD) is defined as a reduction in kidney function, or damage to kidney structure, which has persisted for greater than 3 months and which is associated with other...

Shaping and delivering services in primary care: benzodiazepine and opiate withdrawal service

Good practice in prescribing opioid medicines for pain should reflect fundamental principles in prescribing generally. The decision to prescribe is underpinned by applying best professional...

Sexual history taking in primary care

STIs still carry a degree of stigma in society and to enable a patient to feel free to disclose information to the health professional they need to be confident that their privacy will be respected....

Understanding the use of pulse oximetry in COVID-19 disease

The fundamental principle in pulse oximetry is that when light is shone through a substance, some of that light is absorbed as it passes through the substance and the light that is not absorbed can be...

Unseen, unheard, undervalued: advancing research on registered nurses in primary care

Canada is a federal system wherein ten provinces and three territories have the responsibility to administer and deliver healthcare, including the licensing of health professionals (Deber, 2018).

Student nurses in the primary care network: a pilot

The practice education team (PET) for South East London successfully bid for the development funds from Capital Nurse to develop and implement the project of placing students in the PCN rather than...

Understanding personal asthma action plans

The National Review of Asthma Deaths (NRAD) (Royal College of Physicians, 2014) investigated the clinical records of 195 adults and children who died of asthma between February 2012 and January 2013....

Supporting people with dementia during the COVID-19 pandemic

‘Dementia is a syndrome – usually of a chronic or progressive nature – in which there is deterioration in cognitive function (ie the ability to process thought) beyond what might be expected from...

Understanding safety-netting in remote consulting

Safety-netting advice is given to patients to prepare them for the possibility that their symptoms and signs may worsen or not resolve as expected, and to help them identify those symptoms and signs...

Isolation and loneliness: pilot of a coffee morning hosted in a general practice

Social prescribing is a means of enabling GPs, nurses, and other primary care professionals to refer people to a range of local, non-clinical services..

Experiences of advanced clinical practitioners in training and their supervisors in primary care using a hub and spoke model

Following a consultation period and review of primary care services, one local commissioning group requested a fresh approach to ACP training to meet the needs of a primary care service, and one which...

SAFER PRACTICES: reducing the risk of diagnostic errors

S = Serious. Have I excluded the serious, must-not-miss, causes for this symptom?.

What is a primary care advanced practice role in Cornwall?

The aim of this study was to identify what an advanced practice role currently means in primary care in Cornwall. It looks at experience, scope of practice, educational level of clinicians, and...

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).

Caring for people with asthma in primary care

According to Asthma UK (2019a), there are 4.3 million adults and 1.1 million children currently receiving treatment for asthma. Asthma is the most common lung disease in the UK (British Lung...

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