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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...

Understanding constipation in adults

Prevalence rates for constipation are difficult to determine as it is likely that some of those affected may try self-help measures or over the counter (OTC) remedies and therefore never consult a...

Diagnosing COPD in general practice

Long-term exposure to risk factors such as tobacco smoking – the most common cause of COPD – and symptoms caused by progressive lung damage are often present before individuals seek a diagnosis. The...

Preventing skin tears among older adults in general practice

Skin tears can present a complex and chronic problem for an older patient with fragile skin, and can be very disabling, reducing quality of life dramatically in some cases. The right care is essential...

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...

Understanding primary prevention of cardiovascular disease

The NHS Health Check programme was designed to identify people with risk factors for CVD and ensure that they had access to the support and medication they might need to reduce that risk (Waterall,...

Recurrent venous leg ulcers: management in general practice

Once the VLU has healed, the focus needs to be on the prevention of recurrence. However, despite the high recurrence rate and associated costs of treating open ulceration, current Commissioning for...

Cardiovascular disease: the gender divide

According to statistics from the British Heart Foundation (BHF) there are 830 000 women in the UK living with coronary heart disease (CHD), and around 380 000 women in the UK have survived a heart...

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...

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