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Group consultations for cancer care reviews in general practice

Statistics from Macmillan (2016) show that with advances in treatment, more people are living with and beyond cancer. Following cancer treatment, individuals may have ongoing needs and concerns,...

HRT shortages: the real reason women were left without HRT?

No, we simply knew how to access other HRTs that were very similar or as good as those HRTs that were not available. Yes, gels and tablets may not be as convenient as a single patch, but they offered...

A low-carb diet for diabetes: the latest evidence

Meanwhile, some are finding that low-carbohydrate diets are meeting the challenge of diabetes. For example, Southport-based GP Dr David Unwin—NHS Innovator of the Year 2016—and colleagues found that...

Health inequalities: what can be done?

The Marmot Review 10 Years On (Marmot et al, 2020) report makes for grim reading. For the first time in over 100 years, life expectancy in England has failed to increase, and for the poorest 10% of...

Assessing and treating adults with hearing loss in primary care

There are several recognised risk factors for hearing loss in adults that practice nurses should be aware of..

Tick-borne diseases: an update for general practice

The method of spread for tick-borne infections may vary depending on the tick species and habitat. Ticks can feed on a number of different mammals, birds, reptiles and amphibians, with most preferring...

Pneumococcal disease and vaccination: recent changes to the schedule

Pneumococcal disease is a bacterial infection caused by Streptococcus pneumoniae. It is an encapsulated organism, which increases its virulence, and more than 90 different capsular types (serotypes)...

Medicines adherence in respiratory disease

If adherence means compliance with recommended or prescribed therapy, non-adherence just means that the prescription, treatment or advice is not followed (Horne, 2005). Non-adherence can involve...

Is there a place for servant leadership in nursing?

In the report a Voice to Lead (ICN, 2017), Dr Li Xiuhua, President of the Chinese Nursing Association, opines that nursing leaders should collaboratively create a longstanding sustainable development...

Providing an inclusive and safe environment

‘Practice Nursing provides nurses working in general practice with the tools to reach their full potential and deliver the best possible care to their patients. Our monthly journal informs and...

Responding to errors in the storage, handling, and administration of vaccines

Vaccines, like all biological substances, degrade over time. Exposure to extremes of heat, cold, sunlight or fluorescent light can accelerate this process. Recommended temperature ranges are detailed...

Understanding vitamin B12 and folate deficiency

Vitamin B12 is vital for health and is essential for a number of physiological functions in the body, including the formation of healthy red blood cells, DNA synthesis and the healthy function of the...

Men's health inequalities: a local, national and global issue

When making efforts to reduce health inequalities this means that everybody has to be provided with the same opportunities so that they are able to lead a healthy life, regardless of where they live...

SAFER PRACTICES: reducing the risk of diagnostic errors

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

Improving uptake of influenza vaccination in primary care

GP practices need to have systems in place that enable staff to identify people eligible for flu vaccination. Suggested methods of contacting patients include by writing (letter, email or text...

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