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Clinical Review: Crohn's disease

Contributed by Dr Guy Chung-Faye, consultant gastroenterologist, and Jaroslava Tumova, IBD nurse

Clinical Review: Huntington's disease

Contributed by Rachel Taylor, nurse consultant, The National Hospital for Neurology...help with packages of care, respite for carers and nursing home placements. Psychiatric ... nursing care. Where possible, the patients' preferences regarding place of care and place of death ... was well known to the multidisciplinary clinic, contacted the team via the nurse-led telephone clinic ...

Medico-legal - Vicarious liability and GPs' staff

if they encounter any concerns during a consultation. Nurses employed in the practice should have their own ... , but by Nurse M, a nurse practitioner. Nurse M identified wax in the ears, so decided to carry out ear syringing. When Nurse M was syringing Sally's right ear, Sally complained of feeling pain. Nurse M reassured ...

Near Patient Testing - Improving warfarin monitoring

-based commissioning (PBC). The three practices appointed specialist anticoagulation nurse Karen Read to provide ... are now managed by an additional nurse we recruited. The service also supports a small number of patients who 'self test' at home. Clinical responsibility remains with Karen as specialist nurse although ...

Practice Management - Good delegation brings rewards

tasks Your practice may already have teams that include nurse practitioners, practice and treatment room nurses, phlebotomists and healthcare assistants (HCAs)/healthcare clinical support workers ... . The GMC and the Nursing and Midwifery Council (NMC) offer clear guidance including: GPs must ensure ...

Managing Hirschsprung's disease

decompressed. When the baby has been fully resuscitated, rectal washouts are commenced. The stoma nurse ... contact with the stoma nurse specialist must be maintained. The parents must feel supported and encouraged. It is vital that the community nurse and health visitor are also involved, and that the baby is thriving ...

How to... Design a repeat scripts protocol

change in your practice team, such as a new nurse prescriber or new GP registrar; or possibly, a recent ... and practice nurse colleagues for their input on how well you are currently doing medication reviews. Talk ... be reviewed by a GP or by a practice nurse who is competent to carry out reviews and to make a judgment ...

Improving communication skills with your colleagues

practice nurse comes to your consultation room and says: 'I have just seen a Mr John Smith, a 28-year ... relevant information and prepare the communication beforehand. Consider how often a practice nurse ...

How to - Review your practice's policies

or practice nurse does a solo home visit? Are patients generally happy for a trained chaperone ... equally to GPs (male or female) and practice nurses (male or female)? To what extent do all clinicians ...

Journals Watch - MI, hypertension and diabetes

of having a GP in a busy Amsterdam A E department where a nurse triaged patients to either normal A E care ... visits. This study compared two models: nurse-led care and reciprocal peer support - where patients ... in HbA1c levels at six months. In the nurse-led group, the mean HbA1c increased by 0.29 per cent (from 7 ...

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