Unique, practical knowledge for nurses responsible for daily management of patients with cardiovascular disease, diabetes and related conditions.

Wednesday, 21 October 2015

Heart failure is an important public health problem that is associated with significant morbidity, mortality and healthcare costs, especially in the over-65s. Despite reductions in HF-related mortality, hospitalisations remain frequent and readmissions continue to rise. It is these admissions to hospital that put a financial strain on the local health economy, and cause stress and anxiety for the patient and supporting family.

Category: Editorial
Topics covered:
Wednesday, 21 October 2015

Evidence-based guidelines offer many options to improve and extend the lives of patients with heart failure (HF). This article reviews current best practice in the management of chronic HF and of acute decompensated HF, and considers recent insights, controversies and innovations in this important field.

Category: Editorial
Topics covered:
Wednesday, 21 October 2015

Optimising the management of heart failure improves patient survival and reduces hospital admissions. However, standards of care continue to vary, and many HF patients are still not receiving recommended therapy with diseasemodifying drugs or specialist input to their care. Outcomes will only improve for all HF patients if evidence-based clinical guidelines are implemented throughout the NHS.

Category: Editorial
Topics covered:
Wednesday, 21 October 2015

Good hydration is essential for health, especially for people who may not feel thirsty because of ageing or illness. Maintaining good levels of hydration can prevent or help in treating low blood pressure, urinary infections and constipation. It's so easy to assess hydration status - this useful guide will help.

Category: Back to Basics
Wednesday, 21 October 2015

Colder days and longer nights are reminders that the annual winter flu season is here. It's important to offer flu vaccination to vulnerable patients (young children, the elderly and people with underlying health conditions) to help prevent serious complications. This Back to Basics will help you to make sure that your practice is offering the right flu vaccine.

Category: Back to Basics
Topics covered:
Wednesday, 21 October 2015

Chronic kidney disease (CKD) is now classified using a combination of estimated glomerular filtration rate (eGFR) and proteinuria measured by albumin:creatinine ratio (ACR).  The aim is to more accurately define each patient’s risk of cardiovascular disease and worsening CKD, and to ensure that patients are monitored appropriately.

Category: Back to Basics
Monday, 30 March 2015

I hate being told what to do and usually I will do the opposite. So where on earth did I get the belief that I know what is right and that I must make sure I tell everyone what to do to stay healthy?

Category: Editorial
Topics covered:
Friday, 27 March 2015

Diabetes clinics form a major part of the workload for practice nurses, but 95% of routine diabetes care is delivered by patients themselves or by family members and carers. It is imperative that we offer people with diabetes concise, up-to-date education for effective foot care and to prevent complications.

Category: Editorial
Topics covered:
Friday, 27 February 2015

Frailty is a distinctive health state related to the ageing process in which multiple body systems gradually lose their in-built reserves. This means the person is vulnerable to dramatic, sudden changes in health triggered by seemingly small events such as a minor infection or a change in medication.

Category: Editorial
Topics covered:
Friday, 27 February 2015

A commonly heard clinical expression is "He/she is very frail". It provides a summary statement of an older person that implies concerns over vulnerability and prognosis. This is how we have conventionally considered frailty—as a descriptive label: 'the frail elderly'. In this article, we will re-frame frailty in a potentially more helpful way. We will examine frailty from the perspective of an abnormal health state that behaves just like a long-term condition. This conceptualisation of frailty opens up new approaches to helping people who are frail.

Category: Editorial
Topics covered:

Article search and filter