Excessive alcohol consumption has joined smoking and obesity as one of today's major threats to public health. It is a major cause of liver disease, as well as a range of cancers, cardiovascular disease and mental illness. What's the solution? We look at how primary care can identify patients who are drinking too much and what interventions can help.
Chronic liver disease is a problem for all of us. It develops silently, often taking many years to cause sufficient damage to be detectable or cause signs or symptoms for which a patient would seek attention. Primary care has a central role in improving the prevention and early detection of chronic liver disease. This special issue of the British Journal of Primary Care Nursing (BJPCN) and Primary Care Cardiovascular Journal on chronic liver disease is full of step-by-step guides and informative articles to give you the key information and tools to get to grips with this important condition.
Like falling off a cliff' or 'falling into a black hole'. This is how stroke survivors and their carers often describe discharge from hospital back to their own home. Recognising this issue, the National Stroke Strategy recommended planned reviews to identify unmet needs for health and social care, and secondary prevention. This article discusses tools designed to help professionals to review the evolving needs of stroke survivors and their families.
Familial hypercholesterolaemia (FH)—an inherited genetic defect that causes high blood cholesterol—often goes unrecognised. It is therefore under-diagnosed and poorly managed. This can have devastating repercussions for affected families, since premature deaths from heart disease can occur in people in their 40s or even younger. This article looks at the causes of FH, how to recognise those at risk and how to implement National Institute for Health and Clinical Excellence (NICE) guidance in practice.
Non-alcoholic fatty liver disease (NAFLD) is currently the most common cause of abnormal liver function tests. This article will look at the evidence base behind many of the assumptions about NAFLD in current practice – including the suggestion just to monitor – and how to detect and manage patients at risk.