Nursing standard (Royal College of Nursing (Great Britain) : 1987)
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Many nurses in a variety of clinical settings are facing the challenges posed by incorporating evidence-based practice in health care. Some of the steps involved in implementing evidence-based care in clinical practice are discussed and a two-step framework to assist practitioners in implementing evidence-based practice is outlined. Factors such as the relevance of specific guidelines or research, generalisability of research findings, the strength of the evidence relative to the risks and benefits of treatment, and patient preferences are discussed in terms of evidence-based decision making.
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Post-operative nausea and vomiting leads to unnecessary suffering for many surgical patients. Improved nursing management can help prevent and better treat this condition.
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This article reviews a cross-section of literature on wound healing and highlights how diabetes mellitus can cause deviations from usual healing patterns. ⋯ Nursing interventions can either enhance or delay the healing process. Nurses need to understand the defective processes to optimise the available healing potential.
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Non-steroidal anti-inflammatory drugs (NSAIDs) include aspirin, ibuprofen and diclofenac. They are widely prescribed to control pain and inflammation associated with disease or injury affecting joints and other tissues. The authors describe the clinical uses, mechanism of action and potential side effects. Paracetamol/acetaminophen is included in this discussion, although it is not an NSAID.
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Review Case Reports
The pressures felt by informal carers of people with dementia.
Caring for people with dementia is complex and demanding, and informal carers carry out much of the care. In this article, Madeline Armstrong outlines the different types of dementia and discusses the psychological approaches to care. Informal carers experience many stressors when caring for people with dementia and Admiral nurses play an important role in supporting carers.