British journal of community nursing
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It is increasingly recognised that end-of-life care is suboptimal, especially for those with advanced non-malignant diseases. This study shows that individuals living with heart failure have a number of palliative care needs, including education, communication, symptom management and psychosocial needs. ⋯ Furthermore, patients struggled to cope physically and psychologically with their reduced physical capabilities and were fearful of being a burden to their carers. Both patients and clinicians recognised a discontinuity between secondary and primary care, which has particular resonance in the context of the intention to relocate care nearer home.
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Br J Community Nurs · Jul 2013
Community nurses' participation in palliative care research: the Dignity Care Pathway.
Evidence-based practice is a cornerstone of modern health care. Ongoing challenges have been identified in the strength of the evidence base in community palliative care nursing (Walshe and Luker, 2010). This paper discusses the participation of community nurses in a palliative care research project. ⋯ Collaborative research has been advocated as one way to facilitate integrated knowledge transfer and to address the research-practice gap. The aim of this paper is to discuss the participation of community nurses in a collaborative research project to implement a palliative care intervention in practice. The discussion will draw on findings from the third phase of the DCP multiphase research project.
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Enhanced recovery after surgery (ERAS) is gaining interest worldwide, to improve patient care in relation to their surgery. ERAS is a set of elements that are used to guide the multidisciplinary team in caring for patients before, during and after surgery. ⋯ This article will explore issues related to ERAS and how this may affect the community nurse. Issues surrounding stoma care will be explored, including how the community nurse can aid the care of this patient group.