Evidence and Practice

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Clinical

Indwelling pleural catheter insertion for the management of malignant pleural effusion...

Why you should read this article: • To enhance your knowledge of the treatment options for patients with malignant pleural effusion • To learn about patients’ experiences of living at home with an indwelling pleural catheter • To understand the potential benefits of self-led care in managing an indwelling pleural catheter at home Malignant pleural effusion is a complication of advanced cancer that causes distressing dyspnoea (breathlessness). An indwelling pleural catheter (IPC) is an option for the management of recurrent effusions; however, patients’ experiences of IPC treatment have not been studied in detail. This article describes a service evaluation that was undertaken to explore patients’ experiences of IPC treatment when discharged home following insertion. Ten patients with malignant pleural effusion undergoing IPC insertion participated in semi-structured interviews, and the data from these were thematically analysed using the framework method. It was found that most patients reported symptomatic improvement as a result of the IPC, but this did not correlate with functional improvement. One patient had no symptomatic or functional improvement and regretted having the procedure. The IPC was preferred by patients compared with other management interventions they had received previously. Further studies are required to identify which patients are unlikely to experience symptomatic benefit from the use of IPCs.

Supporting school nurses to deliver emotional and mental health interventions: a service evaluation

Supporting school nurses to deliver emotional and mental health interventions

The experiences and perceptions of a small school nursing team of the support they receive

Professional, legal and ethical dimensions of prescribing. Part 2: legal and ethical

Professional, legal and ethical dimensions of prescribing. Part 2: legal and ethical

Legislation and underpinning ethical principles that guide decision-making in prescribing

Professional, legal and ethical dimensions of prescribing. Part 1: professional

Professional, legal and ethical dimensions of prescribing. Part 1: professional

This first article of two identifies the main professional dimensions of prescribing practice

Using the ‘8Rs’ checklist to support safe vaccination practice

Using the ‘8Rs’ checklist to support safe vaccination practice

Enhance your understanding of the principles of safe vaccination practice

Integrating new non-medical practitioners in general practices: barriers and facilitators

Integrating new non-medical practitioners in general practices

Barriers and facilitators to integrating new non-medical practitioners in general practices

CPD articles

Long term conditions: three ways to give patients the confidence to self-care

Why you should read this article: • To enhance your knowledge of how to teach self-care to patients with long-term conditions • To understand how patients learn and how to determine what their learning priorities are • To contribute towards revalidation as part of your 35 hours of CPD (UK readers) • To contribute towards your professional development and local registration renewal requirements (non-UK readers) Community and primary care nursing offer scope for teaching self-care to patients. Patients with long-term conditions can find it helpful to receive carefully targeted teaching designed to support them to manage and live with their condition as well as possible. Providing person-centred care involves equipping patients with the knowledge, skills, confidence and motivation to become partners in their own care. This article explores how community-based nurses can enhance their teaching of self-care to patients, including by understanding how patients learn and determining patients’ learning priorities. The article describes three teaching techniques and suggests a framework for evaluating patients’ progress towards their learning goals.

Role of the community nurse in supporting person-centred end of life care

Role of the community nurse in supporting person-centred end of life care

Some of the challenges that community nurses may experience and how to address them

Identifying and supporting women and girls at risk of, or experiencing, violence and abuse

Identifying and supporting women at risk of, or experiencing, violence and abuse

Enhance your understanding of the forms of violence and abuse women and girls may experience

Recognising and managing non-tuberculous mycobacterial pulmonary disease

Recognising and managing non-tuberculous mycobacterial pulmonary disease

An explanation of the epidemiology, risk factors, symptoms, diagnosis and treatment of NTM-PD

The menopause: symptoms, treatments and implications for women’s health and well-being

The menopause: symptoms, treatments and implications for women’s health and well-being

Enhance your knowledge of treatments and strategies available to manage menopausal symptoms

Identifying and managing patients with disease-related malnutrition in primary care

Identifying and managing patients with disease-related malnutrition in primary care

Clinical consequences and potential health and social care costs of untreated malnutrition

Research focus

How primary care nurses can identify and manage self-harm

Primary care nurses need to be able to identify and manage self-harm. This research focus explores high risk groups and management strategies

Image shows the contents of a hoarder's home

How can community and primary care nurses support and treat people with hoarding...

Three studies highlight the complexity of this disorder – and the provision of treatment

How to ensure better integrated care

Three recent studies look at methods to facilitate greater integrated care

Young woman with eating disorder

How to treat eating disorders in primary care

Three studies highlight the growing incidence of eating disorders in primary care

Computer artwork depicts an MRI brain scan revealing the effects of a stroke, showing a blood clot. Upper limb impairment, which occurs in a majority of strokes and requires rehabilitation, is reviewed in three research papers.

Upper limb rehabilitation following a stroke

Rehabilitation for upper limb impairment, which occurs in a majority of strokes, is reviewed

Picture shows two people playing drums and cymbals while others look on. The Haynes Centre is a specialist dementia day care centre for Haringey residents with moderate to severe dementia.

Dementia therapy through music

Three studies examine the benefits of music-based therapies for people with dementia

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