Issue 13
Practice

In Issue 7, we featured an article about ovarian cancer (https://pcnr.co.uk/articles/207/ovarian-cancer-what-you-need-to-know)

I adapted and added to this article for the Health-Care Arena website  (https://healthcare-arena.co.uk/dying-of-embarrassment-why-young-women-are-developing-ovarian-cancer/). We are reproducing it here, with permission from HC-A, to mark #CervicalCancerPreventionWeek


Issue 7
Practice

Using suction to remove toxins or to stimulate wound perfusion is not new. However, the therapeutic use of mechanical negative pressure for wound management has developed exponentially over the past three decades, with a consequent rise in the number of therapies available. In this article, Sylvie Hampton guides us through the use of negative pressure.


Issue 7
Practice

Gout is generally considered to be somewhat of an old-fashioned disease, conjouring up images of crusty and grumpy old colonels with very large bandages on their foot.

Unfortunately, 21st century life-styles and diets have seen it making something of a 'comeback'. In this article, Frank Booth outlines the signs and symptoms and provides a personal view of his experience.


Issue 1
Practice

Community nurses play a crucial role in the primary health care team, particularly for people with dementia who may be living at home but find it harder to get out of the house for health care appointments. As well as providing direct care, community nurses also have a teaching role, working with patients to enable them to care for themselves or educating family members. Community nurses play a vital role in keeping hospital admissions and readmissions to a minimum and ensuring that patients can return to their own homes as soon as possible.


Issue 2
Product focus and reviews

A study published in the Radiotherapy & Oncology Journal has shown that the use of Mepitel Film® dressings prevents the development of moist desquamation: painful skin ulcerations associated with breast cancer radiation therapy. The study also found that the same dressing reduced the overall severity of skin reactions such as itching and irritation by 92%.


Issue 1
Policy & Management

Today, we are continually being asked to prove our worth, demonstrate effectiveness, and present outcomes which may or may not determine payment. However, at times it’s like we are living in the middle of Heisenberg’s uncertainty principle; the more precisely you measure one quantity, the less precisely you can know another associated quantity; for example, both healing (a) and well-being (b) may be quantities we measure as outcome indicators in wound management. However, if we are being asked to focus on measure (a), which is a likely request from a commissioner, are we in danger of being unable to measure (b), which is probably more important to the patient?

So in order to remove any uncertainty, community nurses must face such challenges head-on and work with commissioners to ensure a patient-centred outcome rather than a resource-centred one. In this article, we look at the role of Clinical Commissioning Groups and hear from both the Chief Operating Officer and the Executive Nurse.


Issue 10
Editorial

Issue 3
Comment and Opinion

The principles of the NHS, based on the Beveridge Report, were to provide a comprehensive service funded by taxation, available to all and free at the time of need. Given the demands placed on the NHS today, Frank Booth ponders on the issues, and offers a personal  view on how costs could be ameliorated.