Delivering chemotherapy at home: how much do we know?
Abstract Ambulatory chemotherapy offers many advantages from supporting a closer to home treatment approach to lowering the cost of care. Ambulatory devices such as elastomeric pumps can deliver prolonged infusions of a variety of chemotherapy agents. Elastomeric pumps are preferred by the patients, as they get them connected at the hospital or cancer centres, then go back home where they can have visits from the district nursing team. This minimises disruption to carers and families. Despite all the advantages, experiments carried out by the authors and others in the literature showed that the performance of thes...
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Shereen NG, Salman D Tags: Br J Community Nurs Source Type: research

Improving patient outcomes with neighbourhood care: the Coldstream experience.
PMID: 31604044 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Dobie L, Howlett D, Reid E, Murray A Tags: Br J Community Nurs Source Type: research

Social frailty: the importance of social and environmental factors in predicting frailty in older adults.
Abstract Frailty can have multifaceted contributors, including physical, psychological, social and environmental elements. There is a lack of clarity surrounding frailty as it lacks a universal common definition, multiple factors are attributed to frailty and no definitive assessment tool is available. The evidence suggests that there is a lack of research to indicate causal relationships between the various determinants of frailty in ageing individuals. This review discusses the important role that social and environmental factors play in predicting the risk of frailty in older adults, as well as discussing the v...
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Freer K, Wallington SL Tags: Br J Community Nurs Source Type: research

Taking an active approach to medicines management.
PMID: 31604046 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Richardson D Tags: Br J Community Nurs Source Type: research

Nurse leadership in new NHS systems.
PMID: 31604047 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: David A Tags: Br J Community Nurs Source Type: research

Deprescribing in end-of-life care.
Abstract The aim of deprescribing in end-of-life care is to improve the patient's quality of life by reducing their drug burden. It is essential to engage the patients and enable them to make choices about medications by discussing their preferences and implement a pharmacy management plan. Withdrawing medications during the end stages of life is extremely complex because the period of care varies substantially. The aim of this article is to address polypharmacy within end-of-life care. It will review which medications should be stopped by examining the non-essential and essential drugs. The intention is to encour...
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Gardner E Tags: Br J Community Nurs Source Type: research

Depression, antidepressants and withdrawal in the community.
PMID: 31604049 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Mendes A Tags: Br J Community Nurs Source Type: research

Celecoxib for osteoarthritis.
PMID: 31604050 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Rowan-Robinson K Tags: Br J Community Nurs Source Type: research

Optimising medication.
PMID: 31604051 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: While A Tags: Br J Community Nurs Source Type: research

Challenges to concordance: theories that explain variations in patient responses.
This article presents a range of psychological theories that could explain the everyday challenges faced in care delivery. Awareness of these theories may help HPs target their approach to care delivery more effectively, to understand patient responses and, therefore, optimise the provision of person-centred care. PMID: 31604052 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Green J, Jester R Tags: Br J Community Nurs Source Type: research

Managing sickness absence and declared disabilities in a district nursing team.
This article aims to guide managers in caring for their staff properly and meeting service demand, a difficult balancing act. PMID: 31604053 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Duncan M Tags: Br J Community Nurs Source Type: research

Correspondence.
PMID: 31604054 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Napier J, Daly L, Gibson CE, Dewing J Tags: Br J Community Nurs Source Type: research

Death as the final phase of development.
PMID: 31604055 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Nyatanga B Tags: Br J Community Nurs Source Type: research

Ageism in nursing.
PMID: 31604056 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 2, 2019 Category: Nursing Authors: Finch J Tags: Br J Community Nurs Source Type: research

Use of Haddenham Venex armsleeve for lymphoedema management in clinical practice.
This article examines how, following recent improvements to the comfort and overall fit of the Haddenham Venex lymphoedema sleeve, patient feedback informed the implementation of further modifications, and how gaining feedback from patients has empowered them to manage and monitor their own condition. By taking ownership for their own care, long-term control of the condition is improved and self-management is enhanced. PMID: 31604035 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 1, 2019 Category: Nursing Authors: Everett J, Lawrance S Tags: Br J Community Nurs Source Type: research

ReadyWrap ®: case studies in practice.
ReadyWrap®: case studies in practice. Br J Community Nurs. 2019 Oct 01;24(Sup10):S24-S31 Authors: Schofield A Abstract The cost that chronic wound care imposes on both patients and health services worldwide is well recognised. Most patients with venous leg ulcers require compression therapy over the long term, for both treatment as well as to prevent recurrence of these wounds. Caring for patients with chronic wounds makes up a large part of the workload for district and community nurses, and encouraging self-management among patients is a worthwhile effort to limit the costs and resources directe...
Source: British Journal of Community Nursing - October 1, 2019 Category: Nursing Authors: Schofield A Tags: Br J Community Nurs Source Type: research

British Lymphology Society update.
PMID: 31604037 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 1, 2019 Category: Nursing Authors: Sneddon M Tags: Br J Community Nurs Source Type: research

The LSN puts its best foot forward.
PMID: 31604038 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 1, 2019 Category: Nursing Authors: Friett K Tags: Br J Community Nurs Source Type: research

Are you handling genital oedema confidently?
This article describes the authors' experiences in managing genital oedema. It also briefly discusses a new international project that seeks to identify the knowledge and training that health professionals need to manage this condition more confidently. PMID: 31604039 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 1, 2019 Category: Nursing Authors: Noble-Jones R, Thomas MJ, Davies L, Morgan K Tags: Br J Community Nurs Source Type: research

Chronic Oedema: Obesity-related lymphoedema.
PMID: 31604040 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - October 1, 2019 Category: Nursing Authors: Todd M Tags: Br J Community Nurs Source Type: research

Critical examination of skin care self-management in lymphoedema.
This article critically examines self-management in lymphoedema focusing on skin care. Patients may initially demonstrate enthusiasm to undertake the required skin care independently. However, psychosocial factors, such as financial burden and physical restraints, can affect motivation and behaviours over time. A patient's knowledge of the importance of skin care self-management should not be limited to the initial assessment, but should be continually assessed throughout their lymphoedema journey. The ongoing provision of patient-centred care may have psychological and behavioural benefits and help optimise skin care self...
Source: British Journal of Community Nursing - October 1, 2019 Category: Nursing Authors: Jones A, Woods M, Malhotra K Tags: Br J Community Nurs Source Type: research

Interface pressures with compression systems: relevance to clinical practice.
Abstract Interface pressures with compression depend on many factors relating to the science of measurement and intrinsic, patient-related factors, including limb size and tissue texture. While it is important for manufacturers of compression devices to measure pressures, it may not always be relevant to clinical practice where application methods and oedematous limbs may affect final pressures. Accurate performance of any compression system relies on the use of the right technology for the right condition and patient lifestyle. Correct application following training and in accordance with instructions for use may...
Source: British Journal of Community Nursing - October 1, 2019 Category: Nursing Authors: Muldoon J Tags: Br J Community Nurs Source Type: research

The use of WhatsApp in district nursing practice.
PMID: 31495206 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Murphy K Tags: Br J Community Nurs Source Type: research

Getting the best out of staff in a district nursing team: nurturing resilience.
Abstract District nursing (DN) teams deliver high-quality, complex care under extremely difficult circumstances. DN team resilience depends on the balance between capacity (funding and staff availability) and demand (workload and both clinical and quality standards). The caseload is where capacity and demand meet. Resilience in teams is stretched to the limits and often breached, despite which district nurses remain positive about their role. The overwhelming issue appears to be high workload exacerbated by staff shortages and increasing referrals to DN services. The time is rapidly approaching when district nurse...
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Duncan M Tags: Br J Community Nurs Source Type: research

Caring as a source of death anxiety in palliative care.
PMID: 31495208 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Nyatanga B Tags: Br J Community Nurs Source Type: research

Potential of emotional freedom techniques to improve mood and quality of life in older adults.
Abstract Emotional freedom techniques (EFTs) are an innovative combined somatic and cognitive therapy. Derived from key principles within traditional Chinese medicine, they incorporate elements of exposure, cognitive and other conventional psychotherapies. Increasing evidence suggests that EFTs are effective in treating various physical and psychological conditions and across several population groups. Studies indicate that the somatic component is essential to its ease of use, rapid effect and durability of results. EFTs can be used as self-help tools or applied therapeutically in groups or individually. There is...
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Harbottle L Tags: Br J Community Nurs Source Type: research

Autonomy in district and community nursing.
PMID: 31495210 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Finch J Tags: Br J Community Nurs Source Type: research

Raising the bar in asthma management.
PMID: 31495211 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Mendes A Tags: Br J Community Nurs Source Type: research

Blocked urinary catheters: what can nurses do to improve management?
PMID: 31495212 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Holroyd S Tags: Br J Community Nurs Source Type: research

Peristomal skin care considerations for community nurses.
PMID: 31495213 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Burch J Tags: Br J Community Nurs Source Type: research

Pituitary conditions: importance of geography and the Pituitary Foundation in patient support.
This study aimed to explore the support needs and experiences of patients with pituitary conditions in the community. Ten self-selected members of the Pituitary Foundation were interviewed about their conditions, needs and experiences. Data were analysed using thematic analysis. Secondary thematic analysis was conducted on data from a sample of 748 members of the Pituitary Foundation. Four themes were revealed, under one over-arching theme of geography: (1) life-changing diagnosis, (2) the Foundation as a source of support, (3) access to the Foundation and (4) attendance at support groups. On the basis of the findings of t...
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Underwood A, Norman A, Jackson S Tags: Br J Community Nurs Source Type: research

Reset for health creation.
PMID: 31495215 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: While A Tags: Br J Community Nurs Source Type: research

Celebrating the contribution of foreign staff in the NHS.
PMID: 31495216 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Kelly L Tags: Br J Community Nurs Source Type: research

Benefits of nurse-led continence prescription services for effective stock management and streamlined prescribing.
Abstract The UK has an ageing population, and with continence-related issues expected to rise, there will be increasing demands for specialist input within nurse-led continence prescription services. Continence nurse specialists can apply expert product knowledge to ensure patients are prescribed bladder and bowel appliances that are of high quality, the most appropriate product for the patient and also cost effective. The management of catheter drainage and fixation supplies can be challenging, particularly for services managing caseloads of multiple patients living with catheters. Ugo 4 Weeks has been created to...
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Kumah C, McGlashan D Tags: Br J Community Nurs Source Type: research

Supportive periodontal therapy for maintaining dentition in adults treated for periodontitis.
PMID: 31495218 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 2, 2019 Category: Nursing Authors: Pich J Tags: Br J Community Nurs Source Type: research

Wound assessment.
PMID: 31479330 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 1, 2019 Category: Nursing Authors: Young S Tags: Br J Community Nurs Source Type: research

Embedding National Institute for Health and Care Excellence guidance into a leg ulcer pathway.
Abstract Research has shown that leg ulcers represent the largest category of wound type treated within the UK. Venous leg ulcers are often classified as chronic wounds with increased protease levels causing the wound to become suspended in the inflammatory stage, which leads to delayed healing. If treatment choices are not evidence-based and appropriate regimens are not instigated early on in the wound care journey, the cost to both the patient and the healthcare service is substantial. Recent guidance from the National Institute of Health and Care Excellence (NICE) recommends UrgoStart (Urgo Medical) for treatin...
Source: British Journal of Community Nursing - September 1, 2019 Category: Nursing Authors: Mullings J Tags: Br J Community Nurs Source Type: research

My experience with Leg Clubs and the Lindsay Leg Club Foundation.
PMID: 31479332 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 1, 2019 Category: Nursing Authors: Hampton S Tags: Br J Community Nurs Source Type: research

What is special about veteran wound care?
PMID: 31479333 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 1, 2019 Category: Nursing Authors: Masker R Tags: Br J Community Nurs Source Type: research

Holistic management of malignant wounds in palliative patients.
This article discusses the holistic management of malignant wounds, with an emphasis on the control of both physical and psychosocial symptoms of wound management, as well as the impact that this may have on all those involved. Common physical symptoms of malignant wounds include malodour, bleeding, pain, exudate and pruritis. Psychosocial symptoms may result in social isolation and depression. All these symptoms have a huge impact, not only on patients and their families, but also on healthcare professionals both during and after care. Managing these symptoms requires a multidisciplinary approach to facilitate the best po...
Source: British Journal of Community Nursing - September 1, 2019 Category: Nursing Authors: Cornish L Tags: Br J Community Nurs Source Type: research

Skin tears: prevention and management.
Abstract Skin tears commonly occur at the extremes of age and are associated with skin changes in ageing skin. They are considered to be acute wounds caused by mechanical forces, such as blunt trauma. While the true prevalence and incidence of skin tears is unknown, the available evidence suggests that these wounds occur in all healthcare settings. Importantly, skin tears are preventable with the implementation of a risk-reduction programme, which includes twice-daily skin moisturisation. Where these injuries do occur, it is important to categorise the extent of damage as well as to choose the most appropriate dre...
Source: British Journal of Community Nursing - September 1, 2019 Category: Nursing Authors: LeBlanc K, Langemo D, Woo K, Campos HMH, Santos V, Holloway S Tags: Br J Community Nurs Source Type: research

Chronic wounds: the challenges of appropriate management.
This article discusses chronic wound management based on the TIME framework, examining the aspects to be considered when managing chronic wounds. It also describes the process of dressing selection for overcoming the various barriers to wound healing, specifically discussing the AQUACEL family of dressings. PMID: 31479336 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 1, 2019 Category: Nursing Authors: Atkin L Tags: Br J Community Nurs Source Type: research

The Lindsay Leg Club Foundation gives members the opportunity to make choices.
PMID: 31479337 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - September 1, 2019 Category: Nursing Authors: Bailey A Tags: Br J Community Nurs Source Type: research

Managing chronic, nonhealing wounds stalled in the inflammatory phase: a case series using a novel matrix therapy, CACIPLIQ20.
Abstract One of the biggest challenges faced by healthcare providers is the treatment of chronic, non-healing wounds. This paper reports for the first time in the UK the results of five case studies in which a novel regenerating matrix-based therapy, CACIPLIQ20, was used. CACIPLIQ20 is a heparan sulphate mimetic designed to replace the destroyed heparan sulphate in the extracellular matrix of wound cells. All five patients in this case series had chronic, non-healing ulcers that had not improved with conventional care. Treatment included two applications of CACIPLIQ20 per week, for a maximum of 12 weeks. Three of ...
Source: British Journal of Community Nursing - September 1, 2019 Category: Nursing Authors: Irving S Tags: Br J Community Nurs Source Type: research

Enacting evidence-based practice: pathways for community nurses.
This study aimed to explore community nurses' experiences of implementing change in their practice. Qualitative semi-structured interviews (n=9) and focus groups (n=2) with community nurses (n=17) were conducted. Three pathways to introduce change in practice were identified by participants: bottom-up, top-down and collaborative pathways. These are based on the nature of the proposed change, the available evidence, 'buy in' from colleagues and issues around implementation. The findings identify approaches to implementing change in community nursing practice. Practitioners would benefit from support to navigate the complex ...
Source: British Journal of Community Nursing - August 2, 2019 Category: Nursing Authors: Teodorowski P, Cable C, Kilburn S, Kennedy C Tags: Br J Community Nurs Source Type: research

Constipation in community-dwelling adults with intellectual disability.
Abstract Individuals with intellectual disability can experience multifaceted physical, psychological, emotional health and wellbeing problems. Chronic constipation is one of the major health problems for this cohort of the population; it is linked with distress, discomfort, pain, faecal incontinence, anxiety, behavioural difficulties and severe gastrointestinal complications. A continence assessment process for constipation ensures that planning, implementation and evaluation strategies provide quality health outcomes for individuals and their families. Proactive treatment interventions range from increasing flui...
Source: British Journal of Community Nursing - August 2, 2019 Category: Nursing Authors: Kelly AM Tags: Br J Community Nurs Source Type: research

Medication-related pruritis in older adults with long-term conditions.
PMID: 31369306 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - August 2, 2019 Category: Nursing Authors: Peters J Tags: Br J Community Nurs Source Type: research

The Sheffield Caseload Classification Tool: testing its inter-rater reliability.
Abstract Community nursing caseloads are vast, with differing complexities. The Sheffield Caseload Classification Tool (SCCT) was co-produced with community nurses and nurse managers to help assign patients on a community caseload according to nursing need and complexity of care. The tool comprises 12 packages of care and three complexities. The present study aimed to test the inter-rater reliability of the tool. This was a table top validation exercise conducted in one city in South Yorkshire. A purposive sample of six community nurses assessed 69 case studies using the tool and assigned a package of care and com...
Source: British Journal of Community Nursing - August 2, 2019 Category: Nursing Authors: Chapman H, Matthews R, Farndon L, Stephenson J, Fowler-Davis S Tags: Br J Community Nurs Source Type: research

What the SPQDN taught me.
PMID: 31369308 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - August 2, 2019 Category: Nursing Authors: Clutterbuck T Tags: Br J Community Nurs Source Type: research

Recognition and assessment of dementia in primary care.
Abstract The majority of patients are diagnosed within a memory assessment service or a neurology clinic. However, early detection of a possible dementia is often done in a primary care setting. Dementia diagnosis has been seen by some as a 'tick-box exercise' but there are significant benefits to patients and their families when screening or testing for dementia is carried out early, especially in supporting the patients management of other comorbid or long-term conditions. Community nurses have a key role in identifying patients who may have the signs and symptoms of dementia by enabling them to access a timely ...
Source: British Journal of Community Nursing - August 2, 2019 Category: Nursing Authors: Dening KH Tags: Br J Community Nurs Source Type: research