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Parastomal hernia and physical activity. Are patients getting the right advice?
This article draws on a large nationwide survey (2631 respondents) that investigated the physical health and wellbeing of people living with stomas in the UK. It specifically considers the findings relating to parastomal hernia (where additional loops of bowel protrude through the abdominal wall around the stoma, creating a bulge). In this survey, 26% of respondents reported that they had a medically diagnosed parastomal hernia, which is below average when compared with other estimates. The impact of parastomal hernia on physical activity levels was the most significant finding: 32% of those with a medically diagnosed hern...
Source: British Journal of Nursing - September 28, 2017 Category: Nursing Authors: Russell S Tags: Br J Nurs Source Type: research

Mitigating the damaging effects of tissue distortions by using a low-friction heel protector.
This article reports the finding of a small non-controlled evaluation over a 2-week period in three different care settings: a residential care home, an acute stroke unit and a community intermediate care hospital. At initial recruitment 30 patients were identified by clinical assessment as being at high risk of developing a heel pressure ulcer. Further inclusion criteria were identifying heels that had signs of pressure damage occurring, blanching and non-blanching erythema, blistering and category 2 ulceration. In all, 15 patients fully completed the evaluation over a 14-day period. The mean age was 86 years. The low-fri...
Source: British Journal of Nursing - June 27, 2018 Category: Nursing Authors: Schofield A Tags: Br J Nurs Source Type: research

Introducing an oral care assessment tool with advanced cleaning products into a high-risk clinical setting.
This study aimed to establish whether the use of a 24-hour oral care kit and an oral care assessment tool can meet the needs of patients on an acute stroke unit. In comparison with the same period the preceding year, the introduction of the oral care kit and assessment tool improved compliance with oral care by more than 4 times; the overall costs of antibiotics to treat NV-HAP patients fell by 79%, with the number of doses falling by 70%, and the mortality rate decreased from 27% to 20%. According to a survey of multidisciplinary team (MDT) members keeping oral care tools available at the point of use saved time, and the ...
Source: British Journal of Nursing - March 11, 2020 Category: Nursing Authors: Chick A, Wynne A Tags: Br J Nurs Source Type: research

Introducing an ANP-led temporal artery biopsy service for patients with suspected giant cell arteritis
This article discusses the introduction of an advanced nurse practitioner-led temporal artery biopsy service.PMID:33983820 | DOI:10.12968/bjon.2021.30.9.512
Source: British Journal of Nursing - May 13, 2021 Category: Nursing Authors: John Cooper Source Type: research

Chronic limb ischaemia: case study and clinical literature review
This article will discuss chronic limb ischaemia as the result of peripheral artery disease (PAD) using a case study. The patient's concurrent diagnosis of metastases meant clinical decision making was complex and treatment options were limited. PAD is the third most common clinical presentation of atherosclerosis after coronary artery disease and stroke. Although advances in radiological technology and biochemical screening offer the potential for earlier intervention and improved survival rates for patients with PAD, a review of the evidence suggests that commitment to more conservative approaches, such as exercise thera...
Source: British Journal of Nursing - July 21, 2021 Category: Nursing Authors: Liz Farrington Gerri Mortimore Source Type: research

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