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Clinical
nurse specialists: adding value to
care
An executive summary
Nurses are the largest component
of the NHS workforce and frequently
the subject of significant change
and challenge in terms of their
role. Recent world-wide economic
events have forced service planners
and commissioners to look carefully
at the contribution nurses make
delivering high quality, effective
and person-centred care. Of all the
developments in nursing, the role of
the specialist nurse has been one of
the most exciting, but also one of
the least understood and valued. The
Royal College of Nursing (RCN) has
made securing a sustainable future
for specialist nurses a major goal
of its strategic campaigning around
national parliamentary elections and
when influencing comprehensive
spending reviews for health and
social care funding (RCN, 2010).
To download report -
click here |
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Mixing of medicines prior to
administration in clinical practice
— responding to legislative changes
''...medicines legislation was
amended to now enable doctors and
dentists to direct others to mix.
In
addition, nurse, midwife and
pharmacist Independent Prescribers
can now mix medicines themselves and
direct others to mix for the purpose
of administration to an individual
patient....'' -
click here to download
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DH Perceptorship Framework 2010
The period of time following
registration as a health care
professional, can be a challenging
time.
We all know that good support and
guidance during this period is
essential. Newly registered
practitioners who manage the
transition successfully are able to
provide effective care more quickly,
feel better about their role and are
more likely to remain within the
profession -
click here
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The Hospital Management of
Hypoglycaemia in Adults with
Diabetes Mellitus:
This guideline is for the management
of hypoglycaemia in adults (aged 16
years or older)
with diabetes mellitus within the
hospital setting. See page 15 for
Enteral feeding.
To download -
click here |
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Oral feeding difficulties and
dilemmas: A guide to practical care,
particularly towards the end of life
This is the central message from a
Working Party report published today
by the Royal College of
Physicians in conjunction with
the British Society of
Gastroenterology. It has
been prepared in response to
continuing unease about the lack of
consensus, including among doctors,
about when artificial nutrition and
hydration is appropriate.
To purchase the full report go to
the RCP website
Addendum available -
click here
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High Impact Interventions for
Nursing and Midwifery published
Nurses and midwives care
passionately about improving the
care they provide to their patients.
Proof of that ambition was
demonstrated when nurses and
midwives posted 600 submissions on
the High Impact Actions web site in
just three weeks.
A large group of experienced nurses
and midwives have identified the
eight high impact actions that are
outlined in this document from the
website submissions.
To download the document
click here
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Planning Care -
The Patients’ Perspective
This nationwide survey was jointly
commissioned ...as one of the first
moves to discover what patients and
their representative organisations
understand and think about the
government care-plan initiative.
Care plans are a form of
patient-friendly 'roadmap' that
records the treatment and social
support that a person with a
long-term illness needs.
Care plans have three main aims:
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to improve efficiency and
coordination among health and
social services;
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to improve the patient
experience of these services;
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and to improve patients' health
outcomes
To download this document
click here
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Social Care TV channel accessible
via the internet launched
today at the main ADASS
conference at Harrogate – and one of
the first topics to be covered for
social care workers is on addressing
malnutrition in community and care –
and ‘MUST’ is used as the screening
tool in care homes.
Friend of BAPEN and ex member of
GNASH Sue Hawkins also stars as does
one of the care homes in Dorset for
which she has responsibility – we
have recently learnt that Sue is
implementing training on MUST
throughout all the County’s care
settings and is taking part in
NSW10.
Watch the channel now. Paste this
address into your address bar;
http://www.scie.org.uk/socialcaretv/video-player.asp?guid=3e55885f-2190-4d6e-8c15-090cf5c7e68e
For press release
click here
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Professionals Share
their Knowledge and Practical
Experiences to Support The
Appropriate Use of Oral Nutritional
Supplements (ONS) in Older People
A new document has
been launched to assist healthcare
professionals involved in the
management of malnutrition in
hospital and community settings.
The document has been reviewed and
endorsed by the National Nurses
Nutrition Group (NNNG) and
others.mmary of clinical evidence
and guidelines on the use of ONS in
older people nutritional risk
Free copies can be
obtained by downloading a copy from
the Nutricia website -
www.nutricia.co.uk
For press release click here |
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Interesting NT article re Syringe
pressures
This link is to a NT article which
looked at pressures generated by
different syringes sizes and gives
fairly good evidence to suggest that
current best practice (use a large
syringe) is in fact not supported by
the evidence. Although the trial is
small it is of interest to those of
us using syringes with feeding tubes
Links\National Correspondence\Nasogastric
tube feeding - which syringe size
produces lower pressure and is
safest to use Practice
Nursing Times.htm |
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The Social Market Foundation
Health Project Final Report
FROM FEAST TO FAMINE; Reforming the
NHS for an age of austerity
'The
question, then, must be how to
ration while safeguarding key
principles of equity and
universalism, and maintaining a high
quality service. What is needed is a
mechanism to encourage people to
ration themselves: a limited demand
management tool that is consistent
with protecting the quality of the
NHS and ensuring continued
middle-class buy in...' -
click here |
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Shaping the Future of Care
Together
A new vision for care and support
This Green Paper sets out a
vision for a new care and support
system. As we all know, more and
more of us are living longer which
is a good thing, but more of us will
also live with needs for care and
support. The current care and
support system was designed in the
1940s and we need to develop a
system that fits our needs in the
21st century. We need a system that
is fairer, simpler and more
affordable for everyone. To build
this, we will need to make some big
decisions and reach agreement across
society on the right way forward for
England. So, this is the beginning
of a Big Care Debate -
click here
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NSCG |
National Specialised Commissioning
Group
3rd
edition Specialised Services
National Definitions Set are due to
be published. Definition Set 12 -
2nd Edition (presently in use) is
available at
http://www.nscg.nhs.uk/ssnds.htm
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IBD
Quality Care -
Service standards for the healthcare
of people who have Inflammatory
Bowel Disease (IBD) -
click here
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Nutrition Factsheets published
The NPSA and RCN have joined
together to provide three essential
factsheets for nutrition. To review
or download click the following
No.1 -
Food service and safe delivery of
nutritional care
No.2 -
Implementing protected mealtimes
No.3 -
MDT approach to nutritional care
No 4 -
Organisations accountable for food
and hydration
No 5 -
Screening for malnutrition
No 6 -
Facilities working for patients /
clients
No 7 -
Personalising nutrition care plans
You can see example materials
below, developed by 'Focus on Food'
at Durham and Darlington Nutrition
and Dietetic Service:
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The GMC have issued new guidelines
on consent;
Consent: patients and
doctors making decisions together
for doctors. To download this
document
click here |
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BAPEN
Nutrition Screening Week
To download a copy of BAPEN
Nutrition screening week 07 report -
Click here |
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Nutrition Summit
Improving Nutritional Care launched
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download here |
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Palliative Care Nutrition Guidance
The National Council for Palliative
Care: Artificial Nutrition and
Hydration, guidance in end of life
care for adults. May 2007 Cost
£8.00 from their website
www.ncpc.org.uk |
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RCN Water Toolkit
The RCN have launched this pack to
try to address poor hydration in
hospital and care arenas. To view
pack
click here |
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Mencap's report highlights that
learning disability patients are
being nutritionally neglected
Read the new report - Death by
Indifference
click here
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Council of Europe Resolution Food
and Nutritional Care In Hospitals
For
information and a two page précis
click the link below
http://www.hospitalcaterers.org/publications/downloads/coe_poster.pdf |
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Protected Mealtimes
The NPSA have launched their
Protected Mealtimes review
identifying barrier to implementing
this initiative. For further
information please click the
following;
http://www.npsa.nhs.uk/health/currentprojects/nutrition/nutrition |
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Nutrition Now
RCN campaign
to push forward nutrition for all
patients - check out
their
website |
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Oral Liquid Medicines
For
advice posters and alerts please
click the following
http://www.npsa.nhs.uk/web/search?resultsPerPage=10&searchText=liquid |
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Age Concern release -
Hungry
to be heard |
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BPNG
Handbook of Drug Administration via Enteral
Feeding Tubes
published with chapters from the NNNG
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BSG Guidelines on Complications of GI Endoscopy (including PEGs)
/ Management of Short Bowel |
