With an ageing population and an evolving NHS, many services traditionally provided in the hospital setting are moving to the community. This article examines the development of a community nurse-led intravenous (IV) therapy service. The author explains the background to IV therapy, particularly in the field of antibiotic provision, the development of the nurse-led service and how the service transformed the experiences of patients, allowing them to access care closer to home and avoid unnecessary hospital visits. The author also provides a case study, which details the benefits of the nurse-led IV therapy service for an individual patient.
Wound care forms a major part of any community nurse’s workload and with more acute patients being discharged earlier from hospital, as well as an ever-growing case-load of long-term conditions, it is more important than ever that nurses are confident in assessing and care-planning effective wound care. As ever, accurate assessment of the patient and the wound is the starting point and will help nurses choose the most effective treatment, resulting in improved patient outcomes and reduced costs. Poor wound care can lead to delayed healing, increased infection and inappropriate use of wound dressings, all of which impact on patients’ quality of life. In this article, the author outlines five main steps to consider in providing evidence-based, effective wound care.
