The challenge of providing safe and effective care closer to home for patients requiring ,intravenous (IV) therapy but who are not housebound can be achieved by developing community clinics. However, it is imperative that governance procedures are in place to protect the patient and the organisation. It is also recommended that medicine management is effective, infection control processes are reliable, and clinical audit is performed. Community nurses have a wealth of knowledge and experience which can be used to deliver the government's promise of community care, provide patients with a choice of where to receive their care and deliver effective treatment in an ever-changing NHS.
Nina Turner, explains what her background in community practice is and what her typical days is like.
I work as the clinical manager of Rochester Prison within Oxleas NHS Foundation Trust with a fantastic caring team. I am a very proud prison nurse. Prison nursing is challenging and can be a difficult role, however, if you can work past this it is a very rewarding place to be...
In each issue of the Journal of Community Nursing we investigate a hot topic Jason Beckford-Ball looks at the impact or proposed cuts to nursing student funding and asks the question....
Will cutting student bursaries choke the supply of new nurses?
The most significant change to nurses’ regulation in a generation was confirmed at the end of October — England, Scotland and Wales are ready for the implementation of NMC revalidation for nurses and midwives from April, 2016.
Independent Age is a charity that provides an established voice for older people, the greatest users of the NHS. As we continue to live longer, putting more strain on services, we all need to prepare for what might be an uncertain future. As more people live for longer with chronic conditions, they will need support, much of it being required in the home.
The QNI has recently published two major pieces of work aimed at consolidating the academic and practice profile of district nurses. The district nursing profession has developed rapidly in recent years to keep pace with the growing complexity and acuity of care delivered in the home, and there was a growing fear that the supporting documentation had not kept pace.
How exactly do you convey to students the difficulty of dealing with patients in their own homes? Here, Cathy Greaves, district and Queen’s Nurse, explains how simulated learning helped her students...
Compression therapy — and compression hosiery in particular — are well-documented therapies for people with lower limb disorders. However, choosing the correct product for patients can be difficult. Here, Rebecca Elwell, Macmillan lymphoedema clinical nurse specialist, Royal Stoke University Hospital, examines the growth of technology in the choice of compression products and asks whether digital selection can contribute to best practice.
Moisture-associated skin damage (MASD) results from an extended period of exposure to various types of moisture, commonly urine or faeces, sweat, and wound exudate1. It can result in extensive skin breakdown through erythema, maceration and eventually moisture lesions, with the most common presentations being incontinenceassociated dermatitis (IAD), intertriginous dermatitis, periwound moisture-associated dermatitis, and peristomal moisture-associated dermatitis1. MASD is not caused by moisture alone — other factors including friction, hygiene products, or microorganisms are usually involved1. MASD can be painful and effect the patient’s quality of life2, potentially resulting in moisture lesions if not properly managed.
