Past Issues: Vol 2 Issue 1 - Spring 2012

Clinical review

The importance of recognising depression following a stroke

Published: 2012 Vol: 2 No: 1
Author(s):
Helen Brewerton
Stroke is the third most common cause of death in the UK and the single most common cause of disability. Depression following a stroke occurs in approximately one-third of stroke sufferers. It is a distressing symptom and has been found to have a significant effect on post-stroke morbidity and mortality. Various opinions exist regarding the causes of post-stroke depression (PSD), i.e. that it...
Nursing case review

Assessment of a breathless patient in end-stage heart failure in A&E

Published: 2012 Vol: 2 No: 1
Author(s):
Marie Ranson
Breathlessness is a common reason for the hospitalisation of people with chronic heart failure (CHF). It is a distressing symptom for both patients and their informal carers. Breathlessness in CHF derives from physical, psychological, social, spiritual and environmental factors. Optimal management of breathlessness in CHF requires both pharmacological and non-pharmacological interventions. This...
Clinical skills

Communication Vignettes: Telling a child that her dad is dying

Published: 2012 Vol: 2 No: 1
Author(s):
Vicky Robinson and Nathalie Asmall
Traditionally, palliative care emergencies are associated with physical, often reversible, clinical signs (e.g. spinal cord compression and hypercalcaemia). However, palliative care practitioners can sometimes find themselves in a situation where there is an urgent need to communicate with a family member or friend of a terminally ill patient (Pickering and George, 2007). Nurses working in...
Personal narrative

A palliative holistic approach to MND using music therapy

Published: 2012 Vol: 2 No: 1
Author(s):
Dr Helen Mackinnon, Elizabeth (Liz) Upham
This article details the role of music therapy (MT) in the palliative care of a 66-year-old woman (Liz) living with severe disabilities caused by motor neurone disease. It forms part of a small but growing body of case-related evidence designed to support the use of MT in palliative care. It describes how music gave Liz a renewed sense of meaning, purpose, control and usefulness that she...
Legal discussions

Case law on artificial nutrition and hydration since Bland

Published: 2012 Vol: 2 No: 1
Author(s):
Dr Martin JR Curtice
The legal basis and principles for the lawful withdrawal of artificial nutrition and hydration (ANH) from people in a persistent vegetative state (now termed permanent vegetative state), was laid out in the case of Anthony Bland, who sustained catastrophic and irreversible brain damage as a result of being crushed during the Hillsborough stadium disaster in 1989. Anthony Bland was medically...
National end of life care programme update

Achieving quality end-of-life care in the acute hospital setting: the new 'How to' guide

Published: 2012 Vol: 2 No: 1
Author(s):
Anita Hayes
Introduction Since the publication of the national End of Life Care Strategy (Department of Health, 2008), a number of initiatives, tools and publications have been produced to support improvement in end-of-life care service provision. In 2010, the National End of Life Care Programme (NEoLCP) published The Route to Success in End of Life Care: Achieving Quality in Acute Hospitals to raise...
National end of life care programme update

Achieving quality end-of-life care within the prison population: new guidance

Published: 2012 Vol: 2 No: 1
Author(s):
Anita Hayes, Tes Smith
Introduction Over 85,000 people are currently being held in prisons across England and Wales (Ministry of Justice, 2011; Berman, 2012), and this figure is expected to rise to nearly approximately 95,000 by 2017 (Ministry of Justice, 2011). The number of older prisoners is therefore expected to increase and predictions indicate that this will lead to more deaths from natural causes in prisons...

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