Category: Community Nursing

Chronic obstructive pulmonary disease (COPD) is a common, preventable and incurable disease. The costs of caring for patients with COPD is estimated to be more than £800 million a year for acute hospital admissions alone (Department of Health, 2012). The hospital-at-home model is increasingly being adopted for COPD patients following British Thoracic Society (BTS) guidelines for the delivery of hospital admission-avoidance schemes (BTS, 2007). The aim of this case-note review was to evaluate the safety and effectiveness of a specialist nurse-led acute respiratory assessment service working with COPD patients in the community. The review recorded patient flow through the service and documented assessments and treatments. It was able to document potential benefits and cost savings.

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The State of Child Health report, published last month by the Royal College of Paediatrics and Child Health, warns that a lack of a national strategic focus on children and the persistent gap between rich and poor in the UK are damaging the health of the nation’s infants, children and young people.

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Demand for district nursing services is increasing significantly. With increasing economic pressures, services are struggling to meet increases in demand, and are looking to become more proactive in planning for future demand. Traditional quantitative forecasting methods have limited use, because of the complexity of inter-linking factors that potentially drive demand for community services. This article examines 7 key areas of concern that could be significantly contributing to demand for district nursing services. It outlines identified problem areas and discusses potential recommendations.

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The aim of this study was to determine the effect of a tailored home-based exercise program in community-dwelling older people with dementia. Conclusions: This trial of a tailored home-based exercise intervention presents preliminary evidence that this intervention can improve balance, concern about falls, and planned physical activity in community-dwelling older people with dementia.

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In 2015, an RCN survey of more than 1,300 nurses working in community-based roles found that 48% had been subjected to some form of abuse in the previous 2 years.

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