How to assess epidural blockade - EMAP
fentanyl or diamorphine) in low doses infused directly into the epidural space has the potential to provide analgesia without the increased incidence of adverse effects often seen with higher doses of each agent administered alone (Melzack and Wall, 2003). Epidural analgesia allows these agents to be injected close to the
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The evolution of advanced nursing practice: past, present ...
cdn.ps.emap.comnursing practice Depending on how ‘advanced’ is defined, the roots of advanced nursing practice can be traced back over a century. For many, its development in the UK was pioneered by Barbara Stilwell, who led the establishment of the first advanced nursing practice course in 1990 at the Royal College of Nursing Insti - tute.
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cdn.ps.emap.comCode (NMC, 2015) identifies non-verbal communication as a tool, stating that nurses should: “use a range of verbal and non-verbal communication methods, and consider cultural sensitivities, to better understand and respond to people’s per-sonal and health needs.” Verbal communication Verbal communication includes what we
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cdn.ps.emap.comreviews its structure and functions. Structure of the skin The skin is divided into several layers, as shown in Fig 1. The epidermis is composed mainly of keratinocytes. Beneath the epi-dermis is the basement membrane (also known as the dermo-epidermal junction); this narrow, multilayered structure anchors the epidermis to the dermis. The
Debrief and post-incident support: views of staff ...
cdn.ps.emap.com(NHS Improvement, 2017; Holmes et al, 2012), both to support their learning (Dis-mukes et al, 2006) and improve their understanding of patients’ perspective (Ilkiw-Lavalle and Grenyer, 2003). There still appears to be little in litera-ture, policy or guidance, on the benefits of involving carers in debrief or post-inci-dent support processes.
Nurses’ experiences of transitioning into advanced ...
cdn.ps.emap.comKeywords Career development/Role transition/Advanced nurse practitioner This article has been double-blind peer reviewed ... an ‘insider’ can enhance a study by allowing a greater understanding of the phenomenon being studied (Bonner and ... of confidence” and “loss of professional identity”, and identified six key areas for ...
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cdn.ps.emap.comCoping with anxiety It is natural to be nervous when having dif - ficult conversations with patients or their relatives. However, nervousness can have an adverse effect on communication, so you may forget to introduce yourself or maintain appropriate eye contact; or it may cause you to blush, stutter or frown –
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cdn.ps.emap.comsuffice for sliding scale insulin therapy. Chemical phlebitis Chemical phlebitis is caused by the drug or fluid being infused through the cannula. Factors such as pH and osmolarity of the substances have a significant effect on the incidence of phlebitis (Kohno et al, 2009) (Figs 2 and 3). box 2. UNiVeRsAl iNfeCTioN CoNTRol meAsURes Handwashing
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