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Practical procedures Interpretation/Assessment Chest ...
place the chest piece of the stethoscope flat on the patient’s chest using gentle pressure. 11. Using a ‘stepladder’ approach (Fig 4a) listen to breath sounds on the anterior chest. This technique allows you to com-pare one side of the chest with the other PETER LAMB in a systematic manner and detect any asymmetry. The stethoscope should ...
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Communication skills 1: benefits of effective ...
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 –
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.
How to prevent, identify and treat phlebitis in patients ...
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
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.
Communication skills 3: Non-verbal communication
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
Skin 1: the structure and functions of the skin
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
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.comThe importance of assessing pain in adults Phrases like “my head feels like it’s in a vice” can help nurses get a sense of pain severity PArT 3 of 3: PAiN mANAgemeNT ... explanation for the pain? Some forms of chronic pain appear to have no obvious pathological cause, yet the pain is very real. This pain can be triggered by a
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cdn.ps.emap.combranches. The ends of long bones are sup-plied by the metaphyseal and epiphyseal arteries, which arise from the arteries from the associated joint (Bartl and Bartl, 2017). If the blood supply to bone is disrupted, it can result in the death of bone tissue (osteonecrosis). A common example is fol-lowing a fracture to the femoral neck,
Workplace conflict: why it happens and how to manage it
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