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The aged skin and skin tears

Over time the skin structure degenerates, leaving it more vulnerable to skin tears. Knowing how to minimise the risk of skin tears and how to manage them effectively are key skills for the practice nurse with wound care responsibilities
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Decision-making and mental capacity

A new NICE guideline aims to help practitioners to implement the principles of the Mental Capacity Act and to improve the quality of the decision-making support they provide. It applies to a range of decisions, including care, support and treatment, financial matters and day-to-day living, but recognises that practitioners may need to provide rapid assistance in emergencies
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• Group appointments win favour with GPs and patients
• Share stocks of aTIV so vaccine goes round
• Check use of alternative medicines before prescribing
• Latest figures show drop in uptake of all but one childhood immunisations
• CQC chief inspector appointed to lead NMC
• Double first for our travel columnist
• Scottish Government blocks aTIV for under-75s
• RCN to launch ‘Best Practice’ guideline for childhood immunisations
• Older patients over-tested for thyroid problems
• Question marks over practice pharmacy scheme

Managing urinary tract infections

Urinary tract infections (UTIs) account for 1–3% of all general practice consultations every year, and are the second most common clinical indication for empirical antimicrobial treatment. In a bid to overcome antimicrobial resistance, current advice is that in patients with only one or two mild symptoms, issuing self care advice, analgesia and a delayed antibiotic prescription may be appropriate.

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• Multimorbidity: implications for general practice nurses
• The aged skin and skin tears
• Managing type 2 diabetes – beyond glycaemic control
• Supporting people with multiple sclerosis
• Travel health update
• Decision-making and mental capacity

13 Sep 2018

The NICE draft guideline on COPD: Turning the tide? Travel health update New guidance aims to boost uptake of seasonal flu vaccination Understanding cardiac arrhythmias Exploring career opportunities in general practice nursing Prescribing lipid-lowering drugs Pharmacological management of migraine

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17 Aug 2018

Polypharmacy Guidance, Realistic Prescribing Gout: is there a role in management for the general practice nurse? Essential tremor Be seen, be heard, be brave: nurse leadership Travel health update Seasonal flu campaign grows in complexity The art of the sexual healthcare consultation

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11 Jul 2018

Heavy menstrual bleeding ’Real world’ study confirms lower bleeding risk with DOACS Reviewing patients with epilepsy: a role for the practice nurse? Healing wounds: where can it go wrong? Hearing loss in adults: assessment and management Boosting uptake of cervical screening Travel health update When guidelines collide - Part two: Asthma treatment Patients’ requests for antibiotics - how to manage expectations

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13 Jun 2018

Managing type 2 diabetes in elderly patients: new recommendations Global strategy for asthma management and prevention (2018 update) You too can be a digital practice nurse champion When guidelines collide – part one: Asthma diagnosis Travel health update  Understanding heart failure

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