On this site you will find:

CURRICULUM - Clinically rich, case-based, self-assessment CPD modules to help you prepare for revalidation. Click on the scrolling icons or select a module from the drop down menu to test your knowledge

ESSENTIALS - back-to-basics, full text articles, by clinical topic from our Primary Care Essentials series

PRESCRIBING NURSE - written for the nurse prescriber or those with an interest in prescribing and the medical management of clinical conditions

ADVANCED PRACTICE - Expert articles providing in depth knowledge of key therapeutic areas

CLINICAL A-Z - Information, definitions, Red Flags, live links to guidelines and relevant Practice Nurse articles

GUIDELINES IN A NUTSHELL - Brief summaries of essential clinical and practice guidelines

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Triple therapy in asthma - why and when you should use it

Most general practice nurses will be familiar with the use of triple therapy in patients with COPD, but less so in patients with asthma. However, this approach has its merits, not least as an alternative to increasing the dose of inhaled corticosteroids
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Chronic obstructive pulmonary disease in over 16s: diagnosis and management

New evidence has emerged and practice has changed in a number of areas since 2010, when the last version of the guideline was published. This evidence and the changes in how care is delivered may have a significant impact on people with COPD
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• Number of diagnostic tests rises threefold in 15 years
• Five-year plan to improve lung health
• Night shifts and unhealthy lifestyle more than double risk of type 2 diabetes
• NHS to offer radical weight loss programme to patients with type 2 diabetes
• Uptake of cervical screening drops for 4th year
• COPD patients believe they would ‘get better care if they had a different disease’
• Respiratory death rates higher in UK
• Wider choices of contraception needed
• Vapers less likely to relapse to smoking
• Progress on public health ‘stalled’

Diabetic ketoacidosis

This resource explains how a drug safety alert helped to identify the cause of a presentation of tiredness, thirst and feeling unwell in a patient with type 2 diabetes and other conditions. Learning points for GPs and nurses include signs and symptoms of diabetic ketoacidosis (DKA) and advice to give patients on SGLT2 inhibitor therapy.

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• Self care: could it help ease pressures in general practice?
• Triple therapy in asthma - why and when you should use it
• QOF: Past headline its sell-by date but lingering
• A few stocking fillers - full of resources!
• Ethical healthcare: is it under threat?
• Chronic obstructive pulmonary disease in over 16s: diagnosis and management

15 Nov 2018

New guideline transforms approach to therapy in T2D Drug interactions with Complementary and Alternative Medicine Cervical screening – giving patients more choice Removing the stigma around HPV Travel health update Adherence: to what and for whom?

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17 Oct 2018

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

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13 Sep 2018

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 The NICE draft guideline on COPD: Turning the tide? Travel health update

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17 Aug 2018

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 Polypharmacy Guidance, Realistic Prescribing Gout: is there a role in management for the general practice nurse?

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