Vari M Drennan, Claire Thurgate, Mary Halter, Lihua Wu, Erkan Alkan
{"title":"Distinctive features of district nursing in contrast to nursing in other settings: a discussion.","authors":"Vari M Drennan, Claire Thurgate, Mary Halter, Lihua Wu, Erkan Alkan","doi":"10.12968/bjcn.2024.0100","DOIUrl":"10.12968/bjcn.2024.0100","url":null,"abstract":"<p><p>Effective retention strategies are essential for the sustainability of district nursing services. To develop tailored retention strategies, the authors of this article examine what makes district nursing different compared to hospital and other care settings. Based on literature reviews and discussion groups, the authors identify five key characteristics of district nursing. This article invites expert district nurses to review these characteristics and provide feedback. By clearly identifying the distinctiveness of district nursing, the authors aim to strengthen retention strategies and explore other potential benefits for services.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 3","pages":"115-116"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Addressing the wound care crisis: the role of education, workforce challenges and the NHS framework.","authors":"Susan Martin","doi":"10.12968/bjcn.2025.0017","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0017","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup3","pages":"S5-S6"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Barriers to adapting to life with a stoma.","authors":"Jennie Burch","doi":"10.12968/bjcn.2025.0012","DOIUrl":"10.12968/bjcn.2025.0012","url":null,"abstract":"<p><p>Adapting to life with a stoma presents various challenges, including physical, social and psychological barriers. A lack of confidence, inadequate knowledge and concerns about appliance management can impact a person's ability to live comfortably with a stoma. Community nurses play a vital role in supporting individuals by providing education, guidance on stoma care and signposting to relevant resources. Ensuring the correct stoma appliance, addressing peristomal skin issues, and encouraging physical activity and dietary adjustments are key aspects of care. Social reintegration is equally important, as fear of leakage or stigma can lead to isolation. Community nurses can help patients gradually regain confidence in daily activities. Specialist input from stoma care nurses is valuable for complex cases. By offering reassurance and practical advice, community nurses can facilitate a smoother transition, empowering individuals to lead fulfilling lives post-stoma formation.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 3","pages":"132-134"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Looking back, moving forward: a reflection on the Leg Club community.","authors":"Ellie Lindsay","doi":"10.12968/bjcn.2025.0031","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0031","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup3","pages":"S36-S40"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk of sarcopenia among older adults and associated factors in daily life.","authors":"Anastasia Pana, Panayota Sourtzi, Athina Kalokairinou, Petros Galanis, Venetia Sofia Velonaki","doi":"10.12968/bjcn.2024.0105","DOIUrl":"10.12968/bjcn.2024.0105","url":null,"abstract":"<p><strong>Background: </strong>Sarcopenia-associated lifestyle factors are not fully recognised. Community nurses could identify such factors and promote intervention strategies, mitigating the risk of sarcopenia.</p><p><strong>Aims: </strong>To investigate the health indicators and lifestyle factors that have an impact on increased sarcopenia risk among older adults in the community.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with data collected using a structured questionnaire. The SARC-F questionnaire was used for the risk assessment of sarcopenia. The Barthel index, Fatigue Severity Scale, Visual Analogue Scale and Athens Insomnia Scale were used to assess functionality, fatigue and sleep. The duration of sleep was self-reported. Descriptive statistics and logistic regression were used for the data analysis.</p><p><strong>Findings: </strong>A total of 100 subjects (median age=72.50 years) were included in this pilot study. Among the participants, 19% were identified as being at risk for sarcopenia. Functionality, fatigue and sleep difficulties predicted the risk for sarcopenia.</p><p><strong>Conclusions: </strong>Community nurses could identify older adults at risk of sarcopenia by recognising the associated factors in everyday life.</p><p><strong>Implications for practice: </strong>Nurses in community settings could contribute to the prevention, early detection, slow progression or even potential reversal of sarcopenia by identifying, evaluating and addressing related factors to sarcopenia in the daily lives of community-dwelling older adults. Conducting routine screenings for muscle strength and function, promoting targeted exercise programmes and providing nutritional guidance to support muscle health can make a significant difference. Nurses and other healthcare professionals can collaborate to develop personalised intervention plans to provide comprehensive care to older adults for mobility and independence.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 3","pages":"136-144"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eduardo Tavares Gomes, Aline Borges Penna, Gisia Teodoro Braga, Ana Cristina Carioca, Carolina Rodrigues Renna, Ana Carolina Carvalho Rios
{"title":"Ultrasound evaluation of Kennedy terminal ulcer: case study.","authors":"Eduardo Tavares Gomes, Aline Borges Penna, Gisia Teodoro Braga, Ana Cristina Carioca, Carolina Rodrigues Renna, Ana Carolina Carvalho Rios","doi":"10.12968/bjcn.2024.0124","DOIUrl":"10.12968/bjcn.2024.0124","url":null,"abstract":"<p><strong>Background: </strong>Kennedy terminal ulcers (KTUs) are skin lesions that occur during the final stages of a person's life. Their incidence is mainly recorded in patients receiving oncological palliative care, with no reported incidence in cardiology patients. There are no records in the scientific literature of ultrasound evaluations of KTUs.</p><p><strong>Aims: </strong>To present a case report of an ultrasound evaluation of a KTU in a patient from a cardiology intensive care unit.</p><p><strong>Method: </strong>The case study was conducted in March 2024 at a cardiology intensive care unit in Southeast Brazil.</p><p><strong>Results: </strong>The ultrasound revealed mild oedema in the subcutaneous tissue of the perilesional skin and a cobblestone-like appearance with less lobulation because of slight oedema in the lesion bed. Both areas exhibited absence of flow on Doppler ultrasound.</p><p><strong>Conclusions: </strong>To the authors' knowledge, this the first record of an ultrasound evaluation of a KTU. A larger case series of reports similar to this study may contribute to the understanding of KTUs and aid differential assessments regarding pressure injuries.</p><p><strong>Implications for practice: </strong>Studies like this can contribute to the understanding of the development process of KTUs and how they correlate with the dying process.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup3","pages":"S22-S26"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The importance of Doppler assessment in treating chronic oedema.","authors":"Sylvie Hampton","doi":"10.12968/bjcn.2025.0028","DOIUrl":"10.12968/bjcn.2025.0028","url":null,"abstract":"<p><p>Mrs R is a 66-year-old lady with pain around the knees and swollen legs. She had undergone X-rays and other investigations and was advised to get a Doppler assessment to look for arterial disease. She discovered that her surgery did not offer this service and was given the number to the local Leg Club.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup3","pages":"S41-S42"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Making a difference in pressure injury prevalence: the community nurse's guide.","authors":"Francesca Ramadan","doi":"10.12968/bjcn.2025.0021","DOIUrl":"10.12968/bjcn.2025.0021","url":null,"abstract":"<p><p>Many patients in the community experience prolonged bedrest and are exposed to the risk of complications arising from inactivity, including the development of pressure injuries. Community nurses, with their wide-ranging expertise and position at the frontline of patient care, are well-equipped to make an impact on pressure injury prevalence. Francesca Ramadan explores evidence-based strategies for the assessment, prevention and treatment of pressure injuries, equipping the community practitioner with the necessary knowledge and guidance.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 3","pages":"128-131"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reducing variance in wound care: a cross-sectional study of chronic wounds in one district nursing team's caseload.","authors":"Will Baldridge, Fania Pagnamenta, Tim Rapley","doi":"10.12968/bjcn.2024.0110","DOIUrl":"10.12968/bjcn.2024.0110","url":null,"abstract":"<p><strong>Background: </strong>Pressure ulcers, leg ulcers and slow-healing surgical wounds are the most prevalent chronic wounds. Variance in care of such wounds has frequently been documented in the literature. This study investigated the local landscapes for such variance.</p><p><strong>Aim: </strong>This article discusses the findings of a cross-sectional study of variance in care of chronic wounds, undertaken with one district nursing team's caseload in a large city in the North East of the UK.</p><p><strong>Methods: </strong>The workload of one district nursing team (<i>n</i>=6 staff) was examined over a 2-week period using electronic records. Where variance was identified, patients were visited at their home by a tissue viability nurse for further investigation.</p><p><strong>Results: </strong>Thirty-four patients with chronic wounds were reviewed. While pressure ulcers and slow-healing postoperative wounds were treated according to standard guidance, there was significant variation in the care of leg ulceration in all patients.</p><p><strong>Conclusions: </strong>This study supports the view that there is variance in wound care, and reducing this variance and optimising wound care should be prioritised. This could be achieved by increasing input from tissue viability services.</p><p><strong>Implications for practice: </strong>Implementing standardised protocols based on best practice guidelines could improve consistency and outcomes in wound care. The increased involvement of tissue viability nurses in wound assessments and care planning could help reduce variance in care.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup3","pages":"S16-S21"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Health and Care Act 2022 and community nursing.","authors":"Iwan Dowie","doi":"10.12968/bjcn.2025.0027","DOIUrl":"10.12968/bjcn.2025.0027","url":null,"abstract":"<p><p>Iwan Dowie explores the provisions of the Health and Care Act 2022 and its impact on community nursing. The legislation aims to promote the involvement of service users in the decision-making process for their healthcare planning. While this has been on the government's agenda for decades, limitations such as staff shortages and increase caseloads have resulted in a lack of progress.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 3","pages":"112-114"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}