{"title":"Providing effective dying symptom control at home.","authors":"Ben Bowers, Rosanna Fennessy, Joodi Mourhli","doi":"10.12968/bjcn.2024.0143","DOIUrl":"https://doi.org/10.12968/bjcn.2024.0143","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 12","pages":"553-554"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802558","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":"Punch grafting technique for hard-to-heal wound management in primary care: a feasibility study.","authors":"Natalia Maella-Rius, Xenia García-Núñez, Paz Martí-Romero, Cristina Teixidó-Vargas, Esther Soria-Martín, María-Mercedes Iruela-Sánchez, Miriam Lara-Rodríguez, Mònica Espelt-Llorens, Rosa García-Sierra","doi":"10.12968/bjcn.2024.0099","DOIUrl":"10.12968/bjcn.2024.0099","url":null,"abstract":"<p><p>Chronic wounds present a major health challenge for patients and put considerable financial burdens on healthcare systems all over the world. Consequently, there is an urgent need to develop and implement wound management strategies that enhance health-related quality of life, while effectively reducing costs for this patient population. Autologous punch grafting is emerging as a promising treatment to address these needs. This study aims to evaluate the feasibility for implementing autologous punch grafting technique in individuals with difficult-to-heal wounds. A feasibility study was conducted using an uncontrolled, non-randomised pre-post intervention design. The results indicated that autologous punch grafting technique can be effectively performed for chronic leg wounds in primary care by trained personnel. This method enhances patients' quality of life, reduces pain and promotes wound healing progression.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 Sup12","pages":"S30-S35"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802583","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":"Review of recently published articles.","authors":"Aysha Mendes","doi":"10.12968/bjcn.2024.0150","DOIUrl":"10.12968/bjcn.2024.0150","url":null,"abstract":"<p><p>Aysha Mendes provides a synopsis and brief review of a selection of recently published research articles that are of interest to community nurses.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 12","pages":"558-560"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802563","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 paradigm shift has started.","authors":"Anna Ingleby","doi":"10.12968/bjcn.2024.0146","DOIUrl":"https://doi.org/10.12968/bjcn.2024.0146","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 Sup12","pages":"S4-S5"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802602","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":"So you think you are safe from litigation?","authors":"Sylvie Hampton","doi":"10.12968/bjcn.2024.0158","DOIUrl":"10.12968/bjcn.2024.0158","url":null,"abstract":"<p><p>Mrs J is a 45-year-old mother of three teenagers who developed a leg ulcer after a minor injury because of underlying venous issues from years of standing as a hairdresser. Despite regular visits to her GP practice nurse, her ulcer worsened over three years. A turning point came when she joined a local Leg Club, where her ulcer healed rapidly. Mrs J later sought specialised treatment and pursued legal action against her GP for inadequate care, highlighting the critical need for proper training and adherence to guidelines in ulcer management.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 Sup12","pages":"S41-S42"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802597","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":"Promoting self-management in lymphoedema: the role of the community nurse.","authors":"Francesca Ramadan","doi":"10.12968/bjcn.2024.0144","DOIUrl":"https://doi.org/10.12968/bjcn.2024.0144","url":null,"abstract":"<p><p>Many of the approaches for managing lymphoedema are straightforward and easily accessible, allowing individuals to take considerable charge of their care. As a result, nurses can play a vital role in lymphoedema treatment by equipping patients with crucial knowledge and offering practical assistance to foster self-management. Francesca Ramadan elaborates upon the aspects of patient education that the community nurse must promote and support to enable individuals with lymphoedema to take back control.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 12","pages":"576-578"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802554","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":"Recognition and assessment of pain in people with advanced dementia.","authors":"Charlotte Lucy Kawalek, Karen Harrison Dening","doi":"10.12968/bjcn.2024.0071","DOIUrl":"https://doi.org/10.12968/bjcn.2024.0071","url":null,"abstract":"<p><p>Pain is highly prevalent among older adults, equally affecting people with dementia and those without cognitive impairments. As dementia progresses, patients often develop difficulties in communication and it may impact their ability to self-report pain. Therefore, it is essential that nurses working with dementia patients understand how to recognise, assess and manage pain in this population. This article explores how pain affects people with dementia, especially those who cannot communicate their discomfort, and discusses how pain may present in these individuals. The article also offers guidance on assessing pain using observational tools. It highlights the importance of knowing the person and the valuable information provided by family caregivers. A hypothetical case study is used to consider some of the common issues in community nursing.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 12","pages":"588-595"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802561","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 21<sup>st</sup> annual Leg Club conference review: do we have time to care?","authors":"Ellie Lindsay","doi":"10.12968/bjcn.2024.0139","DOIUrl":"https://doi.org/10.12968/bjcn.2024.0139","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 Sup12","pages":"S39-S40"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802598","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":"Integration of the aSSKINg framework into the electronic patient record: a quality improvement project.","authors":"Susan Martin, Samantha Holloway, Emily Watts","doi":"10.12968/bjcn.2024.0121","DOIUrl":"10.12968/bjcn.2024.0121","url":null,"abstract":"<p><p>Assessment of pressure ulcer (PU) risk is important in clinical practice and the need to document it in the patient's record is paramount. Despite national and international guidelines highlighting the need to document PU risk, nursing documentation remains variable. The first article in this series discussed the evidence base underpinning the development of clinical guidelines for PUs, alongside the creation of bundle approach for PU prevention. The second article presented the results of a clinical audit exploring compliance against a PU prevention bundle (aSSKINg framework) in an adult community nursing setting in the South East of England. This final article in the series presents the results of a quality improvement project that involved a clinical audit following the implementation of the aSSKINg framework into the electronic patient record (EPR). The aim was to improve nursing documentation for patients with PU risk. The clinical audit was conducted in two parts, with a pilot phase running between 6 February 2023 and 15 April 2023. After the template implementation into the EPR, a follow-up audit was undertaken between 1 November 2023 and 31 January 2024. Overall compliance against the aSSKINg framework improved, especially the completion of the PURPOSE-T on the first visit, full skin assessment and repositioning advice. Following the pilot phase, the aSSKINg template was rolled out in a phased approach to the adult community nursing, enhanced care home matrons and urgent community response teams.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 Sup12","pages":"S16-S21"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802576","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 human rights act and the community nurse.","authors":"Iwan Dowie","doi":"10.12968/bjcn.2024.0140","DOIUrl":"https://doi.org/10.12968/bjcn.2024.0140","url":null,"abstract":"<p><p>Iwan Dowie talks about the Human Rights Act, a controversial piece of statutory legislation. The article emphasises the critical role of community nurses in upholding human rights within their practice and outlines the historical context of human rights protections in the UK. The article also addresses the legal implications of resource constraints in healthcare decisions.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"29 11","pages":"516-517"},"PeriodicalIF":0.0,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577126","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}