{"title":"Whistleblowers must be supported to prevent future tragedies","authors":"Alex. H. Turnbull","doi":"10.12968/pnur.2023.34.9.325","DOIUrl":"https://doi.org/10.12968/pnur.2023.34.9.325","url":null,"abstract":"","PeriodicalId":79471,"journal":{"name":"Advanced practice nursing quarterly","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84238202","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":"If the Government does not learn to value nurses, they will lose them","authors":"C. Oldman","doi":"10.12968/pnur.2023.34.8.292","DOIUrl":"https://doi.org/10.12968/pnur.2023.34.8.292","url":null,"abstract":"","PeriodicalId":79471,"journal":{"name":"Advanced practice nursing quarterly","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76447387","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":"Tools, guidance and key events for general practice nurses","authors":"","doi":"10.12968/pnur.2023.34.8.316","DOIUrl":"https://doi.org/10.12968/pnur.2023.34.8.316","url":null,"abstract":"","PeriodicalId":79471,"journal":{"name":"Advanced practice nursing quarterly","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135065533","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":"Care in the community for patients with liver disease","authors":"Michelle Brown, G. Mortimore","doi":"10.12968/pnur.2023.34.8.294","DOIUrl":"https://doi.org/10.12968/pnur.2023.34.8.294","url":null,"abstract":"Liver disease is one of the most pressing challenges facing the NHS today. Michelle Brown and Gerri Mortimore look at how this condition can be assessed and managed by nurses working in primary care. This article focuses on liver disease, its increasing prevalence and associated mortality. It will discuss how liver cirrhosis leads to the development of portal hypertension and the many complications associated with this, along with the increased risk of developing liver cancer. This makes treatment, management, and care for patients with liver cirrhosis complex. It is important that loved ones and health care professionals have the time and an ability to respond to changes in the patient's condition, and journey through to end-of-life. This is paramount to ensure a dignified death. However, advanced liver disease can mean that these conversations, preparation, and decisions may not be possible due to the rapid progression of disease. This article will reflect on these difficult conversations and the preparation for the reality of dying in a community setting with what often features a complex symptom presentation and treatment.","PeriodicalId":79471,"journal":{"name":"Advanced practice nursing quarterly","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83807372","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":"Direct oral anticoagulants in general practice","authors":"E. Gee","doi":"10.12968/pnur.2023.34.8.300","DOIUrl":"https://doi.org/10.12968/pnur.2023.34.8.300","url":null,"abstract":"Nurses prescribing these medications, used for stoke prevention in atrial fibrillation in general practice, must understand the risks surrounding them. This article outlines indications, side effects and monitoring. Four direct oral anticoagulants (DOACs) are available in the UK and appear in National guidance as first line treatment for VTE and stroke prevention in atrial fibrillation. They provide a more practical option than warfarin, with similar efficacy and safety profiles, with the additional advantage of significantly reduced risk of intracranial haemorrhage (Raschi et al 2016). DOACs are not suitable for patients with mechanical heart valves, antiphospholipid syndrome or for women who are pregnant or breastfeeding. DOACs work by inhibiting a single clotting factor, meaning their effects are more predictable than warfarin which works on several clotting factors. Bleeding is the main side effect and safety consideration of DOACs, with major bleeding occurring in around 1-4% of people taking DOACs ( Hellenbart et al 2017 ). Careful risk assessment, patient counselling and at least annual review of patients on DOACs can help to reduce their associated risks.","PeriodicalId":79471,"journal":{"name":"Advanced practice nursing quarterly","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82120930","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":"Research Roundup","authors":"George Winter","doi":"10.12968/pnur.2023.34.8.314","DOIUrl":"https://doi.org/10.12968/pnur.2023.34.8.314","url":null,"abstract":"George Winter provides an overview of recently published articles that may be of interest to practice nurses. Should you wish to look at any of the papers in more detail, a full reference is provided.","PeriodicalId":79471,"journal":{"name":"Advanced practice nursing quarterly","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135065532","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":"It is time to give GPNs the recognition that they deserve","authors":"Debbie Brown","doi":"10.12968/pnur.2023.34.8.289","DOIUrl":"https://doi.org/10.12968/pnur.2023.34.8.289","url":null,"abstract":"","PeriodicalId":79471,"journal":{"name":"Advanced practice nursing quarterly","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90225570","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":"Management of cardiovascular disease risk in patients with rheumatoid arthritis","authors":"Louise Murphy","doi":"10.12968/pnur.2023.34.8.308","DOIUrl":"https://doi.org/10.12968/pnur.2023.34.8.308","url":null,"abstract":"Patients with rheumatoid arthritis along with a risk of developing cardiovascular disease are complex cases for nurses to manage. Louise Murphy details the challenges associated Rheumatoid Arthritis (RA) is a chronic destructive autoimmune disease, characterised by symmetric synovitis. The aetiology of rheumatoid arthritis is complex and largely unknown. Comorbidities such as cardiovascular disease (CVD) are frequently observed in patients with rheumatoid arthritis due to a combination of disease and genetic factors. Cardiovascular disease is one of the leading causes of death in people with rheumatoid arthritis ( Aletaha and Smolen 2018 ) with a 45-60% increased mortality rate due to cardiovascular related events compared to the general population. General practice nurses are in a unique position to be able to provide guidance, advice and support to patients with rheumatoid arthritis who need to make lifestyle changes to reduce CVD risk. General practice nurses can also screen for traditional CVD risk factors and undertake cardiovascular disease risk assessment safely and effectively to identify those patients with rheumatoid arthritis who are at risk of developing cardiovascular disease in the future.","PeriodicalId":79471,"journal":{"name":"Advanced practice nursing quarterly","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84747527","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":"Tools, guidance and key events for general practice nurses","authors":"","doi":"10.12968/pnur.2023.34.7.280","DOIUrl":"https://doi.org/10.12968/pnur.2023.34.7.280","url":null,"abstract":"","PeriodicalId":79471,"journal":{"name":"Advanced practice nursing quarterly","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135802097","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}
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