Latest news – Page 2596
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'Without family support it would be
Alison Lannigan, a specialist registrar at Glasgow Royal Infirmary, has two children, aged four and 18 months, and - just a step away from becoming a consultant surgeon - has little time to spare.
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Careering down a radical path
How far will work roles change, as new technologies and service delivery patterns take shape? One trust came up with some radical ideas. John Langan and John Rogers explain
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A service scenario for asthma patients
Current reasons for admission Rapid deterioration and need for ventilation.
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The healthcare practitioner's role
Assessment of patient's condition Case history Observations (pain, blood pressure, temperature, pulse, respiratory rate, blood-glucose measurement, oxygen saturation measurement) Physical examinations and assessments Chest examination (respiratory assessment, heart, heart sounds) Abdominal examination (tenderness or guarding, swelling or oedema, bowel sounds, abnormalities) Rectal examination Vaginal examination Central nervous system assessment Patient ...
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Diagnostic tests
Decide, order and undertake appropriate tests within agreed protocols (ECG, x-ray, haematological and biochemical analysis, blood-gas analysis, request blood for transfusion, analysis of urine, stools, sputum and swabs) Order (but not perform) microbiological and virology analyses Examine and interpret the results of the tests
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Diagnosis and treatment plan
Provisional diagnosis Develop and implement treatment plan (commence oxygen, prescribe medication within agreed protocol, administer medication, catheterisation: male and female, further tests, mobilisation and rehabilitation, pulmonary rehabilitation, dietary assessment and advice, p rescription of dietary supplements, prescription and administration of IV therapy, swallowing assessment, change a peg tube, change supra-pubic ...
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Admission and discharge
Decision to admit or discharge on the basis of an x to y scoring system. For example, if the patient's score is greater than y, admit; if less than x, discharge. If the score is between x and y, refer for decision.
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Acute beds on the up - or the down
Acute bed numbers could be increased by 35,000 in the next 20 years - or cut by 23,000 - according to a longawaited report by the government's national beds inquiry.
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Waterhouse calls for more checks
A specialist NHS hospital for children with psychiatric problems has come under attack in the Waterhouse report into child abuse in north Wales.
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Watchdogs pour scorn as trusts volunteer to be CHI guinea pigs
As many as 10 trusts have volunteered to be inspected by the Commission for Health Improvement when it starts work in April.
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Clinicians' rallying call
Clinicians should take a greater role in managing the health service, says a King's Fund report issued today.
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Cutting infections 'could save £150m'
The National Audit Office has estimated that the cost of hospital-acquired infection could be cut by 15 per cent across the NHS, saving £150m a year.
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Charity 'funded cottage on NHS'
Ministers have promised to investigate claims that a charity charged with caring for people with learning difficulties spent NHS money on a holiday cottage, caravan and boat.
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Ashworth secondee in surprise shift
The acting chief executive of Ashworth Special Hospital is to leave following an unexpected invitation to head the new North West Regional Mental Health Development Centre.
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Cooper pushes ahead on hospital with fewer beds
Public health minister Yvette Cooper has overturned opposition to a £200m hospital in Birmingham to replace the Queen Elizabeth and Selly Oak hospitals.
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'Failure to win funding' behind LAS chief's shock resignation
The shock resignation of London Ambulance Service trust chief executive Michael Honey has sparked speculation that he was forced out for failing to win adequate funding for the service.
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In brief
More than 100 MPs have signed an early-day motion against age discrimination in the NHS that urges the government to carry out an investigation promised in 1997 by Chris Smith, then shadow health secretary. The motion follows the recent publication of a report by charity Age Concern, which criticised NHS ...
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Quacking idea
A duck bench, carved in oak by woodworker Nicola Henshaw, near Colchester General Hospital's lake.