Latest news – Page 2673
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Modernisation is so old-hat
Following Labour's election victory, many observers speculated on whether it would do what no Conservative government could ever do, namely dismantle or significantly reduce the NHS's monopoly by encouraging the growth of private health insurance.
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Paying the price for the Peter principle
I had set aside the Commons Hansard of 28 January to pore over the second-reading debate on Ann Winterton's Medical Treatment (Prevention of Euthanasia) Bill in a quiet moment. So it came as a shock to realise that it had led Liberal Democrat MP-GP Peter Brand to be investigated by ...
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WEB WATCH
The most comprehensive and authoritative guide to prescription medicines in use in this country began to offer open access to the public as well as healthcare professionals recently, with a pharmaceutical database listing 2,500 medicines and the 15,000 changes made every year to drug licences.
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Not there yet
Despite the increasing proportion of women in medicine and the changes they have brought to medical practice, they are still grossly under-represented in areas such as surgery. Barbara Millar reports
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Round the world, but still the lone female
Iona Reid has travelled the world to get to the top in her chosen career as a surgeon.
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Encouraging growth: hospital medicine
Since 1988 there has been a steady increase in the percentage of women hospital medical staff in all the main grades. Their total number has risen by 72 per cent since 1988, to 20,210 in 1998.
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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.