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Title District nursing manual of clinical procedures / edited by Liz O'Brien.
Publication Info Chichester : Wiley-Blackwell, 2012.



Descript ix, 417 p. : ill. (some col.)
Contents Contributors viii Foreword x Preface xi Chapter 1 Assessment and communication (general principles) 1 Background evidence 1 The Single Assessment Process (SAP) 2 Communication 6 Conclusion 15 References and further reading 15 Chapter 2 Blood glucose monitoring for people with diabetes mellitus 19 Background evidence 19 Metabolic control (physiology of blood glucose) 20 Urine versus blood testing 20 Capillary blood glucose testing 20 Blood glucose monitoring training and education 22 Types of blood glucose monitoring system 23 Limitations of blood glucose meters 23 Contraindications for the use of blood glucose meters 23 Maintenance and care of the meter 24 References and further reading 26 Chapter 3 Bowel management 28 Background evidence 28 Constipation 30 Diarrhoea 38 Irritable bowel syndrome 40 Faecal incontinence 40 Conclusion 46 References and further reading 62 Chapter 4 Discharge planning 65 Background evidence 65 Discharge planning process 65 Community Care Delayed Discharge Act 2003 76 Informal carers 76 Risk management 77 Training 78 Conclusion 78 References and further reading 82 Chapter 5 Ear irrigation 84 Background evidence 84 Purpose of ear irrigation 84 Preparation of the patient prior to irrigation 85 Risk management 87 Training 88 Conclusion 88 References and further reading 92 Chapter 6 Infection prevention and control 93 Glossary 93 Background evidence 94 Healthcare-associated infection (HCAl) 96 The epidemiology of infection 97 Infection prevention and control in the community 97 Standards 99 Outbreak of infection in the community 99 Health clearance for healthcare workers 99 Universal/Standard precautions 100 Conclusion 120 References and further reading 125 Chapter 7 Intravenous therapy and central vascular access devices 131 Background evidence 131 Referrals 132 Education and training 132 Quality of life issues 134 Peripherally inserted central catheters (PICCs) 135 Skin-tunnelled cuffed catheters 138 Implantable ports 140 Administration of medications and/or infusions 142 CVAD insertion complications 143 Complications of CVADs 143 References and further reading 174 Chapter 8 Medicines management 177 Background evidence 177 Accountability, responsibility and consent 177 Risk management 178 Delegation of administration 179 Storage 179 Transportation of medication 180 Transcribing 180 Changes to medication doses 180 Incident reporting 180 Adverse drug reaction (ADR) 180 Disposal 181 Non-medical prescribing 181 Administration 181 Intravenous (IV) drug administration 183 Diagnosis and management of anaphylaxis 183 Conclusion 185 References and further reading 199 Chapter 9 Moving and handling 201 Background evidence 201 The legal aspects of manual handling 201 Manual handling equipment 204 Conclusion 207 References and further reading 210 Chapter 10 Nutritional support 211 Background evidence 211 Nutritional status and health 212 Malnutrition 217 Identifying patients at risk of malnutrition (initial nursing assessment) 217 Nutritional risk screening tools 219 Anthropometric assessment 221 Diagnostic tests 222 Referral to the community dietetic department 222 Patients with weight loss/loss of appetite 227 Patients who are overweight 229 Nutritional support in the home 229 Conclusion 242 References and further reading 253 Chapter 11 Personal hygiene 256 Background evidence 256 Assessment 256 Multicultural needs 257 Manual handling and risk assessment 258 Conclusion 258 References and further reading 271 Chapter 12 Syringe driver/pump management and symptom control in palliative care 272 Background evidence 272 Education and training 273 Prescribing and administering drugs in the community 275 Using a syringe driver/pump 275 Symptom management 281 Crisis box 281 Pain control 281 Anxiolytics 285 Terminal agitation/acute confusional state 285 Anti-emetics 286 Drugs used for excess secretions 286 Drugs used for intestinal obstruction 286 Steroids 286 Rescue doses of medication 286 Monitoring 287 Reactions at the infusion site 287 Ethical issues and consent 288 Risk management 288 Reporting adverse incidents 290 Conclusion 291 References and further reading 302 Chapter 13 Urinary catheterisation and management 304 Background evidence 304 Risk management 304 Training and education 304 Catheter selection 304 Anaesthetic/Lubricating gel 307 Suprapubic catheterisation 307 Intermittent catheterisation 308 Meatal hygiene 309 Drainage systems 309 Infection 310 Catheter blockage and encrustations 310 Conclusion 312 References and further reading 331 Chapter 14 Venepuncture 333 Education and training 333 Anatomy and physiology 334 Selecting a vein 335 Improving venous access 336 Selection of equipment 338 Specimen handling and transportation 338 Safety of staff 340 Infection control issues 340 Patients' perspective of venepuncture 340 vii Reducing pain during venepuncture 341 Legal and professional issues 341 Problem solving 342 Conclusion 343 References and further reading 346 Chapter 15 Wound management 349 Background evidence 349 Wound healing 351 Wound management 358 Types of wound commonly managed by community nurses 365 Procedural guidelines 378 References and further reading 397 Index 402
Note 400 annual accesses. UkHlHU
ISBN 9781118274163 (e-book)
9781405114592 (pbk.)
Click on the terms below to find similar items in the catalogue
Subject Community health nursing -- Handbooks, manuals, etc.
Evidence-based medicine -- Handbooks, manuals, etc.
Alt author O'Brien, Liz, 1962-
Descript ix, 417 p. : ill. (some col.)
Contents Contributors viii Foreword x Preface xi Chapter 1 Assessment and communication (general principles) 1 Background evidence 1 The Single Assessment Process (SAP) 2 Communication 6 Conclusion 15 References and further reading 15 Chapter 2 Blood glucose monitoring for people with diabetes mellitus 19 Background evidence 19 Metabolic control (physiology of blood glucose) 20 Urine versus blood testing 20 Capillary blood glucose testing 20 Blood glucose monitoring training and education 22 Types of blood glucose monitoring system 23 Limitations of blood glucose meters 23 Contraindications for the use of blood glucose meters 23 Maintenance and care of the meter 24 References and further reading 26 Chapter 3 Bowel management 28 Background evidence 28 Constipation 30 Diarrhoea 38 Irritable bowel syndrome 40 Faecal incontinence 40 Conclusion 46 References and further reading 62 Chapter 4 Discharge planning 65 Background evidence 65 Discharge planning process 65 Community Care Delayed Discharge Act 2003 76 Informal carers 76 Risk management 77 Training 78 Conclusion 78 References and further reading 82 Chapter 5 Ear irrigation 84 Background evidence 84 Purpose of ear irrigation 84 Preparation of the patient prior to irrigation 85 Risk management 87 Training 88 Conclusion 88 References and further reading 92 Chapter 6 Infection prevention and control 93 Glossary 93 Background evidence 94 Healthcare-associated infection (HCAl) 96 The epidemiology of infection 97 Infection prevention and control in the community 97 Standards 99 Outbreak of infection in the community 99 Health clearance for healthcare workers 99 Universal/Standard precautions 100 Conclusion 120 References and further reading 125 Chapter 7 Intravenous therapy and central vascular access devices 131 Background evidence 131 Referrals 132 Education and training 132 Quality of life issues 134 Peripherally inserted central catheters (PICCs) 135 Skin-tunnelled cuffed catheters 138 Implantable ports 140 Administration of medications and/or infusions 142 CVAD insertion complications 143 Complications of CVADs 143 References and further reading 174 Chapter 8 Medicines management 177 Background evidence 177 Accountability, responsibility and consent 177 Risk management 178 Delegation of administration 179 Storage 179 Transportation of medication 180 Transcribing 180 Changes to medication doses 180 Incident reporting 180 Adverse drug reaction (ADR) 180 Disposal 181 Non-medical prescribing 181 Administration 181 Intravenous (IV) drug administration 183 Diagnosis and management of anaphylaxis 183 Conclusion 185 References and further reading 199 Chapter 9 Moving and handling 201 Background evidence 201 The legal aspects of manual handling 201 Manual handling equipment 204 Conclusion 207 References and further reading 210 Chapter 10 Nutritional support 211 Background evidence 211 Nutritional status and health 212 Malnutrition 217 Identifying patients at risk of malnutrition (initial nursing assessment) 217 Nutritional risk screening tools 219 Anthropometric assessment 221 Diagnostic tests 222 Referral to the community dietetic department 222 Patients with weight loss/loss of appetite 227 Patients who are overweight 229 Nutritional support in the home 229 Conclusion 242 References and further reading 253 Chapter 11 Personal hygiene 256 Background evidence 256 Assessment 256 Multicultural needs 257 Manual handling and risk assessment 258 Conclusion 258 References and further reading 271 Chapter 12 Syringe driver/pump management and symptom control in palliative care 272 Background evidence 272 Education and training 273 Prescribing and administering drugs in the community 275 Using a syringe driver/pump 275 Symptom management 281 Crisis box 281 Pain control 281 Anxiolytics 285 Terminal agitation/acute confusional state 285 Anti-emetics 286 Drugs used for excess secretions 286 Drugs used for intestinal obstruction 286 Steroids 286 Rescue doses of medication 286 Monitoring 287 Reactions at the infusion site 287 Ethical issues and consent 288 Risk management 288 Reporting adverse incidents 290 Conclusion 291 References and further reading 302 Chapter 13 Urinary catheterisation and management 304 Background evidence 304 Risk management 304 Training and education 304 Catheter selection 304 Anaesthetic/Lubricating gel 307 Suprapubic catheterisation 307 Intermittent catheterisation 308 Meatal hygiene 309 Drainage systems 309 Infection 310 Catheter blockage and encrustations 310 Conclusion 312 References and further reading 331 Chapter 14 Venepuncture 333 Education and training 333 Anatomy and physiology 334 Selecting a vein 335 Improving venous access 336 Selection of equipment 338 Specimen handling and transportation 338 Safety of staff 340 Infection control issues 340 Patients' perspective of venepuncture 340 vii Reducing pain during venepuncture 341 Legal and professional issues 341 Problem solving 342 Conclusion 343 References and further reading 346 Chapter 15 Wound management 349 Background evidence 349 Wound healing 351 Wound management 358 Types of wound commonly managed by community nurses 365 Procedural guidelines 378 References and further reading 397 Index 402
Note 400 annual accesses. UkHlHU
ISBN 9781118274163 (e-book)
9781405114592 (pbk.)
Subject Community health nursing -- Handbooks, manuals, etc.
Evidence-based medicine -- Handbooks, manuals, etc.
Alt author O'Brien, Liz, 1962-

Subject Community health nursing -- Handbooks, manuals, etc.
Evidence-based medicine -- Handbooks, manuals, etc.
Descript ix, 417 p. : ill. (some col.)
Contents Contributors viii Foreword x Preface xi Chapter 1 Assessment and communication (general principles) 1 Background evidence 1 The Single Assessment Process (SAP) 2 Communication 6 Conclusion 15 References and further reading 15 Chapter 2 Blood glucose monitoring for people with diabetes mellitus 19 Background evidence 19 Metabolic control (physiology of blood glucose) 20 Urine versus blood testing 20 Capillary blood glucose testing 20 Blood glucose monitoring training and education 22 Types of blood glucose monitoring system 23 Limitations of blood glucose meters 23 Contraindications for the use of blood glucose meters 23 Maintenance and care of the meter 24 References and further reading 26 Chapter 3 Bowel management 28 Background evidence 28 Constipation 30 Diarrhoea 38 Irritable bowel syndrome 40 Faecal incontinence 40 Conclusion 46 References and further reading 62 Chapter 4 Discharge planning 65 Background evidence 65 Discharge planning process 65 Community Care Delayed Discharge Act 2003 76 Informal carers 76 Risk management 77 Training 78 Conclusion 78 References and further reading 82 Chapter 5 Ear irrigation 84 Background evidence 84 Purpose of ear irrigation 84 Preparation of the patient prior to irrigation 85 Risk management 87 Training 88 Conclusion 88 References and further reading 92 Chapter 6 Infection prevention and control 93 Glossary 93 Background evidence 94 Healthcare-associated infection (HCAl) 96 The epidemiology of infection 97 Infection prevention and control in the community 97 Standards 99 Outbreak of infection in the community 99 Health clearance for healthcare workers 99 Universal/Standard precautions 100 Conclusion 120 References and further reading 125 Chapter 7 Intravenous therapy and central vascular access devices 131 Background evidence 131 Referrals 132 Education and training 132 Quality of life issues 134 Peripherally inserted central catheters (PICCs) 135 Skin-tunnelled cuffed catheters 138 Implantable ports 140 Administration of medications and/or infusions 142 CVAD insertion complications 143 Complications of CVADs 143 References and further reading 174 Chapter 8 Medicines management 177 Background evidence 177 Accountability, responsibility and consent 177 Risk management 178 Delegation of administration 179 Storage 179 Transportation of medication 180 Transcribing 180 Changes to medication doses 180 Incident reporting 180 Adverse drug reaction (ADR) 180 Disposal 181 Non-medical prescribing 181 Administration 181 Intravenous (IV) drug administration 183 Diagnosis and management of anaphylaxis 183 Conclusion 185 References and further reading 199 Chapter 9 Moving and handling 201 Background evidence 201 The legal aspects of manual handling 201 Manual handling equipment 204 Conclusion 207 References and further reading 210 Chapter 10 Nutritional support 211 Background evidence 211 Nutritional status and health 212 Malnutrition 217 Identifying patients at risk of malnutrition (initial nursing assessment) 217 Nutritional risk screening tools 219 Anthropometric assessment 221 Diagnostic tests 222 Referral to the community dietetic department 222 Patients with weight loss/loss of appetite 227 Patients who are overweight 229 Nutritional support in the home 229 Conclusion 242 References and further reading 253 Chapter 11 Personal hygiene 256 Background evidence 256 Assessment 256 Multicultural needs 257 Manual handling and risk assessment 258 Conclusion 258 References and further reading 271 Chapter 12 Syringe driver/pump management and symptom control in palliative care 272 Background evidence 272 Education and training 273 Prescribing and administering drugs in the community 275 Using a syringe driver/pump 275 Symptom management 281 Crisis box 281 Pain control 281 Anxiolytics 285 Terminal agitation/acute confusional state 285 Anti-emetics 286 Drugs used for excess secretions 286 Drugs used for intestinal obstruction 286 Steroids 286 Rescue doses of medication 286 Monitoring 287 Reactions at the infusion site 287 Ethical issues and consent 288 Risk management 288 Reporting adverse incidents 290 Conclusion 291 References and further reading 302 Chapter 13 Urinary catheterisation and management 304 Background evidence 304 Risk management 304 Training and education 304 Catheter selection 304 Anaesthetic/Lubricating gel 307 Suprapubic catheterisation 307 Intermittent catheterisation 308 Meatal hygiene 309 Drainage systems 309 Infection 310 Catheter blockage and encrustations 310 Conclusion 312 References and further reading 331 Chapter 14 Venepuncture 333 Education and training 333 Anatomy and physiology 334 Selecting a vein 335 Improving venous access 336 Selection of equipment 338 Specimen handling and transportation 338 Safety of staff 340 Infection control issues 340 Patients' perspective of venepuncture 340 vii Reducing pain during venepuncture 341 Legal and professional issues 341 Problem solving 342 Conclusion 343 References and further reading 346 Chapter 15 Wound management 349 Background evidence 349 Wound healing 351 Wound management 358 Types of wound commonly managed by community nurses 365 Procedural guidelines 378 References and further reading 397 Index 402
Note 400 annual accesses. UkHlHU
Alt author O'Brien, Liz, 1962-
ISBN 9781118274163 (e-book)
9781405114592 (pbk.)

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