Dementia is a progressive loss of the cognitive functions that are necessary for a person to live safely and independently. These include loss of memory, the ability to think logically and communicate effectively with others, and being able to care for yourself. In 2009 a national dementia strategy for England was launched in order to improve public and professional awareness, and to ensure high quality care at all stages, including early diagnosis and treatment (Department of Health [DH], 2009).
The strategy outlined a care pathway for people living with dementia and their families and carers from diagnosis through to end of life. This article will enable the reader to understand the importance of the dementia care pathway in supporting people to live well with dementia, to consider how the pathway is being developed and implemented in primary care and how general practice nurses (GPNs) can add value within their professional role.
This article provides an overview of eating disorders and the vital role of general practice nurses (GPNs) and primary care teams in identifying, assessing and referring on. It also looks at the role of GPNs and the primary care team in providing supportive care and physical risk management. People with eating disorders are relatively heavy users of primary care services, however it is more likely that they will initially present with another mental health issue. The GPN team can help to support specialists, patients and patients’ families with the management of eating disorders through the development of a compassionate, therapeutic relationship that understands and empathises with the patient and yet maintains firm boundaries, is vigilant about risk and is firmly pro-recovery. GPN teams can be ‘critical friends’ to someone who they may know well, gently encouraging healthy behaviours and being alert to potential warning signs in patients and/or concerns raised by parents/significant others.
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