This article is intended to give some insights into the perspective of a carer of a child with eczema and to offer practical advice on how general practice nurses (GPNs) can effectively help patients with this debilitating skin condition. Eczema can have a negative impact both on self-esteem and quality of life for patients and carers. The long-term, sometimes lifelong nature of eczema, means that patients need to be educated in how to care for their skin. GPNs can advise patients and carers about how best to self-manage this disorder, which in turn can help them to cope.
The annual review of patients with cardiovascular disease (CVD) is a routine element of practice care. With an average practice having a coronary heart disease (CHD) register of around 5% of the practice population (Health and Social Care Information Centre, 2015), along with those living with other conditions that make up the spectrum of CVD (Figure 1), this accounts for a significant requirement of clinical time. The Quality and Outcomes Framework (QOF) lists a number of clinical indicators to be attained in this population and in most practices the nursing team delivers much of the routine care. This article looks at how to make the most of CVD reviews to ensure that the clinical benefits are optimal and patients receive a quality service.
Asthma is a common long-term condition affecting adults and children. Despite a number of evidence-based guidelines for treatment and new medications and inhaler devices, mortality rates remain static. Key findings from the National Review of Asthma Deaths (Royal College of Physicians [RCP], 2014) highlighted the importance of personalised asthma action plans (PAAPs) in good asthma care. This article looks at how healthcare professionals need to work with adults and children with asthma, involving them throughout the process, to produce a meaningful, useful plan that has been developed with the person, and parents or carers. The plan should be used as an educational tool to help understand how, when and why asthma medication should be used, what is meant by asthma control, and recognition of when control is slipping.
A pre-travel consultation should be a complete health promotion exercise and not merely a matter of administering vaccines. It needs to involve a full risk assessment during which the individual, the journey and destination are examined for potential hazards. Risk management strategies then need to be discussed. Essentially, general practice nurses (GPNs) should facilitate the patient’s choice of interventions by educating them appropriately and allowing them to make informed choices. The traveller needs to leave the consultation aware of the potential risks of their trip and how to prevent or manage them. In order to do this well, GPNs should have sufficient time and access to online resources. This article looks at best practice in the pre-travel consultation.
Statistics suggest that one in four adults are obese, and up to 33% of school-aged children are overweight or obese (National Obesity Forum, 2015). Thus, on a daily basis, it is likely that general practice nurses (GPNs) will engage in consultations with patients who are overweight or obese, quite often while presenting for advice for another condition. This article explores how to broach this sensitive issue and the GPN’s role to reduce weight stigma in line with the new Nursing and Midwifery Council Code (NMC, 2015). Practical advice for GPNs to support patients in managing their weight, and identifying appropriate onward referrals, including for bariatric surgery and eating disorders, will also be discussed.
This article focuses on prevention in the Five Year Forward View (NHS England, 2014a) and the role of primary care, particularly the role of the general practice nurse (GPN). It will:
By reading the article in each issue, you can learn all about the key principles of subjects that are vital to your role as a general practice nurse.
The use of compression hosiery is commonplace in primary care. Traditionally, compression hosiery has been used to prevent leg ulceration, including prevention of the recurrence of leg ulcers and skin breakdown after ulcers have healed (Nelson and Bell-Syer, 2012).
By reading the article in each issue you can learn all about key principles of subjects that are vital to your role as a general practice nurse.
Pilonidal is an abscess, usually found in the natal cleft, most frequently caused when a ruptured hair follicle beneath the skin becomes infected forming an abscess (pilonidal cyst) filled with hair, keratin and debris which can develop into a sinus tract (sacrococcygeal fistula) (Pilonidal Support Alliance [PSA], 2011; Harris et al, 2012) (Figure 1).
In each issue of the journal we speak to a general practice nurse and hear what they have to say about their role in primary care...
