Grand Round: 19 March 2014

On Wednesday, 19th March 2014, the Grand Round will feature a presentation by Rachel Ruddy, entitled ‘Dementia.

The lecture takes place at 1:00pm in the lecture theatre, 1st Floor, Macclesfield District General Hospital. It will be preceded by a hot buffet from 12:15pm, this meeting is sponsored by Astra Zeneca. Due to only having one sponsor the food will be limited.

Next week , the Grand Round topic on Wednesday, 26th March 2014 will be a presentation by Dr I Losa entitled ‘Recent advances in immunisation’.

Concern over missing hospital patient

Extract from the Macclesfield Express 17 Mar 2014 11:19

The 52-year-old has not been seen since leaving the hospital, where he was receiving treatment, at around 10am Sunday. Police are urgently searching for a man who has gone missing from Macclesfield Hospital.

He is described as a white man, around 5ft 8in tall with short hair and stubble. He was last seen wearing a black coat, brown trousers and brown shoes.

Anyone with information should call Macclesfield Police on 101.

BMJ Best Practice: Hep B update

Featured updated topic: HepatitisB

For the latest updates and best practice for hepatitis B, see the update summary below.

Best Practice writes “Most people with hepatitis B infection are asymptomatic, although some present with complications such as cirrhosis, hepatocellular carcinoma, or liver failure. Serological markers are essential in making the diagnosis and evaluating disease activity, including for differentiation of acute and chronic infection, and for identifying chronic asymptomatic carriers. Therapy for acute infection is almost always supportive care alone. However, some patients with acute infection may develop liver failure, and these patients may require referral to liver transplant centre. Therapy for chronic infection includes nucleoside/nucleotide analogues, interferon-alfa, and pegylated interferon-alfa”.  Click for more.

Plus 50 latest updated topics here.

Eyes on Evidence topics for March

This month from NICE, Eyes on Evidence topics as follows:

Blood oxygen levels in preterm infants
One randomised controlled trial reports that preterm infants with low blood oxygen levels have higher mortality at discharge than infants with high levels. However, a second randomised controlled trial finds no difference in mortality on the basis of blood oxygen level.

Premature mortality in people with epilepsy
A Swedish total population study finds that people with epilepsy are at increased risk of premature death, with the risk even higher among those with psychiatric disorders.

Oral contraceptive pills in preventing ovarian cancer
A meta-analysis reports a lower incidence of ovarian cancer in women who have ever used oral contraceptive pills than in women who have never used oral contraceptives.

Tamsulosin for benign prostatic hyperplasia and risk of severe hypotension
An observational study suggests that tamsulosin for benign prostatic hyperplasia is associated with an increased risk of severe hypotension during the first 8 weeks after both starting and restarting treatment.

Socioeconomic disadvantage and onset of disabling chronic conditions in childhood
A longitudinal study of census data from England and Wales shows a link between socioeconomic disadvantage in early childhood and later development of disabling chronic conditions.

Evidence Updates
NICE has recently published Evidence Updates on:

  • Patient experience in adult NHS services
  • The epilepsies

Terminally ill people not receiving the right care

Difficult conversations with dying people and their families

This survey of over 1,000 GPs reveals that terminally ill people are not getting access to the right care when they need it. The report highlights issues surrounding round-the-clock care with families reporting having to chase after prescriptions, nurses waiting hours for vital drugs to arrive, and locums unable to prescribe.

mcurie

Nursing Technology Fund Success for East Cheshire NHS Trust

Extract from NHS England article

In October 2012 the Prime Minister announced the establishment of a Nursing Technology Fund to support nurses, midwives and health visitors to make better use of digital technology in all care settings, in order to deliver safer, more effective and more efficient care.  The funding was to be allocated to providers in two rounds. The first round, for £30m, was for funding to be spent in FY13/14.

East Cheshire’s application was one of 226 received from a total of 139 Trusts. Following evaluation by a panel of senior nurses, 75 Trusts have been awarded funding totalling almost £30m for 86 projects.  A list of successful applications is available to download.

EAST CHESHIRE NHS TRUST

  • Accelerating Integrated Care and improving Nursing Agility and Care Quality with mobile working  – £734,97
  • Bedside e-Observation System  – £725,030