Archive for the 'Rehabilitation' Category

Many children receive no discharge plan after admission for severe asthma

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Children admitted to hospital with severe asthma attacks generally receive “very effective and efficient” treatment and care, but more attention must be given to asthma education and review at discharge to help prevent future attacks and readmission, says a national audit by the British Thoracic Society.

The society’s National Paediatric Asthma Audit, published on 29 November, reviewed data on more than 5500 children over the age of 1 admitted with severe asthma attacks to 153 UK hospitals in November 2015 and found that most aspects of discharge from hospital were less than optimal.

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Here’s why we need evidence

evidently-cochrane-logoEveryday nursing requires the appropriate use of evidence and this website  from Evidently Cochrane provides useful insights. The article about pressure ulcers illustrates why evidence is needed for everyday practice.

Evidence can be found from a variety of sources and with busy workloads and winter pressures coming, you may find it is hard to find time to search for reliable evidence.

Don’t worry – we can help you!

Your Library and Knowledge Service has skilled  outreach specialists who can help you, either by running an evidence  search or training you to do it effectively. So get ahead and get in touch with us if you are based at East Cheshire NHS Trust.

Falls prevention – October’s update published

The latest monthly update on Falls prevention has been published.

View the current research at: https://fallspreventionnwpctl.wordpress.com/

 

Cranberry capsules do not reduce urinary tract infections in older women, study finds

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Taking cranberry capsules did not reduce urinary tract infections (UTIs) in older women living in nursing homes, a US randomised trial has shown.

UTIs are very common among nursing home residents: bacteriuria is detected in 25-50% of women living in nursing homes, and pyuria is present in 90% of these. Cranberry products have been of interest in preventing UTIs in this group of people, to reduce unnecessary use of antibiotics.

Overwhelmed by information?

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BMJ Infographics

Highlighted resource:

BMJ INFOGRAPHICS

These are great visual summaries of a variety of conditions, their management and treatments, and visual overviews of article recommendations. They are found attached to a variety of articles and editorials, and some of the key infographics are found on the infographics page. For example, the infographic of the NICE sepsis guidance or a visual guide to recognising past congenital heart surgery in adults.

New eBooks

The Library has recently purchased 13 new eBooks from the ‘Crash Course‘ series:

Visit http://ectlks.weebly.com/dawsonera.html to access all the eBooks from the DawsonEra collection or search our complete eBooks collection.

All the eBooks can be accessed with an NHS Athens username and password.

For more information please get in touch!

ecn-tr.stafflibrary@nhs.net

01625 661362

crashcoursetitlessept16

Delivering high quality, effective, compassionate care: developing the right people with the right skills and right values

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Outlines  the government’s objectives for Health Education England to provide health care education and training for 2016-2017.

This document here  reflects strategic objectives around workforce planning, health education and training and development. The mandate looks at how the healthcare workforce can be developed to improve care for patients through education and training.

New books

NewBooksThe Library & Knowledge Service purchased a large number of new books last month ~ view a selection of the new titles here.

All members of East Cheshire NHS Trust staff, students on placement and volunteers are able to borrow books from the Library.

Contact the Library for more information: ecn-tr.stafflibrary@nhs.net / 01625 66 1362.

 

New books

NewBooks

The Library & Knowledge Service purchased a large number of new books last month ~ view a selection of the new titles here.

All members of East Cheshire NHS Trust staff, students on placement and volunteers are able to borrow books from the Library.

Contact the Library for more information: ecn-tr.stafflibrary@nhs.net / 01625 66 1362.

 

internurse

internurse logo

The library currently has a free trial to the internurse and MAHcomplete e-journal collections.

Internurse is the UK’s largest collection of peer-reviewed nursing content, and home of the British Journal of Nursing. Internurse covers primary and secondary care settings as well as the whole spectrum of specialist nursing practice including cardiology, neuroscience, mental health, palliative care and wound care.

Access the collection with your East Cheshire NHS Athens account: Login to Athens. Select ‘MAG Online Library’ from the list of resources.

Internurse guide

If you would like to find out more or have any questions please phone us on 01625 661362 or send us an email.

Abrupt quitting is more likely to work than gradual reduction of cigarettes, study finds

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Quitting smoking abruptly is more likely to lead to sustained abstinence than reducing cigarette use gradually, a study published in the Annals of Internal Medicine has found.

Although most current guidelines recommend stopping smoking abruptly, many people take a gradual approach to giving up.

Spotlight on……..Wiley Nursing and Medical Journals

Wiley journalsAll trust staff have access to a collection of over 200 online journals covering key medical and nursing titles. Our subscription provides full text access to articles published in these journals, giving access to published research and evidence which can support your workplace practice, CPD, research and educational activities.

The journal titles are linked into our healthcare databases, electronic journal lists and can be accessed from the library web pages when both on and offsite by using your Athens log in.

Please contact the library on 01625 661362 if you have any questions

Caring Together Induction Pack: now available online

Caring Together Eastern CheshireThe new Caring Together Induction Pack is now available online.

The intention is to promote the pack to all new starters with health and social care organisations commissioning or providing services for the people of Eastern Cheshire. Organisations include third sector partners and providers of social housing.

For the avoidance of doubt, the pack is not relevant to employees involved exclusively in commissioning or providing services outside Eastern Cheshire. This pack is to be made available with immediate effect to new recruits, either salaried or voluntary.

At the end of every third month, a member of the Caring Together team will send managers a link to a brief online survey for new recruits to complete. This will enable them to measure awareness of the pack and the extent to which it is achieving its aim of improving understanding of Caring Together. Consultees will have the option to remain anonymous as the purpose of the survey is not to test individuals’ knowledge or pay attention to people who don’t answer all the questions correctly!

While the principal aim of the survey is to ensure that new starters are introduced to Caring Together as soon as practicable, the pack can also be shared with colleagues more widely. Reference copies of the pack are also available in the Staff Library (Top Floor, New Alderley House).

Many thanks to all in anticipation of your support for this important initiative to promote understanding of – and engagement in – our transformation programme.

Have you tried Oxford Medicine Online?

This online book collection contains well known and highly regarded titles from Oxford University Press covering medical specialties, nursing topics, and community work.

Titles includes the Oxford Textbook of Medicine, the Oxford Medical Handbooks and Oxford Specialist Handbooks, all in online formats.

The collection is available to all trust staff and students.

E books provide the convenience of being able to use them wherever you are working, onsite or off site. You can log in online here using your personal East Cheshire NHS Trust Athens account. More details can be found on the library e resources web page

T’ai chi benefits some patients with chronic conditions, review concludes

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T’ai chi can improve physical performance of patients with certain chronic conditions without exacerbating their pain or making them breathless, concludes a systematic review and meta-analysis published in the British Journal of Sports Medicine.

The Chinese martial art t’ai chi consists of slow, gentle, and flowing movements that involve strengthening, balance, postural alignment, mind concentration, relaxation, and breath control.

Listening to music helps reduce pain and anxiety after surgery, review shows

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Listening to music before, during, or after surgery notably decreases patients’ pain and anxiety and reduces their use of analgesic drugs, a review published in the Lancet has shown

Use of music has a long history of improving patients’ experience of being in hospital, and studies have shown positive effects on postoperative recovery. But no comprehensive review has previously studied its use in different types of surgery and at different stages of procedures

Cognitive decline after heart surgery is uncommon, review finds

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Cognitive impairment after cardiovascular surgery is uncommon in older people, a systematic evidence review published in the Annals of Internal Medicine has concluded. However, the researchers said that the evidence was limited and that the individual study quality was low.

Debate surrounds the possible relation between cardiovascular interventions and subsequent cognitive outcomes in older patients. Some early studies reported a high prevalence of cognitive impairment after coronary artery bypass grafts (CABGs), for example, but later studies have suggested that any such decline predated the procedure.

Healthwatch calls for change to discharge process

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Healthwatch England has called for national change to the process of discharging people from health and care settings, following a special inquiry which has underscored the human and financial cost of poor and unsafe discharges from health services.

With more than one million emergency readmissions within 30 days of discharge in 2012/13 alone, costing an estimated £2.4 billion, the organisation said on Tuesday that the time has come for “concerted action and coordinated national leadership to ensure the discharge process meets people’s needs.”

Community health services explained

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With out-of-hospital care needing to become “a much larger part of what the NHS does,” according to the Five Year Forward View, the NHS Confederation’s new quick guide answers the simple question, ‘what are community health services?

Providing an overview of what community health services are, what they do and the staff that make up its workforce, the handy guide provides a picture of the role these services play in supporting and caring for people up and down the country.

Hospitalisation leads to functional decline in the over 70s

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Two in five patients aged over 70 who are hospitalised with acute conditions are discharged with reduced functioning compared with when they were admitted, a study has found.

Staying in bed, being attached to urinary catheters unnecessarily, taking sleeping pills, and inadequate nutrition are some of the reasons for a decline in function, the researchers wrote in the Journal of the American Geriatrics Society

Endovascular therapy reduces disability from stroke, studies confirm

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Endovascular therapy using minimally invasive procedures to remove blood clots from occluded brain vessels within the first few hours of ischaemic stroke significantly reduces disability when compared with medical therapy, two studies published in the New England Journal of Medicine have shown.

UK death rates in children’s heart surgery have almost halved over past decade

More children survived for at least 30 days after heart surgery at the end of the past decade than at the start, an analysis has found. The death rate fell from 4.3% to 2.6% of cases.

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The findings have prompted the researchers to call for a shift away from scrutinising short term survival to looking at the longer term effects of heart surgery in children, such as measures of ill health and the effect on functional capacity.

Healthcare scientists revolutionise stroke rehabilitation

Healthcare scientists and clinicians at the Royal Berkshire Hospital are using gaming technology to revolutionise the rehabilitation of stroke patients in Reading. A new NHS Confederation presentation exploring how commissioners can support innovation, published on Friday, explains how.

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Working with Microsoft Kinect, the developers of the Xbox games console, healthcare scientists at the Royal Berkshire are writing programmes to address stoke patients specific needs and are seeing significant improvement in patients’ clinical outcomes.

Using the latest developments in medical physics, the initiative has also reported increased uptake and enthusiasm from patients and their families, reduced levels of depression and enabled patients to continue their rehabilitation at home without the need of NHS staff.

NICE: This month in Eyes on Evidence

nice_nhs_evidenceIssue 69
January 2015

 

Pharmacy-based screening for cardiovascular risk
A systematic review suggests that pharmacy-based screening for cardiovascular risk factors may be possible. However, many people do not act on the advice to visit their GP, and the effect of screening on new diagnoses has not been robustly shown.

Self-management of hypertension in people at high risk of cardiovascular events
An open-label randomised controlled trial finds that people with hypertension who self-monitor their blood pressure and up-titrate their antihypertensive medication experience a greater reduction in systolic blood pressure than people who manage hypertension with usual care.

Mental health after stopping smoking
A meta-analysis finds that stopping smoking is associated with reductions in anxiety, depression and stress, and improvements in quality of life and mood.

Alpha-blockers for expulsion of ureteral stones
A Cochrane review reports that alpha-blockers are more effective at expelling ureteral stones less than 10 mm in diameter than standard therapy or calcium channel blockers.

Haemoglobin thresholds for blood transfusion
Two meta-analyses report that restricting transfusion of red blood cells to people with a haemoglobin level of either less than 7.0 g/dl or 6.4 g/dl to 9.7 g/dl reduces mortality and serious infection, but does not significantly affect the overall risk of infection.

Evidence Updates
NICE has recently published Evidence Updates on:

  • Spasticity in children and young people with non-progressive brain disorders
  • Ectopic pregnancy and miscarriage
  • Hyperphosphataemia in chronic kidney disease

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