British journal of nursing (Mark Allen Publishing)最新文献

Cutaneous vasculitis is an uncommon inflammatory condition affecting the small blood vessels of the skin. Although most cases are self-limiting, it is important that the condition is recognised and treated promptly, as progression can lead to systemic complications. This case study reports on the care of a 54-year-old man who developed bilateral lower-limb purpura a few weeks after starting naproxen for knee pain. Following assessment and investigations, naproxen was discontinued and oral prednisolone 40mg was prescribed. Within 2 weeks the lesions improved significantly, and the patient has remained well with no recurrence over more than a year of outpatient follow-up. This case highlights the need for vigilance when prescribing and monitoring patients on non-steroidal anti-inflammatory drugs. Nurses are central to recognising early skin changes, educating patients about potential adverse effects, and co-ordinating follow-up care. Effective communication and collaboration within the multidisciplinary team were crucial in achieving a positive outcome.

Ileal pouch irrigation is an emerging intestinal hydrotherapeutic technique designed to support individuals experiencing bowel dysfunction following restorative proctocolectomy with ileal pouch-anal anastomosis. This procedure involves instilling lukewarm water into the ileal pouch to facilitate controlled evacuation, offering patients greater predictability in bowel movements and a potential reduction in urgency, frequency, evacuation difficulties and incontinence. By promoting regular pouch emptying, irrigation may alleviate symptoms such as inflammation, bloating and incomplete evacuation. The intervention has shown promise in enhancing quality of life (QoL), restoring confidence, and reducing psychological distress associated with unpredictable pouch function. This article examines the clinical application of ileal pouch irrigation using a structured protocol, supported by ongoing follow-up to ensure the safe and effective integration of this procedure into patients' routines. Selected case studies demonstrate how targeted irrigation can significantly improve daily living for pouch patients, with outcomes assessed through patient-reported overall QoL improvements and satisfaction.

Tiago Horta Reis Da Silva, Lecturer in Nursing Education, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London.

John Tingle, Associate Professor, Birmingham Law School, University of Birmingham, discusses the NHS Never Events consultation, with many responses expressing a preference for changing the current system.

Graham Gibson, previously a third-year student nurse at Queen's University Belfast, discusses the experience of his final placement in an emergency department.

Approximately one in three women will have one or more abortions in their lifetime; while it can be safer than continuing a pregnancy and childbirth, it can also be heavily stigmatised. Legislation surrounding the regulation of abortion in the UK is varied and complex. In this context, women fear judgement and negative attitudes. Abortion care is becoming increasingly nurse led. The National Institute for Health and Care Excellence suggest that women prefer care to be delivered by nurses and recommend their role to be maximised. Despite this, abortion is not routinely included in pre-registration nursing training and nursing in abortion care is predominantly restricted to the NHS-commissioned independent sector. This article aims to introduces nurses to person-centred abortion care through exploration of the legal, social, medical and surgical aspects of abortion.

The widespread use of digital platforms, particularly social media, has transformed public access to nutrition information, presenting both opportunities and problems for public health. Although these platforms can enhance health education, they also facilitate the rapid spread of misinformation, often propagated by individuals without professional credentials. Nutrition misinformation shapes public perceptions and behaviours, with detrimental effects on dietary practices and increasing the burden of non-communicable diseases. Online content lacking peer review, scientific grounding or transparency can mislead individuals and erode trust in evidence-based nutrition science. Strategies to counter these effects include strengthening digital and health literacy, implementing policy reforms and ensuring that public health bodies provide accurate, engaging online information to build public resilience against misleading dietary claims.

Sam Foster considers the proposed workforce plan for England and the issues affecting nurses around workforce safety, sustainability and professional wellbeing.