Research bureaucracy in the United Kingdom: seeking a balance: response from the Department of Health and COREC.
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Biomedical subjects
Publications and source records attributed to John Pattison.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Current government health policy calls for increased collaboration between acute and primary care, and between the NHS and the independent sector. This article describes an initiative in which an NHS trust contracted an independent company to provide home chemotherapy for patients with cancer of the colon. Home-based therapy enables patients to choose the service that suits them most, and can reduce the stress associated with their disease and treatment. It has also been found to reduce the side-effects of treatment. This article includes a case study on a patient receiving home chemotherapy which illustrates some of the benefits of the service for patients.
The administration of cytotoxic drugs is an area in which evidence-based practice has never been more important, yet information on extravasation is sparse and largely anecdotal. To help staff, an effective and user-friendly approach to the management of cytotoxic extravasation was developed and is described in this article. It details the problems that can arise during the administration of cytotoxic drugs and focuses on the risk of extravasation, which requires urgent management. Failing to take appropriate action, or delaying it, can have serious consequences for the patient, including the risk of disfigurement.