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Biomedical subjects

Terry Hainsworth

Publications and source records attributed to Terry Hainsworth.

At least 19 recordsLinked to original sources

Travel vaccines: a guide to appropriate use.

As greater numbers of people travel to exotic locations, vaccine technology is becoming increasingly important. Deciding on appropriate immunisation can be complex: it involves assessment of the traveller's risk, an awareness of the potential diseases at a particular destination and knowledge of the vaccines available. This article focuses on nine diseases that can be prevented through vaccination: hepatitis A; typhoid; yellow fever; hepatitis B; tick-borne encephalitis; rabies; meningococcal meningitis; Japanese encephalitis; and cholera. In each case the indications for immunisation are discussed as well as any contraindications and adverse reactions to the vaccines.

Cholera↗

Travel health: reducing the preventable risks.

Most travellers attend travel consultations to have immunizations. However, arthropod-borne diseases, diseases found in food and water, sexually transmitted diseases and sun-related problems all present significant risks to the traveller and cannot be prevented by vaccine. This article discusses these four areas in depth, updating nurses on an area of health promotion that aims to reduce these travel-related risks.

Communicable Disease Control↗

Diagnosis and management of candidiasis vaginitis.

Candidiasis vaginitis (vaginal thrush) is a common fungal infection that can be treated with an antifungal agent. It can be a distressing condition, especially if recurrent infections are experienced. Successful treatment requires attention to underlying contributing factors, education about preventive measures and the dispelling of the many myths associated with the condition.

Candidiasis↗

Raising awareness of the rise in allergy-related conditions.

The incidence of allergic disease is increasing, with one in three people now reported as having some kind of allergy. Allergy support groups are working to raise awareness of this increase and also to highlight the inadequacies in NHS allergy management services. This has implications for nursing practice, as nurses are involved in identification and documentation of patients' allergies as well as in the management of allergic reactions including anaphylaxis.

Allergy and Immunology↗

The NSF for Renal Services. Part One: Dialysis and transplantation.

Part one of the National Service Framework for Renal Services--focusing on dialysis and transplantation--has recently been published. It sets five standards and aims to help the NHS and its partners manage demand, increase fairness of access and improve choice and quality in dialysis and kidney transplant services.

Humans↗

Improving medication safety.

Errors in prescribing and administering medication can have serious consequences. A Department of Health report highlights common medication errors and high-risk clinical areas. It includes many practical suggestions for the prevention of errors.

Drug Hypersensitivity↗

Guidelines on the management of patients with hypertension.

New guidelines for the management of hypertension have just been published. These guidelines are relevant for many nurses but especially for those in primary care, who are often involved in the management of people with hypertension and its complications.

Antihypertensive Agents↗

The role of exercise in falls prevention for older patients.

Falls prevention is a key area of health promotion that is familiar to all nurses who work with older people. However, the suggestion that t'ai chi should be used as a prevention intervention may be new to many nurses. The evidence supporting t'ai chi and many other forms of exercise have been evaluated within the National Institute for Clinical Evidence (NICE) falls guidance. This should enable nurses to look at the prevention interventions that they currently recommend and question the evidence for or against their effectiveness. Nurses should also be able to identify factors that may present as barriers to participation.

Accidental Falls↗

The value of cholera vaccination in promoting travel health.

Cholera is a diarrhoeal disease caused by intestinal infection with Vibrio cholerae bacterium (Health Protection Agency, 2004). Travellers are now able to obtain a cholera vaccine in the UK. Although cholera is rare in travellers from the UK, its potential severity is a cause for concern. Nurses will need to consider the availability of this new vaccine when providing health promotion to travellers.

Cholera↗

The control and prevention of hospital-acquired infections.

Recently the public's attention has been focused on the issue of hospital-acquired infections. The latest Audit Commission report (National Audit Office, 2004) reveals an increase in MRSA cases from 7,250 in 2001-2002 to 7,647 in 2003-2004. This has resulted in new action plans for prevention and control of infection.

England↗

Guidance for preventing errors in administering blood transfusions.

Administering a blood transfusion is a common part of nursing practice and a life-saving intervention. However, new guidance published by the RCN (2004) highlights that this is an area of practice with frequent errors. The guidance gives clear recommendations for good practice in the areas of sample collection, preadministration checking, and monitoring to recognise adverse reactions.

Benchmarking↗

Safe journey.

Explore the source record for details and available documents.

Aircraft↗

NICE guidance on diagnosis and management of type 1 diabetes.

New guidance has been published by the National Institute for Clinical Excellence covering issues for adults and children/young people who have type 1 diabetes (NICE, 2004a). It includes diagnosis, management, education, complications and screening recommendations. It continues the theme of patient-centred care already seen in the national service framework, and is supported by guidance published for patients.

Academies and Institutes↗

The NSF for children, young people and maternity services.

The new National Service Framework for Children, Young People and Maternity Services (Department of Health, 2004) draws together current recommendations for best practice. This article highlights the points most relevant to nurses from this 10-year plan of practice improvement.

Adolescent↗

Ensuring optimum uptake of influenza immunisation.

Influenza poses a significant health threat to older people or those with chronic conditions. Prevention with immunisation is effective, but uptake could be hindered this year because of problems with supply.

Health Education↗