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Informationen zum Autor Elizabeth O'Brien is clinical team leader for district nursing in Croydon Primary Care Trust. She is involved in writing clinical guidelines clinical audit and benchmarking in connection with Croydon Primary Care Trust's clinical governance agenda. Klappentext "This manual, the first of its kind focused on district nursing, provides the means to build competence and confidence in nurses new to the community, or developing their skills. The comprehensive and evidence-based content provides essential information for competence in key areas of district nursing." From the Foreword, by Rosemary Cook CBE, Hon D Lett, MSc, PG Dip, RGN Director, The Queen's Nursing Institute Clinical skills are a fundamental aspect of district nursing care. The District Nursing Manual of Clinical Procedures is a practical, evidenced-based manual of clinical skills which reflects the unique challenges of district nursing care within the patient's home. It provides a comprehensive resource for all district nurses, community nurses, students, and health-care professionals involved in the district nursing team, enabling them to practice confidently and deliver clinically effective, person-centred care. The District Nursing Manual of Clinical Procedures addresses the complexity of district nursing care and encompasses key aspects of clinical practice, including those that district and community nurses often struggle with or find difficult when they are on their own in a patient's home. It utilises the latest clinical research and expert clinical knowledge to address these challenges, and to provide the underlying theory and evidence for district nursing care. Key features Evidenced-based manual of practical clinical skills in district nursing careClear, user-friendly and easy to understandContains recommendations for expert care within a patient's own homeAddresses key concerns of district and community nurses working on their own within a patient's homeEncompasses key aspects of district nursing care Placed in the context of person-centred careAll procedures include the rationale for each action - 'why' as well as 'how' Zusammenfassung "This manual! the first of its kind focused on district nursing! provides the means to build competence and confidence in nurses new to the community! or developing their skills. The comprehensive and evidence-based content provides essential information for competence in key areas of district nursing. Inhaltsverzeichnis Contributors viii Foreword x Preface xi Chapter 1 Assessment and communication (general principles) 1 Background evidence 1 The Single Assessment Process (SAP) 2 Communication 6 Conclusion 15 References and further reading 15 Chapter 2 Blood glucose monitoring for people with diabetes mellitus 19 Background evidence 19 Metabolic control (physiology of blood glucose) 20 Urine versus blood testing 20 Capillary blood glucose testing 20 Blood glucose monitoring training and education 22 Types of blood glucose monitoring system 23 Limitations of blood glucose meters 23 Contraindications for the use of blood glucose meters 23 Maintenance and care of the meter 24 References and further reading 26 Chapter 3 Bowel management 28 Background evidence 28 Constipation 30 Diarrhoea 38 Irritable bowel syndrome 40 Faecal incontinence 40 Conclusion 46 References and further reading 62 Chapter 4 Discharge planning 65 Background evidence 65 Discharge planning process 65 Community Care Delayed Discharge Act 2003 76 Informal carers 76 Risk management 77 Training 78 Conclusion 78 References and further r...