Matthew Bradby - District Nursing at a Glance

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District Nursing at a Glance Provides a clear picture of delivering care in a patient’s own home and addresses many contemporary and emerging aspects of practice Covers stroke, cancer, diabetes, epilepsy, chemotherapy, and other common diseases suffered by patients in the community setting Offers up-to-date information and advice on evidence-based practice, educational pathways, and career development Discusses the use of mobile technology to support professional practice of caring for patients in their homes Includes summary boxes, key points, full references, links to online resources, and recommendations for practice to improve the learning experience
is a must-have revision guide and reference for pre-registration nursing students, particularly those in community clinical placements, post-registration students on district nursing courses, and newly qualified district nurses and healthcare assistants.

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14 References and further readingReferences Further reading

15 Index

16 End User License Agreement

List of Tables

1 Chapter 3 Table 3.1 Elements contributing to effective clinical supervisor–student re...

2 Chapter 19Table 19.1 Some suggested prompts to patient discussion.

3 Chapter 26Table 26.1 Distinguishing between simple and complex health and social care...

4 Chapter 29Table 29.1 The benefits and challenges of using technology in the home.

5 Chapter 31Table 31.1 Care Quality Commission: Key Lines of Enquiry.Table 31.2 Care Quality Commission: Care home regulation.

6 Chapter 32Table 32.1 Cognitive impacts and behavioural effects of Dementia.

7 Chapter 49Table 49.1 Useful contacts and organisations.

8 Chapter 54Table 54.1 BODE (BMI, airflow obstruction, dyspnoea and exercise capacity) ...

9 Chapter 56Table 56.1 Symptoms reported in the last 12 months of life.

10 Chapter 58Table 58.1 Management of multiple sclerosis.Table 58.2 Health professionals involved in supporting people with multiple ...

11 Chapter 65Table 65.1 What sort of voluntary organisations could be useful to district...

List of Illustrations

1 Chapter 1 Figure 1.1 Cartoon of Queen’s Nurses in 1918. Figure 1.2 Queen’s Nurse with a bicycle, c. 1900. Figure 1.3 The celebrated midwife’s case, 1925. Figure 1.4 Queen’s Nurses magazine advert, 1913. Figure 1.5 Ground floor plan of a district nurse’s cottage, 1945. Figure 1.6 Architect’s design for a district nurse’s cottage, 1945....

2 Chapter 2 Figure 2.1 Insignia of Queen Victoria’s Jubilee Institute for Nurses, 1887.... Figure 2.2 Queen’s Nurse’s Outdoor Uniform, 1905. Figure 2.3 Uniform hat for Queen’s Nurses, 1913. Figure 2.4 Queen’s Nursing Institute badge for Jamaican nurses. Figure 2.5 Queen’s Nurse’s indoor uniform, 1943. Figure 2.6 Queen’s Institute of District Nursing logo, 1928. Figure 2.7 Queen’s Nursing Institute logo, 1973. Figure 2.8 Modern Queen’s Nurse badge. Source: Queen’s Nursing Institute....

3 Chapter 3 Figure 3.1 The three pillars supporting learning within the community settin... Figure 3.2 Individual learning styles. Figure 3.3 Quality in community education.

4 Chapter 4 Figure 4.1 Examples of alternative practice placements. Figure 4.2 Examples of ‘hub and spoke’ practice placements. Figure 4.3 Guidelines for issues arising in practice placements.

5 Chapter 6 Figure 6.1 Community preceptorship and mentorship.

6 Chapter 7 Figure 7.1 A district nurse carrying equipment from a patient’s home. Figure 7.2 The novice to expert continuum. Figure 7.3 A district nurse on her rounds.

7 Chapter 8 Figure 8.1 Evidence‐based practice as a continuous cycle. Figure 8.2 Hierarchy of evidence.

8 Chapter 9 Figure 9.1 A mobile phone is a key piece of District Nursing equipment. Figure 9.2 Working with a laptop or tablet to record and share patient notes... Figure 9.3 Developing good relationships with family members and carers is e...

9 Chapter 10 Figure 10.1 The multidisciplinary team. Figure 10.2 A district nurse visits a man living at home with complex health...

10 Chapter 11 Figure 11.1 Safe caseload management methods and tools. Figure 11.2 Nine characteristics of good‐quality care in district nursing....

11 Chapter 12 Figure 12.1 An illustration of nurses in the community, from an animated fil... Figure 12.2 An illustration of members of a multidisciplinary healthcare tea... Figure 12.3 Members of a multidisciplinary community healthcare team assess ... Figure 12.4 Staff members of a community healthcare organisation in the UK w...

12 Chapter 13Figure 13.1 District nurse and pharmacist discuss medications.Figure 13.2 Sources of support and information for non‐medical prescribers....

13 Chapter 14Figure 14.1 Yellow Card – making medicines safer.Figure 14.2 A district nurse prepares a needle and syringe for injection.

14 Chapter 15Figure 15.1 Writing up clinical notes in a patient’s home during a visit. Pa...

15 Chapter 16Figure 16.1 Risk matrix. 1–3 = Low risk; 4–6 = Moderate risk; 8–12 = High ri...

16 Chapter 17Figure 17.1 Quality of care pyramid. NHS England has developed a pyramid whi...Figure 17.2 The NHS Safety Thermometer was developed for the NHS by the NHS ...

17 Chapter 18Figure 18.1 Many district nurse visits will be to people living alone.Figure 18.2 Travel by car is usually the most efficient way to reach patient...Figure 18.3 Example of a ‘Wellbeing Tree’ poster for use in a community nurs...Figure 18.4 Example of a staff ‘Wobble Room’ poster for use in a community h...

18 Chapter 19Figure 19.1 Making every contact count.Figure 19.2 Behaviour change interventions mapped to NICE behaviour change: ...Figure 19.3 Example of a Likert Scale for use in healthcare settings.

19 Chapter 20Figure 20.1 Cultural competence builds on the concepts of cultural awareness...Figure 20.2 Cultural issues in nursing word cloud.

20 Chapter 21Figure 21.1 Maslow’s hierarchy of needs.Figure 21.2 Nurse at a homeless health clinic.Figure 21.3 Nurse examines feet of a person at a homeless shelter.

21 Chapter 22Figure 22.1 The spectrum of inequality.Figure 22.2 National Health Service comprehensive personalised care model.

22 Chapter 23Figure 23.1 Handwashing diagrams that can be shown to patients.Figure 23.2 Transmission routes of micro‐organisms.Figure 23.3 Human pathogen transmission.Figure 23.4 Hand hygiene at the point of care.

23 Chapter 26Figure 26.1 The individual being cared for may receive support from numerous...

24 Chapter 27Figure 27.1 Model of physicians’ adherence communication (expanded version)....Figure 27.2 Discussing a care plan with a patient one‐to‐one is key to effec...

25 Chapter 28Figure 28.1 A clinical bed provided for use in a person’s home.Figure 28.2 Assisting a person with mobility issues with eating and drinking...Figure 28.3 Supporting an elderly woman in the use of specialist equipment a...

26 Chapter 29Figure 29.1 The internet allows for a permanent interface between remote dev...

27 Chapter 30Figure 30.1 Community nurses are using mobile technology to create time to c...Figure 30.2 An example of a web‐based work scheduling tool used in District ...

28 Chapter 31Figure 31.1 Resident and nurse in a care home setting.Figure 31.2 Residents and nurse in a care home setting.

29 Chapter 32Figure 32.1 Key contributors to effective person‐centred dementia care in th...Figure 32.2 Some key elements in person‐centred care for individuals....

30 Chapter 34Figure 34.1 Carers’ Alert Thermometer (Edge Hill University).Figure 34.2 Carers’ Alert Thermometer – Guidance for Staff.

31 Chapter 35Figure 35.1 Triangle of care.Figure 35.2 Carers UK.Figure 35.3 Carers Trust.Figure 35.4 The Queen’s Nursing Institute learning resource.

32 Chapter 36Figure 36.1 A nurse and resident of a hospice.Figure 36.2 Therapy animals come in all shapes and sizes.Figure 36.3 A nurse and a resident in a hospice setting.Figure 36.4 Palliative care in a a hospice setting.

33 Chapter 37Figure 37.1 Aspects of spirituality from the personal perspective.Figure 37.2 Aspects of spirituality from a clinical perspective.Figure 37.3 A district nurse visiting a frail elderly person and family memb...

34 Chapter 38Figure 38.1 Taking time to discuss a person’s health and care is a key part ...Figure 38.2 The Kübler‐Ross grief cycle.Figure 38.3 Good communication is essential to building relationships in the...

35 Chapter 39Figure 39.1 Signposting to other services.Figure 39.2 Assessing health and expectations in order to negotiate care pla...Figure 39.3 Holistic assessment leads to achievable outcomes.

36 Chapter 40Figure 40.1 Taking baseline observations in the home.Figure 40.2 Heart rate (beats per minute).Figure 40.3 The six R’s.

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