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Issue 132 - 23 April 2010


1. Make the strategy a reality
by Hayes, Nicky. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p5
An introduction to the journal is presented in which the editor discusses a report by the National Audit Office about the National Dementia Strategy, the appointment of the first national clinical director for dementia, and the expansion of the Cornwall dementia and communication difficulties education scheme.

2. In Brief
Nursing Older People, Mar 2010, Vol. 22 Issue 2: p6
This section offers news briefs concerning care of older people in Great Britain, including the appointment of David Oliver as national clinical director of the National Health Service (NHS), the recommendation of the Joint Committee on Vaccination and Immunisation to give protection for people aged between 70-79 against shingles, and the release of a guidance for treating people with rheumatoid arthritis, by the National Institute for Health and Clinical Excellence (NICE).

3. Rate of falls reduced by taking vitamin D, research finds.
Nursing Older People, Mar 2010, Vol. 22 Issue 2: p6
The article focuses on the Cochrane Review of 41 controlled trials which revealed that vitamin D intake can reduce the rate of falls in older people by about 28%.

4. Funding figures show how impact of dementia is ignored
Nursing Older People, Mar 2010, Vol. 22 Issue 2: p6
The article reports on the claim of the Alzheimer's Research Trust that dementia care receives a fraction of the funding given to cancer and heart disease in Great Britain.

5. Reaching great heights in Africa.
Nursing Older People, Mar 2010, Vol. 22 Issue 2: p6
The article reports on the success of Lauren Juggler to reach that summit of Mount Kilimanjaro in Tanzania and raise money for the nursing home Vi and John Rubens House in Redbridge, London, England, where her grandparents are residents.

6. Stroke knowledge among care home staff is poor.
by Berry, Lisa. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p7
The article reports on the call of nurse educators in Great Britain for better training of care home staff after a report of the National Audit Office revealed that some staff do not know a suspected stroke in an emergency. The report of the office also found that staff are not required to have training in the identification, communication, mobility and other needs of residents. Ruth Sander, a senior lecturer at the University of Portsmouth stresses the importance for care home staff to recognise signs of a new stroke.

7. Local authority-led projects cut overnight stays and care costs
Nursing Older People, Mar 2010, Vol. 22 Issue 2: p7
The article focuses on the Partnerships for Older People Projects in Great Britain which reduced the number of overnight hospital stays of older patients to 47%, the use of emergency departments by 29% and the cost of occupational therapy and physiotherapy by 2,000 British pounds annually, according to an evaluation report published in January by the Department of Health.

8. Report recommends dementia training is made compulsory.
Nursing Older People, Mar 2010, Vol. 22 Issue 2: p7
The article focuses on a report by the National Audit Office on dementia services in England, which recommended that all nurses and doctors should be trained in dementia care before they start practising, to help make the condition a health priority. The report stated that dementia awareness education, coupled with a training accreditation scheme would improve care for patients in all settings.

9. Dementia tsar appointed to give direction to strategy
by Blakemore, Sophie. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p8-9
The article focuses on a report by the Great Britain National Audit Office which revealed that the national strategy launched by the Department of Health in 2009 to improve care of people with dementia in the National Health Service (NHS) and social care services in England, has so far yielded disappointing results. The report made several recommendations in an attempt to simulate the strategy, including appointment of a clinical leader for dementia by all hospitals by the end of March 2010. It notes the expectation of the government on the initiative. Includes responses to the report.

10. A good start
by Ketteringham, Andrew. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p10
Abstract: The
article focuses on the leaflet titled "This Is Me," which can be given by carers to hospital staff when a person with dementia goes into hospital. The leaflet contains information about the eating habits of dementia patients, as well as their tendency to wander, what makes them agitated and help them relax. The leaflet was launched in response to a report by the Alzheimer's Society titled "Counting the Cost."

11. Success by degrees
by Devine, Maurice. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p11
A personal narrative is presented which explores the author's experience of attending a conference conducted by the Royal College of Nursing (RCN) Northern Ireland about older people's nursing network

12. A right to good care
by Webster, Jonathan. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p12
The article reflects on best practice in clinical medicine. Clinical practice is considered multifaceted because there is nothing basic about working with and caring for people who have complicated age-related needs. Poor clinical practice is said to cause a number of interrelated clinical governance problems at all levels across an organisation. Also fundamental to best practice is an effective work-based culture that enables innovation.

13. Noticeboard
Nursing Older People, Mar 2010, Vol. 22 Issue 2: p14
This section offers news briefs concerning geriatrics in Great Britain, as of March 2010. Six public lectures will be given by Professor Tina Koch at the University of Surrey on storytelling in research. Consultation is being conducted by the Nursing and Midwifery Council on a draft guidance on raising concerns about patient safety. A page for care home staff was launched by the Medicines and Healthcare Products Regulatory Agency on its Web site.

14. Practice question
Nursing Older People, Mar 2010, Vol. 22 Issue 2:p16
The article answers the question if alcohol misuse is only a problem in the younger generation.

15. Making a difference as a nurse consultant
by Williams, Ruth. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p18-21
The nurse consultant role has existed for a decade. The five components of the role -- professional leadership, service development, research, education and training, and expert practice -- are discussed in relation to Aileen Fraser's work with older people in Bristol, Ms Fraser explains how she has identified gaps in services and developed new policies to improve practice on safeguarding vulnerable adults, She also discusses how she has been influenced by good practice she witnessed on a study tour in the United States. [ABSTRACT FROM AUTHOR]

16. A dementia education scheme
by Wesson, Laura; Chapman, Beverley. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p22-25
The Cornwall dementia and communication difficulties education scheme is a simple strategy to enable provision of more effective and appropriate care to patients with memory and communication difficulties throughout healthcare settings in Cornwall. An acute hospital audit found that the scheme improved awareness, documentation and care of this patient group. The scheme has become the basis of Cornwall's dementia strategy. [ABSTRACT FROM AUTHOR]

17.How to make care champions
by Burdett, Julie et al. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p26-29
This article provides an overview of how second-year, adult branch nursing students at De Montfort University, Leicester, were trained as older people's champions to improve the care provided to this patient group. [ABSTRACT FROM AUTHOR]

18. Caring for people with end-stage dementia
by Birch, Deborah & Stokoe, David. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p31-37
This article considers the role of palliative care in the management of patients with dementia. It aims to broaden the knowledge of nurses providing general care as well as specialist palliative and end of life care to patients with dementia in all settings. The article helps nurses to identify the characteristics of end-stage dementia and meet the associated challenges that this diagnosis poses. Nurses should then be in a better position to recognise and support patients and their families and ensure that palliative care is included in care planning for this group of patients. [ABSTRACT FROM AUTHOR]

19. Face to face
by Williams, Ruth. Nursing Older People, Mar 2010, Vol. 22 Issue 2: p40
: An interview with Rona Agnew, a nurse who have been involved in work with the Scottish government, redesigning services for older people, is presented. She reveals that she was inspired by a ward sister during her training to work with older people. She states that her Doctor of Philosophy (PhD) is exploring stroke nurses' practice in relation to promoting continence, which covers her three main areas of interest, including older people and stroke. She also notes the challenges in her work, such as its unpredictability.

Journals - Table of Contents

20. From Canadian Nurse, March 2010, Volume 106, Number 3

20A. CNA aims high
20B. An ounce of prevention is worth a pound of cure
20C. CARNA campaign promotes the value of RNs
20D. Where the rubber meets the road [Free condoms available in cabs]
20E. Nursing Care Partnership Program: project summaries [Testing a nursing intervention to promote children's comfort, sleep and psychological well-being during and following PICU hospitalization; research-based documentary on obstetrical and neonatal nurses' experiences of grieving; Measuring pain in critically ill infants using near infrared spectroscopy]
Greening the CNA Convention
20G. International colleagues build skills in influencing policy
20H. 2010 annual meetings and conferences
20I. Supporting your practice: CNA's new tools and resources
20J. CCCN: promoting a heart-healthy lifestyle
20K. Exploring the role of RNs in family practice residency training programs
20L. The Canadian Public Health Association celebrates 100 years

21. From American Journal of Nursing, March 2010, Volume 110, Number 3
No time for complacency in AIDs prevention
21B. Workplace violence: It's not a part of your job description
. Mammography guidelines generate confusion and debate: When should women start routine screening for breast cancer
21D. FDA warning about negative pressure wound therapy
21E. Increased risk of thromboembolism 12 weeks after surgery
21F. Cancer threat from CT scans
21G. Nurses as sentinels for safety; In Memoriam: Myrtle K. Aydelotte, 1917-2010
21H. Call for better screening of temporary nurses
Mentally ill and uninsured in America
21J. Providing health care information in Spanish
Every nurse is an HIV nurse
21L. Aging with HIV: Clinical considerations for an emerging population
21M. Oregon takes the lead in addressing the nursing shortage
Sibutramine may increase cardiovascular risk; Drug interaction decreases Clopidogrel's effectiveness; Chondrolysis after continuous infusion of local anesthetics
Asking the clinical question: A key step in evidence-based practice
Targeting infant death in Jacksonville, Florida
Convicted: The job description doesn't say you get to choose your patients

Conferences, Training, Seminars

22. The 2010 International Nursing Research Conference
11 May 2010 to 13 May 2010
Location: The Sage Gateshead, Newcastle Gateshead, North East England The RCN Research Society is pleased to announce the 2010 International Nursing Research Conference in association with the RCN Northern Research Society Steering Group, Durham University, Newcastle University, North East Strategic Health Authority, Northumbria University and University of Teesside. This year the event coincides with International Nurses Day on 12 May. Every year on this day, nurses across the globe celebrate nurses and nursing in
memory of Florence Nightingale who died in 1910. Alongside a dynamic scientific programme, the 2010 conference will include additional centenary events that reflect Florence Nightingale's contribution to patient care and research
Further information: 2010 International Nursing Research RCN website:

23. 27th International Conference - International Society for Quality in Health Care
Quality Outcomes: Achieving Patient Improvement
Date: 10-13 October, 2010
Venue: France
More information:

24. 2010 Canadian Hospice Palliative Care Conference: Changing the National Perspective on Hospice Palliative Care
October 28th - 31st
Venue: Ottawa, Ontario Canada
More information:

Latest news from ACC

25. ACC refers concerns to Serious Fraud Office
The Accident Compensation Corporation (ACC) today announced that it has referred matters of concern to the Serious Fraud Office (SFO).“While investigating a staff member’s failure to follow internal policies and procedures other matters of concern were uncovered. Owing to the nature, potential scale and duration of those matters we believed it was appropriate to refer them to the SFO”, said Dr Jan White, ACC Chief Executive

26. ACC to refund some clients
ACC pays weekly income compensation to injured workers. From these compensation payments ACC deducts both PAYE and the ACC earners’ levy. The earners’ levy insures the person against non-work injuries.
During a recent Court case, ACC recognised that it should not be deducting the earners’ levy from weekly compensation paid to the dependants of fatally injured workers. This was because the worker was deceased and so did not need ACC cover.

27. Consultation on dental clinical guidelines
Consultation on revised guidelines for two dental treatments starts on 1 April and ends 22 April. They are:
- Revised guideline criteria on client selection for dental implants
- New guidelines on client selection for crowns, bridges, veneers and bleaching non-vital teeth (or the ‘optimum lifetime management of anterior coronal tooth tissue’).

Latest news from Ministry of Health

28. 15 Apr, 2010: Te Ariari o te Oranga: The Assessment and Management of People with Co-existing Mental Health and substance
Use Problems 2010

29. 15 Apr, 2010: Service Delivery for People with Co-existing Mental Health and Addiction Problems - Integrated Solutions 2010

30. 15 Apr, 2010: Guidance for Improving Supportive Care for Adults with Cancer in New Zealand

31. 9 Apr, 2010: Actioning Medicines New Zealand

News – National

32. ACC privatisation only if proven benefits - Wilson
New Zealand Herald - 23 April, 2010
New Zealand's ACC model is among the best in the world and privatisation should only be allowed if there is evidence
it will improve the system, former ACC chairman Ross Wilson says.

33. Extra $1.8b for education and health in Budget
New Zealand Herald - 23 April, 2010
Finance Minister Bill English says $1.8 billion of "low quality" spending will be cut from Government departments in next month's Budget and directed into higher priority spending in education, health and law and order.

News - International

34. The Evidence is In
California RN-to-Patient Ratios Save Lives
A major new study led by one of the nation's most eminent nurse researchers provides compelling new evidence that California's landmark RN-to-patient staffing law reduces patient mortality, assures nurses more time to spend with patients, and substantially promotes retention of experienced RNs.

35. Cigs harder to quit than heroin:
Sydney Morning Herald - April 22, 2010
Quitting cigarettes can be harder than beating an addiction to heroin, a leading expert says.Sydney GP Raymond Seidler says a lot of smokers simply don't realise how hooked they are."What smokers don't realise is that nicotine addiction is as powerful, or even more powerful, than heroin addiction," he said.



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