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Clinical Focus

Understanding bioidentical hormones and their effect on quality of life

Hormones play a huge role in a patient's quality of life and when they become imbalanced, the effects can be wide-ranging. Imbalances can develop as a result of endogenous or exogenous change, leading...

Medicines adherence in respiratory disease

If adherence means compliance with recommended or prescribed therapy, nonadherence just means that the prescription, treatment or advice is not followed (Horne, 2005). Nonadherence can involve...

Assessing and managing patients with leg ulceration and oedema

Arterial ulcers develop as a consequence of reduced arterial blood flow to the leg, the main cause of which is peripheral arterial disease (PAD). PAD affects up to 20% of the population aged 60 years...

Effective pharmaceutical management of Acute Otitis Externa: guidance and prescribing considerations

Topical antibiotic therapy is a well-established and effective treatment for uncomplicated AOE. Many clinical trials have shown topical preparations to be effective, with excellent bacteriologic...

Human immunodeficiency virus: A review into treatment

Epidemiology is the study of how often diseases occur in different groups of people and why they occur (Cogan et al, 2003). Epidemiological data can be used to plan and evaluate strategies that can...

The role of the heart failure nurse and use of sodium glucose cotransporter-2 inhibitors

The action of SGLT2 inhibitors is to reduce renal glucose and sodium reabsorption in the proximal tubule of the nephron resulting in increased urinary glucose excretion with osmotic and natriuretic...

Prescribing for established adult patients with epilepsy

Seizures are controlled with medication in about 70% of cases; inexpensive anti-epileptic drugs (AEDs) are the mainstay of treatment. When seizures do not respond to AED therapy, surgery,...

Leading a nurse-led stoma partnership programme

Within West Essex CCG, pride is taken in a progressive and imaginative approach to improving and enhancing patient care in the community..

The management of hyperglycaemia of inpatients receiving enteral feeding: a practical guide

The most commonly used enteral feeds are pre-digested and have CHO as the main source (around 50%) of energy (Pearce and Duncan, 2002). They are therefore easily absorbed, causing rapid rise in blood...

Natalizumab for the treatment of highly active MS: risks and benefits

Natalizumab is a DMT that is used in highly active RRMS, which has a high efficacy of 70% for reducing relapses and sustaining disease progression. It is given by intravenous infusion every 4 weeks,...

Managing depression in the primary care setting

Depression is characterised by persistent low mood and/or loss of pleasure in most activities and a range of associated emotional, cognitive, physical, and behavioural symptoms (NICE, 2015). The DSM-5...

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Journal of Prescribing Practice shares the latest clinical expertise and professional guidance for non-medical prescribers. Our goal is to provide the knowledge to help you prescribe more efficiently and effectively.

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