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Sarah Jane Palmer

Registered nurse and freelance writer, based at the Department for Work and Pensions as a disability analyst

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Health behavioural changes in older people post pandemic

The pandemic not only had direct health impacts but also affected health behaviours through its multiple lockdowns and restrictions. Routines were lost and with that, so were some of the healthier...

The gut microbiome: the origin of disease?

Clapp et al (2017) studied the gut-brain axis The researchers noted the strong bidirectional communication, which takes place between the central nervous system and the gut microbiota (Figure 1). The...

Overview of Urinary Incontinence

The National Institutes for Health (NIH) (2023) explains that the bladder tightens in order to move urine into the urethra while the muscles surrounding it relax to allow the urine to pass out of the...

Mental health in the community: part two

In terms of policy, the Mental Health Implementation Plan was set up in 2019, with objectives for reaching numerous outcomes by 2024 (NHS England, 2019). It is important to be aware of what the future...

Mental health in the community: part one

Mind (2023) states that one in four people will experience some sort of mental health problem every year in England, with one in six people experiencing common mental health concerns such as anxiety...

Oral healthcare in the community

NICE (2023) discusses the importance of mouth care plans for patients, appropriate training for staff in meeting oral health requirements, and thorough assessments for all patients in order to reduce...

An update on enteral feeding in the community

Percutaneous endoscopic gastrostomy (PEG) tubes are suitable for adults and children. They are a long-term, artificial enteral feeding tube that require endoscopic placement, allowing direct access to...

An overview of intermittent self-catheterisation

The Bladder and Bowel Community (2022) state that there are three main types of intermittent self-catheters: coated, non-coated, and pre-lubricated. Coated catheters come with a hydrophilic coating,...

Skincare for chronic oedema and lymphoedema patients

‘a chronic, progressive swelling of tissue with protein-rich fluid, which is consequential to the developmental (primary lymphoedema) or acquired (secondary lymphoedema) disruption of the lymphatic...

Overview of stoma care in the community

There are specific clinical standards that have been developed and reviewed by a group of experienced specialist stoma care nurses, in conjunction with the Royal College of Nursing (Securicare, 2019)....

Faecal incontinence management in dementia patients

Faecal incontinence involves the involuntary and frequent loss of stool, making it a distressing condition that has a significantly negative effect on the quality of life of the person affected (Ahmad...

Skin tear prevention in older adults

Campbell et al (2018) state that many of the misunderstandings or misdiagnoses surrounding skin tears have resulted from a more specific terminology, classifying them as wounds. Such misdiagnoses...

Faecal incontinence and dementia

The National Institute for Health and Care Excellence (NICE) (2007) clearly set out guidance for all health professionals who are managing a patient with faecal incontinence. The guidance states that...

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