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Use a wrap instead: using compression wraps in lymphoedema and venous disease

The lymphatics are a complex system that drain fluid out of the body's tissues and back into the circulatory system. Initial lymphatics are made up of a single layer of endothelial cells—the cells...

Treating head lice: a case study

Head lice (Pediculus humanus capitis) are tiny parasitic insects that infest the hairs of the human head and feed on blood from the scalp. Female head lice lay eggs near the scalp. These eggs are...

Managing fire risk in housebound people who smoke and require air-alternating pressure-relieving equipment

Elderly persons with decreased mobility and dementia are at risk of death in a residential fire (Runyan et al, 1992). Fatal dwelling-house fires account for 10% of all accidental deaths in the UK and...

Charting new territory: medication administration records and transcribing in district nursing services

In Wales, district nursing teams have highlighted concerns about accessing MAR charts in a timely way and are actively seeking solutions, which includes transcribing of medicines. Transcribing is...

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...

Uncertainty in multimorbidity: a shared experience we should recognise, acknowledge and communicate

The prevalence of illness increases as people get older, such that over 50% of those over 65 years have multiple chronic conditions or ‘multimorbidity’ (Barnett et al, 2012). Multimorbidity impacts on...

A district nurse's reflection on pre-registration nursing education: a troubling position

When new to the lecturing role, the author was perturbed by feelings of imposter syndrome at the thought of teaching hospital-based care. Referring back to their initial training, they felt unsure as...

District nursing using neighbourhood care principles in practice: reflecting on our experience

The Buurtzorg organisation uses a two-pronged approach to improve patient and staff experience. The first principle is a patient-centred model of care, described as the onion model with the patient at...

The challenges homeless people face when accessing end-of-life care: what district nurses need to know

Homelessness is often thought of as ‘rough sleeping’, yet a wider definition is generally used that HCPs should be aware of. Crisis (2022a) defines homelessness as:.

Red legs: how to differentiate between cellulitis, venous eczema and lipodermatosclerosis

Cellulitis is an acute infection of the dermal and subcutaneous layers of the skin, often occurring after a local skin trauma (Bailey and Kroshinsky, 2011)..

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...

Facilitating healthy deaths at scale

‘I could never have imagined how difficult the position of caregiver at end-of-life would be and…. the stress on us as a family cannot be overstated’. .

Why choose British Journal of Community Nursing?

British Journal of Community Nursing provides clinical education dedicated to nursing in the home. Our goal is to help you develop your skills, improve your practice and manage cases more effectively.

What's included

  • Evidence-based best practice

  • Peer-reviewed research

  • Focus on elderly care and long-term conditions

  • CPD support

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