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Evidence based practice

News items that focus on evidence based practice

Highlighting evidence based practice guidelines, research and tools from across the UK.

This theme explores what it means to practise in line with best available evidence. It highlights evidence based practice guidelines, research and other tools and updates on evidence based techniques and processes from across the UK. International content from credible resources is also included.

Evidence based practice

BMC Nursing

Nursing in an age of multimorbidity

A changing sociodemographic landscape has seen rising numbers of people with two or more long-term health conditions. Multimorbidity presents numerous challenges for patients and families and those who work in healthcare services. Therefore, the nursing profession needs to understand the issues involved in supporting people with multiple chronic conditions and how to prepare the future workforce to care for them.

NICE guideline

Post-traumatic stress disorder

This guideline covers recognising, assessing and treating post-traumatic stress disorder (PTSD) in children, young people and adults. It aims to improve quality of life by reducing symptoms of PTSD such as anxiety, sleep problems and difficulties with concentration. Recommendations also aim to raise awareness of the condition and improve coordination of care.

NICE Talks

How can we help people who are lonely?

NICE Talks. How can we help people who are lonely? Loneliness can have a substantial effect on a person’s health and wellbeing. In this episode Neil McCarthy from Octavia and Gill Roberts talk about schemes that help people who are lonely. Val talks about her personal experiences. Katie Terroni, Oxfordshire Council’s Adult Social Care Director talks about how the Amazon Echo can reduce social isolation.

NIHR

Cancer trial shows treating the prostate with radiotherapy improves survival

New research supported by the NIHR has shown that for some men with prostate cancer which has already spread to other parts of the body before diagnosis, their survival outlook can be improved by treating the prostate with radiotherapy in addition to current standard treatment. Previously, it was unclear if there was any benefit in treating the prostate directly with radiotherapy if the cancer had already spread away from the gland.

NIHR Signal

Partial knee replacements may save costs compared with total knee replacements

Partial knee replacements, when performed by experienced surgeons, can save costs and improve quality of life compared with total knee replacements. Partial replacements for selected patients improve quality of life and save between £600 and £2,000 over the patient’s lifetime, depending on age and gender.

NIHR Signal

Steroids rapidly reduce children’s croup symptoms and shorten hospital stays

Corticosteroids reduce symptoms of croup in children within two hours and continue to do so for at least 24 hours. They also cut the amount of time children spend in hospital by 15 hours and reduce return visits or readmissions from about 20% to 10%.This Cochrane review updates a previous review which concluded that corticosteroids reduce symptoms of croup at six hours.

NIHR Signal

Intravenous oxytocin reduces severe bleeding after vaginal delivery

Routine oxytocin injected directly into the bloodstream, rather than into the muscle, after birth results in fewer people suffering severe bleeding (postpartum haemorrhage).This trial, carried out in a single maternity unit in the Republic of Ireland, randomised 1,075 women to receive either intravenous or intramuscular oxytocin after giving birth.

Specialist Pharmacy Service

What are the considerations when crushing tablets or opening capsules in a care home setting?

Patients who have problems swallowing or those who are fed via feeding tubes cannot use tablets or capsules in their whole solid form. This updated Medicines Q&A discusses what issues need to be considered when crushing tablets or opening capsules in a care home setting.

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