Nursing times
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A nursing assessment of the patient's neurological status incorporates monitoring of the patient's level of consciousness, pupil reaction and motor function, as well as observation of vital signs. The importance of all these observations, and how the nurse undertakes each stage of the process, is discussed, and the Glasgow Coma Scale is described.
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This study investigated district nurses' considerations of the Marie Curie Nursing Service. Most saw the primary service as respite care and referred patients to it during late stages of illness rather than palliative phases. ⋯ Improvement in communication and education is needed. The provision of this home palliative nursing service helps to promote the principle of palliative care in optimising the quality of life of patients who have life-limiting diseases and their families.