Nursing times
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Acute exacerbation of chronic obstructive pulmonary disease is a common reason for admission to hospital. Non-invasive ventilation using bilevel positive airway pressure has an important role in the management of acute hypercapnic (type 2) respiratory failure, particularlywhen pH is < 7.35. This article discusses the indications for its use and care of patients receiving non-invasive ventilation.
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The guideline emphasises the importance of careful multidisciplinary assessment and treatment in stroke rehabilitation, and provides guidance to support the long-term rehabilitation and care of people living with the effects of stroke. As well as recognising the benefits of a range of stroke rehabilitation interventions that are targeted and relevant to the individual, the guideline also highlights where there are gaps in the evidence to support best practice, and signposts the way for appropriate research projects to address these.