Nursing times
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Historical Article
Fear and loathing of degrees belongs in the 19th century.
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A systematic literature review recently highlighted the complexity of nursing practice in terms of detecting and managing deteriorating ward patients (Odell et al, 2009). The findings suggest that rapid response systems, including early warning scores, may not be the only solution to the problems of detecting and managing signs of deterioration. This article summarises the findings of this review.
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Modern day palliative care has developed over the past 40 years and many government policies have been produced to support the development of services. Guidance sets out the aims and objectives for delivering palliative care, which are that every person with a life threatening illness has the right to receive appropriate palliative care wherever they are. This article explores whether people do have a choice about the care they receive and where that care is delivered.
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To improve understanding of how nurses use technology to wean patients from mechanical ventilation. ⋯ Staff allocation systems should enable them to learn from experienced nurses, while work schedules should be organised to ensure nurses begin weaning when they can offer continuity of care. Knowing the patient has been defined as a characteristic of expert nursing. To be truly patient centred, nurses need to address the barriers that prevent them from getting to "know" patients.