Nursing standard (Royal College of Nursing (Great Britain) : 1987)
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The effectiveness of transcutaneous electrical nerve stimulation (TENS) for pain relief has been challenged. This article evaluates systematic review findings and demonstrates that studies using appropriate TENS technique and dosage are more likely to demonstrate clinical efficacy. Therefore, it seems reasonable to continue to use TENS as a pain management intervention.
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The NHS should follow other western European countries and treat more patients in smaller local hospitals, says its new chief executive Simon Stevens.
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The implementation of person-centred care is considered complex and hard to sustain in today's NHS. To provide a dignified and caring experience to all, equality in health should consider individuals or groups at risk of isolation, as well as those who may not wish to, or may not be able to, self-manage fully. This may include, for example, the very young, older people, under-represented groups, homeless people or unconscious patients. This article considers varying levels of intervention in health and illness to make health and social care services sustainable and accessible to all.