Nursing standard (Royal College of Nursing (Great Britain) : 1987)
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The author carried out a literature review of post-operative pain management in day surgery units. ⋯ Based on this review, the article makes recommendations for: pre-operative information for patients about their proposed surgery and strategies for pain relief during their stay; a recovery protocol for the administration of intravenous opioids of choice, in titrated doses, by appropriately qualified nurses; and a protocol for the administration of oral analgesia by nurses, from a prescribed list, for patients in pain on the ward.
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Surveys have shown that over 90 per cent of the prison population have a diagnosable mental illness, substance abuse problem, or both (ONS 1998). There is general agreement that although there are areas where practice is excellent, practice is not consistent across England and Wales, and often does not equate to standards in the NHS. ⋯ This article looks at the one of the first prison in-reach services that was launched at HMP Leicester early in 2002, and considers the effect these nurses have had on the care of mentally ill adults at the prison. A case study outlining the in-reach team's approach to one of the prison's greatest challenges, self-harm, is also included.