British journal of nursing (Mark Allen Publishing)
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This article will critically appraise the literature focusing on the use and application of the Glasgow Coma Scale (GCS). Historically the GCS tool was created in a 14-point format and later revised to a 15-point format. ⋯ The authors believe that anatomical and physiological knowledge is required to competently interpret assessment of level of consciousness. The article will review the anatomical basis of consciousness and consider some of the issues of application of GCS in practice, including painful stimuli.
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This article considers a case where a patient is suffering from a pressure ulcer and there is a dispute between hospital and care home as to its cause. It looks at the handling of a complaint under the new NHS Regulations and in a care home.