British journal of nursing (Mark Allen Publishing)
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Emeritus professor Alan Glasper, from the University of Southampton, discusses the launch of the latest Department of Health initiative to make the NHS more people-focused, rather than system-focused.
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The rise of the electronic record now allows nurses to access a large archive of patient information that was more difficult to obtain when records consisted of manually held paper files. There have been several instances where curiosity and, occasionally, more malicious motivations have led nurses to access these records and read the notes of a celebrity or a person they know. In this article, Richard Griffith considers whether nurses' accessing and reading of the record of someone who is not in their care is in breach of their duty of confidentiality.
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In this second of a two-part column, John Tingle discusses the Government's response to the consultation on the Freedom to Speak Up review, the report Investigating Clinical Incidents in the NHS, and The Report of the Morecambe Bay Investigation.
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Effective symptom management for a patient with a palliative diagnosis can be challenging. There are some symptoms that may be more difficult to control and understand than others. ⋯ Understanding the predisposing factors and the manifestations may aid the health professional in the assessment and identification of this distressing symptom, facilitating more effective management and care of those who are approaching the end of life. This article attempts to address some of the challenges and offer a number of suggestions that may aid in identifying delirium in patients at the end of life, but also examines some of the dilemmas when attempting to treat delirium.