Professional nurse (London, England)
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Current government policy encourages service users to be involved as equal members of the interprofessional care team. This goal is compromised in the care of people with dementia if they are not informed of their diagnosis. This paper looks at recent research both for and against disclosure, and argues in favour of breaking the news in a supportive way.
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When an NHS trust found it had high readmission rates among patients with chronic obstructive pulmonary disease, nurses from the acute respiratory assessment service decided to find out why. An audit found that, in fact, a very small number of patients were the cause of the problem. They suggest that improved care at home after discharge could help resolve the issue.