The community--what does it ask of the nurse? From the other side of the fence.
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Biomedical subjects
Publications and source records attributed to M Evans.
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There were almost 4,000 suicides in England and Wales in 1992, and for every completed suicide there are probably at least 25 attempts. Many attempts at suicide are not the patient's first, and it has been estimated that one in four people who attempt suicide will try a second time, probably within the following three months. Of these, 10 per cent will succeed. General nurses often have a key role in caring for people who have attempted to take their lives. This article is relevant to the UKCC Professional Development Category of Reducing Risk.
Recent changes in health service policy mean that nurses working in out-patient settings are probably seeing more people with severe mental health needs. When the person is threatening to commit an act of self-harm, the nurse can be under great pressure to take decisive action. In this paper, Marcus Evans draws on findings from the field of psychoanalysis to offer nurses some guidance on working in this increasingly common area of practice.
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Advances in portable high-speed computer technology have allowed intraoperative mapping of the ventricular endocardium. Accurate and highly precise endocardial maps have rendered certain types of ventricular tachycardia curable. This article discusses the options available to patients with ventricular tachycardia and places special emphasis on high-speed precision mapping and endocardial resection for cure.
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In June 1993 the results of the Diabetes Control and Complications Trial (DCCT) were made public. It showed that intensive insulin therapy, designed to produce 'near-normal' blood glucose levels, resulted in a spectacular reduction in long-term risks of all microvascular complications of insulin dependent diabetes mellitus (IDDM) when compared with 'conventional' insulin therapy. On 6 April 1995 a well-attended conference, organised by Professor Stephanie A Amiel, was held at the Royal College of Physicians to discuss the issues arising from the DCCT, the practicalities of implementing change in diabetes care in the light of its results, the benefits and potential risk of such intensive therapy (tight control), the implications of the DCCT findings to patient groups not included in it and other ways of minimising the long-term complications of diabetes.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.