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Biomedical subjects

Marion Richardson

Publications and source records attributed to Marion Richardson.

At least 19 recordsLinked to original sources

A model for acupuncture training in primary care.

A recent innovation in acupuncture training at a clinic in a primary care practice is reported. The trainer is a General Practitioner within the practice and the trainee an academic nurse. The semi-structured training programme is outlined and benefits and challenges to both trainer and trainee are discussed. The patients generally welcomed the scheme. We consider that the programme could provide a model for similar-training initiatives in the future.

Acupuncture↗

Introducing voluntary donations to fund primary care acupuncture--a user survey.

An acupuncture clinic has been running in general practice without any funding for nine years. However, reorganisation of the health service meant that it had to become self-funding. A scheme for voluntary donations was introduced, with a target of ł15 per treatment. In the first six months, the scheme covered the clinic's costs. A user survey was undertaken to elicit patients' views on the scheme. The majority of patients thought that the scheme was a good idea, and the amount about right. However, a few patients found payment difficult, and stated that they would be less likely to use the service for that reason, or feel guilty about using it without paying. This information should be used to try to obtain public funding through public funds in the future.

Acupuncture Therapy↗

Wound closure.

This article is to provide emergency nurses with a knowledge and understanding of the wound healing process and the appropriate choice of method in wound closure.

Bandages↗

The physiology of mucus and sputum production in the respiratory system.

The main function of the respiratory system is to draw air into the lungs to allow the exchange of gases with blood circulating to the lungs. This blood supplies the cells of the body with oxygen and removes the waste products of metabolism. Tissues of the respiratory tract are thin and delicate, and become thinnest at the surfaces of the aveoli, where gaseous exchange occurs. The body has a number of mechanisms which protect these tissues and ensure that debris and bacteria do not reach them.

Cystic Fibrosis↗

Understanding the structure and function of the skin.

The skin is the body's largest organ. It measures about 1.5-2 m2 in adults and weighs about 15 per cent of total body weight. It is home to up to three million micro-organisms per cm2, which feed on its scales and secretions. Understanding this fascinating organ's functions will help us to assess patients' skin and evaluate its potential for healing following injury or disease.

Body Temperature↗

Physiology for practice: the mechanisms controlling respiration.

Breathing, or respiration, is something we do not have to think about--it just happens; indeed, if we do think about it, our breathing pattern changes. Nurses count and record patients' respirations every day with perhaps little thought as to the physiological mechanisms that maintain this vital function, or to the wealth of information available from careful assessment of a patient's breathing. Knowledge of these processes is important to be able to understand the symptoms, treatment and management of respiratory disease.

Carbon Dioxide↗

Acute wounds: an overview of the physiological healing process.

When an injury occurs and the skin is damaged, the process of tissue repair begins immediately, but some wounds can take up to two years or more to heal completely. Healing is usually categorised into stages to aid understanding of the complex physiological processes that are occurring. However, it is a continuous process and different parts of a wound may be at different stages of healing at any one time.

Acute Disease↗

Procedures for cleansing, closing and covering acute wounds.

Every wound and patient is different so there is no single method for the management of acute wounds. However, there are some guiding principles that can assist in the decision-making process. Most wounds are suitable for primary closure, for example with sutures, while for other wounds closure is either delayed or not attempted (healing by secondary intention). Atiyeh et al (2002) provide a list of the principles of wound care that must always be observed in order to avoid sepsis and to achieve optimal wound healing (Box 1).

Bandages↗

Causes and effective management of insect bites in the UK.

Insects play an important role in maintaining the world's ecosystem (Zhu and Stiller, 2002) but many of them feed on other animals. Humans are relatively hairless and provide an easy target, especially when partly clothed (Cohn, 2003). Biting insects common to the UK include midges, gnats, mosquitoes, flies, fleas, lice, mites, ticks, and bedbugs (Fig 1).

Animals↗

The management of allergic reaction to venomous insect stings.

Insects that sting play a vital role in our ecosystem by consuming crop pests and by pollinating plants (Earth-Life Web Productions, 2004). Some of these insects, particularly bees and wasps (hymenoptera), can also deliver a painful and venomous sting. Their bodies contain a sac of venom attached to a stinger which is forced through the skin. The painful sting occurs when the sac contracts and venom is deposited in the tissues (Prodigy, 2004). The venom contains allergens that typically produce an intense, burning pain followed by erythema (redness) and a small area of oedema (up to 1 cm) which usually subsides within a few hours (Ewan, 1998a). Some people suffer more serious localised or systemic reactions including anaphylaxis. Every year in the UK between two and nine people die as a consequence of a severe allergic reaction to a bee or wasp sting (The Anaphylaxis Campaign, 2004).

Anaphylaxis↗

Selecting a treatment option in subungual haematoma management.

A subungual haematoma is a collection of blood beneath a finger or toe nail. It is often caused by a crush injury (Purcell, 2003) such as shutting a finger in a door or other types of trauma. Heim et al (2000) note that these haematomas can also be caused by repetitive trauma in athletes such as runners and dancers.

Cautery↗

The management of animal and human bite wounds.

Every year, large numbers of people are bitten by animals, and a smaller number by humans. The consequences can be serious. However, better health education to help prevent bites and teaching a bite-avoidance strategy when someone is being treated for a bite may help to reduce the problem. This article discusses treatment options and the possible complications of bite wounds.

Animals↗