Keeping kids healthy: a school nursing strategy.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to V Thurtle.
Explore the source record for details and available documents.
The implementation of clinical governance (Department of Health, 1997) requires the review of practice by consideration of complaints and clinical incidents. A systematic review of the clinical incident forms in group homes for those with learning disabilities, within an NHS community trust, highlighted issues for concern. This led to an audit being conducted of drug administration procedures involving examination of records and observation of practice. It demonstrated that there was general adherence to the trust's policies. The audit stimulated debate, and a number of potential areas for action were identified. The review of drug administration with clients who have learning difficulties raised wider questions about the scarcity of evidence in this area to support practice, the culture of client-centred homes and whether monitoring systems are sufficiently robust.
Post-natal depression is much discussed yet definitions and approaches are not homogenous, neither in terms of the cause of post-partum mental ill health, its treatment or how further research in the area should proceed. This paper seeks to examine post-natal 'upsets' and to consider the different explanations that have been and could be made of post-partum mental ill health. The paper reviews the dominant biomedical and psychological approaches, evaluating their ability to explain post-natal mental illness. The writer believes biological and psychological approaches are in the ascendance but seeks to demonstrate that they do not present a full picture. Sociological approaches drawing upon stress, labelling and feminist models are examined, exploring new ways of looking at post-natal illness. The paper concludes that biological and psychological approaches do not provide complete explanations and a multidisciplinary approach is needed. Most significantly the woman's own perception of post-natal ill health is largely absent from the literature. The need for an approach using ethnographic methods is highlighted.
Explore the source record for details and available documents.
Explore the source record for details and available documents.