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District nursing

When looking after a loved-one is too much: caring for carers

For community nurses, the first step in ensuring a carer's wellbeing is to be mindful of not adding to the person's burden themselves. To create and maintain safe and effective care for patients relies on collaboration between nurses and the families and carers, which may involve nurses delegating caring duties to a carer. But, in line with the professional code, this should only happen if the carer is competent, supervised, supported, and understands the task, its complexity and expected outcomes (Nursing and Midwifery Council, 2015).

Wed, 04/10/2019 - 11:03

Living with an indwelling urethral catheter in a community setting: Exploring triggers for unscheduled community nurse "out-of-hours" visits

Aims and Objective: To explore the experiences of community patients living with a urethral catheter and those caring for them.; Background: Living at home with an indwelling urethral catheter often results in consequences that create a double-edged burden: first, on patients and their relative carers and second, in terms of unscheduled community nurse service "out-of-hours" provision.; Design: One-to-one interviews were conducted with patients living at home, their relative carers, qualified community nurses, augmented home carers and heal

Tue, 02/05/2019 - 15:40

The role of district nursing: perspectives of cancer patients and their carers before and after hospital discharge

The role of the district nurse (DN) is difficult to define. Knowledge about the perspectives of patients with cancer, and their informal carers, on the roles of DNs and community services is lacking. The aim of this study is to identify the roles of DNs and community services as perceived by patients with cancer and their carers before and after hospital discharge. Seventy-one pre- and post-discharge conversational interviews were conducted with cancer patients and carers, and analysed thematically.

Thu, 07/20/2017 - 15:19

(Cost)-effectiveness of case-management by district nurses among primary informal caregivers of older adults with dementia symptoms and the older adults who receive informal care : design of a randomized controlled trial

Background: Dementia is an incurable disease with devastating consequences for both patients and their relatives. The objective of this study is to describe the study protocol of a randomized controlled trial with assignment to either usual care or case-management by district nurses, among informal caregivers of older adults with dementia symptoms who live at home and the older adults who receive informal care.

Thu, 07/20/2017 - 15:17

Effectiveness of case management among older adults with early symptoms of dementia and their primary informal caregivers: a randomized clinical trial

Background: It is believed that timely recognition and diagnosis of dementia is a pre-condition for improving care for both older adults with dementia and their informal caregivers. However, diagnosing dementia often occurs late in the disease. This means that a significant number of patients with early symptoms of dementia and their informal caregivers may lack appropriate care.

Objectives: To compare the effects of case management and usual care among community-dwelling older adults with early symptoms of dementia and their primary informal caregivers.

Thu, 07/20/2017 - 15:11

Community palliative care nurse experiences and perceptions of follow-up bereavement support visits to carers

Community (district) nurses (CNs) are well positioned to provide follow-up home visits to bereaved families and carers of their recently deceased palliative clients. An Australian survey of CN's (n = 58, response rate 29%) described their experiences of bereavement support visits, perceptions of their role in bereavement care and their professional support needs.

Thu, 07/20/2017 - 15:10