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New summaries

Appropriate choice of long-acting reversible contraception in primary care

Development group: Connolly, Mansour, Raine & Siddiqi.
This management algorithm was developed by a multidisciplinary expert panel: Connolly A et al with the support of a grant from Bayer.

18 January 2017

Appropriate choice of long-acting reversible contraception in primary care

An estimated 19% of pregnancies are unplanned. Barrier methods and oral contraceptives, which are dependent on correct and consistent use, are the most commonly used contraceptive methods in the UK, but unwanted pregnancy is still a risk with improper use. Long-acting reversible contraception (LARC) fails much less often; once commenced, it will work without any further action. However, a lack of information and experience regarding these methods can dissuade patients from pursuing them and healthcare professionals from prescribing them.

This new Guidelines algorithm covers the appropriate choice of LARC, dispels common myths, and suggests ways to manage problematic bleeding.


Advanced nursing practice in HIV care

NATIONAL HIV NURSES ASSOCIATION

26 December 2016

HIV infection is now considered a long-term condition due to advances in the treatments available. Consequently people living with HIV are developing other comorbidities traditionally managed in the primary care setting. As the care paradigm changes, nurses working in primary care will provide care for people living with HIV alongside other comorbidities. This Guidelines for Nurses summary provides a care framework, and sign posts nurses to education and professional development that can help improve patient outcomes. The framework could be used as a template to support advanced practice in other specific disease areas.

COPD diagnosis, management and prevention

GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE

20 December 2016

Chronic obstructive pulmonary disease (COPD) is currently the fourth leading cause of death worldwide. However, the impact of COPD on public health can be alleviated by prevention and appropriate management using methods based on the latest evidence available. The newest version of the GOLD COPD strategy includes a revised definition of COPD, a refined ABCD assessment tool, discussion of inhaler technique, a shift toward a personalised approach to treatment, and more, to account for recent literature from 2015 and 2016. This updated Guidelines summary provides evidence-based advice on the prevention, diagnosis, and management of COPD in primary care.

Choosing an appropriate inhaler device for the treatment of adults with asthma or COPD

DEVELOPMENT GROUP: USMANI, CAPSTICK, CHOWHAN, & SCULLION.
THIS MANAGEMENT ALGORITHM WAS DEVELOPED BY A MULTIDISCIPLINARY EXPERT PANEL: USMANI ET AL WITH THE SUPPORT OF A GRANT FROM CHIESI LTD.

21 November 2016

As the core component of pharmacological treatments for asthma and COPD, the choice of inhaler device as well as the right drug for each individual patient is crucial to the proper management of their condition. The clinical efficacy of treatment can be maximised by choosing the right method of delivery while poor choice of inhaler can have consequences for quality of life and disease control. Although plenty of guidance exists on pharmacological treatment, advice on appropriate device selection is limited. This new Guidelines algorithm covers choice of appropriate inhaler device, and how to engage the patient when assessing inhaler technique.
New articles

Inhaler choices for children and adults—do you know all the options?

By Jane Scullion  |  

01 January 2017

Inhaler choices for children and adults—do you know all the options?

Jane Scullion provides some simple and practical advice on optimal inhaler device selection for adults and children, in the third of a mini-series of feature articles.


News



Choosing an appropriate inhaler device for the treatment of adults with asthma or COPD
Development Group: Usmani, Capstick, Chowhan, & Scullion.
This management algorithm was developed by a multidisciplinary expert panel: Usmani et al with the support of a grant from Chiesi Ltd.

Summary of the management of asthma in children (from the British guideline on the management of asthma)
The British Thoracic Society & Scottish Intercollegiate Guidelines Network

Summary of the management of asthma in adults (from the British guideline on the management of asthma)
The British Thoracic Society & Scottish Intercollegiate Guidelines Network

Non-alcoholic fatty liver disease (NAFLD): assessment and management
National Institute for Health and Care Excellence