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Two weeks in primary care...News Roundup

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Stoma care

New guidelines on stoma care released

Guidelines on stoma care and prescribing have been sent to all CCGs, to be cascaded to primary care nurses.

The guidelines cover information on stoma appliances, the effects on patients and the number of items to be prescribed, as well as the appropriate techniques to clean and maintain related products. The Patients, Industry and Professionals Forum (PIPF) said it has produced the guidelines to improve the quality of stoma and continence treatment in primary care.

The PIPF is a partnership between patient, industry and professional groups involved in stoma and continence care.

The guidelines can be downloaded free of charge from


Online resource for nurses treating dementia

An online tool aimed at supporting community care providers to improve dementia care has been released by the RCGP.

The Dementia Roadmap platform has now been released, although it requires CCGs to upload their local data before it will be a valuable resource. The tool will provide a way for primary care practitioners to collate relevant information and signpost local resources to patients as the disease progresses. It will also provide information about understanding dementia, memory concerns, the diagnostic process, post-diagnosis support, living well with dementia, carer health and planning for the future.

This will allow primary care workers to provide the best care to meet the needs of dementia patients as quickly as possible, the RCGP said.

The scheme, developed in collaboration with the Alzheimer's Society and funded by the DH, has already been piloted in South West England.

Jeremy Hughes, chief executive of the Alzheimer's Society said: 'This roadmap will help [healthcare professionals] support their patients as they navigate their dementia journey. By signposting to support in the local community, it will help to ensure no one has to face dementia alone.'

Travel Health

Dengue fever risk for World Cup travellers

Travellers to Brazil for the 2014 World Cup will need to be made aware of the risk of dengue fever, according to a report published in The Lancet Infectious Diseases.

The analysis identified three cities, Natal, Fortaleza and Recife, as having high risk of a dengue outbreak. England will be playing in Recife on 29 June and nurses advising on travel health will need to raise travellers' awareness of the disease's causes and symptoms.

'Travellers, particularly those attending matches in high-risk cities, might return home with dengue. Those who return home unwell will seek treatment. [Nurses] must be aware of causes for febrile illness in World Cup spectators', said David Harley and Elvina Viennet, infectious disease specialists at the Australian National University, Canberra, in an opinion piece in the same issue of the journal.

For more information on dengue fever, visit:


Women at greater risk of coronary heart disease incidents

Women with diabetes are at greater risk of having a coronary heart disease incident, such as a heart attack, than men with diabetes, research has found.

Researchers analysed data from 65 studies spanning almost 50 years, which involved more than 850,000 people. The findings, published in Diabetalogica, showed that women with diabetes were 44 per cent more at risk of having a coronary heart disease incident than men with diabetes.

Doireann Maddock, senior cardiac nurse at the BHF, said: 'More research is needed to understand why woman with diabetes were found to be at greater risk of a coronary heart disease incident, such as a heart attack, when compared to men.'

World Health

Cholera outbreak in South Sudan

The WHO has reported that nine people have died of cholera in South Sudan.

The outbreak is thought to have resulted from people drinking untreated Nile water. There have been 315 cases reported in and around the town of Juba, but many more cases might be undiagnosed, the WHO said.

Cholera is caused by a water-borne bacterial infection that affects the small intestine. Cholera symptoms include severe nausea and diarrhoea, and it can kill within hours if left untreated.

Polio in Pakistan

From June, Pakistan will require all travellers to carry a polio vaccination certificate, based on recommendations made by the WHO. Anyone leaving the country will have to carry proof that they have been vaccinated against polio.

Pakistani officials have also said that mandatory immunisation points will be set up in airports and border crossings. Polio remains endemic in Pakistan, accounting for nearly a fifth of the 417 cases reported globally in 2013.

The WHO recommended the measures to Pakistan, Syria and Cameroon. Only Pakistan has implemented the recommendations so far.

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