• Calculating lithium doses in mental health

      Khan, Nahim; University of Chester (2015-03-02)
      This article contains a case study on calculations related to the safe use of lithium
    • Calculations for injectable and oral drugs in schizophrenia

      Khan, Nahim; University of Chester (2015-05-02)
      The article uses a case study to test common calculations skills related to the use of antipsychotics including clozapine
    • Cannabis use is associated with increased psychotic symptoms and poorer psycho-social functioning in first-episode psychosis: A report from the UK National EDEN study

      Seddon, Jennifer L.; Birchwood, Max; Copello, Alex; Everard, Linda; Jones, Peter B.; Fowler, David; Amos, Tim; Freemantle, Nick; Sharma, Vimal; Marshall, Max; et al. (Oxford University Press, 2015-11-04)
      Background: The use of cannabis during the early stage of psychosis has been linked with increased psychotic symptoms. This study aimed to examine the use of cannabis in the 12 months following a first-episode psychosis (FEP) and the link with symptomatic course and outcome over one year post psychosis onset. Method: 1027 FEP patients were recruited upon inception to specialised early intervention services for psychosis in the UK. Participants completed assessments at baseline, six and twelve months. Results: The results indicate that the use of cannabis was significantly associated with increased severity of psychotic symptoms, mania, depression and poorer psycho-social functioning. Continued use of cannabis following the first episode of psychosis was prognostic of outcome at one year. These associations were significant after adjusting for age, gender, DUP, age of psychosis onset, ethnicity and other drug use. Conclusion: This is the largest cohort study of first-episode psychosis patients receiving care within early intervention services. Cannabis use, in particular continued use, is associated with poorer symptomatic and functional outcome during the first-episode of psychosis. The results highlight the need for effective and early intervention for cannabis use in FEP.
    • Care and consequences of perineal trauma

      Steen, Mary; University of Chester (MA Healthcare, 2010-11-01)
      This article discusses the care and consequences of perineal trauma which affects the majority of women. It is clearly evident from the literature that failure to recognise the extent of trauma, incorrect repair and inadequate pain relief can lead to negative consequences in both the short and long term. Women complain of varying degrees of perineal pain and discomfort and pain relief is an important aspect of midwifery care. It would appear that a combination of systemic and localised treatments is necessary to achieve adequate pain relief which will meet individual women’s needs.
    • Caring

      Rose, Pat; University of Chester (Sage, 2008-03-17)
      This chapter examines the concept of caring, and considers the essential elements of caring such as knowledge and competence. The discussion also highlights how caring involves a relationship between the carer and the cared-for.
    • Caring for a child with a learning disability born into the family unit: Women's recollections over time

      Lovell, Andy; Mason, Tom; University of Chester (Taylor & Francis, 2011-08-01)
      Caring over time for a child/young adult with a learning disability requires that the family, and in particular the mother, negotiate their needs with services and professionals, and these negotiations are complicated further by significant behavioural issues in the children. This study reports on a series of interviews undertaken with mothers of children and young adults with learning disabilities and a history of challenging behaviours. The interviews were supplemented by documentary data from clinical and other notes in order to provide a more detailed view of the issues arising from caring over time. Detailed thematic analysis revealed five key themes demonstrating the cumulative effect of caring for someone with such complex needs, the centrality of that individual’s needs to the lives of those interviewed and the ongoing negotiation between family and professionals required in order for the former to work out how to continue caring both effectively and on their own terms. All the names of mothers and children are psuedonyms.
    • Caring for the older person

      Ridgway, Victoria; University of Chester (SAGE, 2010-10-15)
      This book chapter discusses an older person's palliative care needs.
    • Caring for young people

      Humphreys, Amanda; Rose, Pat; Hope House Children's Hospice ; University of Chester (SAGE, 2010-10-15)
      This book chapter discusses children's palliative care in relation to changing family dynamics, the experience of loss, and transitional care.
    • Caution - suicidal patient note

      Deva Hospital Chester (2015-04-10)
    • “Cautiously Optimistic” Older Parent-Carers of Adults with Intellectual Disabilities response to the Care Act 2014

      Gant, Valerie; Bates, Claire; University of Chester
      This paper discusses potential opportunities for best practice in the UK that may be brought about by the Care Act (2014). Carers in the UK were given new rights within this legislation with a focus on needs led assessment. The underpinning philosophy of the Care Act is to streamline previous legislation and offer a framework for carers and people in receipt of care, to enable a more personalised approach to care and support.
    • Cervical cancer screening in Nepal: Ethical considerations

      Gyawali, Bishal; Keeling, June J.; van Teijlingen, Edwin; Dhakal, Liladhar; Aro, Arja R.; University of Southern Denmark ; University of Chester ; Bournemouth University ; Health for Life Project, Nepal ; University of Southern Denmark (DovePress, 2015-01-16)
      Cervical cancer is the leading cause of cancer deaths for women worldwide. Cervical screening and early treatment can help to prevent cervical cancers. Cervical screening programs in Nepal are often associated with a number of socioeconomic, cultural, and ethical challenges. This paper discusses some central ethical challenges in providing cervical cancer screening in the Nepalese context and culture. It is necessary to address these challenges for successful implementation of such screening programs.
    • The Challenges and Psychological Impact of Delivering Nursing Care within a War Zone

      Finnegan, Alan; Lauder, William; McKenna, Hugh; University of Chester; University of South Florida; University of Ulster (Elsevier, 2016-06-03)
      Background. Between 2001 and 2014, British military nurses served in Afghanistan caring for both Service personnel and local nationals of all ages. However, there have been few research studies assessing the psychological impact of delivering nursing care in a War Zone hospital. Purpose. To explore the challenges and psychological stressors facing military nurses in undertaking their operational role. Method. A Constructivist Grounded Theory was utilised. Semi-structured interviews were conducted with 18 British Armed Forces nurses at Camp Bastion Hospital, Afghanistan, in June - July 2013. Discussion. Military nurses faced prolonged periods of caring for seriously injured poly trauma casualties of all ages, and there were associated distressing psychological effects and prolonged periods of adjustment on returning home. Caring for children was a particular concern. The factors that caused stress, both on deployment and returning home, along with measures to address these issues such as time for rest and exercise, can change rapidly in response to the dynamic flux in clinical intensity common within the deployable environment. Conclusion. Clinical training, a good command structure, the requirement for rest, recuperation, exercise and diet were important in reducing psychological stress within a War Zone. No formal debriefing model was advocated for clinical staff who appear to want to discuss traumatic incidents as a group and this may have contributed to stigma and nurses' feeling isolated. On returning home, military nurses reported being disconnected from the civilian wards and departments. The study raised the question of who cares for the carers, as participants reported a perception that others felt that they should be able to cope without any emotional issues. It is envisioned that the results are transferable internationally to nurses from other Armed forces and will raise awareness with civilian colleagues.
    • The changing dynamic of stigma

      Whitehead, Elizabeth; Mason, Tom; Carlisle, Caroline; Watkins, Caroline; Chester College of Higher Education ; Caswell Clinic/University of Glamorgan ; University of Liverpool ; University of Manchester (Routledge, 2001-07-12)
      This book chapter discusses the experience of stigma within social, political, media, and cultural influences
    • Characteristics and Values of a British Military Nurse. International Implications of War Zone Qualitative Research

      Finnegan, Alan; Finnegan, Sara; McKenna, Hugh; McGhee, Stephen; Ricketts, Lynda; McCourt, Kath; Warren, Jeremy J.; Thomas, Mike; University of Chester; Heath Lane Medical Practice; University of Ulster; University of South Florida; British Army; University of Northumbria; University of Chester; UCLan (Elsevier, 2015-08-01)
      Background. Between 2001 and 2014, British military nurses served in Afghanistan caring for both Service personnel and local nationals of all ages. However, there have been few research studies assessing the effectiveness of the military nurses’ operational role and no papers naming the core values and characteristics. This paper is the only qualitative nursing study completed in this period where data was collected in the War Zone. Objective. To explore the characteristics and values that are intrinsic to military nurses in undertaking their operational role. Design. A Constructivist Grounded Theory was utilised. The first author designed the interview schedule, then following a pilot study, conducted and transcribed the discussions. Informed consent and UK Ministry of Defence Research Ethical Committee approval was obtained. Setting. Camp Bastion Hospital, Afghanistan, in 2013. Method. Semi-structured interviews were conducted with 18 British Armed Forces nurses. Results. A theoretical model was developed that identifies the intrinsic characteristics and values required to be a military nurse. Nursing care delivered within the operational environment was perceived as outstanding. Nurses consciously detached themselves from any legal processes and treated each casualty as a vulnerable patient, resulting in care, compassion and dignity being provided for all patients, irrespective of their background, beliefs or affiliations. Conclusion. The study findings provides military nurses with a framework for a realistic personal development plan that will allow them to build upon their strengths as well as to identify and ameliorate potential areas of weakness. Placing nurses first, with a model that focusses on the requirements of a good nurse has the potential to lead to better patient care, and improve the quality of the tour for defence nurses. These findings have international implications and have the potential for transferability to any level of military or civilian nursing practice.
    • Chester and Wirral Nursing and Midwifery College badge

      Chester and Wirral Nursing and Midwifery College (Chester and Wirral Nursing and Midwifery College, 2015-04-08)
    • Chester College School of Nursing and Midwifery badge

      Chester College School of Nursing and Midwifery (Chester College School of Nursing and Midwifery, 2015-04-10)
    • Chester District School of Midwifery badge

      Chester District School of Midwifery (Chester District School of Midwifery, 2015-04-10)
    • Childbearing women and violence: A training programme for midwives

      Steen, Mary; Leeds Teaching Hospitals NHS Trust (New Zealand College of Midwives, 2000-12)
      This article discusses a training programme for midwives to raise their awareness of domestic violence in pregnancy.
    • Childbearing women, violence and abuse in the workplace

      Steen, Mary; Allen, Rose; Leeds Teaching Hospitals NHS Trust/University of Leeds (Mark Allen Publishers, 1999-07-01)
      Pregnancy may trigger or exacerbate domestic violence, but current involvement of health professionals in dealing with this is poor. A training initiative undertaken in Leeds has developed a programme to help the midwife to recognise and support women who experience violence.
    • Children of the state: Reforming the case system. New Labour and corporate parenting

      Harlow, Elizabeth; Frost, Nick; Univeristy of Chester ; Leeds Metropolitian University (Whiting & Birch, 2011-08-05)
      This book chapter discusses the role of the government as corporate patent to children who are unable to live with their birth parents. It describes and offers critical reflection on proposals to improve the education achievement of such children and their relational continuity with social workers.