District Nursing at a Glance. Matthew Bradby

5: Physical and mental health in the community 39 Holistic nursing assessment in the community Environment Family and culture Communication Future plans and expectations 40 Baseline observations Safety netting 41 Long‐term conditions and co‐morbidities Disease pyramid Self‐management Integrated health and social care planning House of care Mental health 42 Hydration The uses of water in the body Fluid and electrolyte balance Nursing considerations for the client presenting with dehydration 43 Nutrition in the community setting including enteral feeding Balanced diet Obesity Undernutrition Identification and screening Enteral feeding 44 Kidney/renal health Key anatomical points Kidneys and ageing Community‐specific considerations 45 Skin assessment Assessing a patient presenting with a rash Clinical examination Coping with the skin condition 46 Continence Role of the district nurse Diagnoses/types of incontinence Conclusion 47 Constipation Prevalence Predisposing factors Diagnosis Complications Management Medication Good clinical practice 48 Catheter care Assessment and documentation Consent Balloon inflation Catheter insertion Drainage bags Fixation and support Self‐care Sex and catheters Catheter‐associated urinary tract infection Troubleshooting 49 Recognising lymphoedema, lipoedema and chronic oedema in the community The lymphatic system Lymphoedema Lipoedema Chronic oedema Assessment, diagnosis and treatment 50 Pressure ulcer prevention Risk factors Interventions Concordance and safeguarding 51 Lower leg ulceration Anatomy and physiology Presentation and assessment Management of leg ulceration Conclusion 52 Management of type 2 diabetes in the older person: using the International Diabetes Federation Guidelines in practice Challenges when caring for an elderly person with type 2 diabetes Care planning Self‐management of type 2 diabetes 53 Ischaemic heart disease What is ischaemic (or coronary) heart disease? Causes Risk factors for atherosclerosis Symptoms Treatment Preventing complications of coronary heart disease Tips

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