Can we improve diabetes care in schools?

Pain Relief in Labour: How Can We Improve Intrapartum Care?

Background: Pain in labour is perceived differently for every individual. We can improve the outcomes and patient satisfaction with intrapartum care by ensuring adequate education and appropriate use of requested pain relief options. Encouraging informed personal control contributes to a women’s overall satisfaction. Aims: To assess current practice and identify improvement areas in the percept...

Gout in primary care: Can we improve patient outcomes?

In the United Kingdom, gout represents one of the most common inflammatory arthropathies predominantly managed in the primary care setting. Gout is a red flag indicator for cardiovascular disease and comorbidity. Despite this, there are no incentivised treatment protocols and suboptimal management in the primary care setting is common. A computer based retrospective search at a large inner city...

Editorial: can we improve care for patients with dementia?

Can We Improve Access to Quality Pain Care for Patients?

Despite (or perhaps in part because of) these two mechanisms, confusion exists for the public about who is a pain specialist. Chiropractors, acupuncturists, naturopaths and many other providers can claim and – sometimes – advertise expertise in pain management. The American Academy of Pain Management uses an examination to qualify applicants and presents a certificate. While we desperately need...

Immediate Care of Open Extremity Fractures: Where Can We Improve?

Clear guidelines are set by the British Orthopaedic Association (BOA) and British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) on the preoperative management of open fractures. This as well as the clinical consequences of poor management of open fractures means the patient workup for surgery is important as well as the timing of surgery. Experience suggests few patient...