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In England and Wales, Approved Mental Health Professionals (AMHPs) may make applications to detain people in hospital under the Mental Health Act (MHA) 1983 as amended 2007. This paper seeks to est...
> It is written by a veterinary nurse, something we are keen to encourage Recumbent patients can present a challenge to the veterinary team as they often have many nursing considerations, explains Eleanor Haskey in an article in this month’s issue of In Practice . She says that it is important to adopt a holistic approach to reduce the risk of complications associated with a patient being recumbent, and outlines the key patient assessment areas to consider when treating such animals (p 268). The...
![Graphic][1] Clara Au is a final-year veterinary student at Glasgow university. In the future she is hoping to do an internship in North America, specialising in either oncology or neurology. #### The dilemma You are a vet in an exotic animal hospital. Snow, a 12-year-old female ferret, has been booked in for collapse and possible euthanasia. She has a long history of hyperadrenocorticism and has relapsed after a previous deslorelin injection. For the past few days she has been mainly sleeping ...
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The global Covid-19 pandemic has resulted in monumental changes to our daily lives in an effort to reduce the spread of the disease; in the UK, the veterinary industry has been very actively involved in these events. This article focuses on some key areas of change that veterinary practices have had to accommodate, with tips on how to implement them effectively.
Background: Recumbency is defined as a patient that is lying down or unable to stand (Lane and Gruthrie 2001). The time that a patient is recumbent is dependent on the underlying cause and their comorbidities; however, there is little evidence describing the best way to nurse the recumbent patient. Some evidence from nursing human patients can be transferred to veterinary patients, whereas other ideas are merely anecdotal. Recumbent patients can present a challenge to the veterinary team as they...
Background: The behaviour of the adult entire male horse is often undesirable and the vastly eased management of the more biddable gelding means that clients often request castration of their horses. It can be an intimidating procedure due to the potential serious complications and the associated health and safety considerations. A good solid approach to the clinical aspects of castration and its complications helps provide the practitioner with confidence to undertake this surgery. Owners perce...
Emma Culjat-Vukman is a third-year veterinary student from Glasgow university. #### The dilemma As an equine practitioner, you have been asked to work for a film company. The role will involve the sedation and/or general anaesthesia of a horse for the purpose of filming. Your excitement of the prospect of working for the film industry is at odds with your ethical intuition regarding the procedure. You look for guidance in the RCVS Code of Conduct but find little information that is of any help. ...
Background: In 2019, the American College of Veterinary Internal Medicine (ACVIM) updated its decade-old consensus statement on the approach to managing myxomatous mitral valve disease (MVD) in dogs. The updated statement reflects the latest thinking on canine MVD to help practitioners take a rational approach to managing the condition. Aim of the article: This article reviews the updated ACVIM consensus statement on MVD, with the aim of highlighting key points in decision making for patients in...
Healthcare waste is likely to increase with a rise in the global population and access to medical care. The main reasons to optimise waste management are the statutory duty of care, to reduce environmental impact, for the health and safety of personnel and to reduce financial costs. Working up the waste hierarchy, the priority must be the initial prevention of waste production. This article provides a guide to managing healthcare waste and ways to try and reduce its environmental impact.
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