The latest evidence and resources for nurses and clinical support staff.
You can scroll through this page to see the following topics:
- News and events
- Bell’s palsy
- Central venous catheter management
- Communicating with young people in hospital
- Decision aids
- End of life care – communication
- Exercise for adults having maintenance dialysis
- Heavy periods
- Hip protectors
- Physical restraints in hospital
- Treating urinary incontinence in women
News and events
A free webinar for anyone making health decisions
Join us for a free webinar for anyone making health decisions on Thursday 20th October 2022, 7-8pm (BST) – Making health decisions: what’s best for you?
Brian, Heather and Sarah, who have had to make some big health decisions, in different circumstances, and Becky, a doctor and former GP, discuss their experiences and some important elements of making health choices. This session will be facilitated by our Patient Co-ordinator Emma Doble and Dr Rufaro Ndokera, a former Cochrane UK Fellow.
The Cochrane Review Anti‐IL‐5 therapies for asthma (published July 2022) has found that anti‐IL‐5 treatments as an adjunct to standard care in people with severe eosinophilic asthma and poor symptom control roughly halve the rate of asthma exacerbations. Improvements in health related quality of life scores and lung function may not meet clinically detectable levels. For adverse events, the authors say “The studies did not report safety concerns for mepolizumab or reslizumab, or any excess serious adverse events with benralizumab, although there remains a question over adverse events significant enough to prompt discontinuation.”
The Cochrane Review Pulmonary rehabilitation versus usual care for adults with asthma (published August 2022) found that “shows that pulmonary rehabilitation is probably associated with clinically meaningful improvements in functional exercise capacity and quality of life upon programme completion in adults with asthma.” The o=impact on asthma control and on maximal exercise capacity is uncertain.
Our blog Bell’s palsy: facing up to uncertainty has been revised and republished to include NICE guidance, along with the evidence and patient experience.
Central venous catheter management
The Cochrane Review Heparin versus 0.9% sodium chloride locking for prevention of occlusion in central venous catheters in adults (published July 2022) found that it remains uncertain how intermittent locking with heparin or normal saline compare (low-certainty evidence) and that heparin may have little or no effect on catheter patency (low-certainty evidence).
The review authors also say that while there may be little or no difference between them in terms of sepsis, to detect rare adverse events such as heparin‐induced thrombocytopaenia. are not , or haemorrhage, the evidence is very uncertain and the combined
You can read more about this and other evidence in our updated blog Central venous catheter management: evidence round-up.
Communicating with young people in hospital
We have updated our blog Communicating with young people in hospital: what matters? to include NICE guidance, developed with young people, and other resources.
Cochrane is continuing to produce new and updated reviews in response to the pandemic. We have blogged about many of them and this blog COVID-19 evidence: a Cochrane round-up brings together a large collection of evidence and resources, starting from when this evidence was first being produced in spring 2020.
Plus, we have two blogs on COVID-19 treatments:
Like the reviews themselves, all our blogs are updated to reflect new evidence.
The lead author of the recently-updated Cochrane Review on the accuracy Rapid, point‐of‐care antigen tests for diagnosis of SARS‐CoV‐2 infection (published July 2022) has blogged about it in Covid tests: how accurate are LFTs?
There is also a shorter version – Covid tests: how good are LFTs? A short blog.
Interventions to increase COVID‐19 vaccine uptake: a scoping review (published August 2022) has identified and mapped a variety of interventions for increasing COVID‐19 vaccine uptake or decreasing vaccine hesitancy. The authors say “Our results demonstrate that this is an active field of research with 61 published studies and 35 studies still ongoing. This review gives a comprehensive overview of interventions to increase COVID‐19 vaccine uptake and can be the foundation for subsequent of interventions to increase COVID‐19 vaccine uptake.” on the
Other Cochrane resources on COVID-19
Cochrane COVID-19 Podcasts offer short summaries of Cochrane COVID-19 reviews from the authors themselves. A good way to hear the latest Cochrane evidence in under 5 minutes each.
You can find Cochrane Clinical Answers related to COVID-19 here. Cochrane Clinical Answers (CCAs) provide a readable, digestible, clinically-focused entry point to rigorous research from for the outcomes from the Cochrane Review deemed most relevant to practising healthcare professionals.. They are designed to be actionable and to inform point-of-care decision-making. Each CCA contains a clinical question, a short answer, and
Our blog Decision aids: helping people make better healthcare choices has been revised and republished to include recent evidence and resources.
On the page Dementia: evidence, experience and resources you can find our blogs about different aspects of preventing and living with dementia. Many of them include research evidence and also reflections from people affected by dementia themselves or in supportive roles as carers, family members or health professionals. There are also links to helpful resources.
End of life care – communication
In the blog Talking about dying: better conversations at the end of life, Sarah Chapman, whose Mum died during the first lockdown, reflects on the text conversations she had with her Mum’s carer about her dying. She also talks about recent evidence on effective communication between health professionals, those who are dying and their families and about our need for knowledge of ordinary dying when many of us don’t witness a death until we are older adults ourselves. The blog also contains sources of information and support for both non-medical people and health professionals.
Exercise for adults having maintenance dialysis
Dr Rebecca Gould has written this blog Exercise training for adults having maintenance dialysis looking at recent evidence on exercise for adults having maintenance dialysis.
The authors of a Cochrane overview of reviews ‘Interventions for heavy menstrual bleeding; overview of Cochrane reviews and network meta-analysis’ (published May 2022) studied the evidence for different types of heavy period treatments. Read more in the blog Heavy periods: evidence to help you weigh up treatment options, by Dr Stuart Spencer and Dr Martin Hirsch.
Our blog Hip protectors: can they help break your fall and not your hip? was recently revised and republished to include NICE guidance along with the Cochrane evidence.
Physical restraints in hospital
The authors of the Cochrane Review Interventions for preventing and reducing the use of physical restraints of older people in general hospital settings(published August 2022) conclude that:
- “We are uncertain whether organisational interventions aimed at implementing a least‐restraint policy can reduce physical restraints in general hospital settings.
- The use of pressure sensor alarms in beds or chairs for people with an increased fall risk has probably little to no effect on the use of physical restraints.”
PTSD (Post-traumatic stress disorder)
The blog PTSD: remembering and recovering with EMDR includes one person’s experience of PTSD and how on treatments for PTSD. with EMDR (eye movement desensitisation and reprocessing) helped, sources of information and support for people with PTSD, and some recent
Treating urinary incontinence in women
A new Cochrane overview of reviews Conservative interventions for treating urinary incontinence in women (published September 2022) has found that:
- pelvic floor muscle training (PFMT) is more beneficial than control for all types of urinary incontinence for outcomes of cure or improvement and quality of life
- if PFMT is more intense, more frequent, with individual supervision, with/without combined with behavioural interventions with/without an adherence strategy, it is probably more effective.
- for cure or improvement, cones are more beneficial than control (but not PFMT) for women with stress urinary incontinence
- electrical stimulation is beneficial for women with urgency urinary incontinence
- weight loss results in more cure and improvement than control for women with all types of urinary incontinence combined.
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Sarah and Selena have nothing to disclose.