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CFS/ME: Need for appropriate training. (Duncan Cox, 05 March 2009)

Given the prevalence of CFS/ME amongst healthcare professionals we were dismayed to read some of the Practice Nurses' comments highlighted in this paper. However, it was also striking that five of what patients will perceive to be the most inflammatory and ill-informed comments were all actually attributed to a single Practice Nurse (no 26) - possibly casting some doubt over the representative nature of this particular paper. Generally though we would agree that there remains an imperative for [appropriate] training, particularly in the field of severe ME - something that initiatives such as the 2009 Invest in ME International ME/CFS biomedical London conference appear well designed to address. Duncan Cox
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Comment on: Chew-Graham et al. BMC Nursing, 8:2

Practice Nurses and ME/CFS (Belinda Rowland, 11 February 2009)

It is rather ironic that practice nurses have negative attitudes to people with ME/CFS, when it is widely believed that Florence Nightingale herself suffered from the condition on her return from the Crimean War, after suffering from a severe infectious illness! Nurses and doctors are also in the highest risk groups for getting the condition in the here and now. read full comment

Comment on: Chew-Graham et al. BMC Nursing, 8:2

Delirium-O-meter and Delirium Observation Scale correlations (Jos F.M. de Jonghe, 10 January 2008)

Van Gemert and Schuurmans (2007) provide evidence supporting validity of the Delirium Observation Scale (DOS). However, two comments can be made on DOS validity; one pro and one con.Different delirium types exist (hyperactive, hypoactive and mixed). DOS item sampling was not specifically designed to measure aspects of different delirium types, thus challenging content validity.DOS observations (among other ratings) were used to validate nurses' delirium severity assessments based on the Delirium-O-Meter (DOM). DOS - DOM correlation was r=.89, corroborating concurrent validity of the measures (de Jonghe et al., 2005).Rating scales aiming for accurate detection of incident delirium should include measures of hyperactive and hypoactive delirium. Dr. Jos de Jonghe, Jonghe JF... read full comment

Comment on: Gemert van et al. BMC Nursing, 6:3