CPD frameworks
These frameworks, associated with all articles, prompt drafting of personal learning, reflection and planning.
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Reflection on a journal article
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External reference on reflection
Reflective practice in health care and how to reflect effectively
Koshy K, Limb C et al. International Journal of Surgical Oncology. 2017 2:e20
Bland P. Should sertraline be used in CKD patients with depression? Practitioner Jan 2018;262(1811):5
Should sertraline be used in CKD patients with depression?
23 Jan 2018
Sertraline is ineffective in patients with chronic kidney disease (CKD) and depression, a randomised controlled trial, from the USA, has found. This study suggests that the prescription of sertraline, and indeed any SSRI, to stage 3b-5 CKD patients with depression can no longer be justified. CBT is probably the best option and there is some evidence of its efficacy in end-stage CKD patients.
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