3,432 results match your criteria Nursing Clinics of North America[Journal]


Quality Improvement.

Nurs Clin North Am 2019 Mar;54(1):xiii-xv

Vanderbilt University School of Nursing, 461 21st Avenue South, 220 Godchaux Hall, Nashville, TN 37240, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cnur.2018.12.001DOI Listing

Quality Improvement: Evolution or Revolution?

Authors:
Stephen D Krau

Nurs Clin North Am 2019 Mar 23;54(1):xi-xii. Epub 2018 Dec 23.

Vanderbilt University School of Nursing, 6809 Highland Park Drive, Nashville, TN 37205, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cnur.2018.12.002DOI Listing

Evaluation of Telemetry Utilization on Medical-Surgical Units.

Nurs Clin North Am 2019 Mar 17;54(1):97-114. Epub 2018 Dec 17.

Vanderbilt University School of Nursing, 222 Godchaux Hall, 461 21st Avenue South, Nashville, TN 37240, USA.

Alarm fatigue is the most common contributing factor in alarm-related sentinel events. Researchers have demonstrated a 35% overuse of telemetry, a key factor in alarm fatigue. This project evaluates practice patterns for the ordering and discontinuation of telemetry on medical-surgical units. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.10.001DOI Listing

Implementation of a Nurse-Driven CAUTI Prevention Algorithm.

Nurs Clin North Am 2019 Mar 17;54(1):81-96. Epub 2018 Dec 17.

Vanderbilt University School of Nursing, 461 21st Avenue South, 220 Godchaux Hall, Nashville, TN 37240, USA.

The cardiovascular thoracic step-down unit of an urban academic medical center had 4 catheter-associated urinary tract infections (CAUTIs) in 2 months compared with 5 in the previous year. The nursing literature showed that the implementation of nurse-driven algorithms for early removal of indwelling urinary catheters (IUCs) decreased the catheter days and risk of CAUTIs. Using the Model for Improvement, the nurse leader performed daily IUC rounds to enforce the removal algorithm and visual management tools to identify IUC removal barriers. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.11.001DOI Listing
March 2019
1 Read

The Application of the Toyota Production System LEAN 5S Methodology in the Operating Room Setting.

Nurs Clin North Am 2019 Mar;54(1):53-79

Vanderbilt University School of Nursing, Vanderbilt University, 461 21st Avenue South, 220 Godchaux Hall, Nashville, TN 37240, USA.

The purpose of the Toyota Production System (TPS) Lean 5S methodology project is to improve the efficiency and effectiveness in a process by eliminating identified process waste of (1) defects (errors), (2) overproduction, (3) waiting, (4) confusion, (5) motion/travel, (6) excess inventory, (7) overprocessing, and (8) human potential. The specific aim of this quality improvement project was to evaluate the impact of the TPS 5S tool process, a problem-solving, space-organizing tool, on distractions and interruptions in the neurosurgery operating room (OR) workflow with a goal to decrease neurosurgery craniotomy infection rates in a neurosurgery OR suite within a 3-month period. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.10.008DOI Listing

The Effects of a Targeted History Question on Patient-Triage Nurse Communication.

Nurs Clin North Am 2019 Mar 26;54(1):33-51. Epub 2018 Dec 26.

University Of Arizona College of Nursing, 1305 N Martin Avenue, Tucson, AZ 85721, USA. Electronic address:

Fast tracks are widely used in emergency departments to increase patient throughput as annual visits continue to rise in the United States. A modified triage process known as QuickLook, which omits patients' past medical history, is used in some hospitals to further increase throughput. This article discusses the effects of QuickLook on patient placement, reviews the role of past medical history in triage, and discusses the impact of integrating a targeted history question into the QuickLook process of an emergency department in Arizona. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.10.002DOI Listing

Chart It to Stop It: Failure Modes and Effect Analysis for the Reporting of Workplace Aggression.

Nurs Clin North Am 2019 Mar 3;54(1):21-32. Epub 2018 Dec 3.

Vanderbilt University School of Nursing, 461 21st Avenue South, 216 Godchaux Hall, Nashville, TN 37240, USA.

The purpose of this quality improvement study was to describe the process for workplace aggression (WPA) reporting and the potential failures for this process in a pediatric emergency department. Interviews were conducted with 10 interdisciplinary employees. Findings yielded 7 tasks following WPA: contact security, contact police, contact clinical manager, notify emergency department director, call safety hotline, complete electronic safety form, and complete paper safety form. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.10.004DOI Listing
March 2019
1 Read

Barriers to the Implementation of Pediatric Overweight and Obesity Guidelines in a School-Based Health Center.

Nurs Clin North Am 2019 Mar;54(1):159-168

Vanderbilt University School of Nursing, 461 21st Avenue South, 216 Godchaux Hall, Nashville, TN 37240, USA.

This project applied a quality improvement design to assess perceived barriers to pediatric overweight and obesity guideline implementation in school-based health centers. An electronic survey was administered to nurse practitioners and licensed practical nurses working in school-based health centers in New York. The most commonly cited primary care-based barriers were lack of patient compliance, family lifestyle, and the poor dietary practices and sedentary behaviors common in America. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.10.003DOI Listing
March 2019
1 Read

Diabetes Self-management Education Provision by an Interprofessional Collaborative Practice Team: A Quality Improvement Project.

Nurs Clin North Am 2019 Mar;54(1):149-158

Clinical Nursing, College of Nursing, University of Cincinnati, Academic Health Center, 3110 Vine Street, PO Box 210038, Cincinnati, OH 45221, USA. Electronic address:

Please note that citations/references numbers are not included in abstracts; please modify if needed: Diabetes is a major health problem and requires patients with diabetes to gain knowledge to manage their care effectively. The shift in diabetes care is to focus teaching on self-management to engage and empower patients with diabetes to live the best quality of life. Health care providers may not always be aware of diabetes self-management education available to patients. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.11.002DOI Listing

Screening for Social Determinants of Health at Well-Child Appointments: A Quality Improvement Project.

Nurs Clin North Am 2019 Mar 17;54(1):141-148. Epub 2018 Dec 17.

Vanderbilt University, School of Nursing, 461 21st Ave S., Nashville, TN 37240, USA.

Children living in poverty are vulnerable to the adverse effects associated with unmet basic needs, such as food and housing. Poverty threatens the overall growth and development of children placing them at risk for poor cognitive, behavioral, and psychological outcomes. Addressing social determinants of health in the pediatric primary care setting is within the role of the pediatric primary care provider. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.10.009DOI Listing

Reducing Pressure Injuries in the Pediatric Intensive Care Unit.

Nurs Clin North Am 2019 Mar;54(1):127-140

Vanderbilt University School of Nursing, 461 21st Avenue South, 216 Godchaux Hall, Nashville, TN 37240, USA.

This quality improvement project used the Model for Improvement including the Plan-Do-Study-Act cycle of change framework to educate pediatric intensive care unit (PICU) nurses on risk factors for pediatric pressure injuries and prevention strategies, improve turning compliance for PICU patients, and implement an electronic trigger to order nutrition consultations on all patients with a Braden Q score less than 16. The quality improvement project decreased preventable patient harm to PICU patients by decreasing the pressure injury incidence rate from 8% to 3% in the 6-week time period. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.10.005DOI Listing
March 2019
1 Read

Impact of Nurse-Led Interprofessional Rounding on Patient Experience.

Nurs Clin North Am 2019 Mar 7;54(1):115-126. Epub 2018 Dec 7.

Nursing Administration, University of Cincinnati Medical Center, 234 Goodman Street, Cincinnati, OH 45219, USA.

Interprofessional collaborative practice (IPCP) was recommended to improve siloed and fragmented patient care. The Institute of Medicine recommended nurses lead this change through innovative models of patient-centered care and IPCP participation. One strategy to improve patient experience is rounding. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.10.007DOI Listing

Translation of Evidence-Based Practice: Quality Improvement and Patient Safety.

Nurs Clin North Am 2019 Mar;54(1):1-20

Vanderbilt University School of Nursing, 461 21st Avenue South, 220 Godchaux Hall, Nashville, TN 37240, USA.

Using knowledge gained from the disciplines of nursing, medicine, health care management, and medical and health services research, the quality improvement movement attempts to mobilize people within the health care system to work together in a systematic way using evidence based strategies and tactics to improve the care they provide. In this valuable work, discipline-specific knowledge is combined with experiential learning and discovery to make improvements. Quality improvement provides a knowledge-based framework and methods for the change agent to work toward a more predictable, effective, efficient, reliable, equitable, patient-centered care health care system. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.10.006DOI Listing

Nephrology: Innovations in Clinical Practice.

Nurs Clin North Am 2018 12 11;53(4):xi-xii. Epub 2018 Oct 11.

School of Nursing, Austin Peay State University, McCord, Room 218, PO Box 4658, Clarksville, TN 37044, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cnur.2018.09.001DOI Listing
December 2018

Renal Disease: A Complicated Phenomenon.

Authors:
Stephen D Krau

Nurs Clin North Am 2018 12 12;53(4):ix-x. Epub 2018 Oct 12.

Vanderbilt University Medical Center, Vanderbilt University School of Nursing, 6809 Highland Park Drive, Nashville, TN 37205, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cnur.2018.09.002DOI Listing
December 2018

Psychosocial Issues and Lifestyle Changes for the Renal Patient.

Authors:
Linda C Cole

Nurs Clin North Am 2018 12 11;53(4):589-600. Epub 2018 Oct 11.

Department of Graduate Studies, Cizik School of Nursing at UTHealth, 6901 Bertner, Suite 731, Houston, TX 77030, USA. Electronic address:

This article provides an overview of the psychosocial issues faced by those with renal disease. The article discusses the physiologic connection between anxiety, depression, and pain-symptoms commonly seen in renal disease and other chronic illnesses. The application of integrative medicine or nonallopathic medicine and its role in the management of anxiety, depression, and pain are presented. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.07.008DOI Listing
December 2018

Complications of Kidney Disease.

Nurs Clin North Am 2018 12;53(4):579-588

College of Health Sciences and Nursing, Belmont University, 1900 Belmont Boulevard, Nashville, TN 37212, USA.

Understanding the physiology of the kidney and the pathophysiology of common complications of chronic kidney disease (CKD) is essential. The rise of CKD across the United States demands that nurses be prepared to care for these patients. Cardiovascular complications, anemia, and bone formation issues are the most common complications. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.07.010DOI Listing
December 2018
1 Read

Obstructive Kidney Disease.

Authors:
Sherri Stevens

Nurs Clin North Am 2018 12 12;53(4):569-578. Epub 2018 Oct 12.

Middle Tennessee State University, MTSU Box 81, Murfreesboro, TN 37132, USA. Electronic address:

Obstructive kidney disease is a common urologic diagnosis and includes kidney stones, polycystic kidney disease, and renal artery stenosis. Kidney stones are a common emergency department admission in the United States. Men are affected more than women. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.07.007DOI Listing
December 2018
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Clinical Management of Glomerular Diseases.

Nurs Clin North Am 2018 12 11;53(4):551-567. Epub 2018 Oct 11.

School of Nursing, Austin Peay State University, PO Box 4658, Clarksville, TN 37044, USA.

Progressive glomerular damage can occur as a result of various etiologic factors including infections, medications, diseases, and autoimmune disorders. This article discusses the clinical management of the leading conditions associated with glomerular disease, including glomerulosclerosis, diabetic nephropathy, focal segmental glomerulosclerosis, and membranous nephropathy. Glomerular damage and disease progression may lead to end stage renal disease. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00296465183006
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http://dx.doi.org/10.1016/j.cnur.2018.07.006DOI Listing
December 2018
11 Reads

Infection-Related Glomerular Disease.

Authors:
Maria A Revell

Nurs Clin North Am 2018 12 11;53(4):541-549. Epub 2018 Oct 11.

School of Nursing, Tennessee State University, 3500 John A. Merritt Boulevard, Campus Box 9590, Nashville, TN 37132, USA. Electronic address:

Glomerular disease results from a complex process. It can occur following acute illnesses or chronic diseases from other organs and body parts that promote bacterial invasion. Assessment and initial identification of the cause of this process is important in order to initiate interventions that promote a return to wellness. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.07.005DOI Listing
December 2018
1 Read

The Roles of Systemic Lupus Erythematosus and Immunoglobulin A Nephropathy in Glomerular Disease.

Nurs Clin North Am 2018 12 25;53(4):531-539. Epub 2018 Sep 25.

School of Nursing, College of Behavioral and Health Sciences, Middle Tennessee State University, PO Box 81, 1301 East Main, Murfreesboro, TN 37132, USA. Electronic address:

Two autoimmune diseases that can negatively affect kidney function are systemic lupus erythematosus (SLE) and immunoglobulin A (IgA) nephropathy. Autoimmune diseases occur when autoantibodies attack intrinsic tissue and generate inflammation in multiple body tissues, sometimes targeting specific organs. There is no cure for either SLE or IgA nephropathy, but both disorders may be medically managed. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.07.004DOI Listing
December 2018
1 Read

Recent Innovations in Kidney Transplants.

Nurs Clin North Am 2018 12 11;53(4):521-529. Epub 2018 Oct 11.

Natural Sciences, Motlow State Community College, 6015 Ledford Mill Road, Lynchburg, TN 37352, USA.

Current donor pool utilization is unable to meet the high demand for kidney transplants. Donor pool expansion using expanded-criteria donors and dual kidney transplantation are viable options. Advances in diagnosing antibody-mediated rejection and targeting immunosuppression increase long-term transplantation success. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00296465183005
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http://dx.doi.org/10.1016/j.cnur.2018.07.003DOI Listing
December 2018
7 Reads

Chronic Renal Therapy.

Authors:
Amanda J Flagg

Nurs Clin North Am 2018 12 11;53(4):511-519. Epub 2018 Oct 11.

School of Nursing, Middle Tennessee State University, Box 81, Murfreesboro, TN 37132, USA. Electronic address:

Chronic kidney disease (CKD) is a most challenging diagnosis for patients and their health care teams. Detection is often delayed because of the insidious nature of kidney failure and symptoms experienced by patients. It is not until later in the disease progression that laboratory test values begin to display values indicative of actual renal damage. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00296465183005
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http://dx.doi.org/10.1016/j.cnur.2018.07.002DOI Listing
December 2018
4 Reads

Acute Kidney Injury.

Authors:
Ashley Farrar

Nurs Clin North Am 2018 12 11;53(4):499-510. Epub 2018 Oct 11.

Vanderbilt Medical Center, 7S Dialysis/Apheresis Unit, 1211 Medical Center Drive, Nashville, TN 37232, USA. Electronic address:

Acute kidney injury (AKI) most commonly occurs in the hospital setting, and hospital-acquired AKI accounts for 22% of all AKI cases worldwide. AKI causes 2 million deaths per year, and 50% of critically ill patients develop AKI. AKIs include prerenal, intrarenal, and postrenal causes. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.07.001DOI Listing
December 2018

Pharmacologic Renal Therapy.

Authors:
Tasha Ruffin

Nurs Clin North Am 2018 12;53(4):491-497

Nursing, Austin Peay State University, 601 College St, Clarksville, TN 37044, USA. Electronic address:

This article discusses some of the recommended pharmacologic treatments for patients with renal drug toxicity, acute kidney injury (AKI), and chronic kidney injury (CKI). The treatment of AKI often consists of treating patients in emergency departments. Renal pharmacologic management in an acute care setting consists of identifying the cause of AKI, reviewing serum creatinine levels, administration of crystalloids, and the elimination of nephrotoxic agents. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00296465183006
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http://dx.doi.org/10.1016/j.cnur.2018.07.009DOI Listing
December 2018
4 Reads

Renal Diet.

Authors:
Kristen Hershey

Nurs Clin North Am 2018 12 12;53(4):481-489. Epub 2018 Oct 12.

School of Nursing, Austin Peay State University, 601 College Street, Clarksville, TN 37044, USA. Electronic address:

Caring for a patient with renal disease requires an understanding of the basics renal nutritional therapy. The goals of nutritional therapy include maintaining renal function, preventing complications, and providing adequate nutrients. Because cardiovascular disease and hypertension are highly correlated with renal disease, sodium reduction is a major goal of the renal diet. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.05.005DOI Listing
December 2018

Kidney Influence on Fluid and Electrolyte Balance.

Nurs Clin North Am 2018 12 11;53(4):469-480. Epub 2018 Oct 11.

Austin Peay State University, School of Nursing, 601 College Street, Clarksville, TN 37043, USA.

The frontline nurse is confronted daily with patients that have some type of kidney dysfunction or disease. Some renal issues resolve themselves, some disorders can be reversed, and others are permanent. Major complications from kidney impairment discussed are fluid and electrolyte disequilibrium with common problems in volume overload, hyperkalemia, metabolic acidosis, hyperphosphatemia, and hormonal secretion. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.05.004DOI Listing
December 2018
3 Reads

Those Conditions You May Not Be Expecting.

Nurs Clin North Am 2018 09 25;53(3):xi-xii. Epub 2018 Jun 25.

Adult-Gerontology Acute Care Nurse Practitioner Program, Duke University School of Nursing, 307 Trent Drive, DUMC 3322, Durham, NC 27710, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cnur.2018.06.001DOI Listing
September 2018
1 Read

Paroxysmal Sympathetic Hyperactivity Syndrome Following Traumatic Brain Injury.

Nurs Clin North Am 2018 09;53(3):459-467

Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, 1161 21st Avenue South MCN D-2106, Nashville, TN 37232-2447, USA. Electronic address:

Paroxysmal sympathetic hyperactivity (PSH) is a syndrome classified by episodic presentation of abnormal sympathetic and motor symptoms observed in patients with acquired brain injuries. Although the exact physiologic mechanism of PSH is not fully understood, its clinical significance has been well-established. PSH diagnosis depends on the identification of symptom presence, severity, and patterns. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.05.003DOI Listing
September 2018
2 Reads

Degenerative or Debilitative Neurologic Syndromes.

Authors:
Abby Luck Parish

Nurs Clin North Am 2018 09;53(3):447-457

Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA. Electronic address:

Neurodegenerative disorders are progressive, debilitating impairments of neurologic function. Dementia affects cognition and function. Persons with cognitive deficits should undergo a full workup and may be treated with cholinesterase inhibitors and/or memantine. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.05.002DOI Listing
September 2018
2 Reads

Evaluation and Treatment of Restless Legs Syndrome in the Primary Care Environment.

Nurs Clin North Am 2018 09;53(3):433-445

Duke University School of Nursing, 307 Trent Drive, DUMC Box 3322, Durham, NC 27710, USA. Electronic address:

Restless legs syndrome/Willis-Ekbon disease (RLS/WED) is a common sensorimotor disorder characterized by an irresistible urge to move and is associated with an uncomfortable sensation typically in the lower extremities. Dopaminergic neurotransmission abnormalities, genetics, sleep deprivation, and iron deficiency all play key roles in the pathogenesis of primary RLS. Secondary RLS has been associated with other medical conditions and medication usage. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.04.010DOI Listing
September 2018
5 Reads

Chest Pain: If It Is Not the Heart, What Is It?

Nurs Clin North Am 2018 09 11;53(3):421-431. Epub 2018 Jul 11.

Georgetown University School of Nursing and Health Studies, St. Mary's Hall, 3700 Reservoir Road Northwest, Washington, DC 20007, USA.

Noncardiac chest pain is an angina-type discomfort without indication of ischemia. Diagnosis can be difficult because of its heterogeneous nature. Classification varies by specialty; gastroenterology uses the terminology gastroesophageal reflux disease related versus non-gastroesophageal reflux disease related. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.04.009DOI Listing
September 2018
3 Reads

Polycystic Ovary Syndrome.

Authors:
Renate K Meier

Nurs Clin North Am 2018 09 11;53(3):407-420. Epub 2018 Jul 11.

Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, Vanderbilt University Medical Center, 1161 21st Avenue South, Nashville, TN 37232, USA. Electronic address:

Polycystic ovary syndrome (PCOS) is a commonly occurring endocrine disorder characterized by hirsutism, anovulation, and polycystic ovaries. Often comorbid with insulin resistance, dyslipidemia, and obesity, it also carries significant risk for the development of cardiovascular and metabolic sequelae, including diabetes and metabolic syndrome. Traditionally, the treatment of patients with PCOS has focused on relief of symptoms. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.04.008DOI Listing
September 2018
5 Reads

Male and Female Hypogonadism.

Nurs Clin North Am 2018 09;53(3):395-405

Healthcare in Adult Populations Division, Duke University School of Nursing, DUMC 3322, 307 Trent Drive, Durham, NC 27710, USA. Electronic address:

Hypogonadism is a clinical syndrome that results in hormone deficiency in men and women. Primary hypogonadism is caused by gonadal (testicular or ovarian) failure. Secondary hypogonadism is the result of a dysfunction within the hypothalamus and/or pituitary. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.04.006DOI Listing
September 2018
15 Reads

Evaluation and Treatment of Adrenal Dysfunction in the Primary Care Environment.

Authors:
Shannon Cole

Nurs Clin North Am 2018 09;53(3):385-394

Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA. Electronic address:

Adrenal insufficiency (Addison's disease) and Cushing's syndrome are rare disorders characterized by abnormal secretion of adrenal hormones. All patients with adrenal insufficiency and many with Cushing's syndrome require life-long therapy with the potential to impact the quality of life. Management requires gain of a significant amount of knowledge related to treatment, self-care, and how to react quickly in critical situations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00296465183004
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http://dx.doi.org/10.1016/j.cnur.2018.04.007DOI Listing
September 2018
11 Reads

An Overview of Munchausen Syndrome and Munchausen Syndrome by Proxy.

Nurs Clin North Am 2018 09;53(3):375-384

University of Arizona, College of Nursing, 1305 N. Martin Avenue, Tucson, AZ 85721, USA.

Munchausen syndrome and Munchausen syndrome by proxy are complex diseases that are difficult to diagnose and treat. To assist in this process, an overview of diagnostic criteria with common characteristics and red flags are discussed, with case studies illustrating identification and diagnosis of these disorders. Treatment options are addressed within the context of each of these complex syndromes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00296465183004
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http://dx.doi.org/10.1016/j.cnur.2018.04.005DOI Listing
September 2018
20 Reads

Malabsorption Syndromes.

Nurs Clin North Am 2018 09 11;53(3):361-374. Epub 2018 Jul 11.

Nursing, Duke University School of Nursing, 307 Trent Drive, DUMC 3322, Durham, NC 27710, USA.

Malabsorption syndrome refers to the small intestines' inability to absorb certain nutrients and fluids. There are several common associated disorders, which may present with subtle and/or overt symptoms. With subtle symptoms, it is difficult to determine the cause, making diagnosis difficult or even inaccurate. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.05.001DOI Listing
September 2018
14 Reads

Diagnosis and Treatment of Common Pain Syndromes and Disorders.

Nurs Clin North Am 2018 09;53(3):349-360

Department of Anesthesia, Wooden Anesthesia PC, Boone County Medical Center, 406 S 8th Street, Albion, NE 68620, USA.

Management of chronic pain has become a significant challenge for primary care providers, and the population of patients with chronic pain is expected to increase. Common syndromes seen in the primary care setting include myofascial pain syndrome, fibromyalgia, chronic postsurgical pain, complex regional pain syndrome, and painful diabetic neuropathy. This article describes these syndromes and presents current treatment options. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00296465183004
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http://dx.doi.org/10.1016/j.cnur.2018.04.004DOI Listing
September 2018
14 Reads

Fat Embolism Syndrome.

Nurs Clin North Am 2018 09;53(3):335-347

Neurosciences and Trauma Intensive Care Unit, John Muir Medical Center, 1601 Ygnacio Valley Road, Walnut Creek, CA 94598, USA.

Fat embolisms are fat globules that enter the circulatory system, typically through trauma, that may or may not lead to the development of fat embolism syndrome (FES), a rare and ill-defined diagnosis that can cause multiorgan failure and death. The exact mechanism of FES remains unknown, although several theories support the involvement of inflammatory response activation that contributes to characteristic clinical findings. There is no gold standard for diagnosis of FES, and treatment at this time remains primarily supportive. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.04.003DOI Listing
September 2018
1 Read

Immunosuppressive/Autoimmune Disorders.

Nurs Clin North Am 2018 09;53(3):319-334

Adult-Gerontology Acute Care Nurse Practitioner Program, Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, USA.

Autoimmune disorders are a category of diseases in which the immune system attacks healthy cells as a result of a dysfunction of the acquired immune system. Clinical presentation and diagnosis are disease specific and often correspond with the degree of inflammation, as well as the systems involved. Treatment varies based on the specific disease, its stage of presentation, and patient symptoms. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.04.002DOI Listing
September 2018
15 Reads

Hyperglycemia Syndromes.

Nurs Clin North Am 2018 09;53(3):303-317

Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, USA.

Diabetes mellitus and its complications are among the leading causes of organ failure around the world. It is imperative that timely, patient-centered care is provided to avoid microvascular and macrovascular damage. People with well-controlled diabetes can live long and healthy lives through interprofessional management, emphasizing optimal, individualized care. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00296465183003
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http://dx.doi.org/10.1016/j.cnur.2018.04.001DOI Listing
September 2018
12 Reads

Female Health Across the Lifespan.

Authors:
Alice L March

Nurs Clin North Am 2018 06;53(2):xiii-xiv

The University of Alabama, Capstone College of Nursing, Box 870358, Tuscaloosa, AL 35487, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cnur.2018.03.001DOI Listing
June 2018
2 Reads

Person-Centered Care for Patients with Pessaries.

Nurs Clin North Am 2018 06;53(2):289-301

Graduate Nursing, Capstone College of Nursing, The University of Alabama, Box 870358, Tuscaloosa, AL 35487-0358, USA. Electronic address:

Pelvic organ prolapse is a common condition affecting women of any age but more likely to occur in the aging woman. Prolapse has a significant impact on quality of life, sexuality, and body image. Vaginal support pessaries have been used since ancient times and are a safe and effective nonsurgical treatment option. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.01.006DOI Listing
June 2018
2 Reads

Sexuality and Intimacy in the Older Adult Woman.

Authors:
Alice L March

Nurs Clin North Am 2018 06;53(2):279-287

Capstone College of Nursing, The University of Alabama, Box 870358, 650 University Boulevard, Tuscaloosa, AL 35401, USA. Electronic address:

In the United States, people older than 65 attend approximately 248 million health care visits each year, or 7 visits per older adult annually. One in every 5 older adults reports recent sexual activity, yet health care professionals do not ask, and patients do not tell when it comes to sexuality. The desire to engage in sex and intimate behaviors to meet important quality-of-life needs is present in people of all ages. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.01.005DOI Listing

Menopause Symptom Management in the United Kingdom.

Authors:
Debra Holloway

Nurs Clin North Am 2018 06 7;53(2):263-277. Epub 2018 Apr 7.

Gynaecology, Guys and St Thomas NHS Foundation Trust, Mcnair Centre, Guys Hospital, Ground Floor Southwark Wing, London SE1 9RT, UK. Electronic address:

Menopause is a complex time in a woman's life. It is an increasingly a midlife event, when health care professionals should be aiming to optimize a woman's health for the next 30 years or so. Nurses need to be able to give up-to-date information and evidence for all forms of treatment based on a background of complex and ever-changing research. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.01.004DOI Listing
June 2018
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Helping Mothers Reach Personal Breastfeeding Goals.

Authors:
Diane L Spatz

Nurs Clin North Am 2018 06;53(2):253-261

Department of Family and Community Health, The University of Pennsylvania School of Nursing, The Children's Hospital of Philadelphia, 418 Curie Boulevard, Philadelphia, PA 19104, USA. Electronic address:

Professional organizations worldwide recommend exclusive human milk/breastfeeding for the first 6 months of life, and continued breastfeeding with appropriate complementary foods for 1 year or more. This article focuses on the importance of prenatal messaging and goal setting to ensure that mothers are able to optimize their milk supply during the critical window of opportunity in first 2 weeks after delivery. Research data in the United States indicate that the largest categories of why women stopped breastfeeding were for reasons related to milk supply or concerns that the infant was not getting enough nutrition or gaining enough weight. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.01.011DOI Listing
June 2018
4 Reads

High-Risk Pregnancy.

Authors:
Nola Holness

Nurs Clin North Am 2018 06 7;53(2):241-251. Epub 2018 Apr 7.

Florida International University, 100 Luna Park Drive, Apartment #139, Alexandria, VA 22305, USA. Electronic address:

Any unexpected or unanticipated medical or obstetric condition associated with a pregnancy with an actual or potential hazard to the health or well-being of the mother or fetus is considered a high-risk pregnancy. There is no exact definition of risk in pregnancy, as risk may be perceived in different ways by the woman and her health care provider. Women with complicated pregnancies may require lifestyle changes, medication regimens, technical support, and even hospitalization. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.01.010DOI Listing
June 2018
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Health Care of Sexual Minority Women.

Authors:
Susan Jo Roberts

Nurs Clin North Am 2018 06 7;53(2):227-239. Epub 2018 Apr 7.

School of Nursing, Northeastern University, 360 Huntington Avenue, Boston, MA 02115, USA. Electronic address:

Sexual minority women may be invisible in health care settings unless practitioners ask every patient about sexual attractions/behaviors and identity. Sexual minority women need to feel comfortable and able to share information about their sexual identity, partners, and lives. No medical diagnoses are found more commonly in sexual minority women, but problems such as overweight/obesity, increased tobacco and alcohol use, increased mental health problems, and a past history of childhood sexual abuse are common. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.01.009DOI Listing
June 2018
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The Psychosocial and Clinical Well-Being of Women Living with Human Immunodeficiency Virus/AIDS.

Nurs Clin North Am 2018 06;53(2):203-225

Emory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road, Atlanta, GA 30322, USA.

This study examined factors impacting the psychological well-being of women living with human immunodeficiency virus/AIDS and the impact of depression on clinical outcomes. Nearly two-thirds of participants in this cross-sectional study reported significant depressive symptoms. Compared with women living with human immunodeficiency virus/AIDS without depressive symptoms, those with depression reported significantly poorer health outcomes. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.01.008DOI Listing
June 2018
3 Reads

Common Sexually Transmitted Infections in Women.

Nurs Clin North Am 2018 06;53(2):189-202

Department of Family, Community, and Health Systems, University of Alabama at Birmingham School of Nursing, 1701 University Boulevard, Birmingham, AL 35294-1210, USA.

The spread of sexually transmitted infections (STIs) remains a significant public health issue in the United States. Social, economic, and behavioral implications affecting the spread of STIs have been identified. The most important social factor in the United States is the stigma associated with discussing sex and STI screening. Read More

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http://dx.doi.org/10.1016/j.cnur.2018.01.013DOI Listing
June 2018
24 Reads