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Medicinal cannabis: A primer for nurses

Pettinato, Maria

Nursing . 47(8):40-46, August 2017.

Over half of all states have legalized at least some forms of medicinal cannabis. Even in states where using medicinal cannabis isn't yet legal, patients may have questions about its use and efficacy. Keep an open mind about the advantages for patients using this innovative therapy as you explore its benefits and drawbacks.

Navigating the challenges of Meniere disease

Pullen, Richard L. Jr.

Nursing . 47(7):38-45, July 2017.

Characterized by a feeling of ear pressure or fullness, tinnitus, fluctuating hearing loss, and vertigo, Meniere disease can have a major impact on patients' lives. To help them achieve an optimal quality of life, update your understanding of this disease's pathophysiology and treatment approaches as presented here.

NewDrugs 2017, part 2

Hussar, Daniel A.

Nursing . 47(7):28-36, July 2017.

Learn about seven drugs recently approved by the FDA, including two highly effective antiviral treatments for hepatitis C virus infection, a treatment for gout with a unique mechanism of action, and a fast-acting drug to reverse the muscle relaxant effects of vecuronium and rocuronium.

Inguinal hernia: A battle of the bulge

Vacca, Vincent M. Jr.

Nursing . 47(8):28-35, August 2017.

For men, the lifetime risk of inguinal hernia (IH) is more than one in four. Although some patients have no symptoms, a few experience serious and potentially fatal complications such as bowel incarceration and strangulation. Updating your knowledge about assessment, treatment options, and nursing considerations for patients with IH will help you provide optimum care.

Code blue: Do you know what to do?

Jackson, Janet E.; Grugan, Amy S.

Nursing . 45(5):34-39, May 2015.

Although nurses in hospitals are required to have basic life support training, they may have few opportunities to practice these skills before needing to perform them in a crisis. Make sure your skills are current by reviewing appropriate actions and interventions nurses and other clinicians must perform during a code blue.

Skin tears: Best practices for care and prevention

LeBlanc, Kimberly; Baranoski, Sharon

Nursing . 44(5):36-46, May 2014.

Until recently, skin tears have received scant attention, even though they may be more prevalent than pressure ulcers. Now's the time to update your knowledge about assessing, treating, and preventing these painful and often debilitating wounds according to new standards and recommendations issued by the International Skin Tear Advisory Panel.

Blood management: Best-practice transfusion strategies

Tolich, Deborah J.; Blackmur, Sheila; Stahorsky, Ken; More

Nursing . 43(1):40-47, January 2013.

Adopting blood management practices can lower both the risks and costs associated with unnecessary blood transfusions. Learn about patient-centered strategies and techniques that improve patient outcomes by reducing, eliminating, or optimizing the use of blood transfusions to treat anemia.

Tackling long-term consequences of concussion

Norton, Colleen; Feltz, Shara J.; Brocker, Angela; More

Nursing . 43(1):50-55, January 2013.

Are you up-to-date on emerging data about the long-term consequences of concussion? Research shows that youth athletes are especially vulnerable to lasting brain damage from repeated concussions. Be prepared to assess and care for patients with a potential concussion, teach patients, families, and coaches how to recognize the often-subtle signs and symptoms, and help to minimize risks to children and adolescents.

20 questions: Evidence-based practice or sacred cow?

Miller, Julie; Hayes, Denise Drummond; Carey, Katherine W.

Nursing . 45(8):46-55, August 2015.

Despite dramatic advances in healthcare research, many nurses continue to promote outdated nursing practices. Grounded in tradition rather than science, these “sacred cows” are ineffective, unnecessary, and sometimes dangerous. Read the results of a nationwide survey designed to test nurses' knowledge and beliefs about outdated nursing practices, then update your practice based on the best evidence available.

Managing hypocalcemia in massive blood transfusion

Lim, Fidelindo; Chen, Leon L.; Borski, Daniel

Nursing . 47(5):26-32, May 2017.

Hypocalcemia, one of the most dangerous complications associated with massive blood transfusion, can lead to potentially fatal neurologic and cardiovascular dysfunction. The focus of this article is on the nurse's role in caring for patients who develop hypocalcemia related to massive blood transfusion.

Rethink urinary incontinence in older women

Shultz, Jean M.

Nursing . 42(11):32-40, November 2012.

Urinary incontinence isn't an inevitable consequence of aging. Current research and best practices offer many simple and effective interventions for correcting or managing urinary incontinence, depending on the underlying cause. This article focuses on practical evidence-based solutions for older women in long-term-care facilities, but much of the information applies to other patient groups as well.

Sickle cell disease: Where are we now?

Vacca, Vincent M. Jr.; Blank, Lora

Nursing . 47(4):26-34, April 2017.

Thanks to advances made over the last 20 years, this group of inherited red blood cell disorders can now be managed successfully using evidence-based screening and treatment guidelines. Tap into the latest information presented here to help patients maintain an optimal quality of life.

Reaching for cultural competence

Smith, Linda S.

Nursing . 43(6):30-37, June 2013.

Besides lessening the impact of healthcare disparities, culturally competent care improves outcomes, care quality, and patient satisfaction. This article brings you up to date on current guidelines, regulations, and practice standards for providing culturally appropriate care to all your patients.

When cardiac tamponade puts the pressure on

Kaplow, Roberta; Iyere, Karen

Nursing . 47(2):24-30, February 2017.

Refresh your knowledge of this potentially life-threatening complication of cancer, cancer treatment, or both. For optimal patient outcomes, keep a high level of clinical suspicion to identify patients at risk, recognize signs and symptoms early, and provide therapeutic interventions and supportive therapies.

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