June 15, 2014 - Volume 39 - Issue 6
pp: 6-56
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Editor's Memo

Lab Logic

Drug News

Product News

Medication update


CARDIOVASCULAR: CE Connection

Hypertension in 2014: Making sense of the guidelines

Scordo, Kristine Anne; Pickett, Kim Anne

Nurse Practitioner . 39(6):18-23, June 15, 2014.

If not appropriately treated, hypertension can lead to stroke, kidney failure, myocardial infarction, and death. Substantial evidence from multiple randomized clinical trials demonstrates the benefit of antihypertensive therapy. The purpose of this article is to discuss current hypertension guidelines.

CONGENITAL DEFORMITIES

Identifying pectus excavatum in the primary care setting

Lew, Kathryn Baker

Nurse Practitioner . 39(6):25-28, June 15, 2014.

This article reviews pectus excavatum and the role of the primary care provider in correctly identifying the condition. Historically, pectus excavatum was viewed as a cosmetic concern. Research indicates that severe cases can result in cardiopulmonary impairment and physiologic limitations. Evidence demonstrates that surgical repair improves cardiovascular function, exercise tolerance, and body image.

PRESCRIBING PRACTICES: CE Connection

ORAL HEALTH

Maintaining oral health across the life span

Jablonski, Rita; Mertz, Elizabeth; Featherstone, John D.B.; More

Nurse Practitioner . 39(6):39-48, June 15, 2014.

Oral health is directly related to systemic health, yet many Americans have limited to no access to dental health professionals. Nurse practitioners are in an excellent position to fill this void by providing caries risk assessments, chemical therapy to stop caries progression, and appropriate patient education to prevent caries.

PEDIATRIC CARE

The art of a pediatric exam

Riley, Debra

Nurse Practitioner . 39(6):50-54, June 15, 2014.

This article discusses incorporating “artistry” into a primary care pediatric exam, a technique that considers a child's cognitive developmental stage, previous medical experiences, and the family's general stressors and fears. Benefits of using the artistic exam technique include decreased fear and anxiety for both the child and parent and fewer unnecessary diagnostic tests. The artistic exam has also been shown to improve adherence to pre- and postcare instructions and enhance quality outcomes.