Most Popular Articles

1 2 3 4 5

Evaluation of common breast complaints in primary care

Smania, Mary Alison

Nurse Practitioner. 42(10):8-15, October 18, 2017.

Discovery of a breast mass, nipple discharge, or breast pain is a common, anxiety-producing occurrence for many women. Although most irregularities are benign, every woman presenting with a breast complaint should be evaluated to exclude or establish a diagnosis of cancer. The patient visit to the provider for a breast complaint can also present an opportunity for the NP to address and update any needed breast screenings.

Colorectal cancer screening: Using evidence-based guidelines

Mahon, Suzanne M.

Nurse Practitioner. 42(10):18-26, October 18, 2017.

Colorectal cancer is the third most common cancer diagnosed in men and women. There are multiple options for prevention and early detection. Evidence-based guidelines are available to select the best option based on personal and family history. NPs should utilize these guidelines in clinical practice to select the appropriate screening for their patients.

An update on type 2 diabetes management in primary care

Waddell, Jeffrey

Nurse Practitioner. 42(8):20-29, August 17, 2017.

Diabetes mellitus is a chronic disease impacting glucose metabolism. Type 2 diabetes mellitus (T2DM) stems from the inability of the body to utilize endogenous insulin properly. Approximately 90% to 95% of newly diagnosed cases of diabetes are T2DM. This article focuses on the initial treatment of T2DM based on the 2017 American Association of Clinical Endocrinologists and the American College of Endocrinology clinical practice guidelines. The 2017 update includes changes and additions regarding psychosocial management, physical activity, surgery, and hypoglycemia.

Essential tremor & Parkinson disease: Recognizing the differences

Vernon, Gwyn M.; Leiningen, Cheryl; Thomas, Cathi A.; More

Nurse Practitioner. 42(10):35-40, October 18, 2017.

There are many different types of tremor and many conditions that present with tremor as a symptom. This article discusses the causes of tremor, and helps NPs understand the assessment of tremor and helps NPs differentiate essential tremor and Parkinson disease.

Diagnosis and treatment of attention deficit hyperactivity disorder

Vierhile, Amy E.; Palumbo, Donna; Belden, Heidi

Nurse Practitioner. 42(10):48-54, October 18, 2017.

Attention-deficit hyperactivity disorder (ADHD) is a neurobehavioral disorder characterized by signs and symptoms of inattention, hyperactivity, and impulsivity that typically begin in childhood. ADHD can persist into adulthood, causing impairments in occupational performance and relationships. This article reviews the epidemiology, diagnosis, and treatment of ADHD.

Iron deficiency anemia in pregnant women

Khuu, Gahmeng; Dika, Cheryl

Nurse Practitioner. 42(10):42-47, October 18, 2017.

Screening for iron deficiency anemia (IDA) in all pregnant women is recommended. Untreated IDA in pregnancy can result in complications for the mother and fetus.

Acne vulgaris: A review of causes and treatment options

Well, Danielle

Nurse Practitioner. 38(10):22-31, October 10, 2013.

Acne vulgaris is a disorder of the sebaceous follicle. The cause is multifactorial, and both adolescents and adults can be affected. Acne is associated with a significant financial burden and considerable psychological distress. Treatment options are reviewed in this article, including over-the-counter medications, prescription medications, and in-office procedures.

Bolstering your armamentarium with SGLT2 inhibitors

Novak, Lucia M.; Kruger, Davida F.

Nurse Practitioner. 42(10):28-34, October 18, 2017.

Sodium-glucose cotransporter-2 inhibitors have a unique mechanism of action in the kidneys that causes glucosuria, which lowers plasma glucose. They are also associated with reduced body weight and BP, and a low incidence of hypoglycemia. This article reviews the pharmacologic profiles and clinical implications of canagliflozin, dapagliflozin, and empagliflozin.

Diagnosis and treatment for chronic migraine

Moriarty, Maureen; Mallick-Searle, Theresa

Nurse Practitioner. 41(6):18-32, June 19, 2016.

Migraine is a debilitating headache disorder that is underdiagnosed and undertreated worldwide, partially attributable to misdiagnosis and expectations of poor treatment outcomes. This article provides a review of chronic migraine, with special emphasis on the role of NPs.

Cannabis for posttraumatic stress disorder: A neurobiological approach to treatment

Krumm, Bryan A.

Nurse Practitioner. 41(1):50-54, January 16, 2016.

The endocannabinoid system is intricately involved in regulation of the neurobiological processes that underlie the symptomatology of posttraumatic stress disorder (PTSD). This article discusses the neurobiological underpinnings of PTSD and the use of cannabis for treating PTSD in the New Mexico Medical Cannabis Program.

Pharmacologic pain management at the end of life

Davies, Pamela Stitzlein

Nurse Practitioner. 41(5):26-37, May 19, 2016.

Escalating pain is common in the final weeks of life, requiring skilled management to assist patients with a life-limiting illness. Using a cancer model, pharmacologic approaches to treat pain in the final weeks of life are reviewed. The purpose is to improve care of the dying and contribute toward the goal of a “good death.”

28th Annual APRN Legislative Update: Advancements continue for APRN practice

Phillips, Susanne J.

Nurse Practitioner. 41(1):21-48, January 16, 2016.

This year's review and annual advanced practice registered nurse legislative update heralds significant state legislative accomplishments in the areas of APRN practice authority, reimbursement, and prescriptive authority.

The Million Hearts initiative: Guidelines and best practices

Melnyk, Bernadette Mazurek; Orsolini, Liana; Gawlik, Kate; More

Nurse Practitioner. 41(2):46-53, February 18, 2016.

Million Hearts® is a national initiative to improve the nation's cardiovascular health through evidence-based practices and prevention. This article reviews the ABCS of Million Hearts with an emphasis on nurse practitioner-led care models. Recommendations for clinical practice, education, research, and health policy are highlighted.

The use of dipeptidyl peptidase-4 inhibitors in patients with type 2 diabetes & chronic kidney disease

Bittle, Polly A.

Nurse Practitioner. 42(6):31-37, June 16, 2017.

There is a need for treatment options in patients with type 2 diabetes mellitus and kidney disease to achieve glucose targets without risk of hypoglycemia. This article describes management options for these patients using glucose lowering therapies, in particular dipeptidyl peptidase-4 inhibitors.

Evidence-based treatment of chronic kidney disease

Smith, Cynthia Ann

Nurse Practitioner. 41(11):42-48, November 19, 2016.

To aid in diagnosis and treatment, Kidney Disease: Improving Global Outcomes 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease provides an evidence-based approach. This article reviews the major recommendations of this guideline.

25th Annual legislative update: Evidence-based practice reforms improve access to APRN care

Phillips, Susanne J.

Nurse Practitioner. 38(1):18-42, January 10, 2013.

The Annual Legislative Update describes the legislative issues that have the most impact on nurse practitioners and other advanced practice nurses across the country.

Suicide risk assessment in high-risk adolescents

Gray, Barbara P.; Dihigo, Sharolyn K.

Nurse Practitioner. 40(9):30-37, September 13, 2015.

A significant number of adolescents experience depression and other mental health disorders that may put them at risk for suicide. Depression and suicide risk screening can help healthcare providers prevent suicides in this population.

The transition of care from hospital to home for patients with hypertension

Franklin, Mary M.; McCoy, Mary Anne

Nurse Practitioner. 42(2):12-18, February 12, 2017.

Approximately 50% to 75% of hospital patients have hypertension. This article describes the transition of care from the hospital to home for patients with hypertension and discusses practice implications for NPs.

Pediatric portal hypertension: A review for primary care

Vogel, Clarissa Barbon

Nurse Practitioner. 42(5):35-42, May 12, 2017.

Pediatric portal hypertension management is a team approach between the patient, the patient's family, the primary caregiver, and specialty providers. This article reviews the etiology, pathophysiology, and clinical presentation of pediatric portal hypertension, diagnostic tests available, and treatment and management options.

26th Annual Legislative Update: Progress for APRN authority to practice

Phillips, Susanne J.

Nurse Practitioner. 39(1):29-52, January 11, 2014.

The Annual Legislative Update describes the legislative issues that have the most impact on nurse practitioners and other advanced practice nurses across the country.

Hepatitis C infection: Updates on treatment guidelines

Pozza, Renee; Hill, Catherine; Hefner, Anna Marie; More

Nurse Practitioner. 42(5):14-23, May 12, 2017.

Hepatitis C virus (HCV) is a major cause of chronic liver disease worldwide. Due to the asymptomatic nature of the infection, many acute cases of HCV infection are left undiagnosed, so screening individuals at risk is an important public health priority. New medications offer sustained virologic response rates of over 95%, fewer adverse reactions, and shorter durations of therapy. This article reviews the new treatment guidelines for the evaluation and management of patients with HCV infection.

Improving end-of-life care: Recommendations from the IOM

Dobbins, Elizabeth H.

Nurse Practitioner. 41(9):26-34, September 22, 2016.

A 2014 consensus report by the Institute of Medicine offers recommendations for healthcare providers to decrease unwanted care and improve the quality of life at the end of life. This article discusses the recommendations of interest to advanced practice registered nurses and applies them to a common patient and family experience.

A post-master's advanced certificate in gerontology for NPs

Greenberg, Sherry A.; Squires, Allison; Adams, Jennifer; More

Nurse Practitioner. 42(9):18-23, September 21, 2017.

This article describes an innovative post-master's advanced certificate in gerontology program developed by the Hartford Institute for Geriatric Nursing at the New York University Rory Meyers College of Nursing. The program provides content to meet eligibility criteria for the Adult-Gerontology Primary Care NP certification exam and prepares providers to care for complex older adults.

Early identification of idiopathic sudden sensorineural hearing loss

Jensen, Elizabeth Ann H.; Harmon, Elizabeth D.; Smith, Whitney

Nurse Practitioner. 42(9):10-16, September 21, 2017.

This article discusses the physiology of normal hearing, the pathophysiology and differential diagnoses of sudden sensorineural hearing loss, and an approach for definitive diagnosis and treatment. A focus is placed on idiopathic sudden sensorineural hearing loss in the adult population in a primary care setting.

Reversal agents for oral anticoagulants

Griffiths, Carrie L.; Vestal, Mark L.; Livengood, Spencer J.; More

Nurse Practitioner. 42(11):8-14, November 16, 2017.

For more than half a century, warfarin, a vitamin K antagonist, has been the anticoagulant of choice. However, direct oral anticoagulants are rapidly gaining in popularity, which poses the need for efficacious reversal agents. This review article summarizes the strategies and agents used to reverse oral anticoagulants.

A new look at abnormal uterine bleeding

Twiss, Janice J.

Nurse Practitioner. 38(12):22-30, December 10, 2013.

This article presents new universal terminology, classifications, and definitions recommended by the International Federation of Gynecology and Obstetrics and supported by the American College of Obstetricians and Gynecologists to describe abnormal uterine bleeding abnormalities in reproductive women. Identification and management of anovulatory and ovulatory uterine bleeding are explored.

An update on gout for primary care providers

Harding, Mariann

Nurse Practitioner. 41(4):14-21, April 17, 2016.

This article discusses the current beliefs regarding the pathogenesis of gout and reviews the 2012 guidelines from the American College of Rheumatology regarding diagnostic testing, optimal treatments, and lifestyle modifications. Implementing these guidelines will help clinicians resolve acute episodes and manage gout, improving outcomes and quality of life.

Recognizing type 1 diabetes mellitus in children & adolescents

Glassford, Melissa A.

Nurse Practitioner. 42(6):16-22, June 16, 2017.

The common chief complaint of abdominal pain, nausea, and vomiting should prompt a broad differential diagnosis list. When a 17-year-old previously healthy male presented to a primary care clinic with these symptoms, it provoked a detailed workup and found a startling diagnosis of type 1 diabetes mellitus (T1DM). This article provides an overview of recognizing T1DM in children and adolescents with a thorough diagnostic evaluation.

Identifying malnutrition: From acute care to discharge and beyond

Tyler, Renay D.; Guenter, Peggi

Nurse Practitioner. 42(4):18-24, April 16, 2017.

Nutrition assessment and intervention significantly contribute to the well-being of patients. NPs should advocate that patients be appropriately evaluated and implement recommendations as part of a comprehensive care plan to avoid malnutrition in patients while they are in the hospital and when they return home.

Adult asthma: Diagnosis and treatment

Durham, Catherine O.; Fowler, Terri; Smith, Whitney; More

Nurse Practitioner. 42(11):16-24, November 16, 2017.

Adult asthma is a prevalent chronic medical condition that is associated with high morbidity, mortality, and cost. Early identification, evidence-based diagnosis, and step-wise management can lead to improvements in patient outcomes, decrease exacerbations, and eliminate respiratory function decline as the patient ages.

Allergic rhinitis: Diagnosis through management

Krouse, Helene J.; Krouse, John H.

Nurse Practitioner. 39(4):20-28, April 13, 2014.

Allegic rhinitis (AR) is an immune hypersensitivity response of the nasal mucosa affecting children and adults. Patients with a genetic predisposition become sensitized to certain allergens over time with repeated exposures. This article discusses AR from diagnosis through treatment.

Red eye emergencies in primary care

Ossorio, Anthony

Nurse Practitioner. 40(12):46-53, December 12, 2015.

Severe red eye conditions can be the result of intraocular inflammation, corneal insults or inflammation, and acute glaucoma. These pathologies require the knowledge and assessment tools of an ophthalmologist. NPs should maintain a high level of suspicion during the history and physical exam and ask key questions that can lead to the correct diagnosis and management of these ocular pathologies. This article will discuss red eye emergencies that the NP should promptly recognize and refer to ophthalmology.

Bladder cancer: Risk factors, diagnosis, and management

Farling, Kristen Burns

Nurse Practitioner. 42(3):26-33, March 7, 2017.

Bladder cancer is the most common genitourinary cancer in the United States. Symptoms of bladder cancer mimic those of a urinary tract infection, which can delay timely diagnosis. This article reviews the signs and symptoms of bladder cancer along with management options to safely care for this patient population.

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.

1 2 3 4 5