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Articles by Vincent M. Vacca, Jr., MSN, RN

Parkinson disease: Enhance nursing knowledge

Vacca, Vincent M. Jr.

Nursing2019. 49(11):24-32, November 2019.

At present, Parkinson disease cannot be cured, but a correct diagnosis is important for determining treatment strategies and nursing interventions. This article provides an overview of this neurodegenerative disorder and offers up-to-date information for optimal nursing care and patient teaching.

Migraine in adults: A head start

Vacca, Vincent M. Jr.

Nursing2019. 49(5):22-29, May 2019.

Migraine is a severe, chronic, and disabling disorder that presents significant challenges due to its unpredictable onset, episodic pattern, intensity, and duration. Explore these tools to identify potential triggers of migraine in adults and prevent or manage attacks.

Acquired autoimmune thrombotic thrombocytopenic purpura

Vacca, Vincent M. Jr.

Nursing2019. 49(1):22-29, January 2019.

The most common form of thrombotic thrombocytopenic purpura (TTP), this autoimmune disorder affects up to 10,000 people in the US and Europe annually. Unless acquired autoimmune TTP is recognized and treated promptly, mortality approaches 90%.

Ventriculoperitoneal shunts: What nurses need to know

Vacca, Vincent M. Jr.

Nursing2019. 48(12):20-26, December 2018.

This article discusses the indications for ventriculoperitoneal shunt placement in adults, possible complications, and nursing care for patients following a shunt placement procedure.

Managing mild TBI in adults

Vacca, Vincent M. Jr.

Nursing2019. 48(8):30-37, August 2018.

Mild traumatic brain injury (mTBI) has been called a “silent epidemic” because the problems patients experience after injury are often unnoticed or untreated. This discussion examines mTBI in adults, appropriate nursing care and patient teaching, and potential long-term consequences that can affect a patient's physical, mental, social, and emotional well-being.

Chronic subdural hematoma: A common complexity

Vacca, Vincent M. Jr.; Argento, Isabel

Nursing2019. 48(5):24-31, May 2018.

An increasingly common neurologic disorder in older adults, chronic subdural hematoma often has a poor prognosis. Use the nursing assessments and interventions outlined here to expedite diagnosis and treatment.

Spotlight on Cerebellar Dysfunction in adults

Vacca, Vincent M. Jr.

Nursing2019. 47(10):46-51, October 2017.

Review current understanding of cerebellar function, then follow these guidelines for assessing ataxia and other telltale signs and symptoms of cerebellar dysfunction related to common neurologic disorders such as stroke.

Inguinal hernia: A battle of the bulge

Vacca, Vincent M. Jr.

Nursing2019. 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.

On alert for giant cell arteritis

Vacca, Vincent M. Jr.; Argento, Isabel

Nursing2019. 47(6):28-34, June 2017.

Affecting adults over age 50, giant cell arteritis is the most common vasculitis in Western countries. Review the pathophysiology and learn how prompt, appropriate treatment can prevent the disorder's most feared complication, irreversible blindness.

Sickle cell disease: Where are we now?

Vacca, Vincent M. Jr.; Blank, Lora

Nursing2019. 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.

CJD: Understanding Creutzfeldt-Jakob disease

Vacca, Vincent M. Jr.

Nursing2019. 46(3):36-42, March 2016.

All types of CJD are progressive, incurable, and transmissible, so the sooner the diagnosis can be established, the better. Learn about important nursing considerations for this fatal infection.

How to perform a 60-second neurologic exam

Vacca, Vincent M. Jr.

Nursing2010. 40(6):58-59, June 2010.

The basic assessment described here takes little time, yet it can help you identify neurologic deficits that may signal an important change in your patient's condition.

On the alert for pulmonary arterial hypertension

Vacca, Vincent M. Jr.

Nursing2009. 39(12):36-40, December 2009.

Refresh your knowledge about this progressive disorder. By recognizing it and intervening early, you could help extend your patient's life.