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May 2019 - Volume 44 - Issue 5
pp: 8-56

Editor's Memo


Acute Care Advisor


Pediatric Focus


Dermatology Dilemmas


Medication Update



ADOLESCENT REPRODUCTIVE HEALTH: CE Connection


Long-acting reversible contraceptives: Addressing adolescents' barriers to use

Turner, Jennifer H.

The Nurse Practitioner. 44(5):23-30, May 2019.

NPs caring for adolescent females have an opportunity to reduce US teen pregnancy rates through unbiased counseling on contraception options, including highly effective long-acting reversible methods. Intrauterine devices and subdermal implants are safe, effective contraception options for adolescents, but their rates of use remain low among this patient population. This article discusses current adolescent contraceptive practices, barriers to access, and current recommendations for long-acting reversible contraceptive use.

IMMUNE DISORDERS: CE Connection


HIV and aging: A primer for NPs

Kwong, Jeffrey; Reyes, Darcel; Murphy, Nancy; More

The Nurse Practitioner. 44(5):32-41, May 2019.

Estimates indicate 70% of all individuals with HIV will be age 50 or older by 2030. Chronic conditions, including cardiovascular disease, diabetes mellitus, kidney disease, malignancies, neurocognitive disorders, and osteopenia or osteoporosis, occur more frequently in patients with HIV and have become the leading cause of morbidity in this population. NPs play an integral role in helping this population age healthfully.

PATIENT PORTALS


Sharing clinical notes with patients: The NP perspective

Adelman, Deborah S.; Fant, Catherine; Conner, Debbie Nogueras

The Nurse Practitioner. 44(5):43-50, May 2019.

This article outlines a research project conducted to learn more about NPs' attitudes regarding sharing clinical notes with patients through a patient portal. Perceptions were positive overall. To achieve effective health outcomes, patient and family engagement is essential. Shared clinical notes provide an opportunity to achieve these goals.

EFFECTIVE DATA USE


Elevating diagnostic skills with logical reasoning

Gilliam, Stephen

The Nurse Practitioner. 44(5):51-55, May 2019.

NPs can use the abductive, deductive, and inductive forms of reasoning to adopt a rational and consistent approach to transforming effective data into accurate diagnoses. A case example is used throughout the article to illustrate how these classic logical reasoning skills may be combined with knowledge and experience to address issues of diagnostic accuracy and decrease diagnostic errors.