March 12, 2018 - Volume 43 - Issue 3
pp: 6-56

Editor's Memo


Clinical Case Report


Legal File


Medication Update



NEURODEVELOPMENTAL DISORDERS: CE Connection


ADHD: From childhood to young adulthood

Wesemann, Daniel; Van Cleve, Susan N.

The Nurse Practitioner. 43(3):8-15, March 12, 2018.

Attention-deficit hyperactivity disorder (ADHD) affects approximately 11% of children between the ages of 4 and 17 years. This article discusses performing a comprehensive assessment for ADHD, the use of validated tools to make an accurate diagnosis, physical exam findings that may be suggestive of certain conditions, and ADHD treatment options.

ELECTRONIC NICOTINE DELIVERY SYSTEMS: CE Connection


Adolescent use of electronic nicotine delivery systems

Vincent, Debra; Potts, Jeanne; Durbin, Jessica; More

The Nurse Practitioner. 43(3):17-21, March 12, 2018.

Use of electronic nicotine delivery systems is flourishing among adolescents. The long-term effects have not been fully determined; however, literature suggests there is potential for significant harm. Providers must be aware of usage trends, device safety, and product knowledge. Adolescents should be evaluated through routine screening, and cessation counseling should be initiated.

CARDIOVASCULAR CARE


Detection and management of atrial fibrillation using remote monitoring

Hickey, Kathleen T.; Riga, Teresa C.; Mitha, Shazia A.; More

The Nurse Practitioner. 43(3):24-30, March 12, 2018.

Atrial fibrillation (AF) is the most common dysrhythmia encountered in the United States. Symptoms may be similar to those of other cardiac conditions, which can delay the timely detection, diagnosis, and management of AF. This article provides an overview of AF and modalities used in remote monitoring.

FOOD ALLERGIES


Peanut allergy reduction in high-risk pediatric patients

Hopper, Jaime; Hopp, Courtney; Durbin, Jessica

The Nurse Practitioner. 43(3):35-39, March 12, 2018.

The prevalence of food allergies has doubled in the past 10 years. Peanut allergies are a significant public health issue and are the primary reason for food-related anaphylactic reactions that result in death. Evidence supports that early introduction of the peanut protein (or in combination with immunotherapy) to the highly allergic may safely desensitize patients, which could lead to less adverse allergic reactions and alter allergy management overall.

CLINICAL DECISION MAKING


The role of race in clinical decision making

Moscou, Susan; Baker, Serena

The Nurse Practitioner. 43(3):41-46, March 12, 2018.

Is race/ethnicity useful in clinical decision making? This article uses a case example to discuss the role of race/ethnicity in clinical decision making, how racial/ethnic categories were developed, potential problems of using racial/ethnic categories, and the difference between risk factors and risk markers. The authors make the argument that using a patient's race/ethnicity in clinical decision making often results in a missed or incorrect diagnosis.