Preface
Men ’s health and disease prevention are typically limited to male-specific health viewed with a binary gender lens. In this issue of Nursing Clinics of North America, we explore more inclusive perspectives regarding gender in the context of a variety of issues and disorders to offer new clinical insi ghts. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 2, 2023 Category: Nursing Authors: Brent MacWilliams Source Type: research
Hospice and Palliative Care –Men and Gender-Specific Roles
All people face end of life as the final health outcome. When a person ’s health focus shifts from quantity to quality of life, palliative care comes into view. Clinicians serving patients across the health care spectrum must be aware of the nature and efficacy of palliative and hospice care, indications for referral to services, and current best practices. Creating an end-of-life trajectory requires an individualized and global personal plan, which palliative and hospice care can provide. Gender-specific care that includes gender minorities provides special and unique challenges to those seeking palliative and hospice c...
Source: Nursing Clinics of North America - July 14, 2023 Category: Nursing Authors: Brent MacWilliams, Erin McArthur Source Type: research
Erectile Dysfunction
Erectile dysfunction is a health condition that many men face in the United States. Nurses are primed to help men break the stigma; assess, manage, and treat the underlying factors; and educate men and their partner(s) regarding their health condition. Together they can work toward ensuring the patient maintains their sexual health and quality of life throughout their lifespan. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - July 7, 2023 Category: Nursing Authors: Julian L. Gallegos Source Type: research
Minority Stress and Health Disparities in Lesbian, Gay, Bisexual, Transgender, and Queer or Questioning Adults
In recent decades, much attention has been placed on reducing health disparities that have plagued the lesbian, gay, bisexual, transgender, and queer or questioning community. Significant health disparities continue to exist compared with the heterosexual population. Sexual minorities tend to experience higher rates of acute and chronic conditions than the general population. Sexual minorities are more likely to delay seeking medical care and are less likely to lack a consistent source for health care. A provider ’s failure to recognize and a person’s lack of disclosure prevent vital discussions about human immunodefic...
Source: Nursing Clinics of North America - July 7, 2023 Category: Nursing Authors: Heather M. Englund Source Type: research
Consideration of Gender in Cardiovascular Disease Prevention and Management
According to the World Health Organization, heart disease is the leading cause of death worldwide, accounting for approximately 17.9 million deaths annually. Although both men and women experience heart disease, there are notable differences in pathophysiology, evaluation, and pharmacologic management related to biological sex and gender. Men are more likely to develop heart disease at younger ages with more severe presentations. Women usually develop heart disease later in life and have more subtle symptoms, including microvascular involvement. It is essential that providers are aware of gender disparities, social determi...
Source: Nursing Clinics of North America - July 7, 2023 Category: Nursing Authors: Kathleen M. Elertson, Lindsay L. Morgan Source Type: research
Men in Female-Dominated Nursing Specialties
While numbers of men in the nursing profession have slowly increased, men in female-dominated specialty areas have not changed. Male nurses and nursing students encounter gender bias and discrimination in certain specialty nursing environments. This has implications for the quality of care provided, parental engagement, and job satisfaction. By diversifying the nursing workforce, there is a potential to enhance patient comfort, improve satisfaction, and promote a more inclusive, creative, and patient-focused health care environment. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - July 7, 2023 Category: Nursing Authors: Curry Joseph Bordelon, Jason Mott, Erin McArthur, Brent MacWilliams Source Type: research
Consideration of Gender on Hormone Therapy Management
Hormone therapy is a common treatment method for adult males, females, and transgender and gender-diverse individuals. Both men, women, and transgender and gender-diverse people may use hormone therapy at some point in their lives. There are notable differences and similarities in risk factors related to hormone therapy use based on genetics, sex, gender, personal history, and the type of hormone therapy used. Provider awareness in gender-inclusive hormone therapy management with the consideration of nonmodifiable and modifiable risk factors, prevention of complications, and monitoring parameters is essential in clinical p...
Source: Nursing Clinics of North America - July 7, 2023 Category: Nursing Authors: Lindsay L. Morgan Source Type: research
Evaluation of Wide Complex Tachycardia
This article will help the bedside nurse understand different causes, determine the most probable cause, and provide appropriate first-line treatment. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - June 26, 2023 Category: Nursing Authors: Anthony M. Angelow, Jennifer Coates Source Type: research
Hypertensive Emergencies: Implications for Nurses
An acute elevation of blood pressure (BP) greater than 180/120 mm Hg associated with target organ damage is considered a hypertensive emergency. Patients with a hypertensive emergency need intravenous medications and close monitoring in the intensive care unit. Whereas an acute elevation of BP greater than 180/120 mm Hg without evidence of target organ damag e is a hypertensive urgency. Patients with a hypertensive urgency are treated with oral medications and generally discharged home with outpatient follow-up. Patients with either condition need a thorough evaluation to determine cause of the acute increase in BP and ...
Source: Nursing Clinics of North America - June 23, 2023 Category: Nursing Authors: Leslie L. Davis Source Type: research
Update on Valvular Heart Disease for Registered Nurses
Over the last few decades, there have been dramatic advances in the understanding of the mechanisms of valvular heart disease and development of percutaneous treatment options. These innovations have resulted in the need for a multidisciplinary heart team approach for quality patient outcomes, a team in which nursing is an integral member. This update provides an overview of the major valve diseases, current guideline recommendations, catheter-based treatment options and key elements of nursing care: physical examination, diagnostic testing, pre- and post-procedure care protocols, and patient education elements. (Source: N...
Source: Nursing Clinics of North America - June 23, 2023 Category: Nursing Authors: Janet F. Wyman, Crystal Cusin, Dayna Gjurovski Source Type: research
Tackling Cardiovascular and Stroke Disease in 2023 and Beyond
Cardiovascular diseases remain the leading cause of death globally, with ischemic heart disease and ischemic stroke ranking as the top two causes of cardiovascular disease deaths, respectively.1 Despite improved evidence-based treatment options being available to reduce mortality and morbidity associated with cardiovascular diseases, patients continue to experience recurrent events. Thus, an essential component of disease prevention and health promotion is to address common cardiovascular risk factors. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - June 23, 2023 Category: Nursing Authors: Leslie L. Davis Tags: Preface Source Type: research
Pediatric Murmurs
Many healthy children may be found to have a murmur on physical exam. Whether this murmur is discovered at a routine health maintenance visit or as a result of a focused exam on a child with illness, it is just one finding and must be considered in the context of the child ’s history and other physical exam findings. Murmurs associated with heart defect or dysfunction occur most often in infancy. Most murmurs discovered in children, especially after infancy, between ages 3 to 6 and in young-adulthood, are innocent or benign murmurs and less likely a symptom of cardi ac dysfunction or defect. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - June 18, 2023 Category: Nursing Authors: R émi M. Hueckel, Christy Leyland Source Type: research
Anticoagulation for Stroke Prevention in Atrial Fibrillation
This article reviews strategies for the use of anticoagulation and highlights the nurse ’s role in patient education. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - June 16, 2023 Category: Nursing Authors: Carrie Palmer Source Type: research
Heart Failure
Nurses play a key role in promoting successful transitions of patients with heart failure (HF) from the hospital to the ambulatory setting. Engaging patients and caregivers in discharge teaching early in the hospitalization can enhance their understanding of HF as a clinical syndrome and identify precipitants of decompensation. Effective transitional care interventions for patient with HF include a phone call within 48 to 72 hours and a follow-up appointment within 7 days. Early symptom identification and treatment are key aspects of HF care to improve quality of life and minimize risk of hospitalization. (Source: Nursi...
Source: Nursing Clinics of North America - June 15, 2023 Category: Nursing Authors: Margaret T. Bowers, Tonya Carter Source Type: research
Dyslipidemia Update
Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the United States. The development and progression of atherosclerotic CVD are largely dependent on a multitude of modifiable and nonmodifiable risk factors. Current therapeutic strategies involve risk factor modification, especially dyslipidemia. The treatment of dyslipidemia continues to be dynamic, and in this paper, we review the current strategies for risk assessment, diagnosis, and treatment. As treatments for the management of dyslipidemia continue to evolve with ever-increasing options for therapeutic targets, an understanding of lipid-l...
Source: Nursing Clinics of North America - June 15, 2023 Category: Nursing Authors: Jennifer Ballard-Hernandez, James Sall Source Type: research
