The Journal for Nurse Practitioners This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

An Unusual Case of Hair Tourniquet: A Case Report
Hair tourniquet syndrome in children is an important diagnosis not to be missed. Frequently hair tourniquets are associated with young children who present with a hair tightly wound around a digit or genitalia. Intraoral hair tourniquet is less commonly reported but represents an important presentation. Delay to diagnosis and management can result in increasing pain and morbidity associated with tissue necrosis. A case is described of a 14-year-old boy who presented with paroxysmal coughing found to be due to a hair tourniquet to the base of his tongue. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 11, 2023 Category: Nursing Authors: Louise Spooner, Faye Jordan Tags: Case Report Source Type: research

AANP Summer Recap and A Look Ahead
I hope you had a wonderful summer. We experienced record heat across much of the U.S. along with other devastating effects of climate change, including heavy rain, floods and smoke from the Canadian wildfires. As nurse practitioners (NPs), we are on the front lines of delivering evidence-based care in the treatment of resulting conditions from these issues. AANP will soon be adding additional content to our CE Center to provide climate-related resources for patient care. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 11, 2023 Category: Nursing Authors: Stephen A. Ferrara Tags: From the AANP President Source Type: research

Diagnosis and Management of Perinatal Obsessive-Compulsive Disorder
Obsessive-compulsive disorder (OCD) can emerge or be exacerbated during the perinatal period with serious emotional and physiologic consequences for parents and neonates. Many clients with OCD with perinatal onset will have no known risk factors, and up to 57% of those suffering from postpartum depression show symptoms of OCD, making proper and timely identification an essential skill. Recent developments in available treatments can lead to drastic improvements in symptomology and management. The purpose of this article is to provide an overview of recent research into OCD in the perinatal period with an emphasis on identi...
Source: The Journal for Nurse Practitioners - August 8, 2023 Category: Nursing Authors: Karen Faulk, Brayden Kameg Tags: Featured Article Source Type: research

Nurse as Politician
When I was in the eighth grade, my class travelled 3 hours by bus from southwest Virginia to the state capitol in Richmond for a field trip. We toured the Virginia Museum of History& Culture in the morning and attended a special performance of Moliere ’s play School for Wives in the afternoon. Seated very near the stage, I was enthralled by every aspect of the performance, from the period costumes to the elaborate sets that glided magically into place. That singular experience stands out in my otherwise hazy memories of junior high. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 4, 2023 Category: Nursing Authors: Gale Adcock Tags: Under the Dome Source Type: research

There but for Fortune
Under court order, Phoenix, Arizona, recently began to dismantle a street-based encampment occupied by 1,000 human beings. The sweep was the outcome of a lawsuit brought by businesses and concerns about crime, heat exposure, and unsanitary conditions. “The Zone” grew up outside a 13-acre human services campus: a 900-bed facility with showers, laundry, health clinic, case management, and services that include resume writing, job searches, obtaining government identification documents, and referrals to other support agencies. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 1, 2023 Category: Nursing Authors: Denise Link Tags: Current Topics in Gender Health Source Type: research

Increasing Patient Participation in Colorectal Cancer Screening in Primary Care: An Evidence-Based Improvement Initiative
Colorectal cancer (CRC), although preventable, can be lethal. An evidence-based interprofessional improvement initiative established CRC risk categorization in patients aged 45 to 75 years using national screening guidelines. A system-wide policy was created, and the guidelines were used across 3 primary care settings during every health encounter for 12 weeks to improve compliance, screening, and referrals for CRC. The numbers of Cologuard and fecal immunochemical tests returned by patients increased statistically after implementation (P  = 0.001). (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 25, 2023 Category: Nursing Authors: Irene Amoako-Attah, Jayne Jennings Dunlap, Rosalie O. Mainous Tags: Brief Report Source Type: research

New Weapons in the Battle Against Type 2 Diabetes in Veterans: Shared Medical Appointments and Conversation Maps
This quality improvement pilot study explored the effect of using Conversation Maps (CMs) during shared medical appointments (SMA) on diabetes knowledge, self-efficacy, self-management, and patient satisfaction in a convenience sample of older veterans with diabetes (N  = 24). Participants attended 4 weekly 2-hour SMAs in which CMs were used. Veterans completed surveys at program start/end. Patient satisfaction was measured at week 4. Before and after survey scores affirmatively differed for diabetes knowledge, self-efficacy, and self-management; patients reporte d high satisfaction. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 25, 2023 Category: Nursing Authors: John Gerrity Wade, Janet S. Selway Tags: Brief Report Source Type: research

The New Fat Kid on the Block: Lipoprotein (a)
This report aims to raise awareness about the significance of elevated Lp(a) levels in contributing to atherosclerotic cardiovascular disease and major adverse cardiovascular events and to assist nurse practitioners in using evidence-based approaches to lower its levels. We synthesized recommendations for managing elevated Lp(a) concentrations using the Canadian, United States, and European study guidelines. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 19, 2023 Category: Nursing Authors: Mohamed Toufic El Hussein, Sasha Lewis Tags: Featured Article Source Type: research

Fever and Fatigue
Febrile neutropenia is an oncologic emergency that is seen in patients receiving chemotherapy. It is more commonly noted in hematologic malignancies, although it can be observed in solid tumor cancers. Management involves prompt infectious workup, determination of high or low risk using the Multinational Association for Supportive Care in Cancer risk index score, and initiation of empiric antimicrobials in the inpatient or outpatient setting. Close monitoring for organ dysfunction and worsening clinical status is essential. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 13, 2023 Category: Nursing Authors: Nicole Kuhnly, Leon L. Chen Tags: Case Challenge Source Type: research

Low-Dose Combination Pills for Management of Hypertension
Hypertension (HTN) is the most common modifiable chronic disease that significantly increases cardiovascular morbidity and mortality.1 Antihypertensive treatment reduces incidence of coronary heart disease and stroke and prolongs life.1 Improving blood pressure (BP) control is a key strategy to decrease the burden of cardiovascular disease. Despite availability of very effective BP-lowering therapy, HTN remains uncontrolled in nearly 50% of American adults.2 In the majority of patients, a single-agent drug therapy is not sufficient for adequate reduction of BP, and more than half of patients need at least 2 antihypertensiv...
Source: The Journal for Nurse Practitioners - July 13, 2023 Category: Nursing Authors: Irina Benenson Tags: Prescription Pad Source Type: research

A Contemporary Review of Community and Transitional Heart Failure Programs
For patients with heart failure (HF), the transition period from hospital to home remains a critical period of vulnerability. Transitional and community-based interventions aimed at reducing hospitalizations and death were explored to inform models of care in the Australian health care system. A search query was derived using key-terms such as “HF,” “transitional care,” and “discharge” on the PubMed and Ovid databases. We identified 5 key interventions from the final 30 studied, including telemonitoring, nurse-led home visits, patient education, pharmacist intervention, and telehealth. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 12, 2023 Category: Nursing Authors: Saad Fahd, Mandeep Singh Kalsi, Gautam Vaddadi, Naveen Sharma Tags: Review Article Source Type: research

Depressive Episodes in a Patient With Bipolar Disorder
This article highlights the importance of differentiating between unipolar and bipolar depression and the utilization of appropriate psychopharmacotherapy for bipolar depression. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 10, 2023 Category: Nursing Authors: Andrew Makowski, Holly Gray, Julie Perry Tags: Case Report Source Type: research

An Atypical Presentation of a Uterine Fibroid
Uterine fibroids are a common diagnosis in primary care, but uterine fibroids can present with atypical symptoms. This case report describes a 47-year-old female, G6P6006, who presented to family medicine for follow-up of persistent left-sided flank pain, dysuria, and urinary frequency for 1.5 months that led to the diagnosis and treatment of a subserosal uterine fibroid. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 8, 2023 Category: Nursing Authors: Hannah Hineman, Hayden Middleton, Elizabeth Stewart Tags: Case Report Source Type: research

HPV Infection Oncogenesis and Prevention in Canada —What Nurse Practitioners Need to Know
This article presents an evidence-based understanding of the advantages of the HPV vaccination. Although the information presented in this report may be relevant to other countries, the focus was on the experience of HPV in Canada. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 8, 2023 Category: Nursing Authors: Mohamed Toufic El Hussein, Nicole Canonizado Tags: Featured Article Source Type: research

Incorporating an Evidence-Based Bundle to Standardize the Heart Failure Discharge Process
This project aimed to improve adherence to postdischarge follow-up among all-cause heart failure (HF) veterans by implementing the evidence-based Focused Discharge Handoff Tool (FDHT). (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 8, 2023 Category: Nursing Authors: LaQuadria S. Robinson, Jolly Thomas, Manju Cibi, Randy Moore Tags: Brief Report Source Type: research