Practice Matters

January 2017 Vol. 12 No. 1

Author: Melissa Schwartz Beck, PhD, RNC-OB; Cheryl Elhammoumi, MSN, RN, CCRN; and Jitka Virag, PhD

Many of us make assumptions based on a person’s appearance, behavior, our personal experiences, and what we believe that person might be thinking. But sometimes, we hear someone say something completely unexpected, causing us to reevaluate our opinion of that person. “Oops, I didn’t think about that!”

In . . .

January 2017 Vol. 12 No. 1

Author: Leah Curtin, RN, ScD(h), FAAN

John C. Calhoun, seventh Vice President of the United States, said, “The interval between the decay of the old and the formation and establishment of the new constitutes a period of transition which must always necessarily be one of uncertainty, confusion, error, and wild and fierce fanaticism.” This seems to . . .

December 2016 Vol. 11 No. 12

Author: Donna T. Darcy, MA, RN, ACNS-BC, CMSRN, CNE, and Diane Morris, MS, RN, CNN

Mary Kean* is a 62-year-old woman who has had hypertension for the last 30 years. She has not taken her medicine routinely because, as she tells her physician, it’s very expensive and she doesn’t feel sick. She also doesn’t adhere to a low-sodium diet . . .

December 2016 Vol. 11 No. 12

Author: Patricia Quigley, PhD, ARNP, CRRN, FAAN, FAANP

You know from your experience that some patients will choose not to call for help before getting up from a bed, chair, or toilet, even though you orient them to the reason to call for help and how to use the call light to do so. When admitted to the . . .

November 2016 Vol. 11 No. 11

Author: Leah Curtin, RN, ScD(h), FAAN

“We shall a new rule of life make: a little kinder than is necessary be.”
Yoda-speak for a famous quote from Peter Pan creator J.M. Barrie
Problems can arise from the differing mindsets and communication styles of workers born in different eras. “Managing a multigenerational workforce is an . . .

October 2016 Vol. 11 No. 10

Author: Leah Curtin, RN, ScD(h), FAAN

When I was a nursing student making rounds with a surgeon, he decided to remove a patient’s stitches. I hurried to the treatment room for a sterile suture pack and laid it out for him on the tray table. The hemostat didn’t work, so he threw it in . . .

October 2016 Vol. 11 No. 10

Author: Kaleelah Branche, MSN, RN

Patients undergoing a total laryngectomy can expect to experience significant lifestyle changes after surgery. Preoperative education is essential in helping them cope with these changes and to recover quickly after surgery. Research shows that surgical patients who perceive they did not receive proper preoperative education experience more dissatisfaction after surgery . . .

October 2016 Vol. 11 No. 10

Author: Rebecca Ruppert, MS, RN

Just as the seasons of the year change from fall to winter to spring and finally to summer as we journey through life, we experience the seasons of life: wellness, illness, and finally death. The seasons of life will be different for every person, unique to each of us. This . . .

October 2016 Vol. 11 No. 10

Author: Leah L. Curtin, RN, MA, MS, ScD(h), FAAN

Margie is an 86-year-old nursing home resident who has developed a bladder infection. As is the case with many elderly women, she also is confused as a result. On her way out the door to a hospital, she struggles and yells that “they better not tell anyone else . . .

September 2016 Vol. 11 No. 9

Author: Brian T. Conner, PhD, RN, CNE, and Emily Johnson, PhD

Have you ever heard of risk-adjusted mortality? Maybe you’re thinking, “No! It sounds like something only a healthcare administrator or researcher would be interested in.”
Actually, every healthcare professional should know—and be concerned—about risk-adjusted mortality. Risk adjustment refers to methods of determining if a patient . . .