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Strictly Clinical

January 2018 Vol. 13 No. 1

Bruises, grip marks, and lacerations are just some of the indications of elder abuse.
By Armi S. Earlam, DNP, MPA, BSN, RN, CWOCN; Lisa Woods, MSN, RN-BC, CWOCN; and Kari Lind, BSN, RN


Physical, psychological, emotional, financial, and sexual abuse are the most common types of elder abuse . . .

December 2017 Vol. 12 No. 12

Armed with answers, you can provide patients and families with the information they need to make care decisions.

Patients and their families may not understand the difference between palliative and hospice care.
Nurses can act as patient advocates by listening carefully to concerns and questions and providing thoughtful answers . . .

November 2017 Vol. 12 No. 11

Quick identification of stroke in a postpartum patient yields positive result.
Anna Connor, a 30-year-old woman, is admitted to the medical-surgical unit with a diagnosis of pneu­­monia. Her vital signs are stable (blood pressure [BP] is 103/74 mm Hg, pulse is 104 beats per minute . . .

August 2017 Vol. 12 No. 8

When parents resits the HPV (human papillomavirus) vaccine, be prepared to listen and educate.

Patients and parents may have misconceptions about the purpose of the HPV vaccine.
Nurses have an opportunity to provide education that encourages parents to allow their children to be vaccinated against HPV.
Nonjudgmental listening and . . .

July 2017 Vol. 12 No. 7

Author: Mary Ann House-Fancher, MSN, ACNP, CCRN-CSC/CMC, PCCN

Martin Pace, a 65-year-old man, is admitted with an inferior wall ST-segment elevation myocardial infarction and receives a permanent pacemaker for sick sinus syndrome. When he returns to the progressive care unit, he’s awake, alert, and cooperative. His blood pressure (BP) is 125/70 mm Hg . . .

July 2017 Vol. 12 No. 7

Author: Andrea Bearden, DNP, RN, FNP-C, and Beth Kelsey, EdD, APRN, WHNP-BC

Key takeways

The Modified 5As framework, combined with the Transtheoretical Model (TTM), guides nurses to provide patient-centered, collaborative weight-loss counseling that promotes self-efficacy.
Nurses can feel confident in behavior change counseling by learning more about the 5As framework and TTM.
The Modified 5As can be completed as . . .

June 2017 Vol. 12 No. 6

Author: DeSales Foster, DNP, CWOCN, CRNP, GNP-BC, AGACNP-BC

Key takeaways

Prevention of diabetic foot ulcers begins with daily foot inspection.
In the hospitalized patient, foot inspections done by nursing staff provides patient education, reminding patients of the importance of daily self-care, especially when the feet are insensate.
Patients with insensate feet require extra protection and will need . . .

May 2017 Vol. 12 No. 5

Author: Carel Mountain, DNP, RN, CNE; Kimberlee Golles, MS, CCC-SLP

It’s 8:00 am and time for your 83-year-old patient, Virginia Johnson*, to take her oral medication. She was admitted with a left femoral fracture following a fall. After the initial surgery, she developed a urinary tract infection, and this morning she is disoriented and confused. As . . .

March 2017 Vol. 12 No. 3

Author: Julie Karen Filsinger-Elomaa, RN, COS-C, and Janice Burns, RN-BC, COS-C

Would you like to learn a practical strategy for reducing falls in the home? We are two home care nurses addressed the problem with a creative solution—a pictorial teaching tool. The project began as part of the Excellence in Clinical Education and Leadership (EXCEL) program, an initiative administered our . . .

December 2016 Vol. 11 No. 12

Author: Melissa Woodbury, MSN, RN, CMSRN; Tracy Hannah, BSN, RN, CMSRN; and Nancy Mastrantonio, BSN, RN, CMSRN

Despite evidence-based guidelines for managing acute pain, multiple studies show that only about half of patients who experience moderate to severe pain obtain adequate relief. One of the most problematic areas is postoperative pain. Here we describe a pain target program that improved pain management on a women’s . . .

December 2016 Vol. 11 No. 12

Author: Elizabeth Moxley, PhD, RN, and Ann Kruk, BS

Diabetes mellitus (DM) is a serious health problem, affecting at least 1 out of every 11 individuals in the United States and all strata of society. Currently, 29.1 million individuals have DM—9.3% of the U.S. population¾and 8.1 million remain undiagnosed. (About 1.25 million . . .

November 2016 Vol. 11 No. 11

Author: Amy Hetherington, DNP, RN, AGACNP-BC, ONC, and Kathleen Schomer, MSN, RN, NP-C

According to the Centers for Disease Control and Prevention, about 719,000 total knee replacement and 332,000 total hip replacement procedures were performed on inpatients in 2010. For both procedures, these statistics reflect a large increase from 2000. Many factors help explain the rise, including an aging and growing . . .

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