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Strictly Clinical

November 2018 Vol. 13 No. 11

Learn about the connection between this rare condition and a common childhood illness. 
Takeaways:

Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is thought to be an autoimmune disease presents with the sudden onset of obsessive compulsive behaviors in children.
Nurses can play an important role in educating children . . .

September 2018 Vol. 13 No. 9

Using the right securement method can improve outcomes and reduce costs.
Takeaways: 

Failure of vascular access devices (VADs) can be attributed to inserter characteristics, patient-related factors, anatomic placement, and healthcare facility adherence to international best practices and infection prevention guidelines.  
Current VAD securement solutions can be grouped into five . . .

September 2018 Vol. 13 No. 9

Recognize potential danger for a positive outcome.
Takeaways: 

Abdominal aortic aneurysm is a serious condition that requires prompt identification and effective interventions. 
Early recognition of abdominal aortic aneurysm is key to effective management and prevention of fatal complications. 
Nurse practitioners play a critical role in identifying abdominal aortic aneurysm. 

Mark . . .

August 2018 Vol. 13 No. 8

Innovative approaches can encourage healthy eating and activity in adolescents.
Takeaways:

Nurses can help their adolescent patients with obesity by encouraging a healthy diet and greater activity
Smartphone apps for diet and exercise tracking may be an effective tool to help adolescents with obesity lose weight.
Recommend apps that are . . .

April 2018 Vol. 13 No. 4

Teach patients how to manage PBA for optimal quality of life.
Takeaways:

Pseudobulbar affect (PBA) can develop after a stroke or in conjunction with Alzheimer’s disease, traumatic brain injury, and multiple sclerosis.
Symptoms include inappropriate emotional responses, sudden emotional outbursts, and facial expressions that don’t match the emotional . . .

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

Takeaways:

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.
Takeaways:

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.
Takeaways

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 . . .

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