Strictly Clinical

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: 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 . . .

October 2016 Vol. 11 No. 10

Author: Douglas A. Kemerer, BSN, RN

Nursing is regularly rated as one of the most trusted professions, but nurses are also the target of allegations of abuse and negligence of patients. We are at particular risk because of the intimate nature of our jobs, which necessitates closer-than-normal proximity to the patient’s personal issues . . .

October 2016 Vol. 11 No. 10

Author: Julia Hooley MSN, RN, and Stephanie Reagan MSN, RN, CNS

Sarah Woods*, a 46-year-old woman with type 2 diabetes mellitus, arrives at the endocrinologist’s office for a routine visit. She complains of fatigue, anxiety, and “a racing heart.” She states she has felt particularly stressed since the recent death of her mother who had Alzheimer’s disease . . .

September 2016 Vol. 11 No. 9

Author: Susan M. Dirkes, BSN, MSA, CCRN

It’s 7:30 am, and you’ve just received report on your patients. One of them, Anna Clark, age 77, is a postoperative patient who underwent an abdominal aortic aneurysm repair last evening. It was a difficult case, so instead of placing a minimally invasive stent in the aorta . . .

August 2016 Vol. 11 No. 8

Author: MeeDeessa Livingston, DNP, NP-C, and Beth Kelsey, EdD, APRN, WHNP-BC

One-third of American children are overweight or obese. Although many factors contribute to this epidemic, one cause for the rise in childhood obesity is a decrease in physical activity. We now live in a society where more children are driven to school than walking themselves. Video games and social . . .