News You Can Use

“Effects of nurse-managed protocols in the outpatient management of adults with chronic conditions” and accompanying editorial “Are nurses an answer to new primary care needs?”

by jmiller on July 30, 2014

This systematic review and editorial appear not in a nursing journal, but rather in the current, prestigious Annals of Internal Medicine.  The article concludes “A team approach that uses nurse-managed protocols may have positive effects on the outpatient management of adults with chronic conditions, such as diabetes, hypertension, and hyperlipidemia.”  “A recent report projects a shortage of as many as 44,000 primary care physicians by 2025 mainly because of poor pay.  Studies have shown that nurse-coordinated programs for patients with heart failure, including early follow-up after hospitalizations and intensive patient education, have the potential to prolong survival and decrease the frequency of hospital admissions.  We need new models of primary care, and enlisting nurses will be central to this effort.”  Click here to read full-text.

Healthcare personnel attire in non-operating room settings

by jmiller on July 29, 2014

“Although the optimal choice of HCP attire for inpatient care remains undefined, we provide recommendations on the use of white coats, neckties, footwear, the bare-below-the-elbows strategy, and laundering.  Institutions considering these optional measures should introduct them with a well-organized communications and education effort directed at both HCP and patients.”  (Infect Control and Hosp Epidemiol, Feb)  Click here to read full-text.

Imaging recommendations for acute stroke and transient ischemic attack patients: A joint statment by the Am Soc of Neuroradiology, the Am Coll of Radiology and the Society of NeuroInterventional Surgery)

by jmiller on July 29, 2014

This practice guideline (J Am Coll Radiol) proposes a simple, pragmatic approach that will allows for the development of an optimal imaging algorithm for stroke patients at their institution.  It addresses imaging of patients with intracranial hemorrhage; imaging patients with acute ishemic stroke who are candidates for IV thrombolysis; imagine patients with acute ischemic stroke who are candidates for endovascular revascularization; imaging patients wth acute ischemic stroke who are not candidates for IV or endovascular therapy and patients with TIAs.  Click here to read full text.

Diagnosing ADHD in Adolescence

by jmiller on July 29, 2014

“This study examines adolescent-specific practical problems associated with current practice parameters for diagnosing ADHD in order to inform recommendations for the diagnosis of ADHD in adolescents.  Specifically, issues surrounding the use of selv vs. informant ratings, diagnostic threshold, and introspective reporting of childhood symptoms were addressed.  (J Consult Clin Psychol, Feb 2012)  Click here to read full text.

Health risks associated with tattoos and piercing

by jmiller on July 18, 2014

“Tattoos and piercings are ancient practices of body modification that have gained widespread acceptance in modern society, particularly among young adults.  Minor complications such as infection and bleeding occur frequently with piercings, but major complications have also been reported.  Tattoos and piercings appear to be a marker for risk-taking behaviors.”  A 2012 Harris poll indicated that 1 in 5 adults has at least 1 tattoo, up from 14% in 2008.  This is a clinical review of the health risks.  (JCOM, July)  Click here to read full text.

Adverse health effects of marijuana use

by jmiller on July 10, 2014

“In light of the rapidly shifting landscape regarding the legalizaiton of marijuana for medical and recreational purposes, patients may be more likely to ask physicians about its potential adverse and beneficial effects on health.  The popular notion seems to be that marijuana is a harmless pleasure, access to which should not be regulated or considered illegal.  This article reviews the current state of the science related to the adverse health effects of the recreational use of marijuana, focusing on those areas for which the evidence is strongest. (NEJM, June 5)  Click here to read full text.

Screening pelvic examination in adult women: a clinical practice guideline from the American College of Physicians

by jmiller on July 9, 2014

Recommendations:  “ACP recommends against performing screening pelvic examination in asymptomatic, nonpregnant, adult women.  The current evidence shows that harms outweigh any demonstrated benefits associated with the screening pelvic examination.  Indirect evidence showed that screening pelvic examination does not reduce mortality or morbidity rates in asymptomatic adult women, as 1 trial showed that screening for ovarian cancer with more sensitive tests (transvaginal ultrasonography and CA-125 also did not reduce mortality or morbidity rates.  (Ann Intern Med, July 1)   Click here to read full-text.

Impact of critical care nursing on 30-day mortality of mechanically ventillated older adults

by jmiller on June 11, 2014

Article concludes”Patients in hospitals with better critical care nurse work environments and higher proportions of critical care nurses with bachelor’s degree in nursing experienced significantly lower odds of death.”  (Crit Care Med, May)  Click here to read full text.

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