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Exploring Peripartum Cardiomyopathy: An NP-Focused Case Report 探讨围产期心肌病：一个以np为中心的病例报告
The Journal for Nurse Practitioners Pub Date : 2025-08-23 DOI: 10.1016/j.nurpra.2025.105498
Monica F. Ketchie
{"title":"Exploring Peripartum Cardiomyopathy: An NP-Focused Case Report","authors":"Monica F. Ketchie","doi":"10.1016/j.nurpra.2025.105498","DOIUrl":"10.1016/j.nurpra.2025.105498","url":null,"abstract":"<div><div>This case report describes a 33-year-old Black woman presenting with nighttime dyspnea and vague symptoms 4 months postpartum. Initial evaluation revealed tachycardia, tachypnea, basal crackles, and peripheral edema. Laboratory findings included mild anemia and elevated B-type natriuretic peptide/N-terminal prohormone of brain natriuretic peptide levels. Diagnostic imaging confirmed cardiomegaly and reduced left ventricular ejection fraction. Diagnosis of peripartum cardiomyopathy was established. Management involved breastfeeding-compatible heart failure medications and patient-centered education. This case underscores the importance of early recognition and individualized management of peripartum cardiomyopathy to improve outcomes in postpartum women.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105498"},"PeriodicalIF":0.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pharmacologic Management of Migraine in Primary Care: Nurse Practitioner Guide 初级保健中偏头痛的药理学管理：执业护士指南
The Journal for Nurse Practitioners Pub Date : 2025-08-21 DOI: 10.1016/j.nurpra.2025.105501
Mohamed Toufic El Hussein, Lindsay Fraser
{"title":"Pharmacologic Management of Migraine in Primary Care: Nurse Practitioner Guide","authors":"Mohamed Toufic El Hussein,&nbsp;Lindsay Fraser","doi":"10.1016/j.nurpra.2025.105501","DOIUrl":"10.1016/j.nurpra.2025.105501","url":null,"abstract":"<div><div>Migraine headaches are recurrent headache disorders that can result in debilitating neurological symptoms and are often accompanied by nausea, vomiting, sensitivity to light, sound, and sometimes aura. The goal of this overview is to provide a summary of updated pharmacotherapy recommendations to help nurse practitioners manage both acute and chronic migraine headaches in the primary care setting.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105501"},"PeriodicalIF":0.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Protocol-Driven Approach to Improve Postoperative Laboratory Use for Craniosynostosis 一种方案驱动的方法提高颅缝闭合术后的实验室使用
The Journal for Nurse Practitioners Pub Date : 2025-08-20 DOI: 10.1016/j.nurpra.2025.105497
Ashwin Gupta, Chen Chia Wang, Nicholas Szuflita, Gunther Wong, Michael Golinko, Christopher M. Bonfield, E. Haley Vance
{"title":"A Protocol-Driven Approach to Improve Postoperative Laboratory Use for Craniosynostosis","authors":"Ashwin Gupta,&nbsp;Chen Chia Wang,&nbsp;Nicholas Szuflita,&nbsp;Gunther Wong,&nbsp;Michael Golinko,&nbsp;Christopher M. Bonfield,&nbsp;E. Haley Vance","doi":"10.1016/j.nurpra.2025.105497","DOIUrl":"10.1016/j.nurpra.2025.105497","url":null,"abstract":"<div><div>A standardized postoperative craniofacial protocol was implemented to decrease laboratory draws and costs. Patients younger than 18 years who underwent open reconstruction for single-suture craniosynostosis were separated into preprotocol (n = 62) and postprotocol (n = 44) cohorts. The number of laboratory draws, costs, and postoperative complications were calculated. Mean laboratory draws and costs for per-patient laboratory draws significantly decreased by 43.0% (<em>P</em> &lt; .001) and 40.5% (<em>P</em> &lt; .001), respectively, across a patient’s length of stay. There were no significant differences in outcomes or complications. Decreasing postoperative laboratory draws in pediatric patients undergoing surgery for craniosynostosis lowered overall costs without compromising care.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105497"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144867076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurse Practitioner–Led Initiative Improves Care in Frail Patients Undergoing Surgery 执业护士主导的倡议改善了接受手术的体弱患者的护理
The Journal for Nurse Practitioners Pub Date : 2025-08-13 DOI: 10.1016/j.nurpra.2025.105496
Marcel Kaganovskaya, Akanksha Samant, Tomas M. Heimann, Fred C. Ko
{"title":"Nurse Practitioner–Led Initiative Improves Care in Frail Patients Undergoing Surgery","authors":"Marcel Kaganovskaya,&nbsp;Akanksha Samant,&nbsp;Tomas M. Heimann,&nbsp;Fred C. Ko","doi":"10.1016/j.nurpra.2025.105496","DOIUrl":"10.1016/j.nurpra.2025.105496","url":null,"abstract":"<div><div>Surgical Pause is a new national program in the Department of Veterans Affairs aimed at improving surgical outcomes. The Risk Analysis Index, a validated 14-item instrument that measures surgical frailty, is used to identify patients at high surgical risk at the point of care before surgery. This article describes the creation of a nurse practitioner–led quality improvement initiative to create an interdisciplinary high-risk quality surgery board and integrate it with the preoperative Risk Analysis Index to augment frailty screening, risk stratification, and management of high-risk older frail surgical patients in a tertiary Veterans Affairs medical facility.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105496"},"PeriodicalIF":0.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Appropriate Use of Statistical Analysis in DNP Projects 在DNP项目中适当使用统计分析
The Journal for Nurse Practitioners Pub Date : 2025-08-05 DOI: 10.1016/j.nurpra.2025.105492
Staci Reynolds, Julee B. Waldrop, Jayne Jennings Dunlap
{"title":"Appropriate Use of Statistical Analysis in DNP Projects","authors":"Staci Reynolds,&nbsp;Julee B. Waldrop,&nbsp;Jayne Jennings Dunlap","doi":"10.1016/j.nurpra.2025.105492","DOIUrl":"10.1016/j.nurpra.2025.105492","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105492"},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Pathophysiology of Mpox Clades I, Ib, and IIb m痘分支I、Ib和IIb的病理生理
The Journal for Nurse Practitioners Pub Date : 2025-08-04 DOI: 10.1016/j.nurpra.2025.105491
Christopher W. Blackwell, Humberto López Castillo, Frances Armstrong, Frank Guido-Sanz, Rodney W. Hicks
{"title":"The Pathophysiology of Mpox Clades I, Ib, and IIb","authors":"Christopher W. Blackwell,&nbsp;Humberto López Castillo,&nbsp;Frances Armstrong,&nbsp;Frank Guido-Sanz,&nbsp;Rodney W. Hicks","doi":"10.1016/j.nurpra.2025.105491","DOIUrl":"10.1016/j.nurpra.2025.105491","url":null,"abstract":"<div><div>On August 14, 2024, the World Health Organization director-general declared mpox a public health emergency of international concern (PHEIC), a consequence of increased case surge in the Democratic Republic of the Congo. However, just days after, single cases were reported in Sweden and Thailand. The current strain of mpox (Clade Ib) linked to this PHEIC has been associated with enhanced communicability and increased morbidity and mortality compared with infections with the Clade IIb strain that prompted the 2022 global public health threat. This article explores the pathophysiology of mpox, epidemiologic data related to the 2024 PHEIC, and effective vaccination prevention.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105491"},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reducing Polypharmacy and Patient Harm: Use of Medication Screening Tools Supports the Detection and Prevention of Adverse Drug Events 减少多种用药和患者伤害：使用药物筛选工具支持发现和预防药物不良事件
The Journal for Nurse Practitioners Pub Date : 2025-07-26 DOI: 10.1016/j.nurpra.2025.105490
Hubert C. Chua, Timothy Nguyen
{"title":"Reducing Polypharmacy and Patient Harm: Use of Medication Screening Tools Supports the Detection and Prevention of Adverse Drug Events","authors":"Hubert C. Chua,&nbsp;Timothy Nguyen","doi":"10.1016/j.nurpra.2025.105490","DOIUrl":"10.1016/j.nurpra.2025.105490","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105490"},"PeriodicalIF":0.0,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early Identification and Management of Pain Catastrophizing in Primary Care 初级保健中疼痛突变的早期识别和处理
The Journal for Nurse Practitioners Pub Date : 2025-07-25 DOI: 10.1016/j.nurpra.2025.105436
Kaylin Lalchun, Elsie Duff
{"title":"Early Identification and Management of Pain Catastrophizing in Primary Care","authors":"Kaylin Lalchun,&nbsp;Elsie Duff","doi":"10.1016/j.nurpra.2025.105436","DOIUrl":"10.1016/j.nurpra.2025.105436","url":null,"abstract":"<div><div>Pain catastrophizing (PC) is an exaggerated negative cognitive response to actual or perceived pain. It can impede the effectiveness of pain management interventions and contribute to the development of chronic pain. Because PC is often accompanied by other mental health conditions, a multidisciplinary approach to pain management is essential to improve long-term outcomes. Various screening tools can be used for the early identification of individuals at risk of PC, which can improve the effectiveness of targeted pain management strategies and reduce the incidence of chronic pain.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105436"},"PeriodicalIF":0.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fever in a female patient of childbearing age: Case challenge 一例育龄女患者发热：病例挑战
The Journal for Nurse Practitioners Pub Date : 2025-07-23 DOI: 10.1016/j.nurpra.2025.105472
Humberto Reinoso, Tara Fernandez Bertulfo
{"title":"Fever in a female patient of childbearing age: Case challenge","authors":"Humberto Reinoso,&nbsp;Tara Fernandez Bertulfo","doi":"10.1016/j.nurpra.2025.105472","DOIUrl":"10.1016/j.nurpra.2025.105472","url":null,"abstract":"<div><div>A 26-year-old female presents urgently to the primary care office with complaints of fever during flu/COVID season. Vague symptoms such as fever should trigger a wider net of possible etiologies, while not overlooking less common differentials to capture the correct cause of the problem. However, increasing demands on providers in busy practices can often encourage the astute clinician to consider more common diagnoses. This unfolding case highlights critical considerations for a young female patient presenting with fever.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105472"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Innovative Strategies in Competency-Based Advanced Practice Nursing Education: Dr. Loretta Ford’s Influence on Thinking Out of the Box 基于能力的高级护理实践教育的创新策略：洛丽塔·福特博士对创新思维的影响
The Journal for Nurse Practitioners Pub Date : 2025-07-22 DOI: 10.1016/j.nurpra.2025.105475
Jessica Parrott, Tina Gustin
{"title":"Innovative Strategies in Competency-Based Advanced Practice Nursing Education: Dr. Loretta Ford’s Influence on Thinking Out of the Box","authors":"Jessica Parrott,&nbsp;Tina Gustin","doi":"10.1016/j.nurpra.2025.105475","DOIUrl":"10.1016/j.nurpra.2025.105475","url":null,"abstract":"<div><div>In 2021, the American Association of Colleges of Nursing released the new <em>Essentials</em> pivoting graduate education to competency-based outcomes. Using the <em>Essentials,</em> along with underpinnings of pioneering clinics modeled by Dr. Loretta Ford, an innovative call center was created and implemented to enhance the application of advanced-level competency-based education through the creation and implementation of a high-level triage call center in primary pediatrics. Twenty-six advanced practice and doctorate nursing students participated. Outcomes of competency attainment were compared between students who participated and those who did not. Participants demonstrated a higher level of conflict resolution, better patient and parent rapport, and improved counseling skills necessary to reduce anxiety more than the traditional clinical placement.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105475"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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