{"title":"Gastroparesis: An Updated Overview of Diagnostics and Management","authors":"Lauren Adams-Sanantonio, Andrea Wagner, Jean Fox","doi":"10.1016/j.nurpra.2024.105231","DOIUrl":"10.1016/j.nurpra.2024.105231","url":null,"abstract":"<div><div>Gastroparesis (GP) is a rare debilitating gastrointestinal disorder characterized by delayed gastric emptying in the absence of mechanical obstruction. Etiologies include diabetes, postsurgical, medication, and idiopathic origins. Symptoms of GP include nausea, vomiting, epigastric pain, early satiety, postprandial fullness, abdominal distention, unintentional weight loss, malnourishment, and dehydration. These nonspecific symptoms often lead to delays in diagnosis. The gold standard diagnostic test for GP is gastric emptying scintigraphy. The current treatment of GP is challenging; therefore, the utilization of a multidisciplinary approach with nonpharmacologic, pharmacologic, nutritional support, and procedural interventions is necessary in the care of these patients.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105231"},"PeriodicalIF":0.0,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703098","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}
{"title":"Nurse Practitioner-Pharmacist Collaboration in Telehealth: Review of the Literature","authors":"Ashley Fenton, Fahim Faruque, Nicole Mollenkopf","doi":"10.1016/j.nurpra.2024.105250","DOIUrl":"10.1016/j.nurpra.2024.105250","url":null,"abstract":"<div><div>Telehealth has the potential to improve access to care, address health disparities, and make health care more equitable by removing barriers and connecting patients to a variety of providers. Telehealth also connects health professionals who may not typically be working together. Although nurse practitioners (NPs) and pharmacists are increasingly working in collaborative telehealth care settings, it is not clear how to best integrate these health care professionals and whether telehealth can be adapted to optimize NP-pharmacist collaboration and patient outcomes. This review explored pharmacist-NP collaborative projects found in the literature to understand best practices.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105250"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657764","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}
Gillian Crane Jackson, Sarah Grenon, Christina Leonard
{"title":"Patient Presents With Fatigue and Shortness of Breath","authors":"Gillian Crane Jackson, Sarah Grenon, Christina Leonard","doi":"10.1016/j.nurpra.2024.105242","DOIUrl":"10.1016/j.nurpra.2024.105242","url":null,"abstract":"<div><div>Fatigue and shortness of breath are common presenting symptoms in primary care. There are multiple differentials to consider. This case study encourages the nurse practitioner to exercise focused diagnostic reasoning.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105242"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657758","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}
{"title":"Augmenting Gerontology Education in Family Nurse Practitioner Curriculum","authors":"Dannica Callies, Brandi Pravecek, Robin Arends","doi":"10.1016/j.nurpra.2024.105249","DOIUrl":"10.1016/j.nurpra.2024.105249","url":null,"abstract":"<div><div>The aging population and associated complexity of care require family nurse practitioners (FNP) to be adept at addressing geriatric care needs upon graduation. At a Midwest public university, graduate nursing faculty updated the curriculum to include essential geriatric competencies. Although most competencies were already present, some needed expansion to improve student proficiency in clinical settings. Uncovered topics were added, and each competency was integrated across the curriculum and assessed at multiple points. These enhancements address gaps in FNP education, resulting in graduates who are better prepared to deliver high-quality care to older adults with enhanced knowledge and skills.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105249"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657765","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}
{"title":"Intuitive Eating Group Interventions: Review and Guide for Best Practices","authors":"Colleen King Goode, Ashley Fenton","doi":"10.1016/j.nurpra.2024.105248","DOIUrl":"10.1016/j.nurpra.2024.105248","url":null,"abstract":"<div><div>Intuitive eating is an approach that focuses on body cues, hunger, and eating with intention to foster a healthier relationship with food. It has been shown to decrease disordered eating. The purpose of this review is to identify intuitive eating interventions, explore benefits, and provide guidance to develop intuitive eating programs for nurse practitioners. A review of the literature was conducted. Six studies were included in this review. Studies varied in length, methods, and outcomes. All showed improvements. Application exercises kept participants engaged and reinforce learning. One showed lasting effects. Nurse practitioners may use various formats to provide intuitive eating programs.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105248"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657763","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}
Myriam Jean Cadet, Geetha Ajay, Charles I. Drago, Jarek Stelmark
{"title":"Understanding Recommendations From Various Breast Cancer Screening Guidelines","authors":"Myriam Jean Cadet, Geetha Ajay, Charles I. Drago, Jarek Stelmark","doi":"10.1016/j.nurpra.2024.105238","DOIUrl":"10.1016/j.nurpra.2024.105238","url":null,"abstract":"<div><div>Breast cancer is the most common cancer and the second leading cause of death among women in the United States. Screening for breast cancer saves lives. However, the guidelines of professional organizations have ongoing controversies in clinical practice, including the optimal age of screening for mammograms or diagnostic imaging. In this report, we highlight the recommendations of breast cancer screening guidelines for average-risk female patients.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105238"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657761","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}
{"title":"Implementation of a Screen Time Agreement for School Aged Children in a Federally Qualified Health Center: An Evidence-Based Quality Improvement Project","authors":"Erin K. Milner, Rosemary Johnson, Kerry A. Milner","doi":"10.1016/j.nurpra.2024.105251","DOIUrl":"10.1016/j.nurpra.2024.105251","url":null,"abstract":"<div><div>In this evidence-based quality-improvement project, screen time education and agreement were implemented at a Federally Qualified Health Center targeting the pediatric population. The initiative aimed to reduce excessive screen time among children and promote adherence to the American Academy of Pediatrics guidelines. Through education and signed agreements between health care providers, children, and their families, the project successfully decreased screen time. Postimplementation data showed a trend of reduced screen use, with more than half of children meeting American Academy of Pediatrics guidelines, suggesting that education and structured agreements can be part of an effective approach to promoting healthier screen habits in pediatric patients.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105251"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657760","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}
Paige Gilbert, Bree-Ann Dowd, Beverly W. Dabney, Mary Linton
{"title":"Educating Providers on Proactive Smoking Cessation Treatments in Primary Care","authors":"Paige Gilbert, Bree-Ann Dowd, Beverly W. Dabney, Mary Linton","doi":"10.1016/j.nurpra.2024.105239","DOIUrl":"10.1016/j.nurpra.2024.105239","url":null,"abstract":"<div><h3>Background</h3><div>Smoking remains the leading cause of preventable death worldwide. Despite available treatments, quitting rates are low without proper support.</div></div><div><h3>Problem</h3><div>In a primary care setting, proactive smoking cessation interventions were not routinely provided.</div></div><div><h3>Methods</h3><div>A quality improvement project using quasi-experimental design focused on educating providers and actively engaging smoking patients.</div></div><div><h3>Results</h3><div>Post-intervention, there was a significant increase in the percentage of patients offered smoking cessation treatments (38.5% to 84.6%, <em>P</em> = .016). However, there was no significant change in treatment acceptance rates.</div></div><div><h3>Conclusion</h3><div>Educating providers increased treatment offers. Further research is needed to understand barriers to treatment acceptance.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105239"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657692","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}
{"title":"Endometriosis Is More Than a Painful Period. Period","authors":"Alana Fleming, Ashley Hardy","doi":"10.1016/j.nurpra.2024.105232","DOIUrl":"10.1016/j.nurpra.2024.105232","url":null,"abstract":"<div><div>Endometriosis is a chronic inflammatory disease that affects millions of women worldwide. Endometriosis can lead to an array of symptoms such as pelvic pain, dyspareunia, dyschezia, fatigue, infertility, anxiety, and depression. On average, it takes several years for a patient to obtain an endometriosis diagnosis, because symptoms may be attributed to another condition or the patient’s perception that these symptoms are normal. It is important for nurse practitioners to be mindful of the differing presentations of endometriosis to ensure a timely diagnosis by ordering appropriate diagnostic imaging, management, and referral to an endometriosis specialist.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105232"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657762","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}