{"title":"A review of vaping's health effects, treatment, and policy implications: Nursing's call to action.","authors":"Kelly Buettner-Schmidt, Kolby Schaeffer Fraase, Mykell Barnacle, Allison Peltier, Heidi Saarinen, Brody Maack, Nancy Turrubiates","doi":"10.1097/01.NPR.0000000000000221","DOIUrl":"10.1097/01.NPR.0000000000000221","url":null,"abstract":"<p><strong>Abstract: </strong>The emergence and subsequent surge in popularity of electronic nicotine delivery systems (ENDS), especially among adolescents and young adults, have reshaped the landscape of tobacco consumption, including use patterns and beliefs as well as therapeutic approaches to the condition. The health implications of ENDS are a cause for concern among NPs, as they include severe nicotine dependence, mental health consequences, and adverse effects on respiratory and cardiac systems, among other issues. This article focuses on the health implications of vaping across the lifespan and emphasizes the need for NPs to evaluate ENDS use consistently across age groups and offer age-appropriate treatment within the clinical setting. Importantly, although vaping is prevalent among various age groups, most tobacco use, including vaping, begins and becomes established during adolescence. This back-to-school season therefore marks an ideal time for NPs to educate their pediatric patients, along with their parents or caregivers, about the widespread effects of vaping on health, and it also serves as a reminder to screen for the condition in adults, regardless of smoking history. To combat this trend on a larger scale, NPs can further advocate for community health by promoting youth prevention programs and supporting policy initiatives aimed at curbing ENDS use.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"49 9","pages":"36-47"},"PeriodicalIF":0.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11343445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NURSE PRACTITIONERPub Date : 2024-09-01Epub Date: 2024-08-27DOI: 10.1097/01.NPR.0000000000000222
Beth Heuer
{"title":"School refusal: Considerations for the primary care NP.","authors":"Beth Heuer","doi":"10.1097/01.NPR.0000000000000222","DOIUrl":"10.1097/01.NPR.0000000000000222","url":null,"abstract":"<p><strong>Abstract: </strong>School refusal refers to child- or adolescent-motivated refusal to attend school or remain in school for the duration of the school day. Importantly, the child or adolescent does not conceal their absence from school from their caregivers. Root causes for school refusal include anxiety, mood disorders, untreated learning disorders, and social difficulties. Long-term outcomes of school refusal include further social withdrawal, ongoing mental health issues, and unemployment. This article reviews the differences between school refusal and other types of chronic absenteeism, and it describes behaviors that may manifest in a child or adolescent who avoids attending school. The primary care provider's role in evaluation and treatment of this population is discussed.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"49 9","pages":"10-15"},"PeriodicalIF":0.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057309","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}
NURSE PRACTITIONERPub Date : 2024-09-01Epub Date: 2024-08-27DOI: 10.1097/01.NPR.0000000000000228
{"title":"School refusal: Considerations for the primary care NP.","authors":"","doi":"10.1097/01.NPR.0000000000000228","DOIUrl":"10.1097/01.NPR.0000000000000228","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"49 9","pages":"15-16"},"PeriodicalIF":0.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057310","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}
NURSE PRACTITIONERPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NPR.0000000000000216
Evan S Drake, Adriane B Marino, Jenna D Theroux, Kaitlin Roberts
{"title":"GLP-1 RAs: The newest powerhouse in metabolic medicine.","authors":"Evan S Drake, Adriane B Marino, Jenna D Theroux, Kaitlin Roberts","doi":"10.1097/01.NPR.0000000000000216","DOIUrl":"10.1097/01.NPR.0000000000000216","url":null,"abstract":"<p><strong>Abstract: </strong>In the last decade, the glucagon-like peptide-1 (GLP-1) receptor agonist (RA) drug class has revolutionized treatment for type 2 diabetes mellitus and some of its comorbidities, including obesity and cardiovascular disease. Continued advancements in the GLP-1 RA space show clinical promise for patients, though challenges-including barriers to care such as drug expense and availability-exist. This article provides an overview of available GLP-1 RAs and their mechanisms of action, indications, adverse reactions, and risks, providing practical pearls for providers along the way.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"49 8","pages":"34-40"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762540","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}
NURSE PRACTITIONERPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NPR.0000000000000214
Jamesetta A Newland
{"title":"Public health in the US: Not quite universal coverage.","authors":"Jamesetta A Newland","doi":"10.1097/01.NPR.0000000000000214","DOIUrl":"10.1097/01.NPR.0000000000000214","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"49 8","pages":"7"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762545","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}
NURSE PRACTITIONERPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NPR.0000000000000218
{"title":"Testosterone replacement therapy for hypogonadism: A primer for primary care.","authors":"","doi":"10.1097/01.NPR.0000000000000218","DOIUrl":"10.1097/01.NPR.0000000000000218","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"49 8","pages":"27-28"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762547","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}
NURSE PRACTITIONERPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NPR.0000000000000211
Madison McKnight, Ikenna Nnamani, Krista Volberding, B Tate Cutshall, Drew A Wells
{"title":"Non-ST elevation myocardial ischemia in a patient on modafinil.","authors":"Madison McKnight, Ikenna Nnamani, Krista Volberding, B Tate Cutshall, Drew A Wells","doi":"10.1097/01.NPR.0000000000000211","DOIUrl":"10.1097/01.NPR.0000000000000211","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"49 8","pages":"9-12"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762543","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}
NURSE PRACTITIONERPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NPR.0000000000000217
{"title":"More than a new name: Updates in the management of Clostridioides difficile infection.","authors":"","doi":"10.1097/01.NPR.0000000000000217","DOIUrl":"10.1097/01.NPR.0000000000000217","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"49 8","pages":"19-20"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762542","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}
NURSE PRACTITIONERPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NPR.0000000000000209
Alexander F Wrynn
{"title":"More than a new name: Updates in the management of Clostridioides difficile infection.","authors":"Alexander F Wrynn","doi":"10.1097/01.NPR.0000000000000209","DOIUrl":"10.1097/01.NPR.0000000000000209","url":null,"abstract":"<p><strong>Abstract: </strong>Infections from Clostridioides difficile (often called C. diff) have long presented challenges for both patients and clinicians. Traditionally, C. diff has been considered a nosocomial infection, but in recent years, a noticeable spike in community-acquired cases has occurred. C. diff infection (CDI) testing is often complicated, as various testing options with differing sensitivity and specificity for active infection are available. Also, recent guideline changes have altered the recommended treatment of infection. This article discusses recent changes to both the diagnosis and management of CDI and how they can be applied to everyday NP practice.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"49 8","pages":"14-19"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762541","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}
NURSE PRACTITIONERPub Date : 2024-08-01Epub Date: 2024-07-25DOI: 10.1097/01.NPR.0000000000000188
Debra A Scrandis, Kayla S Scrandis
{"title":"Perinatal depression and anxiety.","authors":"Debra A Scrandis, Kayla S Scrandis","doi":"10.1097/01.NPR.0000000000000188","DOIUrl":"10.1097/01.NPR.0000000000000188","url":null,"abstract":"<p><strong>Abstract: </strong>Perinatal depression (PND) and perinatal anxiety are common conditions that can arise during or after pregnancy and can have a major impact on patients and their families. A potential outcome of PND includes death by suicide, a leading cause of maternal mortality. This article provides an overview of these conditions, including discussion of neurobiology, risk factors, warning signs for individuals at risk for suicide and/or infant harm, and relevant screening tools. Considerations for psychotherapy and pharmacotherapy are highlighted, and an overview of neuroactive steroid gamma-aminobutyric acid A receptor positive allosteric modulators, a newer pharmacologic treatment option for postpartum depression, is provided.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"49 8","pages":"29-33"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762544","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}