Jennifer Herrera-Perdigon, Ellen Hopkins, Martha Marcalle, Dorothy Brooten, Joanne M Youngblut, Maria Lourdes Lizardo
{"title":"Weight Gain in High-Risk Pregnant Women: Comparison by Primary Diagnosis and Type of Care.","authors":"Jennifer Herrera-Perdigon, Ellen Hopkins, Martha Marcalle, Dorothy Brooten, Joanne M Youngblut, Maria Lourdes Lizardo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reasonable weight gain in pregnancy is essential for the health of the woman and fetus. The purpose of this secondary analysis was to examine patterns of prenatal weight gain in women with diabetes and hypertension using data from a randomized controlled trial examining physician-only (<i>n</i> = 29) versus APN and physician-delivered (<i>n</i> = 38) prenatal care. Data collection included gestational age at enrollment, delivery, diagnosis (diabetes, hypertension), prepregnancy body mass index (BMI), weight every 4 weeks during pregnancy, and total weight gain during pregnancy. Based on prepregnancy BMI, 21% of the sample was normal weight, 16% overweight, and 63% obese. There were no significant differences between physician versus APN and physician prenatal care and weight gained during pregnancy; the trend in favor of APN and physician care was evident. For women entering pregnancy with a chronic health condition, compounded by obesity, education on nutrition, diet, and behavioral modification is essential.</p>","PeriodicalId":79827,"journal":{"name":"Clinical excellence for nurse practitioners : the international journal of NPACE","volume":"9 4","pages":"195-201"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877917/pdf/nihms437738.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32000049","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}
{"title":"An advanced practice international health initiative: the Ghana Health Mission.","authors":"A. Hunter, L. McKenry","doi":"10.1054/XC.2001.25899","DOIUrl":"https://doi.org/10.1054/XC.2001.25899","url":null,"abstract":"Nursing faculty members are responsible for meeting service, teaching, scholarship, and developing international relations requirements for tenure and promotion in most universities. The profession of nursing requires that nursing faculty, especially nurse practitioner faculty, maintain clinical excellence and prepare culturally competent graduates. The question remains, how can we do it all? A unique, advanced practice, international health initiative in Ghana West Africa was developed to help provide health promotion to a community in need. It has evolved into a project that has facilitated the achievement of those aforementioned requirements of university faculty.","PeriodicalId":79827,"journal":{"name":"Clinical excellence for nurse practitioners : the international journal of NPACE","volume":"63 1","pages":"240-5"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73863444","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":"Clinical breast examination: an illustrated educational review and update.","authors":"E. Coleman, J. Heard","doi":"10.1054/XC.2001.24219","DOIUrl":"https://doi.org/10.1054/XC.2001.24219","url":null,"abstract":"A nurse practitioner educator and a physician educator, experts in teaching clinical breast examination techniques, review the essential steps of the procedure and emphasize breast cancer detection. Photographs show each step of the procedure.","PeriodicalId":79827,"journal":{"name":"Clinical excellence for nurse practitioners : the international journal of NPACE","volume":"28 1","pages":"197-204"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84548096","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":"Antidepressant prescribing practices of nurse practitioners.","authors":"R. Shell, P. L. Smith, N. Moody","doi":"10.1097/00006205-200107000-00003","DOIUrl":"https://doi.org/10.1097/00006205-200107000-00003","url":null,"abstract":"Depression is considered a highly treatable illness, yet often it is inadequately treated by physicians in primary care settings. The economic and human cost of inadequate treatment is well documented. The purpose of this pilot study was to explore the antidepressant prescribing practices among a convenience sample of nurse practitioners (NPs) and to use the findings to refine the antidepressant therapy questionnaire for further use. A self-administered questionnaire was completed by 26 NPs. Results of the survey revealed that NPs in primary care settings frequently treat a wide variety of common mental health problems and prescribe antidepressant medications for a number of these disorders as well as for nonpsychiatric problems. Factors that influence the NPs' decision-making process in the selection of a particular antidepressant were found to vary among the NPs surveyed. Although 65% of the NPs felt that they were sufficiently informed about the available antidepressants to select the most appropriate drug for their clients, 77% believed they needed additional education on antidepressant medications, and all but one respondent reported willingness to attend continuing educational offerings on antidepressant medications.","PeriodicalId":79827,"journal":{"name":"Clinical excellence for nurse practitioners : the international journal of NPACE","volume":"1 1","pages":"273-8"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78987567","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":"Perceived barriers to rural nurse practitioner practice.","authors":"L. Lindeke, T. Bly, R. A. Wilcox","doi":"10.1054/XC.2001.24218","DOIUrl":"https://doi.org/10.1054/XC.2001.24218","url":null,"abstract":"Studies of barriers to nurse practitioner (NP) practice show similar results for more than 20 years. Comparisons of barriers to rural NP practice have not been performed. Descriptive data about perceived barriers to practice were collected from 292 NPs in one midwestern state (urban, 229; rural, 63; response rate, 60%). A primary barrier was a lack of understanding by the general public about the NP role, which respondents found was detrimental to practice success. Physicians also lacked knowledge about the NP role. Rural practice barriers also included lack of peer support, suggesting that isolation from other NPs detracted from practice success. Educating the public and health professionals about NP education, scope of practice, and roles continues to be necessary. Media campaigns can increase understanding of NP practice. Rural NPs can use electronic means to communicate with each other to decrease practice isolation. Removing barriers to practice remains an ongoing task to enhance rural nursing practice.","PeriodicalId":79827,"journal":{"name":"Clinical excellence for nurse practitioners : the international journal of NPACE","volume":"5 1","pages":"218-21"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90254245","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":"Pregnant and homeless: the resiliency of the human spirit.","authors":"J. Hawkins","doi":"10.1054/XC.2001.26021","DOIUrl":"https://doi.org/10.1054/XC.2001.26021","url":null,"abstract":"","PeriodicalId":79827,"journal":{"name":"Clinical excellence for nurse practitioners : the international journal of NPACE","volume":"21 1","pages":"183-4"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75580466","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":"Managing constipation in a pediatric patient: it is more than a simple problem.","authors":"E. Abel","doi":"10.1054/XC.2001.25008","DOIUrl":"https://doi.org/10.1054/XC.2001.25008","url":null,"abstract":"The purpose of this article is to illustrate the complexities of care of a toddler with constipation. When a child presents to the primary care clinic, there is the child, the significant caregiver(s), and the family as the patients. Hence, what may appear on the surface as an easy to manage (and therefore quick) problem may not be so. In today's productivity cost-driven health care system, the primary care provider is challenged to provide comprehensive safe care. Rationale and evidence link the elements of the case to demonstrate that this is not such a simple problem.","PeriodicalId":79827,"journal":{"name":"Clinical excellence for nurse practitioners : the international journal of NPACE","volume":"40 1","pages":"211-7"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82161400","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":"Evaluation and management of the patient co-infected with human immunodeficiency virus and hepatitis C.","authors":"M. Hubbard","doi":"10.1054/XC.2001.25010","DOIUrl":"https://doi.org/10.1054/XC.2001.25010","url":null,"abstract":"The emerging presence of hepatitis C viral (HCV) infection in the United States has been the focus of much attention among health care providers and the general population. Among patients infected with human immunodeficiency virus (HIV), there has been a dramatic increase in hepatitis C disease. During the 1980s and early 1990s, hepatitis C was viewed as a disease for which little could be done, both because of ineffective treatment and the severity and lack of adequate treatments for acquired immune deficiency syndrome (AIDS) itself. Treatment with interferon had poor effect on hepatitis C in the co-infected population, especially for those with advanced immunosuppression. The regimen was difficult to tolerate even with dose reductions. With the advent of highly active antiretroviral therapy (HAART) and effective treatment and prophylaxis for opportunistic infections, a substantial portion of HIV-infected patients are living long enough to have their health compromised by hepatic failure or hepatocellular carcinoma owing to hepatitis C, rather than by AIDS-related illness. New treatments are available for hepatitis C, with preliminary research yielding promising results. The role of these medications in managing HIV/HCV co-infection is currently under study, with implications for many. Health care providers are increasingly faced with the challenges of caring for people infected with the hepatitis C virus, and the growing number of individuals co-infected with hepatitis C and HIV. The purpose of this article is to provide an overview of hepatitis C, especially in the presence of HIV infection, and to detail the recognition and management of the care of this emerging population.","PeriodicalId":79827,"journal":{"name":"Clinical excellence for nurse practitioners : the international journal of NPACE","volume":"12 1","pages":"205-10"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84781983","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":"Carlsson, G., Dahlberg, K., [amp ] Drew, N. (2000). Encountering violence and aggression in mental health nursing: A phenomenological study of tacit caring knowledge. Issues in Mental Health Nursing, 21, 533-545.","authors":"Keri Capobianco","doi":"10.1054/XC.2001.24208","DOIUrl":"https://doi.org/10.1054/XC.2001.24208","url":null,"abstract":"","PeriodicalId":79827,"journal":{"name":"Clinical excellence for nurse practitioners : the international journal of NPACE","volume":"5 1","pages":"246-247"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57802553","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":"Uphold, C. R., [amp ] Graham, M. V. (Eds.). (1998). Clinical guidelines in family practice: The complete resource for adult, pediatric, or family practice. gainesville, FL: Barmarae books.","authors":"S. Toscano","doi":"10.1054/XC.2001.25900","DOIUrl":"https://doi.org/10.1054/XC.2001.25900","url":null,"abstract":"","PeriodicalId":79827,"journal":{"name":"Clinical excellence for nurse practitioners : the international journal of NPACE","volume":"5 1","pages":"249-250"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57802611","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}