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American Family Physician October 15, 2004 Kathy Soch |
Diary From a Week in Pactice A family practitioner remembers to put the chart aside and go to the patient for the answers... Refers a patient to a rheumatologist... Changes meds for a patient with advanced dementia... etc.  |
American Family Physician February 15, 2005 Kathy Soch |
Diary From a Week in Pactice A family practitioner sends a patient back to a nursing home... An annoying letter turned out to be more sensible than onerous... Wonders at prescribing 13 drugs for one patient... etc.  |
American Family Physician December 15, 2004 Kathy Soch |
Diary From a Week in Pactice A family physician writes out a multi-symptomatic patient's refills... Sees a home bound Alzheimer's patient... Realizes that the hardest thing to do is nothing... etc.  |
American Family Physician June 15, 2002 Kathy Soch |
Diary from a Week in Practice Asking teenaged patients about sensitive subjects... A resident takes charge of a patient with queit confidence and skill... Never a more important house call... etc.  |
American Family Physician February 15, 2003 |
Diary from a Week in Practice Sudden change in blood glucose level... Smallpox vaccinations... etc.  |
American Family Physician June 15, 2004 Kathy Soch |
Diary From a Week in Pactice A family practice physician deals with anxiety over a patient's surgery... A raccoon bite... Supporting a nursing home decision... Applauding lifestyle changes... etc.  |
American Family Physician October 15, 2003 Kathy Soch |
Diary from a Week in Practice Pulling off toenails without anesthesia... Three of three blood cultures were positive for Staphylococcus aureus... Sometimes ordering brand name drugs instead of generics does make a difference... etc.  |
American Family Physician December 15, 2003 Kathy Soch |
Diary from a Week in Practice Every time you see a patient with diabetes, think about their eyes, heart, kidneys and feet... What to do about women who want to continue with hormone therapy now that it's fallen out of favor?... A 100-year-old gets her first prescription for medication for a chronic condition... etc.  |
American Family Physician October 15, 2005 Kathy Soch |
Diary From a Week in Pactice This family practitioner checks in on a patient with severe expressive aphasia... Sees a chronic pessimist... Recommends documenting a resident's pre-operative clearance for a patient... etc.  |
American Family Physician August 15, 2003 Kathy Soch |
Diary from a Week in Practice Trust helps a diagnosis of a child's ADHD go down easier... Sometimes good ideas come when you're sitting in traffic... An unusual case of dyspnea on exertion... etc.  |
American Family Physician August 15, 2005 Kathy Soch |
Diary From a Week in Pactice A family physician sees a patient who wants to talk about his wife's condition more than his own... Attends a viewing of a nursing home patient... Sees a Minnesotan burned by Texas sun... etc.  |
American Family Physician April 15, 2003 Kathy Soch |
Diary from a Week in Practice Good news and bad news for one being treated for severe hyperlipidemia... To refer for weight reduction surgery?... A wonderful little pill... etc.  |
American Family Physician August 15, 2002 Kathy Soch |
Diary from a Week in Practice Remembering to perform routine preventive services on such a complex, demanding patient... Determining a patient's prognosis can sometimes be challenging... etc.  |
American Family Physician December 15, 2001 Kathy Soch |
Diary from a Week in Practice Discussing conflicting guidelines with patients... Breastfeeding pays off... Rounds help med student self-diagnose... etc.  |
American Family Physician October 15, 2002 Kathy Soch |
Diary from a Week in Practice Acanthosis nigricans is commonly seen in school-aged children in south Texas... Even when patients have completed an advance directive and durable power of attorney, decisions at the end of life can be difficult... etc.  |
American Family Physician December 15, 2002 Kathy Soch |
Diary from a Week in Practice When families make promises to keep patients at home, what they mean is that they will care for them in the best and safest way possible... A tornado worries a hospital... Med students excel at taking a patient's history and physical examination, but they tend to have problems elsewhere...  |
Nursing April 2012 Elliott et al. |
Managing alcohol withdrawal in hospitalized patients A focused nursing assessment is critical in identifying the potential for alcohol withdrawal symptoms in all hospitalized patients. This article discusses how to assess patients at risk and how to use these assessment findings as a basis for nursing interventions.  |
American Family Physician June 15, 2005 Kathy Soch |
Diary From a Week in Pactice A family physician diagnoses a broken leg while walking in the park... Sees two separate sprains with two very different patients... Gives advise on acne to a teen patient with a cold... etc.  |
American Family Physician April 15, 2002 Kathy Soch |
Diary from a Week in Practice Sometimes physicians can take advantage of anticipated side effects and actually use them to treat patients... Computers have really improved patient satisfaction... Walking three children to school in the morning can be educational for a family practice physician...  |
American Family Physician April 15, 2005 Kathy Soch |
Diary From a Week in Pactice Monday: A smart patient admits to poor reasoning in facing her diabetes... Tuesday: A patient who's been advised to quit smoking makes the front page - smoking... Wednesday: An elderly patient with advanced dementia may have syphilis... etc.  |
American Family Physician April 15, 2004 Kathy Soch, M.D. |
Diary from a Week in Practice Adjusting thyroid doses... Assessing driving ability in the office setting... etc.  |
American Family Physician December 15, 2005 Kathy Soch |
Diary From a Week in Pactice A family physician congratulates a 9-year-old boy on his state achievement test in reading... Talks to a 78-years-old Hurricane Katrina victim about riding an airplane... Tweaks a patient's warfarin dosage... etc.  |
American Journal of Nursing November 2008 Madeline A. Naegle |
Screening for Alcohol Use and Misuse in Older Adults: Using the Short Michigan Alcoholism Screening Test--Geriatric Version The availability of accurate, easy-to-use screening tools to detect people in need of counseling can increase the number of older adults whose lives can be improved and even lengthened.  |
American Family Physician June 15, 2003 Kathy Soch |
Diary from a Week in Practice On individualizing treatment goals... Calming parent anxiety over child immunization... etc.  |
American Journal of Nursing September 2009 Judith K. Schwarz |
Stopping Eating and Drinking The author describes stopping eating and drinking, as well as other clinical practices associated with hastening dying. Should this practice be distinguished from suicide; and what are the ethical and legal implications for nurses.  |
American Journal of Nursing January 2010 |
Life-Support Interventions at the End of Life: Unintended Consequences Nurses need to be knowledgeable life-support interventions at the end of life and able to communicate what they know about those consequences to patients, family members, and others on the health care team, leading to better decision making at this difficult time.  |
American Family Physician February 15, 2004 |
Diary from a Week in Practice 68 yr old woman undergoes thoracotomy...46 yr old man with primary ciliary dyskinesia...16 yr old pregnant girl...etc.  |
Nursing March 2011 Mink & Miller |
Stroke, Part 2: Respond aggressively to hemorrhagic stroke Patients may arrive at the hospital any time from minutes to days after a hemorrhagic stroke, and nurses need to be prepared for the unique challenges associated with their care.  |
American Family Physician February 1, 2002 Mary-Anne Enoch & David Goldman |
Problem Drinking and Alcoholism: Diagnosis and Treatment Although associated with considerable morbidity and mortality, alcoholism often goes unrecognized in a clinical or primary health care setting. Several brief screening instruments are available to quickly identify problem drinking, often a pre-alcoholism condition...  |
American Journal of Nursing September 2011 Schmid et al. |
Care of the Suicidal Pediatric Patient in the ED: A Case Study At Childrens Hospital Boston, an algorithm-the Risk of Suicidality Clinical Practice Algorithm has been developed to ensure evidence-based care supported by best practice guidelines.  |
American Family Physician February 1, 2002 |
Problem Drinking -- How To Recognize It Guidelines for recognizing problem drinking and getting help if necessary...  |
American Family Physician July 15, 2005 Paul Gross |
Diary From a Week in Pactice This family physician ponders how medical errors happens, as with his 45-year-old patient... Gets a sad call from the medical examiner... Takes his own daughter to a specialist... etc.  |
American Family Physician April 1, 2003 |
Substance Abuse--How To Recognize It Am I drinking too much?... Am I taking risks with alcohol or other mood-altering substances?... Has my drinking or drug use become a habit?... Is alcohol or drug use taking over my life?... Has drinking alcohol or using drugs become a problem for me?... etc.  |
Nursing Management September 2011 Sally Austin |
What does EMTALA mean for you? When a patient enters your hospital, do you know what your obligations are under the Emergency Medical Treatment and Active Labor Act?  |
American Journal of Nursing January 2011 Vicky Keys |
Alcohol Withdrawal During Hospitalization For a chronic drinker, sudden alcohol withdrawal because of an unexpected hospitalization can lead to escalating withdrawal symptoms and even death if unrecognized and untreated.  |
Nursing November 2011 Jeanne Held-Warmkessel |
Taming Three High-Risk Chemotherapy Complications A review of three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.  |
American Family Physician April 1, 2003 David J. Mersy |
Recognition of Alcohol and Substance Abuse Ten percent of the population abuses drugs or alcohol, and 20 percent of patients seen by family physicians have substance-abuse problems, excluding tobacco use. These patients can be identified by relying on regular screening or a high index of suspicion based on "red flags."  |
Health November 2007 Linda Formichelli |
Is Alcohol Really Good for You? Just a glass or two raises your risks for some scary diseases and lowers them for others. What's right and wrong with drinking?  |
American Family Physician March 15, 2004 |
Alcohol Abuse: How to Recognize Problem Drinking Questions and answers on alcohol abuse.  |
American Journal of Nursing October 2008 |
How to Try This: Working with Families of Hospitalized Older Adults with Dementia Families provide a considerable amount of informal care and support for older adults living with dementia. And when an older adult with dementia is hospitalized, family caregivers should be seen as important sources of information and included as valuable members of the health care team.  |
Pharmaceutical Executive September 1, 2012 Al Topin |
Doctors' Words No Longer Gospel In the digital age, physicians don't call the shots when it comes to healthcare guidance. Marketers must appeal to multiple sources in seeking ways to garner patient adherence and loyalty.  |
American Journal of Nursing April 2010 Mary Curry Narayan |
Culture's Effects on Pain Assessment and Management When patients belong to a culture or speak a language that's different from that of their health care provider, the provider faces additional challenges in successfully assessing and managing the patients' pain.  |
American Family Physician February 1, 2005 |
Alcoholism-What Should I Know About It? A patient hand-out on the disease and how to get help for it.  |
American Journal of Nursing January 2008 Maslow & Mezey |
Recognition of Dementia in Hospitalized Older Adults Recognition of Dementia in Hospitalized Older Adults proposes several approaches that hospital nurses can use to increase recognition of dementia. This article describes the Try This approaches, how to implement them, and how to incorporate them into a hospital's current admission procedures.  |
Nursing March 2009 Kate J. Morse |
Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery.  |
Managed Care June 2007 Lisa A. Higgins |
Sobering Stats Invite Insurers To Fight Alcoholism Effectively Health plans may not be able to control problem drinking by their members. They can, however, affect the way their contracted providers approach the problem. And that may be what makes the difference.  |
Nursing April 2011 Sally Austin |
Stay Out of Court with Proper Documentation Here is a practical guideline to help you document your assessments and interventions completely, accurately, and concisely. Doing so not only improves patient care, but also shields you from legal fallout if something goes wrong.  |
Nursing August 2009 Pullen et al. |
Putting a face on systemic lupus erythematosus In this article, we'll tell you how to assess a patient for SLE and what to teach her about managing this chronic disorder.  |
American Journal of Nursing December 2011 Mary K. Walton |
Supporting Family Caregivers: Communicating with Family Caregivers A transformation is under way in acute care, at least in the United States, from provider-centered care to patient- and family-centered care.  |
Nursing Management July 2010 Lois Welden |
Transfusion confusion Over the past decade, literature has indicated that liberal use of blood transfusions results in poor clinical outcomes in the majority of critically ill patients.  |