Advances in Family Practice Nursing 2019: Advances in Family Practice Nursing 2019

Advances in Family Practice Nursing 2019: Advances in Family Practice Nursing 2019

Advances in Family Practice Nursing 2019: Advances in Family Practice Nursing 2019

Advances in Family Practice Nursing 2019: Advances in Family Practice Nursing 2019

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Overview

Advances in Family Practice Nursing is a yearly publication aimed at family practice nurse practitioners and brings you the best current clinical information from the expert editors and authors in pediatrics, geriatrics, women’s health, and primary care in general. The Editor and Associate Editors identify current advances and updates in nursing care and invite authors to contribute original articles on these topics. These insightful overviews bring concepts to a clinical level and explore their everyday impact on patient care and outcomes. Whether you’re looking to update your knowledge of a particular area or to read about the newest clinical advances to incorporate into your clinical care, this publication aims to appeal to all nurse practitioners providing primary care to patients.

Product Details

ISBN-13: 9780323653695
Publisher: Elsevier Health Sciences
Publication date: 04/15/2019
Series: Advances
Sold by: Barnes & Noble
Format: eBook
File size: 13 MB
Note: This product may take a few minutes to download.

Table of Contents

Editorial Board iii

Contributors v

Preface: Primary Care Nurse Practitioner Practice in a New Era Geri C. Reeves Sharon L. Holley Linda J. Keilman Imelda Reyes xv

Adult/Geriatric

Individualized Approach to Hypertension Management Through Shared Decision Making Katherine Dontje

Introduction 1

Guideline 2

Guideline evidence 3

Blood pressure measurement 5

Risk factor evaluation 6

Interventions 6

Medication review 9

Risk assessment 9

Pharmacologic treatment 10

Discussion 11

Best Practices in the Management of Major Depression for Older Adults in Primary Care George Byron Peraza-Smith Teresa Kiresuk

Introduction 15

Epidemiology 16

Clinical features and assessment 17

Assessment 19

Vulnerable groups 21

Orphan or loneliness 21

Substance abuse 21

Poverty 22

Lesbian, gay, bisexual, transgender, queer/questioning 22

Comorbid conditions 23

Management 25

Psychotherapy 26

Lifestyle changes 27

Electroconvulsive therapy 27

Pharmacotherapy 28

Follow-up 30

Travel Health for Older Adults Cynthia Gerstenlauer

Introduction 33

Travel medicine 34

The pretravel consultation 35

Immunizations 37

Routine vaccines 37

Required vaccines 38

Recommended vaccines 43

Malaria 43

Chronic illnesses 43

Altered immunocompetence 54

Visiting friends and relatives 56

Summary 58

Ethical Considerations in End-of-Life Care for Older Persons with Lifelong Disabilities Douglas P. Olsen Linda J. Keilman

Introduction 61

Background 62

Aging 63

Primary care 64

Ethical considerations 65

Case 1 Developmental disability and end-of-life care 65

Case 2 Maintaining dignity under difficult circumstances 68

Case 3 Just allocation of resources 70

Potential benefit 71

Likelihood of gaining the benefit 71

Harm from not acting 72

Costs of surgery 72

Cost of not doing the surgery 72

Pete's claim to the resources 72

Summary 72

Improving the Care of Women with Vulvovaginal Atrophy in Primary Care Susan G. Wiers

Background 76

Prevalence 76

Burden 76

Communication barriers 77

Pathophysiology 78

Premenopausal physiology 78

Menopausal changes 78

Diagnosis 78

History 79

Physical assessment 80

Management 80

Nonpharmacologic 81

Pharmacologic 82

Evaluation and follow-up 84

Summary 84

Approaching Frailty in Primary Care Deborah Dunn

Introduction 87

Frailty assessment 88

Case review 89

Case 1 89

Case 2 90

Case 3 90

Case 4 90

The primary care clinical visit 91

Who should you screen? 91

Which screening tool should you use? 91

How do you diagnose frailty? 91

How should you approach care management? 91

Frailty treatment and management 92

Evidenced-based treatment approaches 92

Managing prefrailty 92

Managing moderate frailty 93

Managing advanced frailty 94

Summary 94

Implications for practice 95

Recognizing and Addressing Elder Abuse in the Primary Care Setting Natalie R. Baker Jennifer Kim

Risk factors 101

Mandatory reporting 101

Elder abuse examples: Case studies 102

Neglect and financial exploitation 102

Physical 102

Sexual 103

Psychological 103

Screening and assessment 104

Screening 104

Assessment 105

Documentation 105

Community resources 111

Prevention 111

Implications for practice 112

Women's Health

First-trimester Bleeding: Assessment, Diagnosis, and Management by the Primary Care Nurse Practitioner Elizabeth Munoz Heather Robbins

Introduction 117

History 118

Assessment 119

Physical examination 120

Laboratory tests and imaging 120

Differential diagnosis 121

Diagnosis 121

Treatment 121

Viable intrauterine pregnancy 122

Nonviable intrauterine pregnancy 123

Expectant management 123

Medical management 124

Surgical management 124

Ectopic, gestational trophoblastic disease 125

Care after an early pregnancy loss 125

Health promotion 126

Summary 126

Women's Health Care for Incarcerated Women Donna Jackson-Köhlin

Introduction 131

Terminology 132

Background 133

Arrival at jail 134

Giving birth while incarcerated 137

Summary 138

Safe Medications in Primary Care of the Pregnant Woman: Update on the New Medication Classification System Kathleen Danhausen Taneesha Reynolds

Introduction 143

Food and Drug Administration requirements for medication labeling for pregnancy, lactation, and reproductive potential 144

Prescribing medications to pregnant women in the primary care setting 145

Summary 157

Updates in Family Planning Care for Primary Care Practitioners Neena Qasba David Kattan

Introduction 161

Extended use of long-acting reversible contraception methods 162

How to use the Centers for Disease Control and Prevention medical eligibility criteria to select and safely initiate contraception 165

High-quality online contraception resources for patients and providers 171

Summary 172

Pediatrics

The American Academy of Pediatrics Bright Futures Guidelines: An Update for Primary Care Clinicians Imelda Reyes Jeannie Rodriguez

Introduction 175

Bright future themes and the health supervision encounter 176

Health supervision visits by age 176

Developmental surveillance 178

Physical examination 178

Anticipatory guidance 178

Overview of recent revisions to health supervision visits 179

Clinical implications and summary 180

Closing the Gap: Addressing Adversity and Promoting Early Childhood Development Ashley Darcy Mahoney Danielle G. Dooley Nicole V. Davis Michelle Stephens Olanrewaju O. Falusi

Introduction 184

Poverty as a social determinant of health 185

Adverse childhood experiences 186

Addressing adverse childhood experiences and poverty 187

Early childhood education: a critical ingredient for development 188

High-quality language interactions and health 189

Home language 191

Transition of Health Care in Children with Chronic Health Conditions Sharron Close Susan Brasher Amy Blumling Amy Talboy Kristy Martyn

Introduction 201

Lifetime chronic health conditions beginning in childhood 202

Perspective of health care transition for family nurse practitioners 203

Positive outcomes from structured transition of care 203

General health care transition planning in pediatrics 205

Got transition by the American Academy of Pediatrics 205

Health care transition for children with chronic conditions and special health care needs 206

Guidance for implementation into practice 206

Discussion 207

Summary 208

Immunization Schedule Updates for Children, Adolescents, and Adults Kimberly R. Joo

Introduction 211

Background and significance 212

2019 changes to the children and adolescents immunization schedule 212

General schedule changes 213

Influenza vaccine 213

Hepatitis A vaccine 214

Hepatitis B vaccine 214

Meningococcal serogroup B vaccine 214

Inactivated polio vaccine 215

Tetanus, diphtheria, and pertussis vaccine 215

Outbreaks 215

2019 changes to the adult immunization schedule 215

General schedule changes 216

Influenza vaccine 216

Hepatitis A vaccine 216

Hepatitis B vaccine 217

Summary 217

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