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Assessing Non-suicidal Self-injurious Behaviors in Adolescents

By Emily C. Williams, MSN, FNP-C; Alison Moriarty Daley, MSN, APRN, PNP-BC; and Joanne DeSanto Iennaco, PhD, MS, RNThis article presents current evidence describing the epidemiology, course, functions, and psychiatric co-morbidities of non-suicidal self-injury (NSSI) in adolescents. Rates of NSSI in adolescents have risen recently; studies suggest this rise can be partially attributed to subclinical and experimental forms of NSSI. In light of this trend, assessment of adolescent NSSI behaviors by nurse practitioners is an important step in providing mental ...

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Alternative Options for the Treatment of Vasomotor Symptoms

By Debra A. Walz, MS, WHNP-BC and Mary-Jane McEneaney, MS, WHNP-BCEvery year, approximately 2 million women in the United States enter menopause. Most of these women will experience a wide variety of symptoms related to fluctuating or declining levels of estrogen, progesterone, follicle-stimulating hormone, and luteinizing hormone. For instance, approximately 80% of these women will experience vasomotor symptoms (VMS) at some point during perimenopause to postmenopause. Research has shown that VMS can cause ...

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Haiti…2 Years Later

By Susan Walsh, MS, CPNPJanuary 12, 2012, was the second anniversary of the devastating earthquake in Haiti—the first to strike the island nation in over 200 years. The ramifications will last for generations. Susan Walsh MS, CPNP recounts her experience there that day and her thoughts two years ...

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DNP-Prepared Nurses as Practitioner-Researchers: Closing the Gap Between Research and Practice

By Deborah Vincent, PhD, RN, FAANP; Catherine Johnson, PhD, APRN-BC, FNP, PNP; Donna Velasquez, PhD, RN, FNP-BC, FAANP; and Ted Rigney, PhD, ACNP-BC, FAANP. In this article, the authors present a model that conceptualizes the differentiation and interrelatedness of doctor of nursing practice (DNP)-prepared nurses and doctor of philosophy (PhD)-prepared nurses. They also discuss how DNP-prepared nurses, as practitioner-researchers, can help close the research-to-practice gap and improve quality of care by collaborating in translational research. ...

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Access to Health Care Among the Elderly

By Mary A. Smith, FNP-BCThe present state of healthcare reform raises many ethical concerns about the availability of health care for the American public. Adequate access to health care has gained the attention of the US government, professional associations, and healthcare providers alike. The American Nurses’ Association advocates for reform ensuring that all people have access to high-quality health care. Many professional healthcare associations currently view ...

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Urinary Incontinence/Overactive Bladder in Women: The Role of Sacral Neuromodulation

By Saundra Sturdy Seidel, APRN-BC, CUCNSActress/comedienne Whoopi Goldberg uses a light approach toward the topic of urinary incontinence; however, millions of women find nothing funny about this problem. ...

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Polycystic Ovary Syndrome: From Conception to Menopause

By Mary Ellen Rousseau, RN, MS, CNM, FACNMPolycystic ovary syndrome (PCOS) is a heterogeneous metabolic disorder affecting 4%-10% of females. Females with PCOS usually present with multiple problems, including infertility, oligomenorrhea, and signs of hyperandrogenism. PCOS is also associated with major metabolic and cardiovascular disease risk factors. Nurse practitioners need to use varied approaches with female patients of different ages because of the different clinical, hormonal, ...

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Medicare Part D: Helping or Hurting Our Seniors?

By Susan Riley, MN, FNP-CThe author focuses on the realities of Medicare Part D prescription drug coverage by reviewing the history, politics, and cost of the program. Epidemiologic data related to Medicare recipients are presented, and the disparities created by the Part D plan are identified. Medicare Part D pitfalls that result in medication non-adherence are discussed, along with ways for advanced practice nurses to avoid these consequences. The role of the APN as ...

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The 5 NP Political Issues and the One Solution

By Eileen T. O'Grady, PhD, RN, NP, Dr. Loretta C. Ford, RN, EdD, PNP, FAAN, FAANPThe success and rapid expansion of NPs and all APRNs have become a threat to the traditional way that health care is delivered in this country. APRNs have felt the political maneuverings of some (not all) physician organizations as they attempt to hold onto their power and dominance in the health care marketplace. This resistance to APRNs by some organized physician groups is the quintessential definition of politics: the struggle for ascendancy ...

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Immediate Patient Protections Expected by September 2010

By Eileen T. O'Grady, PhD, RN, NPThe new 'Patient Protection and Affordable Care Act' has outlined new patient protections, many of which will be in place by September of this year. The protections that will be in place this year will have immediate impacts that may result in a surge in demand for APNs based on the provisions effective in the coming months. See a listing of the immediate patient protections expected in ...

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