ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The diagnosis and management of failure to thrive, a multifactorial condition, can be a challenge for the primary care provider. This article deals with organic failure to thrive and nonorganic failure to thrive in ambulatory settings. The complex etiology of failure to thrive is addressed relative to maternal/paternal and infant/child characteristics. Physical assessment is addressed with special attention on critical growth measurements, feeding and eating paterns, developmental delays, and psychosocial issues. Interventions in the areas of nutrition, development, and psychosocial interactions are examined with an emphasis on team management. Long-term effects of failure to thrive and primary and secondary preventive interventions are addressed.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Recurrent aphthous stomatitis (RAS), often referred to as canker sore, is a chronic inflammatory disease. Frequently seen in the primary care setting, RAS affects over 50% of the population and may be observed in an otherwise apparently healthy individual. An unknown pathogenesis and absence of curative treatment make RAS a challenge to manage. Treating RAS should be patient specific and focus on reduction of pain and lesions. An awareness of literature suggesting etiologies, precipitating, and predisposing factors can assist the practitioner and patient in controlilng RAS episodes. Contained in this review is a suggested course of management for patients with RAS, including present recommendations for pharmacological interventions.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Chiamydia is the most prevaient sexually transmitted disease in the United States, with over 4 million new infections presenting each year. The disease presents disproportionate problems for women who are generally asymptomatic; chlamydia is more difficult to diagnose in women than men. Untreated infections in women evolve into serious reproductive tract sequelae, including pelvic inflammatory disease, chronic pain, infertility, ectopic pregnancy, and neonatal complications. The bright side to this epidemic is that these sequelae are preventable. Chlamydia is both treatable and easily cured when it is detected. A national mailed survey of NPs was conducted to ascertain current chlamydia knowledge levels and clinical practices with female patients. Survey findings indicate that NPs are fairly knowledgeable about the infection and NP clinical practices are generally consistent with Centers for Disease Control and Prevention recommendations for chlamydia diagnostics and treatment. However, the survey identified NP deficits in screening and treatment practices for pregnant women. These findings are disturbing given the serious risks associated with failure to promptly diagnose and treat prenatal infections. The survey highlights the need for continuing professional education about chlamydia and other sexually transmitted infections.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Despite being viewed as a male health problem, more women die from heart disease than men. The literature and preliminary research data reviewed clearly support that gender differences exist. The higher prevalence of myocardial infarction in older women and those with other known risk factors suggests the etiology, pathophysiology, and treatment is the same as for men. Differences in socloeconomic status, psychosocial profiles, presenting symptoms, disease progression, and a poorer response to treatment suggests that myocardial infarction in women is not fully understood. Women need to know they are at risk and not delay seeking treatment for subtle but important symptoms. Assessment strategies that take into account the woman's body, personal profile, and the female pattern of variant angina, non-Q wave, nonocclusive infarction are reviewed. Considering the literature that links social support with survival, mobilizing support to help the woman direct energies to her own recovery becomes a necessary intervention. Implications to health teaching, diagnostic testing, diagnosis, referral, and the effective management of women with myocardial infarction are delineated.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Acute otitis media, a common childhood disorder, is an inflammation of the middle ear. It is the most frequent diagnosis made in primary care settings for children under 15 years of age. Almost all children are afflicted with at least one episode of otitis media before age 6. Diagnosis can often be challenging, especially in infants and toddlers. Moreover, management controversies exist. This article addresses the epidemiology, clinical presentation, and diagnosis of acute otitis media and presents treatment options based on results of recent research. When a child is diagnosed with acute otitis media, it behooves the clinician to use sound research-based clinical judgment in prescribing treatment.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Hypertension, the most prevalent cardiovascular disorder in America, affects over 50% of the older adult population. Management of hypertension in the elder is influenced by numerous age-related factors, including physiological changes, co-morbid conditions, functional or cognitive impairments, and polypharmacy issues. As data on the damaging effects of untreated hypertension increase, practice guidelines are increasingly focused on early detection and successful management of blood pressure in the primary care setting. The primary health care provider, having an advanced knowledge base and excellent communication skills, can make effective management of hypertension a reality. This article presents a comprehensive review of assessment, diagnosis, and treatment of hypertension in the older adult. Lifestyle modification and pharmacologic therapy are discussed. Elements of patient education are described, with special emphasis on promoting adherence to a long-term treatment regimen.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This comparative survey of college health providers explored nurse practitioners' (N=73) and physicians' (N=70) knowledge, attitudes, and management practices related to genital human papillomavirus (HPV) infection in females. Both groups had adequate knowledge of basic issues of HPV epidemiology, diagnosis, and treatment. Divergent attitudes and management practices were reported among the providers, with generally low agreement with national STD treatment guidelines published by the Centers for Disease Control and Prevention (CDC). Generally, providers tended to practice a more aggressive management approach on several aspects of HPV infection than recommended by the CDC guidelines. The one major exception reported by the majority of providers was the conservative use of colposcopy for identifying subclinical HPV infection in patients with external genital warts, a finding consistent with CDC guidelines. The availability of colposcopy within a provider's health center was found to be associated with the reported use of colposcopy. Recommendations for future research and implications for college health and advanced nursing practice are addressed.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID