ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Primary health care providers frequently manage patients with diabetes and hypertension as co-morbid conditions. Because of the increased complexity and morbidity that occur when these conditions coexist, it is essential that practitioners remain aware of current treatment considerations and options, which are essential in helping patients manage this condition. This article reviews current considerations in the management and care of hypertension in diabetic patients. Possible differential diagnoses are considered, and current recommendations for essential non pharmacological treatment approaches are reviewed. Particular emphasis is placed on the choice and initiation of pharmacological therapy for hypertension in the diabetic and the unique considerations necessary in this patient population. Standards of care for diabetic patients with the complication of hypertension are reviewed.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Private practice is now a viable option for nurse practitioners. NPs who open their own practice will be wise if they anticipate, consider, and act to prevent certain potential legal problems. Awareness and avoidance of these problems—risk avoidance—is the legal equivalent of preventive medicine.This article gives NPs an attorney's perspective on setting up a practice and some of the legal pitfalls to avoid.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Pharyngitis or sore throat is a common result of illness in pediatric and adolescent populations. Sore throat can signal either nonsystemic or systemic disease processes. Clinicians in ambulatory settings are often faced with deriving a differential diagnosis based on this symptom. Prompt and appropriate treatment depends on identification of the underlying causative agent or illness. This article examines common causes of sore throat in the pediatric and adolescent populations. These diagnoses are: (1) group A beta-hemolytic streptococcal pharyngitis; (2) non-group A beta-hemolytic streptococcal bacterial pharyngitis; (3) viral pharyngitis; (4) infectious mononucleosis; and (5) chronic conditions. Less common causes are also considered. Differential diagnosis Is dependent on complete and accurate history, distinct physical finding, and interpretation of adjunct diagnostic tests. The value of critical data sources Is essential in arriving at a differential diagnosis of pharyngitis. Once a diagnosis is established, an appropriate treatment plan can be initiated.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Plantar fasciitis is the most common diagnosis for pain in the inferior aspect of the heel and accounts for 10% of running injuries seen. It primarily afflicts the middle-aged and elderly populations and athletes. The diagnosis is relatively easy for the primary care provider to establish because of the typical presentation. Diagnostic studies usually are not warranted, but a careful history and physical examination are essential in identifying various predisposing anatomical, biomechanical, and environmental factors. This article addresses a wide array of conservative measures available in developing an individualized management approach based on the contributing factors identified. Because 90% or more respond to conservative measures, the primary care provider can manage the care of the majority of clients who present with plantar fasciitis. To avoid painful recurrence, measures effective in relieving symptoms need to be included In an ongoing plan of prevention.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The Comprehensive Sexual Assault Assessment Tool (CSAAT) was developed for collection of data about the victims and offenders in cases of rape and sexual assault. The CSAAT provides a systematic guide for victim assessment, evidence documentation, and initial treatment.Use of the CSAAT facilitates collection of investigative data about the victim and the offender that are critical components of victim interviews and crime investigations, as well as victim forensic data. The CSAAT can be used by health care professionals who care for the victims of sexual assault. The tool reflects the major concepts of the Roy Adaptation Model and was designed as a victim evaluation report for clinical and forensic purposes. The CSAAT can also be used to compile agency statistics, as part of the training for sexual assault nurse examiners, and to collect research data. A case study involving two victims illustrates the importance of evidence collection and use of the Federal Bureau of Investigation's Combined DNA Index System (CODIS) for linking victims by offender DNA.

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

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This study surveys parents of children with cerebral palsy. The purpose of the study is to report the parents' opinions concerning possible causes of cerebral palsy. All parents of children with cerebral palsy who attended the United Cerebral Palsy centers in North Carolina were asked to respond to a survey concerning their opinions of possible causative factors related to cerebral palsy. Parents of children with cerebral palsy participating in this study reported agreement with several possible causative factors of cerebral palsy. Though the opinions of these parents largely reflect knowledge that is consistent with the literature, there is also confusion concerning some factors that have been associated with cerebral palsy. There is a need for more study of causative factors related to cerebral palsy.

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