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Nursing April 2010 Powers & Burchell	Sepsis alert: Avoiding the shock Early recognition of sepsis and early goal-directed therapy can sometimes halt the progression of sepsis to severe sepsis and septic shock. Rapid response and aggressive care can improve patient outcomes in a critical situation.
Nursing October 2009 John J. Gallagher	Taking aim at ARDS Among many complications that threaten a critically ill patient is a potentially fatal syndrome of lung inflammation and injury: acute respiratory distress syndrome.
Nursing October 2010 Jeff Strickler	Traumatic hypovolemic shock: Halt the downward spiral This article discusses the causes, treatments, and nursing care for patients with traumatic hypovolemic shock.
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 November 1, 2002 Hashim & Guillet	Common Issues in the Care of Sick Neonates Some newborn infants require observation and care that is beyond the scope of a normal newborn nursery. In many hospitals, this level of care is designated intermediate, level II, or special care nursery. Infants in these nurseries may be managed by family physicians...
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.
Nursing February 2012 Duncan et al.	Early warning systems: The next level of rapid response Cardiac arrests in hospitals are usually preceded by observable signs of deterioration, which often appear 6 to 8 hours before the arrest occurs.
American Journal of Nursing June 2007 Baugh et al.	Wounds in Surgical Patients Who Are Obese Surgery, whether bariatric or not, puts this population at risk. Review the basics of prevention and care.
American Journal of Nursing June 2009 Prahlow et al.	Case Study: Asphyxia Caused by Inspissated Oral and Nasopharyngeal Secretions This case serves to remind clinicians that a failure to provide good oral care and adequate hydration is not only poor practice but can result in death.
American Journal of Nursing May 2012 Wright et al.	Posterior Reversible Encephalopathy Syndrome: A Case Study Posterior reversible encephalopathy syndrome is a rare neurologic disorder characterized by an acute increase in blood pressure, and by headaches, altered mental status, seizures, and visual loss.
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.
Nursing May 2008 Dawn M. Christensen	Extreme Heart Makeover: Understanding Mechanical Circulatory Support Learn about ventricular assist devices and total artificial hearts and how they affect patient care.
Nursing Management December 2010 Raso & Gulinello	Creating Cultures of Safety: Risk Management Challenges and Strategies The role of the nurse manager in directing patient care and influencing change from a risk perspective is paramount to success.
Nursing March 2010 Delahanty & Myers	3 bad bugs Acinetobacter baumannii, Panton-Valentine leukocidin positive methicillin-resistant Staphylococcus aureus, and infections that develop as a result of antimicrobial therapy, such as Clostridium difficile.
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?
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.
American Journal of Nursing May 2011 Pusateri et al.	Original Research: The Role of the Non-ICU Staff Nurse on a Medical Emergency Team: Perceptions and Understanding We sought to determine the nursing staff's familiarity with and perceptions of the Medical Emergency Team at one hospital.
Nursing December 2011 Burchell & Powers	Focus on central venous pressure monitoring in an acute care setting This article reviews CVP monitoring, including indications, limitations, contraindications, recommended practices, complications, and nursing considerations.
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 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.
American Family Physician July 15, 2001 Marc Tunzi	Can the Patient Decide? Evaluating Patient Capacity in Practice
Managed Care December 2004 Adler & Schukman	The Role of Managed Care In Patient Safety & Error Reduction Patient safety and medical errors have become the focus of increasing attention from the public, policymakers, and accreditation agencies. Managed care organizations clearly are important stakeholders in this issue.
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.
Scientific American July 2009 Kate Wilcox	Yanking Pathogens Out of Blood with Magnets Germ-grabbing magnetic beads that can be pulled from the blood
American Family Physician November 15, 2005 Haas et al.	Management of the Difficult Patient All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Specific communication techniques and greater patient involvement in the process of care may enhance the relationship.
American Family Physician October 1, 2006 Kavan et al.	A Practical Guide to Crisis Management Physicians often are required to assist patients in crisis. An estimated 4% of visits to primary care physicians involve psychiatric or social crises.
Chemistry World January 3, 2014 Jenifer Mizen	Exhaled isotopes give hope to spotting sepsis early Measuring 13C isotope levels in the breath of pediatric patients could save lives by giving an early indication of sepsis.
American Family Physician October 1, 2000	AAFP Core Educational Guidelines Recommended Core Educational Guidelines For Family Practice Residents...
American Family Physician August 15, 2004 Lang & Quill	Making Decisions with Families at the End of Life Because advance directives are not yet the norm, end-of-life decisions for patients without medical decision-making capacity are made regularly within discussions between the patient's physician and family.
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 December 15, 2001 Gregg K. VandeKieft	Breaking Bad News This article presents an overview of issues pertaining to breaking bad news and practical recommendations for clinicians wishing to improve their clinical skills in this area...
Managed Care June 2006 Twanmoh & Cunningham	When Overcrowding Paralyzes an Emergency Department Changing the process and mindset of health care professionals was the key to reducing emergency department overcrowding.
American Family Physician September 1, 2000 Cheryl Winchell, M.D.	Curbside Consultation What to do when a patient makes inappropriate, seductive advances to you, his/her physician...
Nursing Management December 2009 Rebecca J. Zapatochny Rufo	Proven again... innovative integration of the virtual ICU in long-term care The virtual ICU allows a centralized intensivist-led care team to continuously monitor, assess, and intervene in support of on-site caregivers.