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American Journal of Nursing June 2009 Stein & Henry	Poor Oral Hygiene in Long-Term Care The poor oral care given to vulnerable patients in long-term care settings can have serious consequences, including increased risk of stroke, heart disease, and pneumonia.
American Journal of Nursing November 2010 Garcia & Chambers	Managing Dysphagia Through Diet Modifications Dietary modification-altering the consistency of foods and liquids-is a fundamental aspect of dysphagia management.
American Journal of Nursing March 2009 Nelson et al.	Recognizing Sepsis in the Adult Patient Patients in every health care setting are at risk for systemic inflammatory response syndrome, sepsis, severe sepsis, and even septic shock.
Nursing August 2009 Regan & Dallachiesa	How to care for a patient with a tracheostomy Patients with tracheostomies aren't limited to critical care settings and can be found in all nursing units. No matter where you work, you need a basic understanding of the nursing care required for these patients.
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.
American Family Physician November 1, 2003 Zoorob & Campbell	Acute Dyspnea in the Office Shortness of breath, or dyspnea, is a common problem in the outpatient primary care setting. Establishing a diagnosis can be challenging because dyspnea appears in multiple diagnostic categories. Underlying disorders range from the relatively simple to the more serious.
American Family Physician April 15, 2002 Ina Li	Feeding Tubes in Patients with Severe Dementia Patients with advanced dementia are among the most challenging patients to care for. Health care professionals commonly rely on feeding tubes to supply nutrition to these severely demented patients. However, various studies have not shown use of feeding tubes to be effective...
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 Journal of Nursing November 2011 Christine L. Cutugno	The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population.
American Family Physician October 15, 2004 Furman, Rayner & Tobin	Pneumonia in Older Residents of Long-Term Care Facilities Compared with community-dwelling persons, residents in long-term care facilities have more functional disabilities and underlying medical illnesses and are at increased risk of acquiring infectious diseases. Pneumonia is the leading cause of morbidity and mortality in this group.
American Family Physician February 1, 2004 Lyle D. Victor	Treatment of Obstructive Sleep Apnea in Primary Care Patients' symptoms and the frequency of respiratory events on laboratory testing are important factors in determining the severity of disease.
American Family Physician July 15, 2000 Mark A. Van Kooy	Postobstructive Pulmonary Edema Pulmonary edema is a potentially life-threatening complication of acute airway obstruction. It develops rapidly, without warning, in persons who are otherwise well. Two forms of postobstructive pulmonary edema (POPE) have been identified...
American Journal of Nursing March 2012 Corbridge et al.	An Evidence-Based Approach to COPD: Part 1 This article, the first in a two-part series on COPD, outlines current guidelines and other evidence-based recommendations on diagnosing and managing stable COPD in the outpatient setting.
Nursing January 2010 Susan Simmons	Guillain-Barre syndrome: A nursing nightmare that usually ends well GBS is the leading cause of acute flaccid paralysis; its most common presentation is characterized by ascending, symmetric paralysis that usually affects the cranial nerves and the autonomic nervous system.
American Journal of Nursing February 2012 Simons & Abdallah	Bedside Assessment of Enteral Tube Placement: Aligning Practice with Evidence Since the flexible Levin tube was introduced in 1921, enteral feeding has become ubiquitous. From the out-set, nurses have been responsible for confirming the correct placement of enteral feeding tubes prior to their use for alimentation or medication administration.
Nursing Simmons & Pruitt	Sounding the alarm for patients with obstructive sleep apnea Obstructive sleep apnea is a significant problem in the United States and worldwide.
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.
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 September 2011 Yantis & Velander	Untangling enteral nutrition guidelines This article discusses the latest EN practice recommendations issued in 2009, with an emphasis on specific nursing applications and patient safety.
American Journal of Nursing February 2010 Melissa M. Smith	Emergency: Variceal Hemorrhage from Esophageal Varices Associated with Alcoholic Liver Disease This article describes alcoholic cirrhosis and its complications, discusses the etiology of esophageal varices and the risk factors for hemorrhage, and addresses emergent treatment.
Nursing November 2011 Lawson & Pruitt	Issues in Obesity, Part 2: Obesity Weighs Heavily on Lung Function A look at the impact of obesity on asthma, chronic obstructive pulmonary disease (COPD), and sleep apnea.
Nursing July 2009 Rachel L. Palmieri	Unlocking the secrets of locked-in syndrome Locked-in syndrome is characterized by complete paralysis of the voluntary muscles in all parts of the body except those that control blinking and vertical eye movements.
American Family Physician March 1, 2003 James C. Higgins	The 'Crashing Asthmatic' Asthma is one of the most common chronic disorders managed by family physicians. A "crashing asthmatic" is a patient with asthma who is clinically deteriorating into respiratory failure or arrest despite initial treatment. Managing such a patient can be a major challenge.
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.
American Journal of Nursing March 2008 Evans & Cotter	Avoiding Restraints in Patients with Dementia Understanding, prevention, and management are the keys to reducing restraint use.
American Journal of Nursing November 2009	Trauma in Pregnancy A description of the mechanisms of traumatic injury during pregnancy includes a discussion of the normal changes of pregnancy and their implications in the care of pregnant trauma patients, and offers strategies for assessment and treatment.
American Family Physician February 1, 2006 Lutfiyya et al.	Diagnosis and Treatment of Community-Acquired Pneumonia When a patient presents with suspected community-acquired pneumonia, the physician should first assess the need for hospitalization using a mortality prediction tool, such as the Pneumonia Severity Index, combined with clinical judgment.
American Family Physician October 1, 2000 Richard J. Ackermann	End-of-life Care Withholding or withdrawing life-sustaining therapies is ethical and medically appropriate in some circumstances. This article summarizes the American Medical Association's Education for Physicians on End-of-life Care curriculum module on withholding or withdrawing therapy...
American Journal of Nursing May 2010 Corbridge & Corbridge	Asthma in Adolescents and Adults This article outlines current guideline recommendations for asthma and reviews what clinicians need to teach patients about its pathophysiology, pharmacotherapy, self monitoring, and environmental control.
American Journal of Nursing September 2011 Schmid et al.	Care of the Suicidal Pediatric Patient in the ED: A Case Study At Childrens Hospital Boston, an algorithm-the Risk of Suicidality Clinical Practice Algorithm has been developed to ensure evidence-based care supported by best practice guidelines.
American Journal of Nursing April 2011	Strategies for Feeding Patients with Dementia An overview of the difficulties associated with feeding those with dementia and suggestions for caregivers to help overcome these challenges.
Nursing March 2011 Ali & Gray-Vickrey	Limiting the Damage From Acute Kidney Injury This article will discuss your role in early detection and management of AKI with an emphasis on care for older adults.
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.
Nursing March 2010 Peg Gray-Vickrey	Gathering pearls of knowledge for assessing older adults If you attended nursing school more than 10 years ago, you may have received limited education about gerontological nursing. But as baby boomers age, this is becoming an increasingly important area of nursing practice.
American Family Physician March 1, 2004 James Chan	Obstructive Sleep Apnea in Children Obstructive sleep-disordered breathing is common in children. From 3 percent to 12 percent of children snore, while obstructive sleep apnea syndrome affects 1 percent to 10 percent of children.
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 March 2009 Mary G. McKinley	Recognizing and Responding to Acute Liver Failure By quickly recognizing the signs and symptoms of acute liver failure, you can help your patient improve his odds of surviving this often-deadly condition.
Nursing September 2010 Donna Nayduch	Back to basics: Identifying and managing acute spinal cord injury Spinal cord injuries involve damage to the neurons of the spinal cord. They're often devastating because they're associated with life-threatening complications and loss of functional independence.
American Family Physician January 1, 2006 Karen W. Krigger	Cerebral Palsy: An Overview Cerebral palsy is characterized by motor impairment and can present with global physical and mental dysfunction. The differential diagnosis of cerebral palsy includes metabolic and genetic disorders.
Nursing April 2008 Edmondson & Schiech	Esophageal cancer--a tough pill to swallow Find out how to help your patient confront the many challenges he faces from this disease and its treatments.
Nursing December 2010 Teresa E. Hills	Determining brain death: A review of evidence-based guidelines No true standardization of brain death criteria is accepted nationwide, and procedures and protocols vary significantly among facilities.
American Family Physician September 1, 2004 Ostapchuk, Roberts & Haddy	Community-Acquired Pneumonia in Infants and Children When diagnosing community-acquired pneumonia, physicians should rely mainly on the patient's history and physical examination, supplemented by judicious use of chest radiographs and laboratory tests as needed.
Nursing July 2008 Held-Warmkessel & Schliech	Responding to 4 Gastrointestinal Complications in Cancer Patients If your patient has cancer, be prepared to help her manage such serious GI complications as bowel obstruction, peritonitis, fistula formation, and intestinal perforation.
Nursing September 2009 Rachel L. Palmieri	Wrapping your head around cranial nerves Learn how to evaluate the 12 cranial nerves and spot problems during physical assessment.
Nursing April 2012 Elliott et al.	Managing alcohol withdrawal in hospitalized patients A focused nursing assessment is critical in identifying the potential for alcohol withdrawal symptoms in all hospitalized patients. This article discusses how to assess patients at risk and how to use these assessment findings as a basis for nursing interventions.
Nursing August 2010 Bartley & Shiflett	Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible.
American Family Physician April 1, 2004 Thibodeau & Viera	Atypical Pathogens and Challenges in Community-Acquired Pneumonia Atypical organisms such as Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella pneumophila are implicated in up to 40 percent of cases of community-acquired pneumonia.
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.
Nursing March 2011 Mink & Miller	Stroke, Part 2: Respond aggressively to hemorrhagic stroke Patients may arrive at the hospital any time from minutes to days after a hemorrhagic stroke, and nurses need to be prepared for the unique challenges associated with their care.
American Journal of Nursing April 2012 Smeltzer et al.	Original Research: Interactions of People with Disabilities and Nursing Staff During Hospitalization Inadequate primary health care and screening have been identified as serious issues for people with disabilities, but little evidence exists on the nursing care of this population when hospitalized.