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American Journal of Nursing September 2011 Adams & Tolich	Original Research: Blood Transfusion: The Patient's Experience This study therefore sought to identify how well patients understand the role of blood transfusion in their treatment and whether it causes them discomfort.
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.
Nursing Management February 2010 Chuck Fort	So good it's unreal: The value of simulation education The advantages of simulation in healthcare education are many.
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 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 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.
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 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.
Nursing Management May 2011 Kirsten Drake	SCIP core measures: Deep impact In August 2005, the SIP project grew to become a multiyear, national quality partnership of organizations called the Surgical Care Improvement Project, or SCIP, with the goal of decreasing surgical complication by 25% by 2010.
American Family Physician October 15, 2005 Coleman & Newton	Supporting Self-Management in Patients with Chronic Illness Family physicians can support patient self-management by structuring patient-physician interactions to identify problems from the patient perspective, making office environment changes that remove self-management barriers, and providing education individually and through available community self-management resources.
Managed Care May 2000 Mark G. Weiner, M.D., and Eric Pifer, M.D.	Computerized Decision Support and the Quality of Care The notion of quality of care in medicine is not new, but it is becoming increasingly important as the competitive health care market demands objective measures to compare physicians, hospitals, and managed care organizations....
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.
American Journal of Nursing October 2005 Charlotte Thomas-Hawkins	Self-Management of Chronic Kidney Disease Effective management of this disease requires the patient to be the principal illness manager and this skill requires the nurses guidance and support.
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 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.
American Family Physician July 15, 2000 Mitchell S. King	Preoperative Evaluation The purpose of a preoperative evaluation is not to "clear" patients for elective surgery, but rather to evaluate and, if necessary, implement measures to prepare higher risk patients for surgery...
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 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, 2006 Mehta et al.	Opportunities to Improve Outcomes in Sickle Cell Disease Family physicians play a crucial role in instituting evidence-based preventive sickle cell care strategies, initiating timely treatment of acute illness, recognizing life-threatening episodes, and providing a medical home for multidisciplinary management.
American Journal of Nursing July 2009 Weinberg et al.	Original Research: 'It Depends': Medical Residents' Perspectives on Working with Nurses We sought to determine the quality of the nurse-physician relationship by examining the communication and interaction between nurses and residents from the residents' perspective.
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.
Nursing Management November 2011 Mary Ann Remshardt	The Impact of Patient Literacy on Healthcare Practices With regard to patient teaching, how can healthcare personnel be certain that patients understand concepts basic to informed consent, hospital safety, dietary restrictions, and prescription information?
Nursing March 2009 Kate J. Morse	Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery.
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 November 2009 Christine Kessler	Glycemic control in the hospital: How tight should it be? Based on recent studies, the answer to that question remains controversial. This article will explore this issue and present current best practices for caring for a patient in the hospital who has diabetes or hyperglycemia.
Nursing Management October 2011 Edna Cadmus	Your role in redesigning healthcare We need to rethink how we provide care and to understand the interconnectedness and the structure of healthcare by looking at it as a whole vs. the sum of its parts. As leaders we need to view the evidence as we rethink healthcare together.
American Journal of Nursing November 2011	Supporting Family Caregivers: Teaching Essential Skills to Family Caregivers Nurses can use 'teachable moments' to help the transition from hospital to home care.
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.
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 Family Physician July 15, 2001 Marc Tunzi	Can the Patient Decide? Evaluating Patient Capacity in Practice
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.
American Journal of Nursing June 2009 Valdez-Lowe et al.	Pulse Oximetry in Adults Pulse oximetry, a straightforward method for estimating arterial oxygen saturation, can detect hypoxemia early.
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.
Managed Care October 2002 Pamela L. Popp	How To -- And Not To -- Disclose Medical Errors to Patients Health care facilities and physician practices must commence development and implementation of a disclosure policy. The policy should include a statement of the need and willingness of the patient and physician to have an open and honest relationship and a constant dialogue.
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.
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.
American Journal of Nursing April 2010 Mary Curry Narayan	Culture's Effects on Pain Assessment and Management When patients belong to a culture or speak a language that's different from that of their health care provider, the provider faces additional challenges in successfully assessing and managing the patients' pain.
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.
Job Journal July 3, 2005 Julia Hollister	Nursing: The Pulse of California Healthcare Desperate hospital recruiters up the ante with signing bonuses for RNs and LPNs. In fact, many hospitals, under pressure to lower costs, are using licensed vocational nurses (LVNs) in place of registered nurses wherever allowed.
Nursing October 2011 Elizabeth Heavey	Obesity in pregnancy: Deliver sensitive care This article addresses the health risks of obesity to mother and baby during pregnancy, labor, and delivery and discusses what you can do to mitigate those risks.
American Family Physician August 15, 2002 Kathy Soch	Diary from a Week in Practice Remembering to perform routine preventive services on such a complex, demanding patient... Determining a patient's prognosis can sometimes be challenging... etc.
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.
Nursing Management March 2010 Becker & Schmidtke	All along the watchtower: Suicide risk screening, a pilot study Patients will continue to die if healthcare organizations don't take action and appropriately assess patients at risk for suicide in general hospitals.
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.
American Journal of Nursing August 2007 Pun & Dunn	The Sedation of Critically Ill Adults: Management Pharmacologic and nonpharmacologic management of anxiety and agitation in the ICU.
American Journal of Nursing March 2011 Jablonski et al.	The Use of Algorithms in Assessing and Managing Persistent Pain in Older Adults This article introduces readers to the use of algorithms in guiding the assessment and management of persistent pain in older adults, and provides an illustrative case study.
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.
Managed Care May 2007 Rachel M. Renshaw	Keys to Diabetes Control? Patience, Persistence, and Perseverance Careful attention to a comprehensive treatment plan could forestall or prevent the need to add drugs and costs to a patient's regimen.
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.