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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 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.
Nursing August 2011 Collins & Claros	Recognizing the face of dehydration Monitoring your patients' fluid status can prevent dehydration-a potentially fatal condition-and its complications.
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 October 2009 Yvonne D'Arcy	Overturning barriers to pain relief in older adults This article will describe how to lower the barriers to effective pain control in older patients and provide practical tips for helping them receive the full benefit from pharmacologic and nonpharmacologic therapies.
Nursing April 2009 Pruitt & Lawson	What You Need to Know About Venous Thromboembolism Do you know how to recognize and respond to this potentially life-threatening emergency?
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 July 1, 2005 Shobha S. Rao	Prevention of Falls in Older Patients Physicians caring for older patients should ask about any falls that have occurred in the past year. Assessment should include evaluating the circumstances of the fall and a complete history and physical examination, looking for potential risk factors.
American Journal of Nursing October 2007 Terry Fulmer	How to Try This: Fulmer SPICES Fulmer SPICES is a framework for assessing older adults. This assessment, done regularly, can lead to the prevention and treatment of common conditions.
Nursing April 2010 Michelle D. Smeltzer	Making a point about open fractures This article describes fractures, explains the difference between open and closed fractures, and tells how to care for a patient who's had an open fracture.
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 August 2011 Sandra C. Voda	Bad breaks: A nurse's guide to distal radius fractures The most common upper extremity fracture, distal radius fracture accounts for an estimated 17% of fractures treated in the United States emergency departments and 16% of all fractures treated by orthopedic surgeons.
Nursing February 2012 Pezzotti & Freuler	Using anticoagulants to steer clear of clots This article will review coagulation and provide important information about several commonly used anticoagulants and their reversal agents.
Nursing August 2010 Tracy E. Green	Pediatric burns: Initial response, lasting effects Pediatric burns are the third leading cause of injury-related deaths of children age 9 and younger.
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 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 Journal of Nursing March 2008 Evans & Cotter	Avoiding Restraints in Patients with Dementia Understanding, prevention, and management are the keys to reducing restraint use.
Nursing December 2011 Judith A. Nagle	Getting "hip" to hip hemiarthroplasty This article discusses arthroplasty, the surgery used to restore motion to a joint and function to the muscles, ligaments, and other soft tissues that control the joint.
American Family Physician March 15, 2006 Carr et al.	Older Adult Drivers with Cognitive Impairment In patients who continue to drive, physicians should assess pertinent cognitive domains, determine the severity and etiology of the dementia, and screen for risky driving behaviors.
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 Family Physician June 15, 2006 Rao & Cherukuri	Management of Hip Fracture: The Family Physician's Role One in five persons dies in the first year after sustaining a hip fracture, and those who survive past one year may have significant functional limitation. Although surgery is the main treatment for hip fracture, family physicians play a key role as patients' medical consultants.
Nursing September 2008 Denise L. Lyons et al.	Double Trouble: When Delirium Complicates Dementia Learn to protect a patient with dementia from the disabling effects of delirium.
American Journal of Nursing May 2007 Cole & Richards	Sleep Disruption in Older Adults Review of current literature on sleep disruption in older adults and ways that nurses can apply the information in intervening to improve sleep in their older patients.
American Journal of Nursing November 2007 Ann Hendrich	How to Try This: Predicting Patient Falls Assess a hospitalized patients risk of falling using this screening tool.
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 Family Physician November 15, 2002 Cynthia M. Williams	Using Medications Appropriately in Older Adults Finding the right balance between too few and too many drugs will help ensure increased longevity, improved overall health, and enhanced functioning and quality of life for the aging population.
American Family Physician January 1, 2004 Old & Calvert	Vertebral Compression Fractures in the Elderly Compression fracture of the vertebral body is common, especially in older adults. Vertebral compression fractures usually are caused by osteoporosis. Family physicians can help patients prevent compression fractures by diagnosing and treating predisposing factors.
Nurse Practitioner March 2009 Patricia Weyland	Warfarin Therapy Management :Tap in to New Ways to Slow the Clot Patients on warfarin require close monitoring in order to decrease their risk of clotting, while also decreasing their risk of bleeding.
Nurse Practitioner April 2009 Tamara Zurakowski	The practicalities and pitfalls of polypharmacy A working knowledge of the pharmacokinetics of aging and basic pharmacodynamics of medications in the older adult is needed to appropriately care for elders.
Nurse Practitioner December 2011	Managing pain in obese patients Obesity-related pain conditions can limit the patient's efforts at increasing activity and limit quality of life. This article will offer information on these conditions and treatment options.
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 Journal of Nursing April 2008 Wallace & Shelkey	Monitoring Functional Status in Hospitalized Older Adults The Katz Index of Independence in Activities of Daily Living can help nurses detect subtle changes in health and prevent functional decline.
American Family Physician January 15, 2003 Udobi et al.	Acute Respiratory Distress Syndrome Family physicians can play an essential role in the early recognition of ARDS and contribute to the multispecialty team required to manage this life-threatening condition. This article reviews the current understanding of the pathophysiology, management, and prognosis of ARDS.
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 Family Physician November 1, 2006 Lyon & Clark	Diagnosis of Acute Abdominal Pain in Older Patients Acute abdominal pain is a common presenting complaint in older patients, but may be difficult to diagnose. Here are some common causes of abdominal pain in old patients and recommendations for treatment.
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...
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.
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 August 2008 Carla L. Graf	How to Try This: The Hospital Admission Risk Profile A simple screening tool can be used to classify hospitalized older adults as being at low, intermediate, or high risk for losing the ability to perform activities of daily living, based on assessments of age, cognitive function, and the ability to perform independent activities of daily living.
Nursing November 2007 Matthews, Miller & Mott	Getting Ahead of Acute Meningitis & Encephalitis Learn how to distinguish between these common central nervous system infections and respond appropriately.
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.
Nurse Practitioner May 2009 Yvonne D'Arcy	Is Low Back Pain Getting on Your Nerves? The pain and disability of low back pain are the most common reasons patients seek healthcare. Here are tools for diagnosis and treatment options.
Nursing August 2008 Bill Pruitt	Loosening the Bonds of Restrictive Lung Disease Find out about restrictive lung disease and how to help your patient.
American Family Physician July 15, 2004 Robertson & Montagnini	Geriatric Failure to Thrive Some elderly patients, including those who do not have acute illness or severe chronic disease, eventually undergo a process of functional decline, progressive apathy, and a loss of willingness to eat and drink that culminates in death.
Nurse Practitioner May 2010 Townsend-Roccichelli et al.	Managing sleep disorders in the elderly This article will provide an overview of sleep physiology in the aging population, identify common sleep disorders, and suggest pharmacologic and nonpharmacologic treatment options.
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.
Nursing June 2008 Yvonne D'arcy	Nursing2008 Pain Management Survey Report See how your responses to this survey compare with those of nursing colleagues across the country and beyond.
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 Family Physician February 1, 2002 Robert J. Nied & Barry Franklin	Promoting and Prescribing Exercise for the Elderly Physicians play a key role in motivating older patients and advising them regarding their physical limitations and/or comorbidities. Motivating patients to begin exercise is best achieved by focusing on individual patient goals, concerns, and barriers to exercise...