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Managed Care September 2004 MargaretAnn Cross	Employers Take Stock of Illness on the Clock Presenteeism -- the condition of being on the job, but giving less than 100 percent -- is fertile ground for health plans with a suitable product.
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.
American Journal of Nursing September 2007 Kovner Et Al.	Newly Licensed RNs' Characteristics, Work Attitudes, and Intentions to Work A better understanding of newly licensed RNs and their employment patterns is crucial to reducing turnover rates.
American Journal of Nursing July 2008 Horgas & Miller	Pain Assessment in People with Dementia The Pain Assessment in Advanced Dementia (PAINAD) scale has been designed to assess pain in this population by looking at five specific indicators.
American Journal of Nursing June 2011 Lisa M. Black	Original Research: Tragedy into Policy: A Quantitative Study of Nurses' Attitudes Toward Patient Advocacy Activities In 2007 and 2008, 115 patients were found to be either certainly or presumptively infected with the hepatitis C virus through the reuse of contaminated medication vials at two southern Nevada endoscopy clinics.
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.
American Journal of Nursing March 2012 Brewer et al.	Original Research: New Nurses: Has the Recession Increased Their Commitment to Their Jobs? The purpose of this study was to compare perceptions about job opportunities, as well as key attitudinal variables (such as job satisfaction and intent to stay), in two cohorts of newly licensed RNs.
American Journal of Nursing December 2010 Baldridge & Andrasek	Pain Assessment in People with Intellectual or Developmental Disabilities Nurses in all settings need to be knowledgeable about alternate pain assessment methods.
Pharmaceutical Executive January 1, 2006 Michael Fronstin	A Fresh Look at Co-morbidity You may think you understand a disease. But then it arrives in tandem. A new survey takes a fresh look at co-morbidity.
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.
American Journal of Nursing June 2008 Ellen Flaherty	How to Try This: Using Pain-Rating Scales with Older Adults Pain is often undertreated and underdiagnosed in older adults. Regular use of short, simple, reliable pain-rating scales provides nurses and physicians with measurable information to establish and modify a pain management plan.
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.
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.
American Journal of Nursing March 2009 Zhong et al.	Probation and Recidivism: Remediation Among Disciplined Nurses in Six States The researchers sought to determine what factors might affect the outcomes of remediation, including the likelihood of recidivism, among nurses who had been the subject of disciplinary action and had been put on probation by a state board of nursing.
HBS Working Knowledge November 29, 2004 Paul Hemp	If You're Sick---Stay Home! Sick employees who drag themselves to work every day cost their employers more in lost productivity than in what they contribute. Here are some ideas on how employers can cut "presenteeism."
Managed Care November 2005 Vogenberg, Liebeskind & Ritter	Addressing the Hidden Costs of Rheumatoid Arthritis Health plans can work directly with customers to design rheumatoid arthritis management plans that address indirect but substantial costs.
Managed Care October 2003 Martin Sipkoff	Pain Management: Health Plans Need to Take Control Insurers have not focused much on chronic pain. They should. It presents a humanitarian and business opportunity.
American Family Physician September 15, 2002 Sharp & Lipsky	Screening for Depression Across the Lifespan: A Review of Measures for Use in Primary Care Settings Depression is a common psychiatric disorder in children, adolescents, adults, and the elderly. Primary care physicians, not mental health professionals, treat the majority of patients with symptoms of depression.
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 August 2006 Cross & Sipkoff	Although Employers Need Depression Programs, They May Not Know It Yet Research says the hidden cost of untreated depression far outweighs the cost of treatment. Plans need to get this information to purchasers.
Nursing Management April 2009 Sharon H. Pappas	Profits, Payers, and Patients: Responding to Changes Profit is necessary for hospitals to fulfill their missions, invest in expansion and new technologies, and reinvest in existing patient care infrastructures. Profitability is the work of the financial team and the clinical team to produce the hospital's desired financial outcome.
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.
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 January 2012 Andrew D. Harding	Increasing the Use of `Smart' Pump Drug Libraries by Nurses: A Continuous Quality Improvement Project Improving the quality of nursing care, as well as the organization's culture of safety and its financial discipline, are each further reasons to support the use of smart pump technology.
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.
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.
Nurse Practitioner March 2012 Vanya Hamrin et al.	Evaluation and Management of Pediatric and Adolescent Depression The primary care setting is an appropriate venue for screening and identifying pediatric depression. Nurse practitioners can provide initial management or referral to psychiatric mental health professionals for evidence-based treatments.
American Journal of Nursing April 2009	Understanding and Managing Burn Pain: Part 1 Despite advances in topical wound care and pharmacology, and a growing emphasis on palliative care, wound care is the main source of the pain associated with burn injury.
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 September 2008 Messecar et al.	The Family Preferences Index: Helping Family Members Who Want to Participate in the Care of a Hospitalized Older Adult. Researcher Hong Li developed the FPRI in 2000 after analysis of in-depth interviews with patients, families, and nurses and many hours of observing hospitalized older adults and their family caregivers.
American Journal of Nursing March 2011 O'Lynn & Krautscheid	Original Research: 'How Should I Touch You?': A Qualitative Study of Attitudes on Intimate Touch in Nursing Care This study sought to elicit the attitudes of laypersons on intimate touch provided by nurses in general and male nurses in particular.
Nursing Management March 2012 Yvonne D'Arcy	Pain and obesity It can be a challenge to provide effective pain management for obese patients; however, a multimodal pain management regimen that combines medications and complementary techniques can help increase pain relief.
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.
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.
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.
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 April 2008 Kathryn Murphy	Shedding the burden of depression & anxiety Learn about types of depression and available treatments.
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 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.
Nursing Management February 2008 Susan Gallagher Camden	A Captive Condition: Childhood Obesity Both patient safety and caregiver injury are fast becoming serious considerations in managing care of children who are obese.
American Family Physician May 15, 2004 Birrer & Vemuri	Depression in Later Life: A Diagnostic and Therapeutic Challenge Depression in elderly persons is widespread, often undiagnosed, and usually untreated. Because there is no reliable diagnostic test, a careful clinical evaluation is essential.
Nursing Management September 2005 Richard Hader	How do You Measure Workforce Integrity? Behavioral hallmarks such as honesty, high ethical standards, and maintained moral principles define workforce integrity. Here, learn methods for integrating them into management practices.
American Journal of Nursing May 2009 Patricia Connor-Ballard	Understanding and Managing Burn Pain: Part 2 Despite advances in treatment of burn injuries and their consequent pain, wound care is the main source of the pain associated with burn injury.
Managed Care May 2004 MargaretAnn Cross	Depression Programs Might Provide an Edge There may be some costs up front, but there is also an opportunity for health plans to profit as employers' concern about this issue grows.
Managed Care February 2002 Heidi A. Sauder & Sheri Wallace	Push Is On for Improved Treatment of Women's Psychological Maladies Sure there are diagnostic and treatment challenges, but the money that can be saved for society might make this fertile ground for investment...
Job Journal January 18, 2009	Career Snapshot: Registered Nurse Registered nurses have a wealth of career opportunities to choose from.
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.
American Family Physician January 1, 2007 Shashi & Subhash Bhatia	Childhood and Adolescent Depression Safe and effective treatment of major depression in this age group requires accurate diagnosis, suicide risk assessment, and use of evidence-based therapies.
American Family Physician October 1, 2001 Karl E. Miller	Challenges in Pain Management at the End of Life Effective pain management in the terminally ill patient requires an understanding of pain control strategies. Ongoing assessment of pain is crucial and can be accomplished using various forms and scales...
Job Journal October 24, 2004 Michael Kinsman	Career Pros: In Denial About Depression Employee depression -- estimated to cost productivity some $52 million annually -- is too costly for companies to ignore.