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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. |
Nurse Practitioner August 2009 Fisher & Valente |
Evaluating and managing insomnia Insomnia is the most frequent complaint in sleep disorders, and in the past, it had been viewed as a transient problem related only to other medical issues. That line of thought has changed |
American Family Physician February 1, 2006 Dana G. Carroll |
Nonhormonal Therapies for Hot Flashes in Menopause Hot flash symptoms can significantly impact a woman's quality of life and should be addressed. Severity of the hot flashes, medical history, and concomitant medications should be considered in determining the best therapy for each patient. |
Nurse Practitioner January 2012 Hedges & Ruggiero |
Treatment Options for Insomnia Nurse practitioners must be prepared to screen patients for this common sleep disorder as well as understand the latest treatment options for optimal patient outcomes. |
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 Family Physician July 1, 2002 Vincent Morelli |
Alternative Therapies for Traditional Disease States: Menopause For most women, menopause is a normal phase of life that does not require medical intervention. However, some perimenopausal women seek treatment for vasomotor symptoms, while postmenopausal women may need treatment that can reduce their risk of cardiovascular disease and osteoporosis. |
American Family Physician April 15, 2003 Dickerson et al. |
Premenstrual Syndrome Premenstrual syndrome, a common cyclic disorder of young and middle-aged women, is characterized by emotional and physical symptoms that consistently occur during the luteal phase of the menstrual cycle. |
American Journal of Nursing June 2011 Karen Roush |
Menopausal Hormone Therapy: What We Know Now This article describes the findings and limitations of the major research thus far on hormone therapy. |
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. |
Nurse Practitioner April 2012 Firestone et al. |
Optimizing fibromyalgia management This article summarizes current information regarding the etiology, pathophysiology, clinical presentation, diagnostic standards, and pharmacologic and non-pharmacologic treatments necessary to successfully manage FM. |
Nursing April 2008 Kathryn Murphy |
Shedding the burden of depression & anxiety Learn about types of depression and available treatments. |
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 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. |
AskMen.com Kristen Armstrong |
Insomnia Causes And Treatments Insomnia can wreak havoc on a person's life. Sufferers can try meditation, exercise or relaxation methods to alleviate symptoms and enjoy long, restful sleep on a nightly basis. |
American Family Physician July 1, 2000 |
Restless Legs Syndrome: Detection and Management in Primary Care Restless legs syndrome is a neurologic movement disorder that is often associated with a sleep complaint. Patients have an irresistible urge to move their legs, which is usually due to disagreeable sensations that are worse during periods of inactivity and often interfere with sleep. |
Nurse Practitioner July 2011 Kass-Wolff & Fisher |
Menopause and the Hormone Controversy: Clarification or Confusion? Hormone therapy in perimenopause and menopause remains a controversial and often confusing management strategy for healthcare providers. To assist in providing women quality healthcare, recently published new guidelines help provide direction for NPs. |
American Family Physician October 1, 2002 Bhatia & Bhatia |
Diagnosis and Treatment of Premenstrual Dysphoric Disorder From 2 to 10 percent of women of reproductive age have severe distress and dysfunction caused by premenstrual dysphoric disorder, a severe form of premenstrual syndrome. Current research implicates mechanisms of serotonin as relevant to etiology and treatment. |
Managed Care November 2006 Martin Sipkoff |
Successful Treatment of Insomnia Starts With Formulary Design Many insurers may not consider insomnia a serious health problem, but it costs employers a bundle in lowered productivity. |
American Family Physician February 15, 2005 Ham, Waters & Oliver |
Treatment of Panic Disorder Panic disorder with or without agoraphobia occurs commonly in patients in primary care settings. This article assesses multiple evidence-based reviews of effective treatments for panic disorder. |
American Family Physician November 15, 2000 Son & Kirchner |
Depression in Children and Adolescents Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents... |
American Family Physician August 1, 2006 Warner et al. |
Antidepressant Discontinuation Syndrome Antidepressant discontinuation syndrome occurs in approximately 20% of patients after abrupt discontinuation of an antidepressant medication that was taken for at least six weeks. |
American Family Physician October 1, 2000 Michael F. Gliatto, M.D. |
Generalized Anxiety Disorder Patients with generalized anxiety disorder experience worry or anxiety and a number of physical and psychologic symptoms... |
American Family Physician January 15, 2003 Ables & Baughman |
Antidepressants: Update on New Agents and Indications Many antidepressants have been released in the United States over the past two decades. This article is an update of information about the newer agents for depression and new indications for older antidepressants. |
American Family Physician March 15, 2006 Shearer & Gordon |
The Patient with Excessive Worry Worry is an effective short-term response to uncertainty that can become self-perpetuating with adverse long-term consequences. Evidence-based treatments for such disorders can assist family physicians in the management of this disorder. |
AskMen.com Jacob Franek |
Sleep Disorders Sleep disorders affect millions of people. Here's the lowdown on some of the more common sleep disorders and suggested remedies, so you can rest a little easier. |
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. |
AskMen.com Julian Marcus |
Are You Bipolar? Bipolar disorder, also known as manic-depressive illness, is one of the least understood and potentially most destructive mental health disorders. |
Nurse Practitioner August 2011 Davis et al. |
Supportive approaches for Alzheimer Disease Alzheimer disease accounts for almost 80% of all dementia diagnoses. Currently, more than 5 million Americans suffer from this debilitating illness, with the highest prevalence in the oldest age groups. |
American Family Physician August 1, 2003 Stone et al. |
Off-Label Applications for SSRIs Clinical experience supported by ongoing research continues to expand on the broad array of therapeutic applications for this class of medication. |
AskMen.com Patrick Owen |
Winter Sleep No matter how clean you eat or how often you exercise, if you're chronically sleep-deprived and stressed, or if you're not getting regular quality sleep, you're sabotaging your efforts. |
American Family Physician October 15, 2003 Wanda P. Fremont |
School Refusal in Children and Adolescents School refusal is a problem that is stressful for children, families, and school personnel. Failing to attend school has significant short- and long-term effects on children's social, emotional, and educational development. |
American Family Physician July 1, 2000 Ted D. Epperly |
Health Issues in Men: Part II. Common Psychosocial Disorders During screening examinations and, when appropriate, other health-related visits, family physicians should be alert for signs and symptoms of common psychosocial disorders in men. Health issues of concern include alcohol and substance abuse, domestic violence, midlife crisis and depression. |
American Family Physician August 15, 2002 Ward & Zamorski |
Benefits and Risks of Psychiatric Medications During Pregnancy Decisions regarding the use of psychiatric medications should be individualized, and the most important factor is usually the patient's level of functioning in the past when she was not taking medications. |
American Family Physician June 15, 2002 Jeffrey L. Cummings |
Guidelines for Managing Alzheimer's Disease: Part II. Treatment Once the clinical diagnosis of Alzheimer's disease has been made, a treatment plan must be developed. Patient symptoms and care needs change as Alzheimer's disease progresses. |
American Family Physician September 1, 2000 Jennifer Travis Lange |
Primary Care Treatment of Post-traumatic Stress Disorder Current treatment strategies combine patient education; pharmacologic interventions, such as selective serotonin reuptake inhibitors, trazodone and clonidine; and psychotherapy... |
Nurse Practitioner December 2008 Gill & Saligan |
Don't Let SAD Get You Down This Season Information about seasonal affective disorder includes diagnostic tools and common therapies. |
American Family Physician December 15, 2005 Hadley & Gaarder |
Treatment of Irritable Bowel Syndrome Irritable bowel syndrome affects 10% to 15% of the U.S. population to some degree. Diagnosis is based on clinical signs and symptoms that include abdominal pain, bloating, constipation, and diarrhea. |
American Family Physician December 15, 2004 Linda French |
Is Exercise an Effective Therapy for Menopausal Hot Flushes? Exercise does not decrease vasomotor symptoms in postmenopausal women. Women should be encouraged to exercise, but not with the expectation that it will alleviate their hot flushes. |
Nurse Practitioner January 2011 Reimer & Johnson |
Atrophic vaginitis signs, symptoms, and better outcomes This article reviews physiology, clinical manifestations, signs, symptoms, and treatment methods for atrophic vaginitis. |
American Family Physician February 15, 2006 Rayner et al. |
Behavior Disorders of Dementia: Recognition and Treatment Psychosis may pose a greater challenge than cognitive decline for patients with dementia and their caregivers. Goals of treatment should include symptom reduction and preservation of quality of life. |
Nursing March 2012 Susan Simmons |
Recognizing and preventing Acute stroke in women In women, stroke is the third leading cause of death, after heart disease and cancer, and the major cause of disability. |
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 May 2008 |
Why Screen For Sleep Problems in Older Patients? Sleep disturbances or deprivation or both have been linked with a range of negative outcomes. |
American Family Physician July 1, 2000 Nancy A. Phillips |
Female Sexual Dysfunction: Evaluation and Treatment Sexual dysfunction includes desire, arousal, orgasmic and sex pain disorders (dyspareunia and vaginismus). Primary care physicians must assume a proactive role in the diagnosis and treatment of these disorders... |
Nutrition Action Healthletter October 1998 David Schardt |
Herbs for Nerves St. John's Wort and Kava |
American Family Physician August 15, 2001 Thomas P. Guck |
Assessment and Treatment of Depression Following Myocardial Infarction Depression is an independent risk factor in the development of and mortality associated with cardiovascular disease in otherwise healthy persons... |
American Family Physician October 15, 2002 Zamorski & Albucher |
What to Do When SSRIs Fail: Eight Strategies for Optimizing Treatment of Panic Disorder Effective management of panic disorder is a common challenge for family physicians. Selective serotonin reuptake inhibitors (SSRIs) are the drugs of choice for this condition because of their safety and efficacy. But not all patients have a favorable response to SSRI therapy. |
AskMen.com March 2, 2003 Mike Davison |
Fibromyalgia: The Prison Of Pain Fibromyalgia, also known as fibromyalgia syndrome or FMS, is a widespread muscular and skeletal pain, and fatigue disorder affecting the fibrous tissues of the muscles, ligaments and tendons. |
American Family Physician January 15, 2001 C. Carolyn Thiedke |
Sleep Disorders and Sleep Problems in Childhood Sleep problems are common in childhood. Behavioral sleep problems may be overcome after parents make interventions. Physicians can be of great assistance to these families by recommending techniques to parents that have been shown to be effective... |
American Family Physician November 1, 2006 Lurie et al. |
Seasonal Affective Disorder Patients with seasonal affective disorder have episodes of major depression that tend to recur during specific times of the year, usually in winter. Like major depression, seasonal affective disorder probably is underdiagnosed in primary care settings. |