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Full-Text Articles in Medicine and Health Sciences

Self-Measured Blood Pressure Monitoring: A Patient Empowerment Project, Alison Cusmano Dec 2021

Self-Measured Blood Pressure Monitoring: A Patient Empowerment Project, Alison Cusmano

Doctor of Nursing Practice Final Manuscripts

Hypertension is a public health issue estimated to affect 112 million adults by 2030. Primary care patients in an outpatient clinic in Southern California with elevated blood pressure readings in the office did not have an organized system for close follow-up. The purpose of this evidence-based project (EBP) was to educate patients on self-measured blood pressure monitoring (SMBP), Dietary Approaches to Stop Hypertension (DASH), diet interventions, and healthy weight loss to improve hypertension rates. Through these interventions, patients developed an understanding of their systolic and diastolic blood pressure goals. Nurse practitioners, medical assistants, and licensed vocational nurses screened for high …


A Proud Huntington’S Disease Gene Carrier’S Message To His 'Miracle Baby' Daughter On Her Senior Year In College, Kenneth P. Serbin Nov 2021

A Proud Huntington’S Disease Gene Carrier’S Message To His 'Miracle Baby' Daughter On Her Senior Year In College, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


Bidding Farewell To My ‘Mind Coach,’ A Major Ally In My Fight To Avoid Huntington's Disease, Kenneth P. Serbin Sep 2021

Bidding Farewell To My ‘Mind Coach,’ A Major Ally In My Fight To Avoid Huntington's Disease, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


Crispr, Curing Huntington’S Disease, And Humanity’S Future In Isaacson's 'Code Breaker', Kenneth P. Serbin Jul 2021

Crispr, Curing Huntington’S Disease, And Humanity’S Future In Isaacson's 'Code Breaker', Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


Identifying Opportunities For Implementing Home Blood Pressure Monitoring In Newly Diagnosed Or Worsening Hypertension At A Family Health Clinic, Catherine Liikala May 2021

Identifying Opportunities For Implementing Home Blood Pressure Monitoring In Newly Diagnosed Or Worsening Hypertension At A Family Health Clinic, Catherine Liikala

Doctor of Nursing Practice Final Manuscripts

Abstract

The literature is clear that the diagnosis, treatment, and plan of care for hypertension in adults should rely, at least in part, on ambulatory blood pressure. Using in-office blood pressures alone risks inaccurate measurements and can result in inappropriate treatments. Many clinics, however, do not adhere to this recommendation and will fall back on clinic readings which puts the patient at risk of mismanaged hypertension and polypharmacy. This project was formulated to identify the extent to which hypertensive patients were diagnosed and managed without the use of home blood pressure monitoring in a small local community clinic. This …


The Associations Of Chronic Stress, Social Support, Health Behaviors And Metabolic Syndrome Among Hispanic Women, Edna Esquer May 2021

The Associations Of Chronic Stress, Social Support, Health Behaviors And Metabolic Syndrome Among Hispanic Women, Edna Esquer

Dissertations

The Associations of Chronic Stress, Social Support, Health Behaviors and Metabolic Syndrome Among Hispanic Women

Background: Metabolic syndrome (MetS) prevalence is 25% among Mexican American women 30 – 49 years of age, compared to 22% among non-Hispanic Whites in the United States. Little is known about the additional contributions of chronic stress, social support and health behaviors to the development of MetS among this population.

Purpose: Describe the associations between chronic stress, social support, and health behaviors and the presence of MetS in Hispanic women living in an underserved community.

Methods: A retrospective cohort study design. The Adult Treatment Panel …


Weight Reduction Motivation In Osteoarthritis Patients Through Nurse Practitioner Driven Education And Follow-Up: A Pilot Project, Caoilfhionn Mulvey, Martha Fuller Phd May 2021

Weight Reduction Motivation In Osteoarthritis Patients Through Nurse Practitioner Driven Education And Follow-Up: A Pilot Project, Caoilfhionn Mulvey, Martha Fuller Phd

Doctor of Nursing Practice Final Manuscripts

Purpose of Project: The ultimate goal of this short-term pilot project is for

overweight or obese osteoarthritis patients to increase their knowledge on the benefits of

weight loss and physical activity. Research shows that for every kilogram of weight lost,

2.2–4.0 kilograms of weight is taken off of the joint and could reduce joint pain up to

thirty to fifty percent and improve quality of life. Following education from the provider,

patients will understand the correlation of osteoarthritis symptom management with

weight loss.

EBP Model/Frameworks: This project utilizes the Iowa Model of Evidence-Based

Practice to Promote Quality Care. This addresses …


Managing Pediatric Atopic Dermatitis In The Allergy Clinic: Use Of An Eczema Action Plan To Improve Caregiver Understanding And Self-Efficacy, A Pilot Study, Danielle Hubacek May 2021

Managing Pediatric Atopic Dermatitis In The Allergy Clinic: Use Of An Eczema Action Plan To Improve Caregiver Understanding And Self-Efficacy, A Pilot Study, Danielle Hubacek

Doctor of Nursing Practice Final Manuscripts

Eczema, or atopic dermatitis, is a complex and chronic condition that affects approximately 10% of children throughout the United States (Brown et al., 2018). The American Academy of Allergy Asthma & Immunology (AAAAI) (2017) estimates the average cost of eczema management for each patient is approximately $3,302 per year. The complex nature of atopic dermatitis indicates a need for individualized treatment plans. Research has shown that standardized patient teaching, written education materials, and Eczema Action Plans (EAP) reinforce patient teaching, parental understanding, and improve quality of life. This evidence-based practice (EBP) project introduces the use of a written Eczema Action …


Treatment Anxiety Education For Pediatric Cardiac Neurodevelopmental Patients, An Evidence Based Project, Mary Nagel May 2021

Treatment Anxiety Education For Pediatric Cardiac Neurodevelopmental Patients, An Evidence Based Project, Mary Nagel

Doctor of Nursing Practice Final Manuscripts

Abstract

Background

Congenital heart disease (CHD) is the most common birth defect and affects almost 1% of all live births. Treatment anxiety is common among children with CHD who undergo multiple procedures early in their lifetime. Dramatically increased life spans for this cardiac population has led to a shift from focusing on survival to their long-term health outcomes.

Methods:

Administration of the Peds QL Cardiac Module 3.0 assesses health related quality of life (HRQOL) during annual visits to a Cardiac Neurodevelopmental (ND) Clinic by evaluating the level of Treatment Anxiety a patient experiences during healthcare appointments. The questionnaire scores are …


A Guide To Vaccine Policy Change At A National Level, Janelle Bird May 2021

A Guide To Vaccine Policy Change At A National Level, Janelle Bird

Doctor of Nursing Practice Final Manuscripts

Abstract

Health policy is in a near constant state of improvement. In order to solidify those improvements, health policy requires assistance from the upcoming generations of healthcare workers to push for those changes. Due to the outdated vaccination policy in the American Nurses Association (ANA), many states continued to issue exemptions based upon unsupported religious preferences. This helped to worsen the outbreak of measles in 2018-2019. The Previous ANA Policy on Vaccinations as of July 21, 2015 stated the ANA supports immunization exemptions only for the following reasons: Medical contraindications and Religious beliefs. Educate and train future health care professionals …


‘Inequality Is Unsustainable’: A View Of The Quest For Huntington's Disease Treatments From The Global South, Kenneth P. Serbin May 2021

‘Inequality Is Unsustainable’: A View Of The Quest For Huntington's Disease Treatments From The Global South, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


‘The First At-Bat Is Never A Grand Slam’: How Huntington's Disease Drug Research Has Matured With The Roche And Wave Setbacks, Kenneth P. Serbin May 2021

‘The First At-Bat Is Never A Grand Slam’: How Huntington's Disease Drug Research Has Matured With The Roche And Wave Setbacks, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


Roche Confirms Tominersen As Ineffective, While Triplet Provides Key Details For Trial Of Drug To Slow Major Driver Of Huntington's Disease, Kenneth P. Serbin Apr 2021

Roche Confirms Tominersen As Ineffective, While Triplet Provides Key Details For Trial Of Drug To Slow Major Driver Of Huntington's Disease, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


With Proof-Hd In The Lead, The Huntington’S Disease Drug Pipeline Is Still 'Full Of Hope' (Coping With Disappointing Clinical Trial Results – Part Ii), Kenneth P. Serbin Apr 2021

With Proof-Hd In The Lead, The Huntington’S Disease Drug Pipeline Is Still 'Full Of Hope' (Coping With Disappointing Clinical Trial Results – Part Ii), Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


Overcoming A ‘Heartbreaking’ Moment For The Huntington's Disease Cause (Coping With Disappointing Clinical Trial Results – Part I), Kenneth P. Serbin Apr 2021

Overcoming A ‘Heartbreaking’ Moment For The Huntington's Disease Cause (Coping With Disappointing Clinical Trial Results – Part I), Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


Tough News For Huntington’S, Other Neurological Disease Patients: Roche Halts Dosing In Historic Clinical Trials On Signs Of Inefficacy, Kenneth P. Serbin Mar 2021

Tough News For Huntington’S, Other Neurological Disease Patients: Roche Halts Dosing In Historic Clinical Trials On Signs Of Inefficacy, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


Blog Article No. 300: Who Exactly Is Gene Veritas?, Kenneth P. Serbin Mar 2021

Blog Article No. 300: Who Exactly Is Gene Veritas?, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


Getting The Covid-19 Vaccine And A New Exercise Bike To Keep Stable In The Fight Against Huntington's Disease, Kenneth P. Serbin Feb 2021

Getting The Covid-19 Vaccine And A New Exercise Bike To Keep Stable In The Fight Against Huntington's Disease, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.


My Arduous, Lucky, And Enlightening Journey Since My Mother's Death From Huntington's Disease 15 Years Ago, Kenneth P. Serbin Feb 2021

My Arduous, Lucky, And Enlightening Journey Since My Mother's Death From Huntington's Disease 15 Years Ago, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.