Results And Lessons Learned From A Nurse Practitioner-Guided Dementia Care Intervention For Primary Care Patients And Their Family Caregivers, Richard H. Fortinsky, Colleen Delaney, Ofer Harel, Karen Pasquale, Elena Schjavland, John Lynch, Alison Kleppinger, Suzanne Crumb

Articles - Patient Care

Older adults with dementia care needs often visit primary care physicians (PCPs), but PCP dementia care limitations are widely documented. This study tested the value of employing a nurse practitioner (NP) with geropsychiatric expertise to augment PCP care for newly and recently diagnosed patients and family caregivers. Twenty-one dyads received the NP intervention; 10 dyads were controls. Outcomes included patient neuropsychiatric symptom and quality of life changes, and caregiver depression, burden, and self-efficacy changes. Intervention acceptability by patients, caregivers, and PCPs was determined. No outcome differences were found; however, the NP intervention was deemed highly satisfactory by all stakeholders. Patients …

Factors Associated With Abnormal Weights In Infants In The First Year Of Life: Results From The 2010 National Ambulatory Medical Care Survey, Nikaela R. Larossa

Honors Scholar Theses

Purpose: To examine the predictors associated with abnormal infant weights for lengths in the first year of life as seen in ambulatory care settings.

Data Sources: A secondary data analysis was conducted using the 2010 National Ambulatory Medical Care Survey (NAMCS), in which practitioners documented single patient visits. World Health Organization (WHO) growth charts and recommendations were used to evaluate infant weight for length. Of the total visits, 603 infants were less than one year old, and 595 infants were within the length range of the WHO growth charts. Of the 595 cases, 13.6% were underweight, 5.5% were overweight, 41.2% …

Interventions To Minimize Distress During Pediatric Primary Care Visits: A Systematic Literature Review, Michelle Lee Smith

Student Works

Purpose: This literature review is designed to analyze interventions to minimize trauma and psychological stress experienced by pediatric patients during visits with their primary care providers. Data Sources: An electronic search of the literature was conducted to identify studies from 2008 to 2014 in the following databases: CINAHL, MEDLINE, PsycINFO, and the Cochrane library. Conclusions: Interventions to reduce a child's anxiety are available and easily executed. When anxiety is decreased, children are able to approach medical situations with a sense of comfort, achievement, and control. Decreasing stress can assist children in developing trusting relationships of the health care system as …

Eat Well, Live Actively: A Primary Care Interventional Program For The Treatment Of Childhood Obesity, Julianne M. Randlemon

Doctor of Nursing Practice (DNP) Projects

Over the last thirty years, childhood obesity has become one of the presiding diseases in the pediatric population. Last year the CDC (2012) reported that 12.5 million children under the age of five were not only overweight but also obese. This growing trend has been inadequately addressed by the United States preventive healthcare system. The pandemic has continued to spread: America’s obese children have substantially contributed to the ever-growing fiscal demands of health care in the United States. Olshansky et al. (2005) suggest this will in turn translate into the first generation of American adults that will be sicker and …