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Full-Text Articles in Medicine and Health Sciences

Cervical Screening: Assessing Patient Anxiety, Janette Jones Dec 2015

Cervical Screening: Assessing Patient Anxiety, Janette Jones

Janette S. Jones

Severe stress reactions in female patients presenting for annual pelvic examination may occur for a variety of reasons, including previous sexual assault, post-traumatic stress disorder, and /or intimate partner violence. The clinician's approach to care delivery is critical for establishing trusting relationships with female patients exhibiting these types of reactions. A case study is used to describe assessment and communication techniques to improve care delivery.


How Substance Abuse Impacts Pain Management In Acute Care, Dawn Dunn, Janette Neuman Dec 2015

How Substance Abuse Impacts Pain Management In Acute Care, Dawn Dunn, Janette Neuman

Janette S. Jones

Article includes a review of evidence-based interventions useful for assessing and managing pain in patients with histories of substance abuse.


Screening For High-Risk Alcohol Use On Campus - A Translational Research Project, Janette Neuman Dec 2015

Screening For High-Risk Alcohol Use On Campus - A Translational Research Project, Janette Neuman

Janette S. Jones

High-risk alcohol use occurs on college campuses across the United States. A 2008 Core Alcohol and Drug Survey performed on the campus of Indiana University-Purdue University Fort Wayne (IPFW) in northeast Indiana, found an annual prevalence rate of alcohol consumption by students of 82.3%. A commitment to reduce high-risk alcohol use by IPFW students is supported by IPFW leadership in congruence with Healthy Campus objectives. A translational research project using the Alcohol Use Disorders Identification Test (AUDIT) was implemented at IPFW’s nurse-managed health and wellness clinic in order to increase student awareness of high-risk drinking behaviors, administer risk-reducing interventions, and …


Annual Examination And The Overly Anxious Patient, Janette Jones Dec 2015

Annual Examination And The Overly Anxious Patient, Janette Jones

Janette S. Jones

Varying degrees of nervousness may be found in patients presenting for gynecologic examination. It is the clinician's role to distinguish typical (expected) anxiety from that which is considered excessive. Extreme stress reactions may occur from a variety of reasons including prior sexual assault, post-traumatic stress disorder, and/or intimate partner violence. Approach to care delivery is critical for establishing a trusting relationship. Case study format will be used to discuss stress-reducing techniques during annual examinations.


Health Care Access For Hoosiers, Janette Neuman Dec 2015

Health Care Access For Hoosiers, Janette Neuman

Janette S. Jones

A variety of barriers contribute to delays in accessing health care in Indiana. Medically underserved areas and health professional shortage areas further potentiate barriers creating additional delays. Reduction in barriers to access is critical for promoting optimal health for Hoosiers. Advanced practice nurses may be the answer for reducing access dilemmas by developing nurse-managed health centers and by maintaining active employment in Indiana's Community Health Centers.