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Full-Text Articles in Medicine and Health Sciences

Collaborative Management Of Hiv Infection In The Community: An Effort To Improve The Quality Of Hiv Care, Michael F. Parry, Julie G. Stewart, P. Wright, Gavin X. Mcleod Aug 2004

Collaborative Management Of Hiv Infection In The Community: An Effort To Improve The Quality Of Hiv Care, Michael F. Parry, Julie G. Stewart, P. Wright, Gavin X. Mcleod

Nursing Faculty Publications

Our hospital led a multidisciplinary community team to improve the quality of care delivered to HIV-infected clients utilizing a disease management approach in a US metropolitan community of 150,000 people. Community needs assessment and client and community surveys were used to define the problems. Patient care flowcharting and the creation of an electronic patient database facilitated patient tracking across the entire community. Clinical guidelines and a consultation and referral immunology clinic standardized care practices. Measurable improvements in the quality of care were noted in multiple areas. Flowchart completion rates rose from 44% to 100%; medication adherence assessment rose from 82% …


Predicting The Use Of Personal Respiratory Protection Among Workers In Swine Confinement Buildings, M. Susan Jones May 2004

Predicting The Use Of Personal Respiratory Protection Among Workers In Swine Confinement Buildings, M. Susan Jones

Nursing Faculty Publications

The purpose of this study was to identify the variables that influence the frequency of personal respiratory protection (PRP) use by workers in swine confinement buildings (SCBs). The study was designed to answer four research questions: 1). What is the validity and reliability of the Personal Respiratory Protection Survey (PRPS)? 2). How frequently do workers in SCBs wear PRP? 3). How do demographics, occupational histories, and self-reported respiratory health histories influence the use of PRP in SCBs? and 4). What are the relationships of the constructs (benefits, barriers, susceptibility, severity, norms) to the use of PRP by workers in SCBs? …


Sjogren’S Syndrome: Recognizing And Treating An Autoimmune Disease, Susan M. Denisco, Linda Ferro May 2004

Sjogren’S Syndrome: Recognizing And Treating An Autoimmune Disease, Susan M. Denisco, Linda Ferro

Nursing Faculty Publications

Sjogren's syndrome, one of the most common autoimmune diseases, is characterized by cell-mediated lymphocytic infiltration of the exocrine glands, particularly the salivary and lacrimal glands. It receives little attention in the literature, and frequently goes unrecognized until progressive changes are apparent. This article aids nurse practitioners in diagnosing the disorder in its earliest stages and in initiating proper treatment.


Evaluation Of Needle Exchange Programs, Cheryl Delgado Feb 2004

Evaluation Of Needle Exchange Programs, Cheryl Delgado

Nursing Faculty Publications

Needle exchange programs exist in every major population area in the United States and in many other countries. Some operate legally under emergency health decrees issued by local departments of health, with the stated intention of risk reduction through the removal of used injection equipment from use by injection drug users. It is theorized that this results in a reduced transmission of human immunodeficiency virus, hepatitis, and, possibly, other blood-borne diseases. Needle exchange programs also offer access to drug treatment programs for the participants. It is a difficult but necessary task to evaluate these programs. This article examines examples of …


Technology In Nursing Education, Cheryl Delgado Feb 2004

Technology In Nursing Education, Cheryl Delgado

Nursing Faculty Publications

Before writing this article, a computerized literature search was clone using online library services, articles were printed from e-journals. and a word-processing program was accessed on a lap-top personal computer. Such use of technology is well established and pervasive in higher education. It is so common as to be often transparent. For the past 30 years. the world has been host to a phenomenon the RAND organization calls the "information revolution." The United States has been a leader in developing and absorbing the new technologies into the patterns of everyday life. Most Americans. if they think about it at all. …


Bulimia: Medical Complications, Philip S. Mehler, Cynthia Crews, Kenneth Weiner Jan 2004

Bulimia: Medical Complications, Philip S. Mehler, Cynthia Crews, Kenneth Weiner

Nursing Faculty Publications

Bulimia nervosa is a common eating disorder that predominantly affects young women. There are three main models of purging in bulimia. Resulting medical complications are related to the particular mode and frequency of purging. Commonly, there are oral and gastrointestinal complications along with serious electrolyte and endocrine complications. The majority of the medical complications of bulimia nervosa are treatable if diagnosed in a timely fashion. Some of these patients require inpatient hospitalization, and others can be managed along a continuum of outpatient care. The American Psychiatric Association has comprehensive treatment guidelines for the management of bulimia. Primary care physicians and …


Using Standardized Patients To Teach And Evaluate Nurse Practitioner Students On Cultural Competency, Carolyn M. Rutledge, Laurel Garzon, Micah Scott, Karen Karlowicz Jan 2004

Using Standardized Patients To Teach And Evaluate Nurse Practitioner Students On Cultural Competency, Carolyn M. Rutledge, Laurel Garzon, Micah Scott, Karen Karlowicz

Nursing Faculty Publications

With the increasing diversity in the American population, it is imperative that nurse practitioners learn to manage patients with varying healthcare beliefs and needs. In order to develop culturally competent nurse practitioners, a number of methods have been developed. Many of the current methods focus on improving the awareness and knowledge of nurse practitioners regarding diverse populations. However, very few of the current programs focus on improving the skills and increasing the encounters the students have with diverse populations. This paper focuses on providing nurse practitioner students with diverse encounters using culturally enhanced standardized patient scenarios. The standardized patient programs …


Making Tough Decisions, Karen A. Karlowicz Jan 2004

Making Tough Decisions, Karen A. Karlowicz

Nursing Faculty Publications

This article focuses on the aspect of critical thinking in making tough decisions in life. Advances in urology have resulted in a range of therapies for many urologic diseases and disorders. Patients need information about each treatment, and the time to fully consider the effect of a given therapy on their overall health. Keep in mind that patients who are empowered to make decisions about their health care are more likely to comply with the treatment plan. Likewise the author urges readers to use their critical thinking skills to solve the clinical problems they are confronted with daily.