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    <title>The American Journal for Nurse Practitioners RSS</title>
    <link>http://www.ajnp.org/</link>
    <description></description>
    <dc:language>en</dc:language>
    <dc:creator>mauramcb@optonline.net</dc:creator>
    <dc:rights>Copyright 2011</dc:rights>
    <dc:date>2011-12-17T04:32:57+00:00</dc:date>
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    <item>
      <title>Articles : Press Release: Gale Adcock Re&#45;elected</title>
      <link>http://www.ajnp.org/articles/article_details/press-release-gale-adcock-re-elected/</link>
      <guid>http://www.ajnp.org/articles/article_details/press-release-gale-adcock-re-elected/#When:Dec 17, 2011</guid>
    <description>
        <![CDATA[
                        
            Nurse Practitioner Gale Adcock was re-elected to a second term on the Cary Town Council, continuing to represent one-quarter of the town’s 140,000 citizens. Adcock won with an overwhelming majority of more than 65% of the votes cast and out-raised her opponent 20-1. Her campaign message of “Putting Cary First—ahead of special interests, ideologies and partisanship” echoed the values she learned as a Fellow of the Institute of Political Leadership and proved popular with Cary voters. According to Adcock, “My NP skills—problem identification, critical thinking, active listening, and consensus-building—have been my greatest strengths at the Council table“.



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      <dc:subject></dc:subject>
      <dc:date>Dec 17, 2011</dc:date>
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    <item>
      <title>Articles : Integrating a CAM Therapeutic Strategy for Hypertension</title>
      <link>http://www.ajnp.org/articles/article_details/integrating-a-cam-therapeutic-strategy-for-hypertension/</link>
      <guid>http://www.ajnp.org/articles/article_details/integrating-a-cam-therapeutic-strategy-for-hypertension/#When:Dec 17, 2011</guid>
    <description>
        <![CDATA[
                        
            Traditional approaches used to manage the complexities of hypertension (HTN) have achieved modest success. Most persons with HTN in the United States have blood pressure that is uncontrolled or inadequately controlled on medications, or they are unaware that they even have HTN. Because so many US adults with uncontrolled HTN are at risk for developing heart disease and stroke, an innovative therapeutic approach is needed. One such approach, a complementary and alternative medicine strategy called IZI LLC sponsors Self I-Dentity through Ho’oponopono® (SITH®), shows promise in the management of HTN and other chronic health conditions. The goal of this article is to describe the SITH® process and how this therapeutic strategy can be used in practice.



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      <dc:subject></dc:subject>
      <dc:date>Dec 17, 2011</dc:date>
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    <item>
      <title>Articles : Indications for Implantable Cardioverter&#45;Defibrillator Therapy</title>
      <link>http://www.ajnp.org/articles/article_details/indications-for-implantable-cardioverter-defibrillator-therapy/</link>
      <guid>http://www.ajnp.org/articles/article_details/indications-for-implantable-cardioverter-defibrillator-therapy/#When:Dec 17, 2011</guid>
    <description>
        <![CDATA[
                        
            Many primary-care nurse practitioners see patients with coronary artery disease and/or heart failure, some of whom may be at particular risk for sudden cardiac death. Patients with such a risk must be identified and referred for an evaluation to determine whether they are candidates for implantable cardioverter-defibrillator (ICD) therapy. The authors discuss cardiac diagnoses that prompt referral for ICD consideration, clinical studies that have evaluated ICD therapy, and current recommendations for treating patients with these cardiac conditions.



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      <dc:subject></dc:subject>
      <dc:date>Dec 17, 2011</dc:date>
    </item>

    <item>
      <title>Articles : 64&#45;Slice CT Versus Coronary Angiography to Diagnose Coronary Artery Disease</title>
      <link>http://www.ajnp.org/articles/article_details/64-slice-ct-versus-coronary-angiography-to-diagnose-coronary-artery-disease/</link>
      <guid>http://www.ajnp.org/articles/article_details/64-slice-ct-versus-coronary-angiography-to-diagnose-coronary-artery-disease/#When:Dec 17, 2011</guid>
    <description>
        <![CDATA[
                        
            Coronary artery disease (CAD) is the leading cause of death in US men and women, and a major health problem throughout the world. Conventional invasive coronary angiography (ICA) continues to be the standard modality for diagnosing CAD. With new advances in technology, computed tomography (CT) is emerging as a safer alternative in some situations. Nurse practitioners need to be familiar with the evidence related to these procedures in order to educate, advise, and appropriately refer patients with suspected CAD. The purpose of this review is to evaluate the body of evidence regarding CT versus ICA to diagnose CAD in order to promote improved NP practice.

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      <dc:subject></dc:subject>
      <dc:date>Dec 17, 2011</dc:date>
    </item>

    <item>
      <title>Articles : Use of the Vulnerable Populations Conceptual Model to Assess the Impoverished Elderly</title>
      <link>http://www.ajnp.org/articles/article_details/use-of-the-vulnerable-populations-conceptual-model-to-assess-the-impoverish/</link>
      <guid>http://www.ajnp.org/articles/article_details/use-of-the-vulnerable-populations-conceptual-model-to-assess-the-impoverish/#When:Dec 16, 2011</guid>
    <description>
        <![CDATA[
                        
            The author has identified the impoverished elderly as a vulnerable population, and discusses application of the vulnerable populations conceptual model (VPCM) to assess the risks and health status of this group. Using this model to assess the impoverished elderly can assist population-focused nurse practitioners in many areas, including shaping clinical practice, guiding research design, and influencing health policy. The VPCM shows the interrelationships and influences of resource availability, relative risk, and health status among the low-income elderly.



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      <dc:subject></dc:subject>
      <dc:date>Dec 16, 2011</dc:date>
    </item>

    <item>
      <title>Articles : Well&#45;Behaved Women Don’t Make History</title>
      <link>http://www.ajnp.org/articles/article_details/well-behaved-women-dont-make-history/</link>
      <guid>http://www.ajnp.org/articles/article_details/well-behaved-women-dont-make-history/#When:Dec 15, 2011</guid>
    <description>
        <![CDATA[
                        
            “For changing the healthcare paradigm, and for changing lives, you, Loretta C. Ford, are inducted into the National Women’s Hall of Fame.” With those words, the founding mother of the nurse practitioner movement was acknowledged for her leadership, innovation, pioneering spirit, and sheer tenacity. It was a fabulous moment for my friend, colleague, and mentor, Loretta “Lee” Ford, EdD, PNP, FAAN, FAANP, and a truly momentous occasion for the entire NP profession. For me, it was a time to honor a woman I respect and admire and to witness the next step in the recognition of a profession that is changing the way that health care is delivered in the United States and around the world—a profession that is tremendously important to me and to all NPs.


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      <dc:subject></dc:subject>
      <dc:date>Dec 15, 2011</dc:date>
    </item>

    <item>
      <title>Articles : What I Learned From My Patient: Feel the Beat</title>
      <link>http://www.ajnp.org/articles/article_details/what-i-learned-from-my-patient-feel-the-beat/</link>
      <guid>http://www.ajnp.org/articles/article_details/what-i-learned-from-my-patient-feel-the-beat/#When:Sep 25, 2011</guid>
    <description>
        <![CDATA[
                        
            Three years ago, we re-introduced this column to provide readers with a forum in which to share interesting and elucidating cases with other nurse practitioners. One reader, Jill C. Muhrer, submitted four true stories—vignettes of four patients who struggled to deal with chronic illnesses, and the efforts of their NP to devise a negotiated treatment plan to help them succeed. In Jill’s first narrative, published in October 2008, a patient named Rose had a fatalistic view of her life that compromised her ability to engage in treatment. In stark contrast to Rose, “Dr V,” whose case was described in the January 2009 issue, was overly compliant with his care in an effort to please others, but he also ended up doing himself harm. The third story, published in the April 2009 issue, highlighted a woman’s mixed responses to both physical and psychiatric problems—complicated by a lack of mental health resources. In April 2010, we published a fourth vignette, about a woman who claimed that she was "allergic" to all her medications. The common thread in all these stories is the diverse responses of patients to illnesses, and the need to incorporate their needs and goals for treatment into the care plan, which may or may not always meet the practitioner’s goals. We are pleased to present the fifth vignette by Jill C. Muhrer in this issue of AJNP. We invite you to share your stories about what you’ve learned from your patients. These vignettes can be sent to Dawn Citron at NPCDawn@aol.com 



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      <dc:subject></dc:subject>
      <dc:date>Sep 25, 2011</dc:date>
    </item>

    <item>
      <title>Articles : Environmental Allergens: Diagnosis and Management of IgE&#45;mediated Disorders</title>
      <link>http://www.ajnp.org/articles/article_details/environmental-allergens-diagnosis-and-management-of-ige-mediated-disorders/</link>
      <guid>http://www.ajnp.org/articles/article_details/environmental-allergens-diagnosis-and-management-of-ige-mediated-disorders/#When:Sep 25, 2011</guid>
    <description>
        <![CDATA[
                        
            Referral to an allergy and immunology (A&I) specialty practice is often necessary to augment primary care nurse practitioners’ ability to treat patients with a variety of immunoglobulin E (IgE)-mediated disorders such allergic rhinitis, asthma, atopic dermatitis, urticaria, and anaphylaxis. The author describes approaches used in an A&I specialty practice that provide additional support and treatment for patients with environmental allergies as atopic triggers.



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      <dc:subject></dc:subject>
      <dc:date>Sep 25, 2011</dc:date>
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    <item>
      <title>Articles : Revisiting the Use of Honey for Treating Chronic Wounds</title>
      <link>http://www.ajnp.org/articles/article_details/revisiting-the-use-of-honey-for-treating-chronic-wounds/</link>
      <guid>http://www.ajnp.org/articles/article_details/revisiting-the-use-of-honey-for-treating-chronic-wounds/#When:Sep 25, 2011</guid>
    <description>
        <![CDATA[
                        
            Honey was used as a wound dressing in ancient times but was replaced by antiseptics and antibiotics in the 19th and 20th centuries, respectively. Honey has recently regained favor— with scientific evidence to back it up—as a treatment for chronic wounds. Honey is being used to manage venous, arterial, diabetic, and pressure ulcers and burns, particularly those infected by methicillin-resistant Staphylococcus aureus or vancomycin-resistant enterococci. The authors have performed an evidence-based review of the use of medical-grade honey for chronic wounds, and discuss the implications of these research findings for nurse practitioners.



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    </description>       

      <dc:subject></dc:subject>
      <dc:date>Sep 25, 2011</dc:date>
    </item>

    <item>
      <title>Articles : Squamous Cell Carcinoma of the Anus: A Need for Action</title>
      <link>http://www.ajnp.org/articles/article_details/squamous-cell-carcinoma-of-the-anus-a-need-for-action/</link>
      <guid>http://www.ajnp.org/articles/article_details/squamous-cell-carcinoma-of-the-anus-a-need-for-action/#When:Sep 25, 2011</guid>
    <description>
        <![CDATA[
                        
            The incidence of squamous cell carcinoma of the anus (SCCA) is rising, which means that primary care nurse practitioners need to consider screening certain patients for SCCA or its precursors. The author discusses the main cause of precancerous anal lesions and SCCA, as well as the risk factors for  developing these diseases. She details the procedures available for screening and diagnosis, including how NPs can counsel patients preparing to undergo these procedures. Finally, the author describes treatment options for precancerous anal lesions.



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      <dc:subject></dc:subject>
      <dc:date>Sep 25, 2011</dc:date>
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