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Nurse practicioner

Angélica Miguélez-Chamorro, Carmen Ferrer-Arnedo
It is estimated that the chronic, fragile and complex patient represents 5% of the general population, but uses up to 65% of the total amount of health care resources. Older people who are dependent, with chronic illnesses and comorbidities need professional care that promotes self-care and self-management of their illnesses. Thus, new strategies need to be considered to channel those professional care services to focus on this group. Nurse practicioners are professionals who could lead this change to improve the sustainability of the health care system, since they are in a position to respond in an effective way to the demands of patients with chronic illnesses, dependency or fragility...
January 2014: Enfermería Clínica
C Seligmann, M Kusus-Seligmann
Germany wants to introduce some models to allow nurses to work in medical roles. Although hospital nurses worked hard during the last couple of years to concentrate on pure patient care and to detach themselves from medicine, a short additional training of 6-12 months duration is planned to allow them to work independently in well defined areas of medicine (high blood pressure, wound care, dementia, diabetes). However, success of such models has only been tested in a few studies. Study results and experience with such models in the UK - where these developments are much more advanced - are not only positive...
June 2012: Deutsche Medizinische Wochenschrift
Roger Qvarsell
This article is a study in ninety doctoral thesis published in Sweden between 1970 and 2004 concerning history of the science of medicine and hospital care, patients and practicioners, causes of death and public health, doctors and nurses, health movements and lay medicine and other aspects of the history of medicine. A quantitative part of the study shows that most thesis have been written at departments of history or history of ideas, but sociological and mulitdisciplinary studies are also rather common. Only six of the thesis have been written at departments within the medical faculties...
2006: Svensk Medicinhistorisk Tidskrift
Arjan D van Zuilen, Ingeborgh van der Tweel, Peter J Blankestijn, Michiel L Bots, Marjolijn van Buren, Marc A G J ten Dam, Karin A H Kaasjager, Peter J G van de Ven, Gerald Vervoort, Louis-Jean Vleming, Gerry Ligtenberg, Jack F M Wetzels
BACKGROUND: Patients with chronic kidney disease (CKD) are at a greatly increased risk of developing cardiovascular disease. Recently developed guidelines address multiple risk factors and life-style interventions. However, in current practice few patients reach their targets.A multifactorial approach with the aid of nurse practitioners was effective in achieving treatment goals and reducing vascular events in patients with diabetes mellitus and in patients with heart failure. We propose that this also holds for the CKD population...
March 30, 2006: Trials
J C Duro Martínez
OBJECTIVES: To learn about attitudes of health professionals with regard to work with groups in primary care. DESIGN: Qualitative-structural research. LOCATION: Autonomous Community of Madrid. PARTICIPANTS: General practicioners, pediatricians, specialists in family and community medicine, nurses, and social workers. METHODS: 4 discussion groups and 4 open interviews. RESULTS: 3 positions were identified in these professionals: the "convinced," mainly social workers, followed by nurses and some doctors (more often the family/community specialists than the GPs), who "believe" in groups; the "sceptics," mostly doctors and some nurses, who defend a basically clinical-care model; and the "convincibles," clearly the largest group, made up of doctors and nurses who, given a series of favourable conditions, would be prepared to make groups...
June 30, 2005: Atencion Primaria
W Schwenk, O Haase, W Raue, J Neudecker, J M Müller
OBJECTIVE: A multimodal perioperative concept ("fast-track"-surgery) may decrease the incidence of general complications following elective colonic resections, accelerate rehabilitation and shorten postoperative hospital stay. During the introduction of this new "clinical pathway" several obstacles have to be overcome. This manuscript describes a practical way to establish "fast-track"-colonic surgery in the clinical routine. MATERIAL AND METHODS: After discussion of the many aspects of perioperative pathophysiology following abdominal surgery a "fast-track"-concept for colonic surgery was defined...
December 2004: Zentralblatt Für Chirurgie
Diane K Newman
Overactive bladder (OAB) is a widespread syndrome characterized by symptoms of urgency, with or without urge urinary incontinence, frequency of micturition, and nocturia. Urgency is a sudden, intense, difficult-to-defer desire to pass urine and must be differentiated from normal urge or desire to void that can be deferred. It is the core symptom of OAB in the International Continence Society definition. Many misconceptions surround OAB, including that it is a normal part of aging; these contribute to the barriers to OAB diagnosis...
October 2004: Journal of the American Academy of Nurse Practitioners
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