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| February
6, 2009 |
|  Dear
Subscriber,
When depression is not
identified and treated adequately, grave consequences can
result. Consider the following conclusions supported by the
research literature:
- Depressive disorders
are associated with an increased prevalence of chronic disease.
- Depressive disorders
tend to precipitate chronic disease.
- Chronic disease exacerbates
symptoms of depression.
- Untreated depression
is associated with poor disease self-management.
Oftentimes, this link
between depression and chronic disease is overlooked. Perhaps
we as caregivers are focused on managing physical illness
or maybe we expect patients with chronic illness to be burdened.
It is important to be aware that the rate of depression in
chronic disease is reported to reach 50%. With vulnerable
populations, we must be vigilant to screen for depression
and offer appropriate treatment options.
Read more on this topic
by exploring the articles in NursingCenter's "More Resources."
Don't miss our next issue
with a collection of articles about surgical site infections,
plus the latest articles and CEs.
Lisa Bonsall, MSN, RN, CRNP
Clinical Editor
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"Data
show that recently postmenopausal women have a higher incidence of subarachnoid
hemorrhage (SAH) and that women in general tend to have poorer outcomes
after any stroke type than do men." Review the hormonal influences
of estrogen, estradiol, and hormone replacement therapy by reading Estrogen
and Stroke: A Review of the Current Literature.
(1 contact hour)
Journal of Neuroscience Nursing
Become familiar with the newest
beta-blocker used to treat hypertension, a drug indicated to treat postoperative
ileus, the latest weapon against HIV, and more. Don't miss NEW
DRUGS 09: Part 1.
(3.3 contact hours/3 advanced pharmacology hours) Nursing2009
A case study approach to the care
provided to a terminally ill nursing home resident presents ethical
issues as well as problems with the system. Be sure to read Case
Study: Dying with a Stage IV Pressure Ulcer.
(2.5 contact hours) AJN, American
Journal of Nursing
 The
symptoms of delirium result from an underlying disease process. Update
your knowledge of risk factors, causes, signs and symptoms, prevention
strategies, and management options by reading Delirium:
A Disturbance of Consciousness.
(2.3 contact hours) Nursing Made
Incredibly Easy!
Review our Recommended
CE list on caring for a medical/surgical patient with MS,
chronic wound infection and antimicrobial use, grief and bereavement
care...
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 What
changes in health care policy are possible with President Barack Obama
in office? Take time to explore Policy
& Politics: The New Administration and Health Care Reform.
AJN, American Journal of Nursing
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Good communication is essential to minimize errors and maintain
patient safety. Learn key elements for Improving
Handoff Communication.
Nursing2009
What is "balanced analgesia"
and what are the benefits of using a preventive approach to relieving
pain? Find these answers and more in Pain
Pointers: Approaches for Using Analgesic Agents.
Nursing Made Incredibly Easy!
Wound care is becoming even
more challenging as diabetes complications increase and people live
longer. Examine Evidence-Based
Medicine in Wound Care: Time for a New Paradigm.
Advances in Skin & Wound Care: The Journal for Prevention
and Healing
Browse our Recommended
Readings about helping bullying among nurses, respecting
a patient's religious values, better patient surveillance, and more.
New Open Heart Clinical Resource Program
Read articles on developments in open-heart and critical care programs and even earn Free CE when you visit this new resource page. Current topics include: rapid treatment approach to cardiogenic shock (CE), quality of life following elective open-heart surgery, updates on inotropes and vasopressors, ECG challenges, and more.
Visit
the Open Heart Clinical Resource page now
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| Read
the articles in the latest Featured
Journal 
online only on NursingCenter. The Featured Journal gives you the
opportunity to get acquainted with the kind of coverage and clinical
information it has to offer. Get to know our journals. The
current Featured Journal is...
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 There
are two types of myocardial infarction:
1. NSTEMI (non ST-elevation MI) – caused by an imbalance of
myocardial oxygen supply and demand due to decreased myocardial
perfusion resulting from coronary narrowing. The narrowing is caused
by a nonocclusive thrombus formation due to disruption of an atherosclerotic
plaque.
2. STEMI (ST-elevation MI) – develops as a result of an occlusive
thrombus.
Read
more in Heart
Matters: An Eye for MI.
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Webcast:
A New Look at the Old
Behaviors Associated with Dementia
This Webcast provides
viewers with a broad range of tools and strategies to improve assessment
and understanding of cognitively impaired older adults, and also outlines
a range of interventions to change provider behaviors and modify the environment
in order to provide a safe and comforting environment for those who are
cognitively impaired.
View
the Webcast! for more details.
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- The FDA has approved rocuronium
bromide injection, the generic equivalent of Zemuron. This drug is an
I.V. neuromuscular blocking agent.
- In mid-2008, the concentration
of iron in Fer-In-Sol (ferrous sulfate drops) decreased from
15 mg per 0.6 mL to 15 mg per mL. Because iron drops made by other manufacturers
remain available at 15 mg per 0.6 mL, dosing errors may occur.
See
more drug news.
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