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April 4, 2013

Dear Colleague,

Irritable bowel syndrome (IBS) is a challenging disorder for patients and for their healthcare providers. It is characterized by abdominal pain and a change in bowel habits without the presence of organic pathology. Two sets of criteria were developed to help with establishing an IBS diagnosis. The Rome III criteria includes recurrent abdominal pain or discomfort associated with at least two of the following: pain relieved with defecation, onset associated with a change in frequency of stool, or onset associated with a change in appearance of stool. The Manning system uses six criteria to differentiate IBS from organic bowel disease: onset of pain associated with more frequent bowel movements; onset of pain associated with looser bowel movements; pain relieved by defecation; visible abdominal bloating, sense of incomplete evacuation 25% of the time, or mucorrhea more than 25% of the time.

Because a thorough history is so important in diagnosing IBS, as nurses, we are in a unique position to improve outcomes. Obtaining detailed information about current symptoms and their severity, as well as prior treatments and results is essential. Read more about IBS by exploring the articles in More Resources. You'll find lists of sample questions to help with history-taking, a handy table explaining available treatment options, and more!

Practical Considerations for Recognizing and Managing Severe Irritable Bowel Syndrome

Meeting the Challenge of IBS

Does a Self-Management Program Change Dietary Intake in Adults With Irritable Bowel Syndrome?

A Holistic Approach for Planning Care of Patients with Irritable Bowel Syndrome

Gut Check: Finding the Effective Dietary Approach


Sincerely,




Lisa Bonsall, MSN, RN, CRNP
Clinical Edito
r


Please join us in welcoming the International Association of Forensic Nurses and the Association for Nursing Professional Development to our list of society partners!

New blog posts have been added to NursingCenter's In The Round! Learn acronyms to help organize shift report and other nursing handoffs, and get inspired by some of the quotes from experts who presented at Nursing2013 Symposium!

 

JBI offers some of their most important evidence-based content to individuals and students. As part of the individual/student subscription to the Joanna Briggs Institute Library, you will receive access to:  The Library of Systematic Reviews, Consumer Information Sheets, and Best Practice Information Sheets.
A new post on Show Me The Evidence looks at specific defining features of a systematic review which indicate a high level of rigor in the research to ensure that the review is reproducible (same results) and transparent (same conclusion). 

Multiple sclerosis (MS) is the most common cause of nontraumatic disability in young adults, affecting those in their most productive years. Become familiar with MS and its treatments, and learn practical management strategies to enhance the capacity for health in individuals living with MS. Don't miss Multiple Sclerosis: Managing Patients In Primary Care.
The Nurse Practitioner: The American Journal of Primary Health Care Share:
(3 contact hours/1 advanced pharmacology hour)

Cancer-related fatigue is one of the most common symptoms experienced by patients receiving chemotherapy and/or radiation therapy. It is subjective in nature; therefore, assessing the extent of its interference with the patient's quality of life and functional status is important. Find out what you need to know about Assessment and Management of Cancer-Related Fatigue.
Journal of Hospice and Palliative Nursing Share:
(3 contact hours)

In March 2012, the CDC published new data estimating that in the United States, 1 child in 88 (about 1%) has been identified with an autism spectrum disorder (ASD). In On Alert for Autism Spectrum Disorders, review theories associated with the increase in diagnosed cases, find out what we do and don't know about the causes of ASD, and learn implications for nurses who care for children with ASD and their families.
Nursing2013 Share:
(2 contact hours)

Review our Recommended CE list on cirrhosis, cardiovascular disease prevention in women, nutritional strategies for frail older adults...





We know that patients' renal status must be assessed before they receive intravascular contrast media for radiologic imaging. But what exactly is the risk, what information about the patient's renal status is needed, and how can we help prevent or minimize complications? Find these answers by reading Preventing Contrast Media-Induced Nephrotoxicity.
Nursing2013 Share:

The purpose of this critical appraisal is to examine the efficacy of telephone follow-up support for patients with uncontrolled diabetes. Discover the evidence that indicates telephone follow-up can improve diabetes outcomes by reading Diabetes: Follow-Up Support for Patients with Uncontrolled Diabetes.
The Nurse Practitioner: The American Journal of Primary Health Care Share:

A great deal of literature supports open visiting hours for the families of patients in CCUs. Yet very little literature is available to help nurses in the rare event that a family member inadvertently causes either a major complication or death in a critical care setting. Read more in Preventing Sentinel Events Caused by Family Members.
Nursing2013 Critical Care Share:

Browse our Recommended Readings on medication administration, traumatic shock, patients' expectations for their nursing care, and more.





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...





The following drug approvals were recently made by the FDA:

  • Invokana (canagliflozin) tablets as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes; Invokana belongs to a new class of drugs known as sodium-glucose co-transporter 2 (SGLT2) inhibitors.
  • Tecfidera (dimethyl fumarate) oral capsules for the treatment of relapsing forms of multiple sclerosis (MS) in adults.
See more drug news.



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