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| January 21, 2013 |
Dear Subscriber,
 I know many nurses who are well-educated about healthcare reform in the United States; however some, like me, are taking a little longer to fully comprehend the changes taking place in our healthcare system. Take some time to read the articles in More Resources to help you gain a better understanding of the Affordable Care Act (ACA). For example:
- What are accountable care organizations (ACOs)?
- How will an ACO provide care that's coordinated and cost-effective?
- Who is eligible for Medicaid and what is covered? How will the Medicaid expansion in 2014 affect nurse practitioners?
- What are the new requirements with regard to hospice providers?
- What does ACA mean to advanced practice registered nurses (APRNs)?
- What is the Lean approach?
While opinions may differ about this legislation, it is important that we are informed to better care for ourselves, our families, and our patients.
Sincerely,
Lisa Bonsall, MSN, RN, CRNP
Clinical Editor
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In this first of two articles, the authors report on findings from a quantitative study exploring antiparkinson medication withholding times during hospitalization and symptom management. Don't miss Perioperative Medication Withholding in Patients with Parkinson's Disease: A Retrospective Electronic Health Records Review.
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 Because transfusion practices vary among healthcare providers, many clinicians question the best practice for blood product use. Review the evidence and experience gained from formal blood management programs by exploring Blood Management: Best-Practice Transfusion Strategies.
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In most cases, professional standards of care and personal morals prevent inappropriate relationships from developing, however sometimes the nurse-patient relationship develops into a personal relationship. Read about professional boundaries in nurse-patient relationships, behaviors that may be considered inappropriate, and possible legal ramifications in Don't Cross The Line: Respecting Professional Boundaries.
Nursing Management Share:
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Review our Recommended CE list on perceptions of nurse manager responsibilities, parasites: what's eating your patient?, staffing matters
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 Signs and symptoms of concussion are temporary, but repeated concussions can lead to long-term debilitating conditions. Learn about the nurse's role in assessing and caring for a patient with a concussion and in educating patients, parents, teachers, and coaches about this type of head injury. Don't miss Tackling Long-Term Consequences Of Concussion.
Nursing2013 Share:
Total parenteral nutrition (TPN) must be considered when a patient is malnourished and unable to obtain nutrients through the gastrointestinal (GI) tract, either orally or through enteral feedings, or when a patient is in a hypercatabolic state and requires additional nutrition to aid in healing. Be sure to read I.V. Essentials: Caring For Your Patient Receiving TPN.
Nursing Made Incredibly Easy! Share:
Daily sedation interruption (DSI, also called a sedation vacation) can be beneficial for mechanically ventilated patients. In Sedation Vacation: Worth The Trip, learn what nurses need to know about DSI so that evidence-based guidelines are followed when sedatives and analgesics are stopped temporarily.
Nursing2013 Critical Care Share:
Browse our Recommended Readings on keeping practice knowledge current, bleeding esophageal varices, understanding thyroid imbalances, and more.
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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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The FDA is requiring that the recommended doses of zolpidem be lowered in women because blood levels may remain high enough the morning after use to impair activities that require alertness, including driving. Women appear to be more sensitive to this effect because they eliminate zolpidem more slowly than men, although the agency is also recommending that the lower doses be considered for men. The recommendation is focused on zolpidem products approved for use immediately before bedtime, including Ambien, Ambien CR, Edluar,and Zolpimist and their generic equivalents. The FDA is recommending that the doses for immediate-release products be lowered from 10 mg to 5 mg and from 12.5 mg to 6.5 mg for extended-release products in women.
See more drug news.
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