Caring for patients with stroke can be challenging; when a stroke is occurring, it is imperative to distinguish the symptoms from other diagnoses. Determining the type and location of stroke is yet another difficulty. Further challenges are met with treatment and rehabilitation.
To help you manage these complex issues, we’ve created a Focus On: Stroke collection, which is comprised of journal content, as well as the following special features:
Each item in this collection is only $1.99, or you can purchase the entire collection together with the Powerpoint slides, podcasts, and the Take5 for only $19.99 (doesn’t include CE).
To further your learning and help you meet your continuing education requirements, we've bundled the three CE articles below at a reduced rate. Earn 7 contact hours for only $19.99 – that's a savings of more than $50 if purchased individually!
Aneurysmal subarachnoid hemorrhage: Follow the guidelines
3 contact hours
Ischemic Stroke: The first 24 hours
The Nurse Practitioner
2 contact hours
Recognizing and Preventing Acute Stroke in Women
2 contact hours
I hope you’ll take some time to explore this collection! Have a question or comment? Please feel free to connect with me here on the blog by leaving a comment or you can email me at firstname.lastname@example.org.
Two of our most popular CE collections will be expiring on Friday, February 28, 2014. If you haven’t already taken advantage of these specially-priced collections, you should check them out ASAP!
7.3 contact hours - $19.99
Expiration Date: 2/28/2014
When patients are on anticoagulant medications, significant safety concerns exist, especially the risk of excessive anticoagulation and hemorrhage. It is important to understand these risks yourself, as a healthcare provider, and to educate the patients in your care on how to minimize their risk and be alert for complications.
NP: Pharmocology Hours
10.4 contact hours/10.4 advanced pharmacology hours - $44.95
Expiration Date: 2/28/2014
Depending on the state where you work as a nurse practitioner or your area of practice, it may be necessary for you to maintain a certain number of advanced pharmacology hours for your license or certification.
Need more CE? See our complete list of topical CE collections and our special collections on ‘never events.’ Please be aware that the CE tests for each article must be taken before they expire.
The Choosing Wisely® campaign was launched in 2012 by the American Board of Internal Medicine as a way to spark conversations to improve care and minimize unnecessary testing. The goals of the campaign are to ensure that care is supported by evidence; not duplicative of other tests or procedures already received; free from harm; and truly necessary (ABIM Foundation, 2014). Many organizations have released recommendations in support of the campaign – a full list is available here.
Last week, the American Association of Critical-Care Nurses (AACN) became the first nursing organization to get involved in the campaign. Its Choosing Wisely® list includes the following five evidence-based recommendations (American Association of Critical Care Nurses, 2014) :
- Don't order diagnostic tests at regular intervals (such as every day), but rather in response to specific clinical questions.
- Don't transfuse red blood cells in hemodynamically stable, non-bleeding critically ill patients with a hemoglobin concentration greater than 7 mg/dL.
- Don't use parenteral nutrition in adequately nourished critically ill patients within the first seven days of a stay in an intensive care unit.
- Don't deeply sedate mechanically ventilated patients without a specific indication and without daily attempts to lighten sedation.
- Don't continue life support for patients at high risk for death or severely impaired functional recovery without offering patients and their families the alternative of care focused entirely on comfort.
As a nursing professional, I am proud to see AACN collaborate on this important initiative. I encourage you all to remain cognizant of these recommendations, share them with your peers, and stay up-to-date on the latest evidence.
For further reading, the articles below are available for free to logged in members of Lippincott’s NursingCenter.com. Not a member? Join now!
In the News: Rethinking Routine Blood Work in Patients with MI
American Journal of Nursing
Blood Management: Best-Practice Transfusion Strategies
Parenteral Nutrition Risks, Complications, and Management
Journal of Infusion Nursing
Sedation Vacation: Worth the Trip
Nursing2013 Critical Care
Ethics in Critical Care: Twenty Years Since Cruzan and the Patient Self-Determination Act: Opportunities for Improving Care at the End of Life in Critical Care Settings
AACN Advanced Critical Care
Hoping for the Best, Preparing for the Worst: Strategies to Promote Honesty and Prevent Medical Futility at End-of-Life
Dimensions in Critical Care Nursing
ABIM Foundation. (2014). About. Retrieved from Choosing Wisely: http://www.choosingwisely.org/
American Association of Critical Care Nurses. (2014, January 28). News: Critical Care Groups Issue 'Choosing Wisely' List. Retrieved from American Association of Critical Care Nurses: http://www.aacn.org/wd/publishing/content/pressroom/pressreleases/2014/jan/choosing-wisely-aacn-ccsc.pcms?menu=aboutus
Today is World Cancer Day and it is inspiring to see the large number of tweets with the hashtag #WorldCancerDay on our twitter news feed! To add to your reading and education, listed below are some of the latest articles published in our journals. All are free to read online and are available for CE credit.
Non-small cell lung cancer: Recent advances
Nursing2014, February 2014
Cancer Pain Strategies and Interventions for Brain Metastases
Oncology Times, January 2014
Supporting Cancer Survivors
Oncology Times, December 2013
You can find more continuing education articles related to oncology on NursingCenter’s CEConnection.
I just learned this one this morning while reading Puzzling out SIADH in the November/December 2013 issue of Nursing Made Incredibly Easy!
To remember the early signs of syndrome of inappropriate antidiuretic hormone (SIADH), think FLAT:
Here are more nursing tips, and some other mnemonics and "memory joggers" that you might find useful.
Pullen, R. (2013). Puzzling out SIADH. Nursing Made Incredibly Easy!, 11(6)
Happy Perioperative Nurse Week! To celebrate your hard work and commitment to patient safety, the 2 continuing education articles in the November issue of OR Nurse 2013 are availabe at no charge! That's 4.8 contact hours for FREE!
Review of processes to reduce colorectal surgery site infections: An OR perspective
2.3 contact hours
Tetralogy of Fallot: The evolution of congenital heart surgery
2.5 contact hours
After reading the articles, just click 'Go to CE Details' to take the test and get your free CE. For even more savings, check out our CE collection on Surgical Site Infections.
Have a great week!
One of our most popular CE collections is Anticoagulant Medications. Since our members and readers have expressed such an interest in this topic, I want to share some other good resources about these medications, specifically dabigatran. The articles below are from Emergency Medicine News, a journal geared to Emergency Department physicians, but often read and appreciated by many nurses and nurse practitioners. Don’t you just love interdisciplinary collaboration?
I encourage you to peruse this journal for more good content on emergency department care and issues. There is also a blog, The Procedural Pause, authored by renowned emergency physician James R. Roberts, MD, and his daughter, Martha Roberts, ACNP, CEN. There are some incredible photographs included! Enjoy!
I just learned the mnemonic below while reading Caring for a patient with mental illness in the acute care setting (Nursing Made Incredibly Easy!, May/June 2013). Remember the word ESCAPE to help you care for a patient with a mental disorder in an acute care setting.
E = Early assessment
S = Symptom identification
C = Choose communication techniques based on symptoms found
A = Assess for history of prior effective treatment
P = Psychiatric medication regime reconciliation and maintenance
E = Eliminate or decrease stressors
For more mnemonics, check out previous blog posts here and here. Have one to share? Please do!
Ahern, J. & Kumar, C. (2013). Caring for a patient with mental illness in the acute care setting. Nursing Made Incredibly Easy!, 11(3).
In the hustle and bustle of everday life, obtaining the correct number of contact hours for licensure and recertification can get pushed to the bottom of the 'to-do' list. If you’re anything like me, when license renewal time comes around, it’s a bit of a scramble to get organized and count up the number of hours I’ve accumulated since my last renewal and figure out how and when I’ll finish up in time.
Since launching NursingCenter’s new CE Connection, we’ve had the opportunity to bundle topical collections of continuing education articles and made them available at a discounted price. So far we’ve put together a collection around Understanding BRCA and Cancer Risk (9.9 contact hours for $24.99) and one on Caring For Veterans Suffering from War-Related Injuries (11.4 contact hours for $28.99). I’m working on some more of these collections, but would like to best meet your needs! So, please let me know – what types of collections would be of interest to you? Is there a certain clinical topic or patient population that you’d like me to address?
Also, are there any special requirements for your state or your certification? For example, New Jersey now requires at least one hour of continuing education related to organ and tissue donation and recovery. We will do our best to keep you informed based on your profile selections on Lippincott's NursingCenter.com. If you’re not yet a member, you can certainly join now – it’s free!
We want to help you keep up with your requirements – please let us know your needs by leaving a comment or you can always email me at email@example.com.
In 2010, more than one-third of adults in the United States were obese, according to the Centers for Disease Control.
It’s safe to call the issue of obesity an epidemic at this point, and it can lead to other complications like heart disease, Type 2 diabetes, stroke and certain types of cancer. The health problems caused by obesity are some of the leading causes of preventable death.
A new infographic from Nursing@Georgetown outlines some important statistics about this issue, aimed at increasing awareness and educating the public about the positive effects of a proper diet and exercise.
Things like eating whole grains, switching to low-fat milk, and increasing your intake of fruits and vegetables can help turn things around and lead to a healthier body. In addition, the USDA has developed a nutrition guide called MyPlate that outlines recommended food portions.
Exercise also helps, and all adults should set a long-term goal to accumulate at least 30 minutes of moderate-intensity physical activity on most days. Check out the infographic below for information, and ways we can all work to improve our health behaviors.
Via Nursing License Map and Nursing@Georgetown
This post is written by Erica Moss, who is the community manager for the online nursing programs at Georgetown University School of Nursing & Health Studies.