For me, every month is MS Awareness Month – a patient’s perspective

By Kim Fryling-Resare

I was going to put together a collection of information and statistics to share about multiple sclerosis, but as I started to write, it became more about what I personally do to raise MS awareness. My hope is that my story will give insight and shed some light onto a patient’s perspective. I feel like understanding is one of the keys to better support and care for patients living with a chronic illness.   

Multiple-(2).pngMarch is MS Awareness Month – a topic near and dear to my heart. I’ve been living with relapse-remitting multiple sclerosis since 2003 and I try to live my life every day as if it is “MS Awareness Day.” 

Unfortunately, I’m not a scientist who will discover a cure. I’m not a neurologist or a nurse who will treat patients. And lastly, I’m not fortunate enough to be rolling in money that I could fund clinical trials or research studies. So what can I do to raise awareness about MS? 

I can SUPPORT.
Whenever I hear about someone who is newly-diagnosed, or someone who may be struggling with the disease, I’m always ready to hand out my phone number or email address. I know all too well that it can be a continuous struggle, but I want them to know they are not alone. There is hope, and they will get through this battle learning strategies to improve life and ultimately discovering how truly strong they are.

I can stay POSITIVE.
I went through all of the typical emotions after my MS diagnosis, and I had to go through the grieving process and let go of my life, or at least my perceived life, before MS. Now, I’m actually thankful for MS. I have let go of a lot of toxic people and negativity, and I try not to sweat the small stuff. I have chosen to take the path where I value life and take little to nothing for granted. 

I can EDUCATE.
I have always been very open about living with multiple sclerosis. I love shocking people with the fact that I have MS. I encourage questions and enjoy sharing my experiences and knowledge. There is a lot of misinformation out there and people tend to have such misconceptions about what MS looks like, and what it means to live with MS. It is such a varying disease that presents so differently and affects people in so many different ways. 

I can LIVE fully.
I live the best life that I can with MS, and along the way, I try to educate others on what MS is and what it means to people battling it every day, every month, every year. Raising awareness for MS and living fully is my way of advocating and giving back to the MS community. 

kim-13-(4).pngI will never give up HOPE.
I have this silly personal belief that if I say something, or believe something long enough, it will manifest and become reality. So…There will be a cure for MS. There will be a cure for MS. There will be a cure for MS…

To continue raising awareness, I’m marking my 13th year living with MS by participating in my first half marathon this summer. 13 years, 13.1 miles! Never give up!
 
Please use these free resources on NursingCenter to learn more about MS and to help spread awareness by sharing with your colleagues, patients, and the public.
 

The Journal of Neuroscience Nursing and the Journal of Infusion Nursing are both honoring MS Awareness Month by offering subscription discounts in March. Enter promotion code, WFS115GN, and take 40% off the subscription price for either journal.


 
Posted: 3/8/2016 8:30:26 AM by Lisa Bonsall, MSN, RN, CRNP | with 0 comments

Categories: Diseases & Conditions Inspiration


Time management tips for busy nurses

During these busy days, time management is a challenge for many people. If you have a career where your schedule is frequently changing, the challenge becomes even more pronounced. Maybe you even flip-flop your nights and days sometimes or juggle teaching or taking classes on top of your already busy schedule. The point is, time management skills are essential to keep us rested, healthy, and productive!

Here are some top tips to help you manage your time effectively. time management tips
  • Write it down. Use a calendar – paper or electronic – to keep track of all your appointments and responsibilities in one place.
  • Stay focused. When at work, focus on work. When at home, focus on home.
  • Break it down. Divide large tasks into smaller items that are more manageable.
  • Declutter. Clear your work area. Whether it’s a desk, medication cart, or bedside table, don’t let excess clutter take your attention away from what you are doing.
  • Delegate. Proper delegation and teamwork are time management wins for you and your colleagues.
  • Set aside time to answer messages. Answer phone calls, texts, and emails at convenient times, rather than allowing those rings and beeps to distract from your current task.
 What other time management tips would you add to this list?
 

Related Reading


 

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Posted: 2/29/2016 8:44:39 AM by Lisa Bonsall, MSN, RN, CRNP | with 2 comments

Categories: Inspiration


February is American Heart Month!

american-heart-month.jpgDuring the month of February, we celebrate many great traditions – Black History Month, Valentine’s Day, and the birth of our forefathers to name a few. February is also American Heart Month, which was first declared by President Lyndon B. Johnson in 1964.1 Since that time, February has been dedicated to promoting cardiovascular health by many organizations, such as the American Heart Association1. Heart disease is the leading cause of mortality in both men and women in America.It is a disease that can largely be prevented through lifestyle modification1. Due to advances in medical therapies and better heart disease education, the number of deaths associated with cardiovascular disease has seen a steady decline over the last three decades1

This month brings back many memories for me.  My first job out of college in the mid-90’s was in the Intensive Care Unit (ICU) at a large medical center in mid-town Manhattan. This was a unique ICU setting where the staff rotated through the medical, coronary, surgical, and cardiovascular (post-operative) ICUs every few months.  It was during these first years that I gained an appreciation for cardiovascular disease and how it could be medically and surgically managed. In the medical ICU and coronary care unit (CCU), I cared for patients who were transferred from the Emergency Room with acute coronary syndrome (ACS) and were awaiting cardiac catheterization for diagnosis and possible angioplasty. The presentation of each patient varied widely. A stable ACS patient with mild symptoms, such as indigestion, could deteriorate rapidly into acute distress and severe chest pain and possibly full code. Stabilizing these patients with aspirin, oxygen supplementation, and sublingual nitroglycerin were critical and electrocardiogram (ECG) monitoring was of the utmost importance. I don’t think any nurse forgets witnessing ST-segment elevation for the first time. 

In the surgical and cardiovascular ICU, patients returned from the operating room with a tangle of wires, arterial lines, central lines, pulmonary artery catheters, as well as chest tubes, drains and complex surgical wounds.  Monitoring vital signs, titrating IV drips, managing oxygenation and potential bleeding were all part of the post-surgical course. Open-heart surgery patients had to be assessed frequently for elevated jugular venous pressure and pulsus paradoxus (a systemic drop in blood pressure during inspiration3), both impending signs of cardiac tamponade, an accumulation of fluid in the pericardial space. It didn’t occur too often, but when it did, it resulted in emergency subxiphoid percutaneous drainage – one of the more stressful moments for a new nursing graduate.

After a few years in New York I felt called back to Philadelphia. While attending graduate school, I worked nights in the Cardio-Thoracic Intensive Care Unit (CT-SICU) of a large teaching hospital, caring for patients following open heart surgery. I thought I had seen it all in New York and quickly realized that I had just scratched the surface when it came to caring for cardiac patients. Academic institutions often receive patients with very high acuity due to their ability to offer some of the most advanced treatment options such as intra-aortic balloon pumps (IABP), left ventricular and bi-ventricular assist devices (LVAD and BiVAD), extra-corporeal membrane oxygenation (ECMO), ventilators, and continuous hemofiltration and dialysis. There were moments when I felt more like a mechanic than a nurse working on multiple machines surrounding a fragile life at its center. 

Patients typically experience short stays and quick turn-overs in surgical ICUs, however, we had our fair share of patients who spent many weeks and months on our unit. Mr. B.* was one of those patients. Mr. B. was transferred from a local community hospital to our institution with severe heart failure. Mr. B., whose medical therapies had reached a maximum threshold, had been hospitalized multiple times with acute exacerbations of heart failure over the prior year. Each hospitalization worsened requiring increased doses of intravenous (IV) dobutamine and milrinone to improve his heart pumping capacity. Upon arrival Mr. B., who was categorized with Class 4 heart failure (severe), was evaluated by the team for heart transplant. At 64, he was above the upper limit for age exclusion, however he had no signs of lung, liver or kidney disease.  He was placed on the transplant list immediately and due to his critical condition the decision was made to place a left ventricular assist device (LVAD) to support his heart. Mr. B.’s post-operative course was riddled with complications. He experienced difficulty weaning from the ventilator and subsequently developed pneumonia. Anticoagulation was carefully titrated to prevent clotting in the LVAD, however this led to bleeding in the gastrointestinal tract. His blood glucose levels rose acutely requiring an IV insulin drip. He battled these challenges and once stabilized, Mr. B. was able to ambulate with his new device and begin rehabilitation in preparation for his transplant. He was extremely positive, cracking jokes with the nurses and always smiling. I could tell he was truly grateful for each day he was alive. Today, LVAD patients may be discharged home and are able to live comfortably with the device, some as a bridge to transplant and some as destination therapy if transplant is not an option. Mr. B. was with us for several weeks due to his complications, but was eventually discharged home.

One cold November morning, Mr. B. and his family were notified that there was a donor heart available and that he was a match. He was admitted back to our unit that afternoon and later that evening he received the gift of a new heart and a second chance at life. The surgery went extremely well. Mr. B. spent four days of recovery in the CT-SICU where we monitored him closely for rejection. He was then transferred to the general surgical ward for cardiac rehabilitation and was discharged from the hospital on post-op day 15.

The most gratifying part of being an ICU nurse is seeing your patients recover. Mr. B. returned often to say hello and thank you, which always warmed our hearts. He is one of many cardiac patients I will never forget. While Mr. B.’s story ends well, many more patients with cardiac disease are not as lucky. We as healthcare providers should continue to emphasize the importance of heart health education and lifestyle modification to prevent the progression of cardiac disease. Happy American Heart Month to all!
 
References
  1. American Heart Association (2016) American Heart Month. Retrieved from http://newsroom.heart.org/events/american-heart-month-events-and-info-3136417
  2. Center for Disease Control and Prevention (2016) Heart Disease Facts. Retrieved from http://www.cdc.gov/heartdisease/facts.htm
  3. UpToDate (2016) Pulsus Paradoxus in Pericardial Disease. Retrieved from http://www.uptodate.com/contents/pulsus-paradoxus-in-pericardial-disease
 
*Note: Any identifying characteristics are coincidental. 

 Myrna B. Schnur, RN, MSN

 
Posted: 2/17/2016 11:50:13 AM by Lisa Bonsall, MSN, RN, CRNP | with 0 comments

Categories: Diseases & Conditions


Maintaining Work-Life Balance [Infographic]

It can get complicated to juggle our personal and professional lives. This infographic will help you take a closer look at what you need to do to keep yourself healthy – physically, mentally, and emotionally. 
 

My Nursing Care Plan: Maintaining Work-Life Balance

Use My Nursing Care Plan for 2016 for a full look at assessing, planning, and implementing your goals for the year ahead!  

More Resources:
Meeting My Professional Requirements [Infographic]
Being a Lifelong Learner in Nursing [Infographic]

 

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Posted: 2/11/2016 10:18:12 PM by Lisa Bonsall, MSN, RN, CRNP | with 4 comments

Categories: InspirationEducation & Career


Setting and meeting goals

The secret to getting ahead is getting started ~ Mark Twain

Setting-and-Meeting-Goals.jpgAs nurses, there are many different roads we take on our journey to where we are now professionally. We all have different starting points and are currently at different places on this professional road. Similarly, there is immense variation in how we set and achieve our goals. There are volumes of literature on goal setting and achievement and the methods are not a one-size-fits-all formula. The key to successful goal management is figuring out what works for you, being honest with yourself about what your current and future goals are and coming up with a plan to achieve what you set out to do. Personality, life circumstances, and family-work balance all play roles in how we set and achieve goals, as well as our motivation to accomplish them.

Personally, I began my professional career in medical research with a degree in the sciences. I quickly determined that I wanted to interact with patients rather than study them from inside a room (my project involved taking measurements on carotid arteries [recorded loops on VHS] – in a dark room – as part of a cardiovascular research project). When I came to this realization, I organized my first five-year plan with a goal of becoming a nurse. I applied to and was accepted to a nursing program. I went on to receive my BSN and subsequently my MSN, which I completed in 2001 with the help of a National Health Service Corp Scholarship. I began working at a Federally Qualified Healthcare Center as a Family Nurse Practitioner. and after fulfilling my commitment to the scholarship, I was able to do a loan repayment program at the same health center. Within five years, I had all of my undergraduate and nursing loans payed off. Using the five-year framework allows for short and long-term goal setting with some flexibility factored in for the unexpected. While I personally work better with this flexibility, others may find more success with a stricter plan; this is where we need to be honest with ourselves and come up with a method that works best.

Fast forward eight years. Following a job transition, I was offered a position working in an ICU as a nurse practitioner. Although this was not in my original plans, and well out of my comfort zone, the opportunity was one that I could not pass up and presented an exciting new challenge. Around this same time, the Consensus model for APRN regulation: Licensure, accreditation, certification, and education (APRN Consensus Work Group, 2008) was released. This landmark publication for NP practice essentially recommended that NPs practice in the discipline/setting for which they were educated and certified. Although this seems straight forward, NP history is one whose roots began in primary care with evolution to the acute care setting. Educational programs for acute care NPs were introduced later in the historical timeline, and the fact is that there are many primary care NPs practicing in hospitals. So now, with no plans to leave the ICU, my current five-year plan includes completion of a post-master’s program to become certified as an adult-gerontological acute care nurse practitioner. This was an adjustment I needed to make, but it is a great opportunity to improve my skills and my job performance.
reach-for-the-stars.png
I mentioned the flexibility to my plans earlier. There was an approximately five-year period in my life (i.e. when my children were infants) when I struggled to keep up with my plan, or rather, I had no plan! Memories of these years include crunching to find online CME and overnight expressing my license applications and sometimes struggles to just get through the day. For me, despite being a competent nurse at work, I found it overwhelming trying to figure out parenting and how to be a working mom. The learning curve of parenting and navigating the work-life balance was steep. Eventually, I was able to get back on track. Moving forward, I have reset my five-year plan once again (it’s a moving target). I hope to complete the acute care NP program in December 2016 then take and pass (fingers crossed) the exam in the spring of 2017. After that, I may try to teach, or possibly consider a DNP or PhD program.

I have not done extensive research from an academic or literature perspective on goal setting, but I do know that there are many successful methods for those that have difficulty with a flexible plan or prefer a more established format. For myself, it has been immensely helpful to take time, every so often, to reflect on where I am and where I would like to be. NursingCenter’s blog post, My Nursing Care Plan for 2016, provides an excellent resource for some of our requirements to keep up our professional obligations. Because in addition to our professional goal, there are tasks that we need to complete to stay current and licensed.

How do you like to set and achieve your goals? Has anyone found a more standard goal setting process that works for you? Please share your experiences with us!
 
Megan Doble, MSN, RN, CRNP
 
Reference:
APRN Consensus Work Group & the National Council of State Board of Nursing APRN Advisory Group. (July 7, 2008). Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, & Education. 
Posted: 2/9/2016 9:35:45 PM by Lisa Bonsall, MSN, RN, CRNP | with 0 comments

Categories: InspirationEducation & Career


Being a Lifelong Learner in Nursing [Infographic]

Lifelong learning is essential for your professional development and to ensure evidence-based patient care and improve outcomes. Use this infographic to help you stay on track and meet your goals!
 
care-plan-lifelong-learning-300.png 
 
Use My Nursing Care Plan for 2016 for a full look at assessing, planning, and implementing your goals for the year ahead!  
 

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Posted: 2/6/2016 5:44:19 AM by Lisa Bonsall, MSN, RN, CRNP | with 3 comments

Categories: Continuing EducationInspirationEducation & Career


The National Conference for Nurse Practitioners 2016: What NPs Need to Know

NCNP2016-early-reg.pngThe National Conference for Nurse Practitioners (NCNP) 2016 is being held at Disney's Coronado Springs Resort from May 11th through May 14th. I spoke with the conference chairperson, Margaret Fitzgerald, 
DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC on what makes this year’s conference so exciting, what attendees can expect, and what special highlights are planned. 

Be sure to take advantage of early registration through March 31st! Enter discount ID “SPECIAL” for $50 off the main conference. For other nursing conferences and events, check out our Nursing Events Calendar
register_NCNP.png


Q: How did you first get involved in the National Conference for Nurse Practitioners (NCNP)?
A: Originally, I was one of the often invited faculty at NCNP. I greatly enjoyed speaking at this high quality meeting that presented a variety of truly cutting edge presentations to nurse practitioners. Because of my work speaking at the meeting and the favorable feedback I would receive, I was invited to be part of the planning committee. After serving on that committee for a few years, I was invited to take the helm as the chair of the committee, which has been a real honor and privilege to do. 

Q: What is so special about NCNP?
A: The highlights of NCNP are information building, skill building, and clinical decision making sessions for nurse practitioners. 

Attendees will find an update of some of the most important topics in primary care, including the latest information on Hypertension, Menopause Management, Diabetes, and the like. 

NCNP has a wide variety of skill-building presentations from which to choose. Most sessions will have four to six choices of topics, like conducting an orthopedic exam, splinting, casting, reading an electrocardiogram, or improving your prescribing skills. 

Another great thing about this conference is that we also have session offerings for clinicians that are more specialized in their practice. We do a good deal of urgent, emergency and acute  care sessions as well, including electrolyte management, pain management, intracerebral hemorrhage, mechanical ventilation, managing respiratory failure, and more.
 
What it gets down to is this… at the meeting we help meet the needs of a wide variety of nurse practitioners. They can cut across different areas of concentration and explore a variety of different topics all in one location.

As a bonus, one of the true value-added parts of this meeting is that their breakfast and lunch are included in your tuition. This allows the nurse practitioner to have time to socialize and network with people from all over the country.
 
Q: How will this year’s conference surpass past years?
A: The location is simply superb. This year, NCNP is being held at Disney’s Coronado Springs Resort in Lake Buena Vista, Fla. This is a beautiful facility with lots to do on premises, plus of course all that Orlando and Disney have to offer right outside the door. The way the meeting area is set up is really conducive to socializing with one another. The topic content is also top notch. The planning committee has really worked to put together an exciting program to help move the nurse practitioner along in the profession.

Q: For the keynote address, I see you are interviewing Loretta C. Ford, RN, PNP, EdD, FAAN, FAANP. What can attendees expect?
A: More than  50 years ago, Loretta Ford helped create the concept of the nurse practitioner profession. She is 95-years-old, and we are incredibly fortunate to have someone who started the profession around today to educate all the 210,000 plus nurse practitioners out there. She has become a dear friend and mentor to me over the years, and my interview with her at NCNP will be a little different than talks she has done in the past. I’m going to interview her to get up close and personal. I want to know what she was thinking when she first conceived the profession; I want to know who her mentors were at the time. She was born the same year women in this country received the constitutional right to vote. I want to know how that time period influenced her decisions. 

Q: NCNP is a great way to earn CE and pharmacology credit. Why is earning pharmacology credit important for attendees?
A: Pharmacology credit is very important. As nurse practitioners, we want the latest information about a variety of medications, including new ones to market and repurposes of older medications. As prescribers, continuing education in pharmacology is a necessity; virtually all NPs have a pharmacology requirement to maintain their licenses.  

Q: You will be speaking on emerging infectious disease threats, including dengue fever, the avian flu, chikungunya, and enterovirus D65. Can you tell me some highlights about this talk?
A: I greatly enjoy doing this presentation. Historically, infectious diseases have mostly been spread outside of the United States. But, the growing rate of international travel is changing this. We need to be able to recognize these diseases and treat patients accordingly. I have a number of patients who travel to and from the Caribbean, and I need to be aware of these issues. For this talk, I will also be including the latest information around Zika virus as we learn more about this frightening disease.
 
Q: NCNP will also host a number of exhibit hours, where nurses can learn more about new products, trends in the industry, and information sources such as Lippincott NursingCenter.com. Why should your attendees take a stroll through the exhibit hall?
A: Strolling through the exhibit hall is a great way to learn new information around a variety of nursing products, from educational websites to new pharmaceuticals and nutritional supplements. Your eyes will be open to resources of which you were previously unaware. 

Q: Finally, what is your favorite part about attending a conference? 
A: My favorite part is knowledge building; we have so much to learn in this profession. I also enjoy meeting nurse practitioners from all over the country and all over the world. 
 
Posted: 2/3/2016 8:19:15 AM by Cara Gavin | with 2 comments

Categories: Continuing Education


Meeting My Professional Requirements [Infographic]

It can be overwhelming to keep track of license and certification expiration dates and continuing education requirements for renewal. This infographic will help you stay on track to meet your professional requirements. 
 
care-plan-professional-requirements-300.png

Use My Nursing Care Plan for 2016 for a full look at assessing, planning, and implementing your goals for the year ahead! 
 
 

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Posted: 1/31/2016 7:07:57 AM by Lisa Bonsall, MSN, RN, CRNP | with 0 comments

Categories: Continuing EducationInspirationEducation & Career


My Nursing Care Plan for 2016

I know, I know, another care plan…but this one is for YOU! Use this quick care plan to make sure you are on the right track to meet your goals for 2016!
 

Assessment

Capture-PR.PNGWhat do I need to do this year to meet my professional requirements?

  • When is my nursing license(s) due for renewal?
  • Am I on track to meet my CE requirements for license renewal?
  • Do I need to obtain CE to maintain my current certification(s)?
Capture-LLL.PNGHow can I be a lifelong learner in nursing?
  • Is it time for me to go back to school?
  • Should I get certified in a specialty?
  • Which professional nursing organization(s) should I join?
 
Capture-WLB.PNGDo I have good work-life balance?
  • When’s the last time I had a physical exam?
  • Am I due for any immunizations or screenings?
  • Am I seeing my family and friends?
  • Do I have time to do things that bring me joy?
  • How is my stress level?

Nursing Diagnoses

  • Knowledge deficit related to meeting my professional requirements.
  • Readiness for enhanced knowledge related to striving to provide evidence-based nursing care.
  • Readiness for enhanced self-health management related to identifying my own health care needs.
  • Readiness for enhanced self-care related to maintaining personal relationships and managing stress.

Planning

Meeting my professional requirements
  • Look at my current nursing license(s) and certification(s) and check the expiration dates.
  • Visit the website of my state board of nursing for information on license renewal and CE requirements.
  • Contact my certification organization for information related to renewal and CE requirements.
  • Consider my options for meeting my CE requirements.
                   *Online CE activities.
                   *Live events, such as national or local conferences.
                   *Check for opportunities to earn CE through my employer.
Lifelong learning
  • Explore BSN and advanced degree programs.
  • Investigate specialty certification opportunities.
  • Consider which professional organizations would be a good fit for me.
Balancing work and life
  • Look back at my own medical records and make a list of what screenings and immunizations are recommended based on my age and medical and family history.
  • Update my calendar with my work schedule and upcoming social events. Schedule “me-time” too!
  • Think about how I best deal with stress. Is it a yoga class? Reading? Being outdoors? Find activities to meet my stress-relief needs.

Implementation

Meeting my professional requirements
  • Mark expiration dates on my calendar.
  • Develop a file (actual or online) to store my CE documents.
  • Use My Planner on Lippincott NursingCenter’s CEConnection to plan my CE activities and store my certificates.
  • Register for conferences and make travel plans. Inquire if my employer will contribute to covering costs.
Lifelong learning
  • Apply to a nursing program that meets my educational needs and goals.
  • Get certified!
  • Join and get involved with a professional nursing organization. Take advantage of related benefits and consider joining a committee or leadership position.
Balancing work and life
  • Schedule appointments and screenings.
  • Stick to my schedule, as best as I am able.
  • Sign up for a class, gym, or other activities that help me manage stress. Remain committed to these endeavors.

Evaluation

Revisit this care plan throughout the year and fill this in. Ongoing evaluation and revisions are key components to meeting my goals.

Leave a comment here – writing down your goals and plans is a good first step! Good luck!
Posted: 1/28/2016 11:57:26 AM by Lisa Bonsall, MSN, RN, CRNP | with 1 comments

Categories: Continuing EducationInspirationEducation & Career


5 things nurses need to know about Zika virus

Be ready to answer questions and advise patients appropriately. For full updates on the Zika virus, visit the
Centers for Disease Control and Prevention.

zika-virus.jpg1. What is Zika virus?
The Zika virus was first documented in May 2015 in Brazil. The virus is spread to humans via the bite of an infected mosquito, though transmission via blood transfusion and sexual contact have been reported. The symptoms include fever, rash, joint pain, and conjunctivitis. Though rare, there have been cases of Guillain-Barré syndrome in patients with suspected Zika infection.

2. Why is there a travel advisory for pregnant women?
There have been reports of poor pregnancy outcomes and microcephaly among babies of mothers infected with the Zika virus. Further investigation of this causal relationship is ongoing, however, to be cautious, the CDC recommends pregnant women and those trying to conceive avoid travel to areas with documented Zika virus transmission.

3. What should I include in my assessment of pregnant patients?
*Ask all pregnant women about recent travel, especially to areas with documented Zika virus transmission.
*Ask all pregnant women about the presence of symptoms consistent with Zika virus disease during or within two weeks of travel.
*In those with recent travel, be alert for ultrasound findings of fetal microcephaly or intracranial calcifications. If present, testing for Zika virus infection (in consultation with state or local health departments) is indicated.

4. What should be done if infection with Zika virus is confirmed?
In pregnant women with laboratory evidence of Zika virus infection, fetal growth and anatomy should be monitored via serial ultrasounds. Referral to a maternal-fetal medicine or infectious disease specialist is recommended. There is no specific treatment for Zika virus; supportive care is recommended.

5. How can those who are traveling prevent infection with the Zika virus?
To prevent Zika virus infection, and other mosquito-borne illnesses, recommendations include:
*Use insect repellants, as directed. (If using both sunscreen and insect repellent, the sunscreen should be applied first).
*Wear permethrin-treated clothing.
*Wear long-sleeved shirts and long pants.
*Keep mosquitoes outside, or if necessary, sleep under a mosquito bed net.
*Empty standing water from flowerpots, buckets, or other containers.
 
Reference:
Centers for Disease Control and Prevention. (2016, January 24). Zika virus. Retrieved from Centers for Disease Control and Prevention: http://www.cdc.gov/zika/
More Resources

 

Posted: 1/25/2016 3:12:35 PM by Lisa Bonsall, MSN, RN, CRNP | with 3 comments

Categories: Diseases & Conditions


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