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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.
Depression Revealed: The Need for Screening, Treatment, and Monitoring
Suicide Risk in Elderly Patients
Clinician- and Organization-Level Factors in the Adoption of Evidence-Based Care for Depression in Primary Care
Selective Serotonin Reuptake Inhibitors (SSRIs) in Pregnancy: A Review
Don't Let SAD Get You Down This Season
Shedding the Burden Of Depression & Anxiety

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 Edito

"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...


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

Good communication is essential to minimize errors and maintain patient safety. Learn key elements for Improving Handoff Communication.

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


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...


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.


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.


  • 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.



Fast Track RN to MSN (Bridge) - Earn both your BS/MS in Nursing in 1/2 the time at 1/2 the cost from Regis University.

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