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October 5, 2011

Dear Colleague,

October is National Breast Cancer Awareness Month and it’s a good time to review these signs and symptoms which warrant further investigation:

  • New or persistent breast masses
  • Breast masses that are firm, fixed to underlying tissue or muscle, or have indiscrete margins
  • Nipple discharge that is unilateral, bloody, spontaneous, or  uniduct
  • Breast pain that is new, unilateral, not associated with menses
  • Breast pain associated with a mass or skin changes
  • Nipple or areolar inversion or rashes
  • Inflammatory changes that do not resolve with antibiotic
  • Peau d’orange

Diagnostic Breast Evaluation: When to Refer and What the Results Really Mean

Role of Omega-3 Fatty Acids in the Risk and Treatment of Breast Cancer

Breast Cancer Patients' Use of Health Information in Decision Making and Coping

Cognitive Intervention for Breast Cancer Patients Undergoing Adjuvant Chemotherapy: A Needs Analysis

Young Breast Cancer Survivors Their Perspectives on Treatment Decisions and Fertility Concerns

Fatigue, Self-efficacy, Physical Activity, and Quality of Life in Women with Breast Cancer

Read more about breast cancer by exploring the articles in More Resources.  I’d like to point out a helpful resource in Diagnostic Breast Evaluation: When to Refer and What the Results Really Mean. Confusion continues to surround the use of mammography for screening and diagnosis of breast cancer. This article has a handy chart comparing the recommendations of the American Cancer Society and the United States Preventive Services Task Force. Be sure to check it out!

Our next issue will focus on emergency care and will include a selection of articles you don’t want to miss!

Lisa Bonsall, MSN, RN, CRNP
Clinical Edito

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Biliary obstruction affects approximately 5 per 1,000 people. Learn about possible causes, diagnostic studies and treatment options, and nursing considerations for patients with this disorder by reading The Yellow Bird of Jaundice: Recognizing Biliary Obstruction.
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By reading this article, you’ll gain a better understanding of the evidence from IOM reports regarding the need for radical change in healthcare. Discover Your Role In Redesigning Healthcare.
Nursing Management
(2.4 contact hours)

Brush up on common peripheral nerve blocks that may be administered for anesthesia or postoperative analgesia by examining Understanding Peripheral Nerve Blocks.
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Review our Recommended CE list on palliative nursing care, central line "attention" is their best prevention, obesity in pregnancy...

Discover the evidence about providing the safest practices to support positive outcomes for both our patients and nursing staff. Don’t miss Evidence-Based Nursing: 10 Ways to Practice Evidence-Based Staffing and Scheduling.
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Leaving the unit or floor with a critically ill patient is often a challenging task. Review equipment and medications to bring along to ensure a safe transport. Be prepared for Transporting Critically Ill Patients.
AJN, American Journal of Nursing

An interesting perspective is presented in this article which gives us insight into providing compassionate care to a patient with schizophrenia. Don’t miss Student Voices: Seeing Schizophrenia from the Patient's Viewpoint. 
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Browse our Recommended Readings on understanding the phlebostatic axis, experience and education is paying off for nurses, 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 Institute for Safe Medication Practices has posted the final Acute Care Guidelines for Timely Administration of Scheduled Medications.
  • Avoid adding medications to hanging I.V. solutions. The concerns with this practice include infection control, drug compatibility, and inadequate mixing. If new additives are prescribed, hang a new bottle or bag that has been prepared and dispensed by the pharmacy.

See more drug news.


To discover how good your nursing can be, you must first learn how good it is. NDNQI® is the only national nursing quality measurement program that provides hospitals with unit-level performance comparisons to hospitals of a similar size, specialty and geographic region.
Join NDNQI today.


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NEW! From the American Journal of Nursing
Sign up now for the new AJN eNews, a monthly newsletter delivered to your inbox, containing the latest clinical, nursing, and health topics. AJN's standards for accuracy and excellence, which have made us "the leading voice of nursing" for over 100 years, continue in this medium, as a trusted source for news on clinical practice, health care policy, professional issues and the "business of nursing, and drug and product alerts.

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