The Impact Of Implementing A Patient-Centered Medical Home Model In The Primary Care Setting Literature demonstrates a trend of shared decision-making models that are centered around the patient. By implementing the Patient Centered Medical Home (PCMH) model, patient encounters will encompass a patient-centered decision-making approach regardless of the reason for the visit. This model incorporates ongoing preventative screenings into routine visits to create a continuum of meeting wellness initiatives without relying on a routine wellness visit yearly. To implement this model, the clinician w ..read more

Take A Minute to Listen, It Could Save a Life Listening for a carotid bruit might help save a life. Stroke cases are increasing and are debilitating to patients and their families. Listening to the carotids for one minute each time you listen to the heart since a 2mm carotid luminal narrowing can cause a bruit. If a bruit is detected, report this finding to the primary care provider to help curb the upward trend of strokes. Amy Roberts Huff PhD, APRN, FNP-BC, FAANP; Melinda Hermanns, PhD, RN, PMH-BC, CNE, ANEF on December 01, 2023 ..read more

Clinical Depression vs. Layman's' Depression: What Nurses Need to Know The general term depressed used by laymen doesn't match the medical definition used by Nursing. How to distinguish the two. Michael C. LaFerney RN, PMHCNS, BC on December 27, 2023 ..read more

Essay on my personal experience as a nurse and a patient, in the sense of asplenia as my status now in life. Disclosure of my personal observations as an asplenic person whom is also a nurse. on January 14, 2024 ..read more

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The article takes a look at the the debate over whether depression is caused by reduced serotonin or a combination of other factors. Michael C. LaFerney RN, PMHCNS, BC, Ph. D on July 23, 2023 ..read more

Resuscitation for Cardiac Arrest Should Begin and End with Basic Life Support The article discusses Advanced Cardiovascular Life Support (ACLS), which includes medical interventions for cardiac arrest and cardiovascular emergencies beyond Basic Life Support (BLS). While ACLS utilizes interventions like epinephrine administration, oxygen usage, and advanced airways, the author argues that ACLS, particularly the use of epinephrine, fails to show significant benefits in terms of neurological recovery for patients and suggests that financial motivations might contribute to its continued use. Micha ..read more

The Role of the Forensic Nurse Examiner at the U.S.-Mexico Border This article gives context to the migrant crisis at the U.S. border and describes gender-based violence and the role of the forensic nurse examiner in providing care for these victims of violence. Julie T. Bowles, MSN, RN, CCRN on September 04, 2023 ..read more

The Secret Society of Mayhem and Abuse The article highlights the crisis in global healthcare systems, particularly focusing on the immense stress on nurses. The author emphasizes that these challenges existed before the COVID-19 pandemic, with the crisis merely spotlighting them. Using personal anecdotes, they depict the struggles of nurses facing overwhelming workloads and unsupportive management. The article critiques the wage and responsibility disparity between nurses and hospital administrators, framing healthcare's issues as financial greed overshadowing patient care. The author calls o ..read more

The U.S. healthcare landscape is continually changing due to population diversity, technological advancements, and the impact of the COVID-19 pandemic, resulting in unique healthcare needs within multicultural communities. This evolution mandates nursing graduates to possess comprehensive skills to function in this dynamic environment. However, challenges such as full curricula, limited computer skills among nursing students, language barriers, and financial issues create a conflict between educational practices and practical requirements for nursing graduates. This article explores essential ..read more