Implications for clinical practice and HEN education, along with suggestions for healthcare providers to foster coping with HEN are provided. An educational manual with self-help suggestions for adult HEN consumers is also available at http://www.copingwell.com.

Nurse managed wellness centers (NMWCs) are academic service settings where baccalaureate nursing students gain rich community health clinical experience while providing valuable wellness services to a vulnerable population. The Omaha System provides a framework for generating meaningful data that is essential for describing the value of NMWCs. A retrospective study of Omaha System assessments from 9 NMWCs provides descriptive data about the characteristics of the patient population and patient outcomes in relationship to knowledge, behavior, and status. Patients showed significant improvement for the overall sample and for 6 important health problems. These findings support anecdotal data about the value of NMWC for a vulnerable population. Research for this article was funded in part by a grant from HighMark.