Psoriatic arthritis (PsA) is associated with psoriasis, a chronic inflammatory skin disease. About 30% of patients with psoriasis develop PsA, and some of these patients are children and young adults. Because onset can be gradual, PsA signs and symptoms are easily attributed to other causes, especially in younger patients. This article discusses the assessment, pathophysiology, and diagnosis of PsA and informs nurses how best to support patients with PsA.
Institute (NHLBI) coordinated with the National Asthma Education and Prevention Program (NAEP) Committee to develop focused updates to the diagnosis and management of asthma. 3,4 These changes were related to the use of inhaled corticosteroids, immunotherapy, indoor allergen mitigation, fractional exhaled nitric oxide (FeNo) testing, and bronchial thermoplasty. This article discusses recent updates on the clinical management of asthma and outlines ways for nurses to engage patients in the management of their disease.Asthma is a chronic airway disorder characterized by a complex cascade of pathophysiologic changes that result in airflow obstruction, bronchial hyperresponsiveness, and underlying inflammation. 5 Approximately 25 million Americans, or 1 in 13, have asthma. 6,7 In adults, it is more common in females (9.8%) than men (6.1%). However, in children, the occurrence is higher in boys (8.3%) than in girls (6.7%), with the highest incidence in teenagers. [7][8][9] Due to the insidious and chronicity of symptoms, children and young adults continue to be underdiagnosed and undertreated, contributing to 9.8 million medical office visits and 1.6 million ED
Background: Recipients of health care in the 21st century demand excellent patient-centered care and outcomes. Leaders of health care organizations, as well as political and national organizations, have focused their attention to the readiness of newly graduated baccalaureate of science in nursing prepared nurses to care for patients. Bridging the gap from nursing science theory to professional practice remains a challenge for nursing programs. The purpose of this study was to evaluate the impact of the clinical learning practice settings on the individual student’s development of clinical judgment skills. Methods: This quantitative comparative pilot study evaluated the unlicensed BSN student’s ability to demonstrate safe and effective patient care before and after exposure to a clinical learning setting. This project involved applying a progressive simulation experience with a quantitative pretest (prior to clinical exposure) and posttest (after clinical exposure) to determine the impact of two nursing clinical learning models, a traditional clinical model and a dedicated education model, on individual students’ development of clinical judgment. Data was analyzed using SPSS version 24. Results: Students in the dedicated education clinical learning model demonstrated statistically significant change in the pre- and post-test scores improvement in their clinical judgment competency. Conclusions: Although both clinical models provided evidence in support of student development of the professional competency of clinical judgment, there is a need to continue to evaluate the long-term impact of this model on student learning outcomes.
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