Screening for cancer and coronary risk factors through a nurse practitioner-staffed preventive health clinic

Snow, Susan; Calder, Elizabeth A.; Taylor, Lorraine S.; Lane, Thomas J; Manu, Peter; Federici, Carolyn M.

doi:10.1016/0091-7435(89)90017-0

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…The second is the use of community health services, particularly community health nurses, in the ongoing evaluation and follow-up of Hutterites found to be at risk for hypertension. The efficacy and cost effectiveness of using nurses to monitor and treat hypertension on a long-term basis has been demonstrated (Snow et a]., 1989). A more innovative approach to long-term followup would be to train a small number of Hutterites from each colony to provide ongoing surveillance and counselling services.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of hypertension screening in the hutterite population

Brunt¹,

Love²

1992

Research in Nursing & Health

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The purpose of this study was to examine the impact of a hypertension screening program on Hutterites from Alberta, Canada who were found to have a diastolic blood pressure greater than 90 mm Hg. At approximately 16 months postscreening, 200 subjects completed a self-administered questionnaire requesting information about physician follow-up and pharmacologic and nonpharmacologic therapy. Seventy-four percent of the subjects reported that they had their blood pressure measured at least twice since screening. A third of the respondents reported changes in pharmacologic management. Subjects reported weight loss (36%), and salt and alcohol reduction (64% and 48%, respectively) as nonpharmacologic methods for lowering blood pressure. In terms of physician follow-up and pharmacologic and nonpharmacologic modification, the screening program was effective.

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Section: Discussionmentioning

confidence: 99%

Evaluation of hypertension screening in the hutterite population

Brunt¹,

Love²

1992

Research in Nursing & Health

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“…These studies tested the effects of preventive health screening exams offered by NPs. One study addressed the use of a "protocol guided exam" on 176 subjects with interventions to improve preventive screening (Snow et al, 1989). The presence of cancerous lesions were confirmed in 6 of the 176 patients examined and 3 or more coronary artery disease risk factors were identified in 19%.…”

Section: Preventative Practices Of Nurse Practitionersmentioning

confidence: 99%

Prevention in the Inpatient Setting

Kelley

Daly

2001

Journal of the American Academy of Nurse Practitioners

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Purpose To review the literature on and describe approaches to implementing health promotion and disease prevention practices in the inpatient setting. Data sources Comprehensive review of nursing and medical literature, clinical practice guidelines, and U.S. government documents. Conclusions Preventive screening has been shown to reduce morbidity and mortality from many diseases. Health promotion and disease prevention activities form the foundation of practice for many nurse practitioners (NPs). As increasing numbers of NPs begin to practice in the acute care setting, it is important they incorporate prevention into the inpatient setting. Implications for practice Because there are many barriers that impact appropriate preventive screening, health care providers must take advantage of every patient encounter including those in the inpatient setting. Although it may not be feasible to actually perform certain screening exams while a patient is hospitalized, it is feasible in many cases to take a few minutes to review recommended preventive screening.

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“…A correlation between risk factors for coronary artery disease as arterial hypertension, hypercholesterolemia, cigarette smoking and obesity is known. 26,27 The patient who experienced the newly diagnosed lung carcinoma was a current smoker with at least 20 pack years. Smoking is associated with increased risk of lung cancer and colon carcinoma.…”

Section: Cancermentioning

confidence: 99%