Journal Sciences News
Canadian Journal of Cardiology
March 2018
Positive Living with HIV/AIDS
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Kenneth D. Phillips, Teresa M. Stephens
March 2018
Copyright
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1

March 2018
Contributors
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1

March 2018
Contents
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1

March 2018
Forthcoming Issues
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1

March 2018
Positive Living with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Kenneth D. Phillips
March 2018
Exercise and Positive Living in Human Immunodeficiency Virus/AIDS
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Jason R. Jaggers

Teaser

Evidence would suggest that regardless of disease status, people living with human immunodeficiency virus (HIV)/AIDS can obtain similar health benefits from routine physical activity reported within general populations. Research has shown significant improvements among psychological and physiologic variables within the first 5 to 6weeks of beginning a routine physical activity program. Daily activity has shown promising results in other clinical populations, but there is still a paucity of research that limits evidence among the HIV population. Additional research is needed to examine the long-term benefits of physical activity, and to discover more practical ways to achieve this lifestyle change.
March 2018
Nutritional Issues and Positive Living in Human Immunodeficiency Virus/AIDS
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): William Andrew Clark, Eileen M. Cress

Teaser

Nutritional counseling has been shown to improve dietary intake in individuals with human immunodeficiency virus (HIV)/AIDS. Registered dietitians/nutritionists can individualize diet interventions to optimize effectiveness in treating metabolic consequences of the HIV infection or highly active antiretroviral therapy. Nutrition management for individuals infected with HIV can be helpful in maintaining lean body weight, combating oxidative stress, reducing complications from hyperglycemia and hyperlipidemia, and managing gastrointestinal function. Consideration should be given to including the expertise of a registered dietitian/nutritionist.
March 2018
The Role of Faith-Based Organizations in the Education, Support, and Services for Persons Living with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Teresa M. Stephens

Teaser

Faith-based organizations are in a unique position to provide resilience-enhancing efforts for persons living with human immunodeficiency virus/AIDS. Many persons living with human immunodeficiency virus/AIDS report having a strong faith or religious affiliation, with a large percentage attending church services on a regular basis. Faith-based organizations can use these factors to reach out to these individuals and effectively promote health, well-being, education, and support. Faith-based organizations can contribute to the reduction of stigma and isolation for persons living with human immunodeficiency virus/AIDS.
March 2018
Mindful Living with Human Immunodeficiency Virus and AIDS
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Kate Hendricks Thomas, Justin T. McDaniel, Aaron J. Diehr, Kyleanne Hunter

Teaser

Complementary techniques are useful in treating adverse symptoms of human immunodeficiency virus (HIV) and AIDS, and in preventing disease spread by encouraging screening. This study indicates that HIV diagnosis rates are higher in states where behavioral medicine is practiced; participation in such activities may influence the extent to which someone might closely monitor personal health. A strong evidence-base exists for the recommendation of mindfulness practices that improve rates of primary preventive practices and self-reported quality of life for participants living with chronic conditions such as HIV and AIDS. Access to such programs is an area for future research and practice.
March 2018
Promoting Cardiovascular Health in Patients Living with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Robin Harris

Teaser

Patients living with human immunodeficiency virus/acquired immunodeficiency syndrome (PLWHA) are at increased risk of cardiovascular disease because of advances in human immunodeficiency virus/acquired immunodeficiency syndrome treatment and increased life expectancy. Cardiovascular health promotion in PLWHA includes strategies for risk factor reduction, disease prevention, early detection, and treatment of cardiovascular disease.
March 2018
Substance Use Disorders in People Living with Human Immunodeficiency Virus/AIDS
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Priyanka Amin, Antoine Douaihy

Teaser

Persons living with human immunodeficiency virus (HIV)/AIDS have a substantial burden of co-occurring substance use disorders (SUDs); untreated alcohol and drug use disorders among people living with HIV/AIDS contribute to worse HIV care outcomes. SUDs are associated with key health behaviors and outcomes, including delays in seeking medical care, poor engagement in treatment, reduced adherence to medical treatment and antiretroviral therapy, immunosuppression, increased HIV transmission through risky sexual behaviors, and increased burdens on health care systems. HIV infection comorbid with SUD and a psychiatric disorder is a clinically challenging condition creating a complex set of medical and psychosocial challenges.
March 2018
Best Practices and Self-Care to Support Women in Living Well with Human Immunodeficiency Virus/AIDS
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Melinda Ann Bogardus

Teaser

Women accounted for 20% of the cumulative AIDS cases in the United States as of 2015. Although their incidence of human immunodeficiency virus (HIV) has declined in recent years, the rates of new infections and AIDS diagnoses for women of color have remained high. Women with HIV tend to be more vulnerable than men with this disease. They are more likely to be poor, uninsured, depressed, and homeless; to have experienced interpersonal violence; and to be caregivers. Attention to psychosocial needs and building trust are fundamental to engaging HIV-positive women in care and helping them attain optimal health.
March 2018
Management of Coinfections in Patients with Human Immunodeficiency Virus
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Sabra S. Custer

Teaser

In addition to chronic use of antiretrovirals to maintain suppression of human immunodeficiency virus (HIV), many persons living with HIV are coinfected with tuberculosis, hepatitis B, or hepatitis C. These coinfections can be successfully treated or managed alongside HIV infection. Clinicians should follow practice guidelines to appropriately screen patients with HIV for these coinfections and initiate treatment when necessary. The most significant concern when treating any of these coinfections is to avoid drug-drug interactions with the patients antiretrovirals. Several excellent practice guidelines exist for treatment of these common HIV coinfections.
March 2018
A Therapeutic Perspective of Living with Human Immunodeficiency Virus/AIDS in2017
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): David B. Cluck, Roxanne F. Underwood

Teaser

Patients with human immunodeficiency virus (HIV)/AIDS live a far different life today compared with those who were infected in the 1980s and 1990s. Antiretroviral therapy has evolved from a once poorly tolerated, heavy pill burden to the availability of many once-daily single-tablet regimens. The improvements in therapy have necessitated the need to be cognizant of comorbidities as well as drug-drug interactions. Despite the tremendous advances in therapy, newer therapies are in the pipeline and continue to emerge, making care for patients burdened by HIV perhaps easier than it has ever been.
March 2018
Stigma and Discrimination
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Richard L. Sowell

Teaser

Antiretroviral therapy and care advances have resulted in people with human immunodeficiency virus (HIV) living longer and enjoying a higher level of physical well-being. Despite such advances, individuals with HIV continue to confront challenges to living positively, including facing the secondary epidemic of stigma and discrimination. Following is a historical overview of the concept of stigma and an exploration of the causes and consequences of multilevel stigma for individuals with HIV. Strategies used by individuals and societies to manage stigma and avoid negative experiences also are examined.
December 2017
End-of-Life Care and Bereavement Issues in Human Immunodeficiency VirusAIDS
Publication date: March 2018
Source:Nursing Clinics of North America, Volume 53, Issue 1 Author(s): Karl Goodkin, Sindhura Kompella, Steven F. Kendell

Teaser

This review article addresses end-of-life care issues characterizing human immunodeficiency virus progression by delineating associated stages of medical and nursing care. The initial progression from primary medical and nursing care aimed at functional cure to palliative care is discussed. This transition is considered in accord with the major symptoms experienced, including fatigue, pain, insomnia; decreased libido, hypogonadism, memory, and concentration; depression; and distorted body image. From the stage of palliative care, progression is delineated onward through the stages of hospice care, death and dying, and the subsequent bereavement process.
December 2017
Glucose Regulation
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Celia Levesque
December 2017
Copyright
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4

December 2017
Contributors
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4

December 2017
Contents
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4

December 2017
Forthcoming Issues
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4

December 2017
Diabetes: A Health Threat on the Rise
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Stephen D. Krau
December 2017
Glucose Regulation
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Celia Levesque
December 2017
Management of Type 1 Diabetes
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Anne Kay Brinkman

Teaser

Comprehensive type 1 diabetes management requires understanding of the pathophysiology of disease and the ability to contrast this process with type 2 diabetes. Nurses are often the first contact with patients and must be aware of the advancements in detection, therapies, and signs of complications in these patients. Individuals with type 1 diabetes are at high risk for glycemic complications caused by potentially preventable errors in medication administration, which can be mitigated with appropriate education.
December 2017
The How-To for Type 2
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Seliece Dodds

Teaser

This article presents an overview of type 2 diabetes diagnosis and management. A brief discussion of epidemiology, including incidence, prevalence, and etiology, provides the basis for the importance of the discussion. The review then proceeds to outline diagnostic criteria and follow-up monitoring guidelines. Recommendations for evidence-based lifestyle measures and current pharmacologic options are addressed. A priority on individualized, holistic care with patient-specified goals and the management of comorbidities is emphasized.
December 2017
Noninsulin Diabetes Medications
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Sigi Varghese

Teaser

Pharmacotherapy for diabetes has changed greatly owing to drugs and drug classes available. There are 11 classes of noninsulin diabetes medications available in the United States. With the use of 1 drug alone or in combination with different drugs, it is possible to improve glycemic control in patients with diabetes. Important properties of antidiabetic agents play a role in the choice of that particular medication for individual patients. Prescribing a diabetes medication regimen is based careful assessment of patient needs, and consideration of the medications efficacy, impact on weight, hypoglycemia risk, potential side effects, cost, and patient preferences.
December 2017
Insulin Therapy
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Veronica J. Brady

Teaser

Since its development, insulin therapy has been a mainstay in the arsenal of every practitioner battling against diabetes. For patients with type 1 diabetes mellitus, insulin is essential for survival, and for those with type 2 diabetes mellitus, as the disease progresses, it may become a necessary addition to treatment. The goal of this article is to discuss insulin therapies that are currently available for use in the management of diabetes, from the old to the new and novel, and briefly discuss insulin use in special populations.
December 2017
A Primer on Insulin Pump Therapy for Health Care Providers
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Deborah L. McCrea

Teaser

An estimated 1 million people use an insulin pump to manage their diabetes. Few medical professionals understand or feel comfortable caring for people who use an insulin pump. This article will help the medical professional understand the reasons why the insulin pump helps the user to achieve better glycemic control, have more flexibility, and enjoy a better quality of life. Additionally, this article discusses the advantages, disadvantages, candidate selection, contraindications, basic functions, and troubleshooting of the insulin pump.
December 2017
Hypoglycemia in Diabetes
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Marjorie R. Ortiz

Teaser

Hypoglycemia is a common problem in patients with diabetes, and often limits those trying to achieve tight glucose control. Achieving optimal glucose control is necessary to prevent microvascular complications. Hypoglycemia can cause mild disturbances to daily life, but in severe cases can be fatal. Patient education of hypoglycemic medications, risk factors, contributing factors, and prevention strategies should be included in the care plan of patients at risk of developing hypoglycemia.
December 2017
Management Strategies for Patients with Diabetic Kidney Disease and Chronic Kidney Disease in Diabetes
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Jessica K. Yakush Williams

Teaser

Diabetes mellitus is a leading cause of chronic kidney disease, prompting the need for monitoring and management of this complex condition in those diagnosed with diabetes. Management is often multifaceted and includes lifestyle modification, management of hyperglycemia, and management of hypertension and hyperlipidemia to slow progression of kidney disease and to mitigate cardiovascular risks associated with diabetes and kidney disease. This article reviews the current literature regarding monitoring and management of diabetic kidney disease and chronic kidney disease in diabetes.
December 2017
Management of Diabetes in Children and Adolescents
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Celia Levesque

Teaser

Diabetes is a common chronic illness in children and adolescents. This article will discuss the prevalence, diagnostic criteria, types, treatment, and transition of care into adulthood.
December 2017
Management of Lipids in Patients with Diabetes
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Ngozi D. Mbue, John E. Mbue, Jane A. Anderson

Teaser

Abnormal lipids, sometimes referred to as diabetes dyslipidemia, is a common condition in patients with diabetes. With the increasing number of patients with abnormal lipids, especially those with type 2 diabetes, health care practitioners, including nurses, have to properly manage patients with diabetes as well as abnormal lipids. This article examines the pathophysiology of abnormal lipids, the management of abnormal lipids, and the lipid goals for patients with diabetes. Lastly, this article discusses pharmacologic and nonpharmacologic therapies and the role of primary care providers and nurses in the management of abnormal lipids.
December 2017
Review of 2017 Diabetes Standards of Care
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Kate Crawford

Teaser

Diabetes is a complex medical condition that requires evidence-based care. This article discusses the current diabetes screening, diagnostic criteria, and treatment recommendations for patients with type 1 diabetes, type 2 diabetes, gestational diabetes, and prediabetes.
December 2017
Prediabetes
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Mara Lynn Wilson

Teaser

Prediabetes is a complex multifactorial metabolic disorder that extends beyond glucose control. Current studies have found that microvascular disease (neuropathy, nephropathy, and retinopathy), macrovascular disease (stroke, coronary artery disease, and peripheral vascular disease), periodontal disease, cognitive dysfunction, blood pressure changes, obstructive sleep apnea, low testosterone level, fatty liver disease, and cancer are some of conditions that are present with the onset of glycemic dysregulation. The presence of prediabetes increases the risk of developing type 2 diabetes 3-fold to 10-fold. The identification and treatment of prediabetes are imperative to prevent or delay the progression to type 2 diabetes.
December 2017
Therapeutic Lifestyle Changes for Diabetes Mellitus
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Celia Levesque

Teaser

Diabetes mellitus is a common chronic disease affecting approximately 9% of the United States population. Successful management of diabetes demands constant self-management on the part of the patient. The patient has to balance diabetes medications, blood glucose monitoring, food intake, physical activity, and management of diabetes-related acute and chronic complications. The patient is often bombarded with misinformation from friends, relatives, and such sources as the Internet and social media. This article discusses the current recommendations for diabetes self-management education and skills including medical nutrition therapy, physical activity, smoking cessation, and assessment for diabetes distress.
September 2017
Pain Management in Older Adults
Publication date: December 2017
Source:Nursing Clinics of North America, Volume 52, Issue 4 Author(s): Ann L. Horgas

Teaser

Treating pain in older adults can be complex because of the age-related physiologic changes, comorbidities, and polypharmacy. Thus, an individualized, multimodal treatment approach is recommended. Treatment plans should include pharmacologic and nonpharmacologic strategies. Several important clinical guidelines and expert panel statements are available to guide health care providers in the best practices for treating pain in older adults. This article provides evidence-based recommendations for pharmacological and non-pharmacological pain management in older adults.
September 2017
Geriatric Syndromes
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3 Author(s): Jennifer Kim, Sally Miller
September 2017
Copyright
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3

September 2017
Contributors
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3

September 2017
Contents
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3

September 2017
Forthcoming Issues
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3

September 2017
Geriatric Syndromes: Meeting a Growing Challenge
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3 Author(s): Jennifer Kim, Sally Miller
September 2017
Understanding Frailty
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3 Author(s): Cathy A. Maxwell, Jinjiao Wang

Teaser

Frailty is a public health crisis for an aging society. As a concept and condition, frailty is poorly understood and underrecognized in clinical settings. Nurses play an important role as frontline providers who care for aging adults. The aim of this article is to raise awareness among nurses about frailty and to discuss the recognition and management of this prevailing condition. The authors present conceptual definitions and models of frailty, a brief discussion of the underlying biological mechanisms and evidence-based interventions for frailty identification, and approaches to delay and decrease the burden of frailty.
September 2017
Cognitive Issues
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3 Author(s): Melodee Harris

Teaser

Cognitive decline in older persons can be pathologic or occur as a part of the normal aging process. Delirium, depression, and dementia are geriatric syndromes and neurocognitive disorders that are the result of cognitive decline associated with pathology. This overview is a brief guide on cognitive decline and how to identify, manage, and treat associated neurocognitive disorders, including delirium, depression, and dementia.
September 2017
Pain Assessment in Older Adults
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3 Author(s): Ann L. Horgas

Teaser

Pain is a common experience for many older adults. Significant efforts have been undertaken to address and improve the assessment of pain in older adults over the past 2 decades. There have been many empirical studies and several expert panel statements to guide health care providers in the best practices for assessing pain in this population. This article provides a conceptual model that summarizes causes and consequences of pain and highlights the relationship between acute and persistent pain. Recommendations for pain assessment tools, including those developed for use in cognitively impaired elders, are presented.
September 2017
Impaired Sleep
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3 Author(s): Grace E. Dean, Carleara Weiss, Jonna L. Morris, Eileen R. Chasens

Teaser

Impaired sleep increases in prevalence in older adults, with multiple possible causes that can interact with each other and can lead to poor health outcomes. This article describes normal changes in sleep with aging, sleep disorders that increase in prevalence in older adults, medications and sleep, and medical conditions and psychosocial conditions associated with impaired sleep. In addition, a brief assessment that nurses could use to assess for impaired sleep and nonpharmacologic interventions to improve sleep are discussed.
September 2017
Impairments in Skin Integrity
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3 Author(s): Rose W. Murphree

Teaser

Altered skin integrity increases the chance of infection, impaired mobility, and decreased function and may result in the loss of limb or, sometimes, life. Skin is affected by both intrinsic and extrinsic factors. Intrinsic factors can include altered nutritional status, vascular disease issues, and diabetes. Extrinsic factors include falls, accidents, pressure, immobility, and surgical procedures. Ensuring skin integrity in the elderly requires a team approach and includes the individual, caregivers, and clinicians. The twenty-first century clinician has several online, evidence-based tools to assist with optimal treatment plans. Understanding best practices in addressing skin integrity issues can promote positive outcomes with the elderly.
September 2017
Gastrointestinal Disturbances in the Elderly
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3 Author(s): Natalie R. Baker, Kala K. Blakely

Teaser

Gastrointestinal (GI) age-related changes create alterations in the bodys ability to digest, absorb, and excrete nutrients, medications, and alcohol and disrupts GI immunity responses. All older adults exhibit some degree of swallowing difficulty, also known as senescent swallowing. The effects of chronic disease and sustained use of alcohol, tobacco, and medications often exacerbate age-related GI dysfunction. Older adults often have nonspecific complaints, warranting a thorough health history and physical examination, including prescription and over-the-counter medications. Colorectal cancer screening tests should be discussed with all older adults because of the high incidence of colorectal cancer in this patient population.

Nutritional Problems Affecting Older Adults
Publication date: September 2017
Source:Nursing Clinics of North America, Volume 52, Issue 3 Author(s): Neva L. Crogan

Teaser

Nutritional problems, such as malnutrition, dehydration, and electrolyte imbalance, are multifaceted and complex issues for older adults. This article describes these potential nutritional problems and then discusses evidence-based assessment strategies and treatment modalities that target these problems. Micronutrient deficiency is explored and evidence-based supplementation discussed. Many factors contribute to weight loss and malnutrition in older adults. These factors are classified as social, psychological, and/or biological. Addressing these issues and the influence of oral health on food intake are imperative to enhancing the overall quality of life for older adults.
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