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Welcome to the ADVANCE for NPs & PAs blogs, part of the Healthcare POV: Blog and Forum Community from ADVANCE. Our blogs offer posts covering timely questions, advice and opinions about nurse practitioners and physician assistants, including career issues, education information, and help for new and student NPs and PAs. A list of our most active posts keeps you abreast of the latest discussions. We tag posts by topic so you can easily find posts that interest you. You can also edit your profile to make it uniquely your own to interact with your colleagues on the blogs. We look forward to hearing your voice.
LATEST POSTS FROM EACH BLOG
November 20, 2014 10:10 AM by Debra Shelby of Dermatology Practice Today

I received a call from a nursing home staff nurse who stated that this patient "suddenly had blisters appear on the right forearm, wrist to elbow."

For those who have been in practice for a number of years, every now and then you get a patient who is a poor historian and getting a past history is impossible. After three years practicing in the nursing home and assisted living facilities, I have become accustomed ...


 
November 19, 2014 10:33 AM by Walton Reddish of DNP Answers

As healthcare providers and patient advocates, we are often faced with convincing our charges that a change is needed. Human nature is to resist change. Most of us settle into familiar routines in our lives and jobs and, no matter how inefficient or unhealthy our routines may be, we are very reluctant to disrupt the flow of our conventions. It is the responsibility of the provider to coax the individual toward healthier ...


 
November 18, 2014 5:16 PM by Mina Grasso of Aesthetics Practice Today

The current treatment of choice for androgenic alopecia (AGA) involves surgical hair transplant, use of Minoxidil and/or Finasteride. For those patients who do not want to undergo the expense and process of hair transplantation, they opt to have more conservative, less invasive treatments.

We have been performing LLLT for over a decade to treat hair loss for men and women. LLLT has been proven to promote hair ...


 
November 18, 2014 4:04 PM by Keischa Cash of DNP Answers

The last time I wrote about leaving my position in family practice and making the big leap into dermatology. Since then I have spent the last 5 weeks fully immersing myself into learning about dermatology. Needless to say, the last 5 weeks have been challenging and I have learned a lot about what I thought I knew, what I never knew, and what I should've known about dermatology. I have also felt a lot of emotions over ...


 
November 17, 2014 1:44 PM by Amy Gouley of Dermatology Practice Today

82 year old Female presented for her total body skin screening and this 0.7cm irregular shaped hyperpigemented macule with variegating colors of pink and brown. The patient could not recall how long she had lesion. The forearm was confirmed a Melanoma.

Her pathology report was the following: ...


 
November 12, 2014 3:31 PM by Renee Dahring of Career Coach

Just to be clear, I don't mean a layoff due to restructuring or downsizing. Many employers have been faced with making some hard staffing decisions in this economy so if you were terminated because of something out of your control a prospective employer probably won't hold that against you. 

But if the situation was more complicated, I can offer you a couple suggestions. 

First of all, ...


 
November 11, 2014 6:15 PM by Kimberly Cray of Aesthetics Practice Today

The VelaShape III is an FDA cleared, non-surgical device proven to effectively reduce cellulite. What makes Velashape III unique is its combination of Bi-Polar Radiofrequency, Infrared Light Energy, and Vacuum and Mechanical Massage, all in one treatment. 

VelaShape III safely contours, shapes and slims the body, allowing patients to achieve a more toned, contoured and well-shaped figure in as few as ...


 
November 10, 2014 1:16 PM by Fawn Workman of First Year NP

Nurse Practitioner Week is November 9-15, 2014 and as of 2014, there are more than 192,000 NPs in the US. That's up from 140,000 in 2010 - a huge jump that is expected to rise to 244,000 by 2025!

Since I first entered my master's NP program, I have been involved with my local chapter of the Virginia Council of Nurse Practitioners. I have had so many positive experiences with this fine group of NP leaders! ...


1 comments  
November 6, 2014 1:37 PM by Debra Shelby of Dermatology Practice Today

When starting in dermatology, most people look for the dermatology books with pictures and treatment. However, some skip the step of understanding what is happening in the skin and the reason for the morphology seen. Once again, I will recommend the Principles of Dermatology by Lookingbill and Marks. It is helpful to get the principles of diagnosis and understand the differences in presentation that will help ...


 
November 4, 2014 4:34 PM by Mina Grasso of Aesthetics Practice Today

Patients become accustomed to their beauty routines, however, during pregnancy, they must be cautioned to avoid certain procedures and products. Some have been proven to be harmful during pregnancy and others lack adequate evidence of safety during pregnancy.

Laser treatments such as laser hair removal, photorejuvenation, laser collagen rejuvenation, radiofrequency, treatment for brown spots or broken capillaries ...


 
October 31, 2014 3:55 PM by Fawn Workman of First Year NP

I'm Fawn Workman and I am a brand new MSN graduate. I'm so new that I'm still waiting for a test date for my FNP boards! I'm glad you have come to read about my thoughts and musings on my first year as an NP.

Since April, I have logged several thousand miles driving for clinical in another state while living with family members. I've also flown to Nashville for the AANP conference, to Kentucky for my school's ...


4 comments  
October 30, 2014 6:15 PM by Kimberly Cray of Aesthetics Practice Today

1.  Less is more.  A common misconception in skin care is that more is better.  In fact, over washing and over doing it with products usually only serves to irritate skin.  Consistency is more important than frequency, in many cases, and when we say pea-sized amount we mean it.   

2.  Know when to skimp vs. splurge.  Sure ...


 
October 30, 2014 1:48 PM by Amy Gouley of Dermatology Practice Today

This 64 year old female patient with hx of Melanoma in 2008 on mid chest presented for a total body skin screening. Upon examining the melanoma scar on the mid chest, were two 3mm irregularly shaped pigmented macules delicately located on top of the scar. 

A 4mm punch bx was performed on each ...


 
October 29, 2014 3:43 PM by Julie Schreiner of DNP Answers

In August 2013, California's SB 491 bill - which would allow full practice authority to California nurse practitioners - failed to get out of the Assembly Appropriations Committee. Senator Ed Hernandez took to the stand and fought for the SB 491 bill. Unfortunately, it was turned down and unable to advance in the Committee due to the strong opposition from the California Medical Association who spent over $1.2 million ...


 
October 29, 2014 3:11 PM by Renee Dahring of Career Coach

Time flies and memory fades. Remember that Seinfeld episode where the character lost one old piece of information in order to make room for every new piece of information learned? At least I think it was Seinfeld, I can't remember for sure...

I'm sure you have all had the experience of filling out a job application and found yourself struggling to recall specific dates. Most of us can remember an event, but ...


 
October 23, 2014 2:11 PM by Debra Shelby of Dermatology Practice Today

I always compare the "language" of dermatology to visiting a foreign country: if you don't speak the same language, you stand out to people as an outsider. It's the same with using the correct terms when practicing dermatology. Describing lesions and rashes has its own terminology. It is imperative to learn the language of dermatology if you want to practice the specialty, but it also important even if you are in a ...

 
October 22, 2014 1:48 PM by Walton Reddish of DNP Answers

Ultimately, it is the job of the nurse to ascertain the wants and needs of the patient and, if legal, fair, and feasible, meet those wants and needs. In other words, find out what the patient wants (or needs) and give it to them. That job does not change as we move into advanced practice and the DNP is faced with that same task. The challenge comes when the patient can't or won't follow the treatment regimen that ...


2 comments  
October 16, 2014 10:27 AM by Amy Gouley of Dermatology Practice Today

This 41-year-old navy pilot patient presented to our clinic stating his wife says a mole on his nose is changing. The lesion appeared in the man's mid 20's along with some "uneven skin" on his forehead. The patient denies pain or discharge but does report the nose lesion enlarging when he is in the sun. 

A punch biopsy was performed in two locations to confirm a Nevus Sebaceous and rule out a Basal Cell ...


 
October 15, 2014 12:49 PM by Keischa Cash of DNP Answers

Well I have told you about everything that I have gone through at the place where I work. I've been battling for recognition and respect, but when it came down to it I realized it was happiness that I wanted - a place where I could enjoy my profession and the patients I serve without any drama. Sadly, after many hard fought battle, this was not that place.

I have embarked on a new mission. I have left my previous ...


3 comments  
October 15, 2014 11:54 AM by Renee Dahring of Career Coach

CAUTION! You could be one status update or tweet away from losing your job. 

Now that I have your attention, I would like to remind everyone that what you choose to share on social media can have a negative impact on your employment. We live in an age where we are more connected than ever so you need to think carefully before you hit the "post" button. One of the most seductive things about social media ...


 
October 14, 2014 4:32 PM by Kimberly Cray of Aesthetics Practice Today

Just like one pair of jeans may fit someone perfectly, the chances of that same pair being right for the next person that walks through the door are, well, pretty much zero

One of the most important factors in considering an aesthetic treatment is what it will do for your skin. The same treatment that helped a friend may or may not be the best treatment for you. I can't tell you how often people ...


 
October 9, 2014 4:26 PM by Debra Shelby of Dermatology Practice Today

COMING SOON!  MAY 11-16th, 2015. Registration will be open in November 15, 2014!

Course fees: $2,850* includes course texts and materials, membership for 1 year, NADNP annual dermatology conference registration, basic procedures and wound care workshops.
*Does not include: transportation, hotel, flights, or meals.

Location: Sheraton Sand Key ...


 
October 8, 2014 2:56 PM by Deanna McCarthy of DNP Answers

"Epidemiology" and "Health Indices of Urban Populations": these are the names of the two courses I am taking this semester. At first, I thought, What does this have to do with being an DNP?

I am learning that it has a lot to do with being a DNP. You need to know what is happening in the health of the community around you so that you can be prepared to take care of that community. This message could ...


 
October 8, 2014 1:12 PM by Renee Dahring of Career Coach

Here are some sure ways to sabotage your next position while job hunting:

  1. Applying for a new job until you are clear about what it would take for you to leave your present job. Employers hate fishing expeditions. Before you start sending out applications ask yourself what it will take for you to make the move. Is it salary or schedule? What exactly is it that you want to change? Before you submit ...

1 comments  
October 7, 2014 3:23 PM by Mina Grasso of Aesthetics Practice Today

Wardrobe frustrations and an endless search for the perfect bra, spanx or other compression material to conceal fat bulges around the bra go on. A particularly challenging fat bulge is the anterior and posterior axillary fat pad area (armpit fat). This fashion-limiting issue is something that many patients often demand a solution for.

Injectable RF (radiofrequency) using a procedure called Thermi-Tight may be a ...


1 comments  

ABOUT OUR BLOGS

The ADVANCE for NPs & PAs blog offers analysis of and links to NP and PA professional issues and current healthcare events.

Share the trials and triumphs on the journey from rookie new graduate to experienced PA.

By reflecting on her own experiences as a PA student, Jenna hopes to reach others interested in the day-to-day life of a PA student.

Share the trials and triumphs of the journey to becoming an experienced NP.

If you're looking for your dream job or just want to know what's out there for NPs today, start here with the expert advice of nurse practitioners who specialize in placing NPs in good jobs.

This blog will highlight the latest technical tools that can be used in clinical medicine as well as tools for teaching clinical medicine in an academic setting.

DNPs and DNP students will share their experience with the doctor of nursing practice.

Read about new technologies that affect you in daily practice.

What are the latest trends in aesthetics? Our bloggers share their insight and experiences in this growing specialty.

Interested in dermatology or challenged by skin presentations in your practice setting? Dermatology Practice Today examines issues in skin care and skin disease.

NP and PA students have a clear voice here. Find out what your student colleagues are experiencing in their programs. Feel free to post comments and questions to add to the discussions.

This new NP will share the ups and downs of her first year in practice.

Share the excitement and nerves of the first year on the job with this new physician assistant.

The Politics of Healthcare covers the latest developments in healthcare policy and legislation.