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  • Transtheoretical Model for Change

    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 ...
    Posted to DNP Answers (Weblog) on November 19, 2014
  • Dealing with Discouraged Patients

    You're scanning the EMR and you see four office visits in the past month with the same chief complaint. You walk in the room knowing it's not going to be an average cut-and-dry visit. The patient is frustrated about their bowel, their bladder or their other non-emergent complaint that keeps driving them back to the office, and you have to address ...
    Posted to First Year PA (Weblog) on August 4, 2014
  • NP's Orders

    There are not many things that frustrate me in my clinical practice. Most patients are open, receptive and leave shaking their heads in agreement to your plan of care. What happens once they leave your office is often unknown. You hope that they venture directly to the pharmacy, take their medications as prescribed and their health improves. ...
    Posted to First Year NP (Weblog) on July 28, 2014
  • Global Health Rotation: Malnutrition

    I just returned from Uganda 5 days ago -- a harrowing 43 hour journey with a more than a few moments of thinking we might not ever get home, but I did. And I wanted to recount a day with a problem we as NP/PA students don't face much in the U.S.: malnutrition.  Bugabero is in the Manafwa District, a sort of rural suburb of the city we ...
    Posted to NP & PA Student Blog (Weblog) on October 9, 2013
  • The Quarterly Check-Up: Part 3

    We have carved deep into the second half of my first year as a professional physician assistant. This is the perfect time for a Quarterly Check-Up to examine some of the biggest lessons over the last three months We learned that our patient's beliefs can trump the strongest medicine and that our acceptance of those beliefs makes us better ...
    Posted to First Year PA (Weblog) on October 3, 2013
  • When Kids Get Cancer

    Students: You'll learn there are good preceptors, bad preceptors and then there are physicians who inspire, often because of a single incident. Last weekend I was inspired. I am on inpatient pediatrics and late Saturday afternoon we learned about a little baby whose white blood cell count was high and the pediatrician had sent this baby ...
    Posted to NP & PA Student Blog (Weblog) on July 16, 2013
  • Skincare on a Budget

    Quality skincare does not have to come at a steep price. If you splurge in some important areas (that benefit you the most) you may need to skimp a little in other departments and that is okay. Let's call this skincare on a budget, if you will.  SKIMP: Face Wash: Don't get me wrong. I love high end, fancy foaming, ...
    Posted to Aesthetics Practice Today (Weblog) on July 2, 2013
  • Surprising Uses for Botulinum Toxin A

    Botulinum Toxin A is a protein and neurotoxin produced by the bacterium Clostridium botulinum. Botulium toxin can cause botulism, a serious, life-threatening illness in humans and animals. More patients are open to considering treatment with the toxin due to increased knowledge of benefits of its use. Botulinum toxin has been used for many ...
    Posted to Aesthetics Practice Today (Weblog) on November 13, 2012
  • Clinicals and Your First Job

    I was recently speaking with a group of students who will be graduating this year about their current clinical rotations and how things are going. Many of the students had been at at least one of their clinical sites since beginning their programs and were now feeling quite comfortable. Some students even stated that a nurse or two had asked ...
    Posted to Career Coach (Weblog) on October 17, 2012
  • The Weight of the Nation

    I don't know how many of my fellow NPs and PAs have seen and or heard about HBO's four-part documentary on obesity in America, The Weight of the Nation, but I can't recommend it enough: it is an awesome and totally relevant examination of health in the States. So many of the individuals profiled in this series were reminiscent of ...
    Posted to New Grad NP (Weblog) on August 30, 2012
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