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The American Association of Colleges of Nursing published the ''The Essentials of Doctoral Education for Advanced Nursing'' in 2006. There are eight essentials outlining the required competencies of a Doctor of Nursing Practice (DNP) graduate. The second essential pertains to leadership and emphasizes the DNP's ability to facilitate ...
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. ...
Primary care is so imperfect. Each day I could probably find as many things to complain about as complaints my patients come in with, and I am beginning to see why burnout can occur. That is, if you don't have the right perspective. As I forge ahead on this year-one journey, I am creating tenets to avoid burnout. I'm honestly not a huge ...
This is a photo of a 56 year old male who arrived to our office for a total body skin exam.
Patient was born and raised in Washington with a negative history of skin cancer, both himself and family. Patient enjoys sailing and boating and has spent numerous years outdoors. The patient has a Fitzpatrick type 2 and admits to several ''blistering ...
I find myself thinking quite a bit about how much healthcare has changed since I was young and trying to figure out how it is that we have come to find ourselves in our current situation.
I just want to state, for the record, that I am not that old. I was a kid in the 60s and I had my children during the 70s and early 80s. I am not talking ...
If our eyes are the windows to our soul, then our eyebrows are most certainly the curtains. And it has been studied to be true - eyes are the first thing another person notices about our appearance.
With all the care that goes into taking care of our eyes, I find that eyebrows are often overlooked. The shape of our brows is very ...
clinic, I will allow my red fox labrador retriever to assist me in chart
completion and pathology management.
I absolutely love having
her nap under my desk and her presence brightens up our entire office.
I live in a very dog
friendly community and the majority of my patients own a dog, which makes an
Okay, okay. Magnifying mirrors may have their
place in the world. But for your skin's sake, please stay as far away from
them as you can! I am a firm believer that more often than not your skin
will improve the less you do to irritate it. When I removed my trusted and
powerfully lit magnifying mirror from my counter a ...
Graduation day is just around the corner (but who is
counting?), so I've decided to reflect back on the ''lessons learned'' during my
clinical year of PA school. It has been a challenging and rewarding experience
for me. There have been ups and downs; both were very much needed. Live and
learn, as they say.
Avoid asking questions that ...
(Above) Heart-shaped pigmented Basal Cell Carcinoma on the back of a 71-year-old male.
(Above) Heart-shaped Actintic Keratosis on the left forearm of an 88-year-old male.
(Above) Heart-shaped squamous cell carcinoma on the lower leg of a 73-year-old male with a history of previous skin cancers.
(Above and ...