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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 ...
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 ...
Before I started my nurse practitioner program I was happy
where I was in regards to my health. I was at a great weight, my diet had been
free of any processed sugars and grains, and I was working out several times a
By the time I started clinicals in my primary care site I
felt like a hypocrite. I had not been to see my PCP in 2 ...
''Thank you'' is one phrase that can change the outlook of your day. Last week while at work the office manager came up to my co practitioner and me. In her hands she held a letter from a patient, thanking the office for the great care that she received. The office manager eagerly asked us to see who saw her and I was surprised to find out that it ...
Over half of the US population is overweight. Most of us
are considering again our old resolution for the New Year - losing weight. Fad
diets that require severe calorie restriction have historically failed us
long-term. Many of us lose weight with these diets temporarily, but then
the weight comes on again, and is usually much more ...
I'm too young for this. That's what everyone says-or at
least thinks, the way their eyes track across my features, down to the name on
my coat, then back to my face. It's OK. I tell myself that I can earn the
respect automatically granted to someone with a few gray hairs. Besides,
there's a difference between age and maturity and these days I ...
It is fall again. If
the temperatures haven't started to drop yet where you live, they likely will
soon. It is time to break out the sweaters, jackets, coats, sweatshirts and
warmer sheets, blankets and comforters. It is also prime time for dust
Usually around this
time of year I see an influx of patients presenting to the ...
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 ...
As part of the body's capacity to heal itself, platelets and
other components in human blood migrate to a site of injury. Platelets are
known to release a variety of factors that respond to tissue injury, where they
initiate and promote healing. By concentrating platelets at the site of injury,
the body's own natural capacity for healing can ...