Mikki Meadows-Oliver

Abstract

This chapter presents a case of a 27-day-old infant who is presented to the primary care office with complaints of “breathing fast” and congestion. He is accompanied by both parents. He has had no fever. At home, his rectal temperature was 37.2 degrees this morning. The parents tried using a humidifier to alleviate the symptoms, but they do not feel that this helped. They also used a bulb syringe with nasal saline to help relieve nasal congestion. The chapter also provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

This chapter explores the case of Cassidy, a 12-hour-old female, who was born at home via planned home birth. She was brought into the primary care office for an initial health maintenance visit. On initial examination, she was found to have rapid breathing when the office nurse weighed her. Cassidy's birth weight was 3380 g and her Apgar scores were 9 at 1 minute and 9 at 5 minutes. The chapter provides essential guidance and information for understanding how to diagnose and manage this case by conducting pulmonary screening. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

This chapter explores the case of a seven-year-old Aubrey, who is presented to the primary care office with a complaint of a rash for 2 days. Aubrey has also had a mildly runny nose and cough for 3 days. She has had a low-grade fever, and her maximum temperature at home was 37.9°C (oral). Aubrey has had no vomiting or diarrhea. Aubrey had an emergency department visit at 5 years of age for sutures to her head after she fell and struck her head on the corner of a table. She has had no injuries or illnesses since that time. The chapter provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

This chapter explores the case of a 4-year-old female, Abigail, who is presented in the clinic for evaluation of a rash with no symptoms of fever. According to her mother, Abigail first developed a small, red papule between her nose and her upper lip a few days prior to the appointment. The patient complains that the rash is sometimes pruritic, so she has been scratching the area. Abigail's mother feels that the rash is spreading due to Abigail's manipulation of the area. The chapter provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for family nurse practitioner.

Abstract

This chapter presents a case of a 4-day-old infant in the primary care office with her mother for weight check and skin screening. Her mother states that infant has a rash on her chest and arms that has been intermittent for the past 2 days. There do not seem to be any triggers for the rash. She washed all of the baby's clothes in a hypoallergenic cleanser only and has not used any moisturizers on the skin since the baby was discharged from the hospital. The chapter also provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

This chapter explores the case of eight-year-old Suzanna, who is presented to the primary care office with a complaint of a sore throat for 2 days. Suzanna complains that she has pain when she swallows. She also complains of a headache. Both the throat pain and headache are relieved slightly with the use of over-the-counter pain relievers. She usually has no problems falling or staying asleep but since the throat pain has started, her sleep has been interrupted. The chapter provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

This chapter explores the case of Five-year-old Lamont, who is presented to the primary care office with his father, Allen, with a complaint of a toothache. Allen gave Lamont an over-the-counter pain reliever to help with the pain. The pain reliever helped, and Lamont went back to sleep. However, when Lamont awakened this morning, he was again complaining of a toothache, and Allen decided to bring him in for a visit. The chapter provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

There is a clear and growing need to be able record and track the contributions of individual registered nurses (RNs) to patient care and patient care outcomes in the US and also understand the state of the nursing workforce. The National Academies of Sciences, Engineering, and Medicine report, The Future of Nursing 2020–2030: Charting a Path to Achieve Health Equity (2021), identified the need to track nurses’ collective and individual contributions to patient care outcomes. This capability depends upon the adoption of a unique nurse identifier and its implementation within electronic health records. Additionally, there is a need to understand the nature and characteristics of the overall nursing workforce including supply and demand, turnover, attrition, credentialing, and geographic areas of practice. This need for data to support workforce studies and planning is dependent upon comprehensive databases describing the nursing workforce, with unique nurse identification to support linkage across data sources. There are two existing national nurse identifiers– the National Provider Identifier and the National Council of State Boards of Nursing Identifier. This article provides an overview of these two national nurse identifiers; reviews three databases that are not nurse specific to understand lessons learned in the development of those databases; and discusses the ethical, legal, social, diversity, equity, and inclusion implications of a unique nurse identifier.

Abstract

Discussion of culture is complex and, within a mental health context, may prove to be complicated and controversial. This chapter defines culture, acculturation, and marginalization, explores cultural factors that advanced practice registered nurses (APRNs) must understand. It addresses the complex needs of immigrant, refugee, displaced, and culturally vulnerable youth living in challenging in country environments or who are crossing numerous global geographic boundaries. Cultural factors have an impact on the mental/behavioral health of immigrant and refugee children and the children of immigrant parents. The chapter also includes practice, education, and research implications along with recommendations for APRNs working with immigrant, refugee, displaced, and culturally vulnerable populations, and concludes with a case exemplar to illustrate key considerations.

Abstract

Pediatric bipolar, now more commonly referred to as disruptive mood dysregulation disorder (DMDD), is estimated to impact between 0.8% and 4.3% of youth. This chapter describes the symptoms, etiology, and management of mood dysregulation in children and adolescents with a focus on depression, DMDD, persistent depressive disorder, and persistent mood disorder. Additionally, the NIMH researched severe mood dysregulation disorder descriptors are presented. Associated risk factors, screening and assessment tools for use in primary care, evidence-based management strategies, roles for the advanced practice registered nurse (APRN), consequences of untreated mood dysregulation disorders, and implications for conducting and using nursing research in practice with this population are also presented. The chapter differentiates between the roles and responsibilities of primary care practitioners and child and adolescent psychiatric-mental health APRNs in managing the range of mood dysregulation disorders in children and adolescents.