Dr. Gary D. Goldberg, PhD

Dr. Gary D. Goldberg, PhD is a frequent contributor to RN Journal with 9 articles published to date.

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Evaluation of Impairment from the Kidneys: Background of Assessment for the Registered Nurse and the Clinical Practitioner 

Evaluation of Impairment from the Kidneys: Background of Assessment for the Registered Nurse and the Clinical Practitioner 

Tags: assessment clinical practitioner euthanasia kidney registered nurse renal Renal Function RN

The evaluation of impairment from the kidneys, as with the findings of proteinuria or an increased serum creatinine concentration, may be your first premises in the investigation pending diagnose. In addition, rushing to a conclusion can present as a variety of clinical syndromes. In other instances, the presentation may reflect the impact of impaired renal function on other organ systems, such as edema or shortness of breath resulting from renal salt retention.

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Basic Cardiac Assessments: Physical Examination, Electrocardiography, and Chest Radiography 

Basic Cardiac Assessments: Physical Examination, Electrocardiography, and Chest Radiography 

Tags: cardiac cardiac assessments chest radiology electrocardiography ICU physical examination risk factors surgical unit

The human heart is one of the major organs adversely affected by high blood pressure. Therefore, the registered nurse must provide a careful and thorough evaluation of the assessments needed via the cardiac structure and function (i.e., including visual signs, all non-and invasive cardiac medical devices), which is an obligatory part of the examination of the hypertensive patient.

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Clinical Nursing: Keeping Your Skills In-Tune 

Clinical Nursing: Keeping Your Skills In-Tune 

Tags: advocate clinical clinical experience dermatitis health care medical technology student nurse

The primary duty of every nurse is the assessment of a patient’s physical and emotional well-being. This basic-skill learned in the very first nursing class is the one skill and primary duty the nurse will use every day with his and/or her patients.

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Clinical Profiling: Natural History of Essential Hypertension 

Clinical Profiling: Natural History of Essential Hypertension 

Tags: clinical profiling essential hypertension health care Manuscript risk factors stress

Hypertension is a major cardiovascular risk factor that directly contributes to myocardial episodes such as abnormal wall motion, hypertrophies, and subsequently an infarction (MI). Also noted, are cerebrovascular accidents (CVA), congestive heart failure (CHF), peripheral arterial insufficiency (PAI), and premature mortality. Optimal and cost-effective management of the condition depends on careful diagnosis, treatment minimization, and optimized adherence to the selections of tests and treatment plans.

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Getting a Foothold in the Nephronic Syndrome: Dietary Adjustments for the Chronic Hypertensive Type two Diabetic-Nephropathy Patients

Getting a Foothold in the Nephronic Syndrome: Dietary Adjustments for the Chronic Hypertensive Type two Diabetic-Nephropathy Patients

Tags: advice diabetes dietary adjustments eating habits hypertensive metabolic disease type two diabetic

Moderate and/or severe protein restrictions may indeed, be proposed in chronic renal failure both to fight its symptoms and to slow its progression. In diabetic patients, whether insulin-dependent or non-insulin-dependent, have a chronic disease that has generally existed for a number of years before the onset of renal failure.

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Managing Diabetic Patients on Dialysis: The Nurse and Practitioners Role in Multidisciplinary Team Essentials 

Managing Diabetic Patients on Dialysis: The Nurse and Practitioners Role in Multidisciplinary Team Essentials 

Tags: care diabetic patients dialysis health nurses role

The chronic state of diabetes mellitus (DM) mainly type II, is an increasingly common cause of end stage renal disease (ESRD) in all countries, accounting for 51% of dialysis patients in the U.S. and 39% in Europe. Patient survival is much worse than for non-diabetic patients, with a large proportion of patients dying within the first 3 months of dialysis (excluded from USRDS data). In North America, chronic diabetes (e.g., poorly controlled), has shown as a major cause of death associated with cardiovascular diseases. Usually the outcome is better for transplanted patients.

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The Importance of Communication and Education toward Patient Literacy: The Relationship of Functional Health and Patient’s Knowledge of Their Chronic Disease and Metabolic Disorder

The Importance of Communication and Education toward Patient Literacy: The Relationship of Functional Health and Patient’s Knowledge of Their Chronic Disease and Metabolic Disorder

Tags: aging assessment skills clear with simplified language communication communicator diabetes direct involvement disease educator efficiency of care health health literacy knowledge patient patient education

The aging populations in the U.S. with ‘Essential’ Hypertension are showing inadequate health literacy, plus its impact on patients with idiopathic chronic diseases such as type II, adult onset Diabetes Mellitus are makeable. To identify among patients with hypertension and/or with diabetes the relationship between their functional health literacy levels, and the role of the registered nurse as communicator and educator.

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The Importance of Understanding Hypertension: The Role of a Registered Nurse as an Investigator

The Importance of Understanding Hypertension: The Role of a Registered Nurse as an Investigator

Tags: disease essential hypertension hypertension investigation nursing care plan role of RN

The primary care nurse owes it to themselves and their patients to be informed on the chronic diseases they manage in order to achieve maximum patient compliance and satisfaction. Well informed, confident practitioners will be able to deliver evidence-based structured advice, and in doing so reduce morbidity and mortality rates from cerebrovascular accidents and cardiovascular disease for patients regardless of age, gender, or ethnicity.

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The Signs and Symptoms’ of Cardiomyopathy: The Awareness and Actions of the Registered Nurse 

The Signs and Symptoms’ of Cardiomyopathy: The Awareness and Actions of the Registered Nurse 

Tags: cardiac cardiomyopathy echocardiography heart attack signs symptoms

A careful history-taking by the registered nurse or practitioner along with a complete physical examination can reveal cardiomyopathies, but it is appropriate to confirm the diagnosis with a transthoracic echocardiography and selected laboratory studies.

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