Medication Journal of Nursing
A nursing-driven approach towards reducing hypertension: a focus on evening dosing and circadian rhythm
Tags: Antihypertensives blood blood pressure Chronotherapy hypertension hypertensive medication treatment
There are increasing data supporting evening administration as a means of achieving better BP control through re-establishing normal sleeping dipping patterns, thereby preventing the development of comorbidities. Additionally, this dosing change has been shown to prevent the morning surge, a precursor to negative cardiovascular (CV) events, including heart attack and stroke. When the costs are high both fiscally and medically, simple and cost-free interventions should be the first-line treatments.
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Factors Influencing Nurse Medication Errors
Tags: medication medication errors nurse distractions
This article explores the medication errors and the phenomena of nurse distractions. Nurses are intimately involved in the medication administration process. Even though the parameters of selection, dosing, compounding, and dispensing medication remain under the purview of other allied health professionals, the nurse represents the last safety checkpoint between the medication and the patient and efforts should be directed toward removing obstacles which are negatively impacting this process. It has long been suspected that nursing distractions whether by patient, family, coworkers or others, are facilitating the occurrence of errors in the hospital setting. There are practices which are discussed which may ameliorate this threat to some extent if employed consistently and judiciously.
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Polypharmacy Mitigation: A Lifetime of Education
Tags: aging education medication mitigation polypharmacy prescriptions
An informational article on the issue of paolypharmacy and medication redundancy in todays healthcare and the use of education over the lifespan as a corrective measure.
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I Will Not Die But Live!
Tags: advanced practice advice advocacy advocate bullying child culture depression emergency emergency department Emergency nurse Emergency Nurses heart attack investigation love medication mental health patient safety stress treatment Whistleblowers work environment wound care
Since leaving nursing in 2008 I have wanted to write about my experiences as an emergency nurse and what happened to me as a whistleblower. This is my story.
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When Doing The Right Thing Leads to the Wrong Results
Tags: Case Study errors medication medication errors mental health prescriptions punishment termination due to medication error
Reprimanding nurses for medication errors contibutes to a culture of evasion and silence and does not address the reason behind the mistake.
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Managing behavior in children with ASD
Tags: ASD autism behavior behavioral child children medication mental health pediatric Psychiatry
Unfortunately, many of these children end up in the emergency department for these behaviors due to the lack of community mental health services. These crises visits often times result in unnecessary medications being prescribed for these problematic behaviors.
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Understanding behaviors in Autism Spectrum Disorder
Tags: autism autism spectrum disorder behavior behaviors child children medication mental health pediatric Psychiatry
With the rising incidence of Autism Spectrum Disorders, nurses need to be educated regarding comorbidities that can cause aberrant behaviors. Along with a thorough medical assesment, finding mental health services can be challenging for many families. Many PCP's and other non-mental health professionals take on medication management of behaviors due to the lack of appropriate mental health resources.
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How Personal Digital Assistants Can Increase the Quality of Nursing Care Provided in the Hospital Setting
Tags: digital assitants health care medication medication errors quality of nursing
Personal Digital Assistants (PDAs), tools that have the potential to help nurses increase the quality of care that they provide in the hospital setting.
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Making a Difference: Recognizing the Risk of Alcohol and Benzodiazepine Use by Older Women
Tags: aging benzodiazepine elderly Hallucinations health care health care professionals medication older women risk of alcohol
Substance abuse in the elderly, specifically abuse of alcohol and benzodiazepines, is much higher than most people may think. According to a recent article published by CNN, of the 25.6 million women over the age of 59, seven percent abuse alcohol and eleven percent abuse psychoactive drugs such as benzodiazepines (CNN, 1998).
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Pharmaceutical Counseling
Tags: counseling health medication medication errors nurse pharmaceutical
1.5 million Americans are sickened, injured or killed by medication errors each year; seniors most at risk due to the polypharmacy risk factor. Adding pharmaceutical counseling to patients on four or more medications decreases the risk of medication errors
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