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Caring is a concept that has been studied in numerous helping professions but has yet to be researched from a counseling perspective. In this qualitative research study, 13 master’s-level counseling interns were interviewed to better understand their perceptions of caring in the counseling relationship. Results suggest that these interns perceive that supporting desired outcomes, a personal capacity for caring, maintaining therapeutic conditions, mutuality in the counseling relationship, and a dynamic flow of communication are important attributes of the counseling relationship when caring is present The findings suggest further research that explores the concept of caring in the counseling relationship may be warranted. © 2002 American Counseling Association.
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Gastroesophageal reflux disease can usually be successfully managed with conservative medical treatment. Anti-reflux surgery is a safe alternative when treatment fails or patients desire a more definitive treatment option. Through a case study approach, this article describes the indications for surgery, the essentials of the authors’ multi-disciplinary approach to care and the components of a well-designed education plan for a patient undergoing laparoscopic Nissen fundoplication. Although most patients do well after surgery, diligent nursing care is required before and after surgery to prevent or manage complications and ensure patients have a rapid recovery and successful outcome. © 2001 Lippincott Williams & Wilkins, Inc.
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Pain is a prevailing clinical problem among older adults resulting in systemic agitation and altered quality of life. Although the possibility remains that older adults experience and report less pain, the need exists to objectively evaluate pain in order to provide the most effective pain management. Several standardized tools are available to assess pain in older adults at baseline and at subsequent, frequent intervals. Following an objective assessment, pain may be managed with pharmacologic and nonpharmacologic methods.
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Societal drivers, as well as trends in education and health care, are advancing the practice doctorate in nursing. For nurse practitioner preparation, the current resurgence of interest in the practice doctorate could precipitate change that mimics the evolution from post-basic certificate to Master's level education. The National Organization of Nurse Practitioner Faculties (NONPF) is a resource for the study of the practice doctorate relative to quality nurse practitioner education. This article will offer some insights into the movement toward the practice doctorate by describing, from the NP perspective, the societal impetus for change, the historical perspective of NP and doctoral education, the 4 Ws (why, what, where, and when) of the movement, and some of the myths and realities about the practice doctorate. © 2005 Online Journal of Issues in Nursing.
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As a model of care, CARELINK promotes self-care and self-management of chronic illnesses for homebound older adults no longer eligible for skilled nursing services. A case-study method is used to highlight the key constructs and outcomes related to the model. The benefits of applying the CARELINK model as a cardiac management program for home care are discussed.
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Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use. © 2011 by John Wiley & Sons, Inc.
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