A comparison of two differing doses of promethazine for the treatment of postoperative nausea and vomiting.

Purpose: To compare the use of promethazine 6.25 mg intravenous (IV) (experimental group) with promethazine 12.5 mg IV (control group) among adult ambulatory surgery patients to control established postoperative nausea or vomiting (PONV).

Functional behavioral analysis and social scripting for the older patient with schizophrenia: a staff development program.

Executive functioning is the ability to plan, strategize, organize, and focus on details. Impaired executive functioning plays a significant role in behavior disturbances. Lack of inhibition, impaired abstract reasoning, thought perseverance, rigidity in routine, and lack of insight disrupt social skills and daily life.

Qigong: an innovative intervention for rural women at risk for type 2 diabetes.

Perceived healthiness and a belief in one's ability to make lifestyle changes may exert influence on individual health behaviors and outcomes. The purpose of this study was to determine the relationship of qigong exercise with perception of healthiness as well as with selected serum laboratory measures and blood pressure in women at risk for type 2 diabetes. Perception of healthiness was favorably affected; however, no significant differences were noted in serum laboratory measures or blood pressure.

Creating an organizational model to support advanced practice.

The growing number of advanced practice providers in hospital systems has necessitated the establishment of centralized coordinating centers to manage core functions related to regulatory requirements and credentialing and to provide resources for research and evidence-based practice and practice model innovation. The Margaret D. Sovie Center for Advanced Practice was created at the University of Rochester Medical Center to meet these demands of more than 350 nurse practitioners.

Critical care nursing for older adults: pathophysiological and functional considerations.

The aging of the population brings into health care practice, including ICUs, an increasing prevalence of people with chronic conditions with corresponding expectations of eventual decline in function. These age-related health problems, however, do not have a precise moment of onset, nor a single and unambiguous cause. By their nature, chronic conditions do not have an end that can be modified easily, and ordinarily, they are related to parameters other than physiology alone.

Deconstructing the myth of the advanced practice blended role: support for role divergence.

Since the early 1980s, there has been discussion about combining the clinical nurse specialist (CNS) and nurse practitioner (NP) roles. Examination of recent nursing literature reveals renewed interest in differentiating, rather than combining, these 2 advanced practice roles. Research has shown that although the 2 roles share similarities, these advanced practice pursuits are more different than alike, both philosophically and practically.

New perspectives on advanced practice nursing case management for aging patients.

Providing case management for older individuals is challenging in that this group rarely fits any DRG or managed-care mold. Because many people are living healthier and longer lives, intergenerational family dynamics such as that observed in Sophie and Leo's case may become more the norm than the exception. Well-intentioned family members, lacking the guidance of an experienced gerontologic APN case manager, may inadvertently place their aged loved ones at risk by attempting to arrive at health care, social, and housing solutions on their own.