Spotlight on NPs highlights exciting achievements and activities of American Association of Nurse Practitioners (AANP) members.
In his regular column for the Huffington Post’s Black Voices Column, AANP Fellow Capt. James LaVelle Dickens addressed men’s health issues during Men’s Health Month. According to Dickens, “Categorically, African American men are the unhealthiest of all Americans. Threats that disproportionately affect all men like heart disease, stroke and cancer are impacting African American men earlier in their lives, resulting in more complications and more serious problems down the line, including higher mortality rates.” Dickens offered four ways men can fight back.
National HIV Testing Day increased awareness of the importance and ease of HIV testing. According to AANP member Sarah Knorr, “There’s great treatment for HIV now, including medication that can help an individual lead a full and complete life for the most part. At this time, there’s no cure, but there’s excellent medications to treat it.” Learn more.
Tavell Kindall, an AANP member, was quoted in a local news report about the prevalence of HIV in Louisiana. Kindall discussed the importance of testing and mentioned a new drug prescribed for prevention of the virus.
AANP member Lisanna Gonzalez was mentioned in an article published by the New York Times about the relationship between fear of deportation and the health of undocumented immigrants and their children. According to the article, an 8 year-old patient experienced physical symptoms related to fear of her parents being deported.
A Newsweek article by Robert Reich pictured AANP member Paula Glass and detailed Reich’s evaluation of “Trumpcare.” Glass provides patients health checkups at a Planned Parenthood clinic.
NPs lead and give back to their communities in a number of ways. For example, AANP member Karen Hawes fixes old bicycles with spare parts and gives the repaired bikes to children who need them. “I have no idea what got me into this, but I’ve always been open to going down other roads,” Hawes said. “There was a need for it, so I started do it.” Read more.
AANP Fellow Dr. Marianne Hutti led research and development of a new app that “makes scoring of the Perinatal Grief Intensity Scale (PGIS) easier, predicting patients at greatest risk for intense grief after perinatal loss, which includes miscarriage, stillbirth or the death of an infant within 28 days after birth.” Read more about her research and the Perinatal Grief Intensity Scale app.
A study in the American Journal of Critical Care explores PTSD susceptibility in NPs and PAs, and it quotes AANP Immediate Past President Dr. Cindy Cooke. Read the following recent blogs by Dr. Cooke:
Coverage from the AANP 2017 National Conference in Philadelphia
We are pleased to share that AANP inaugurated a new president at the AANP 2017 National Conference in Philadelphia. Pennsylvania native Dr. Joyce Knestrick officially assumed responsibility as president for the organization on Sunday, June 25, 2017. Dr. Knestrick succeeded Dr. Cindy Cooke, who served as AANP president for two years and is now AANP Immediate Past President. Read AANP’s press release.
“Our nation is struggling with opioid abuse, and nurse practitioners are an active part of the solution,” said AANP President Dr. Joyce Knestrick. “More than 4,500 nurse practitioners will have access to exceptional training at this conference that they can employ with their patients at home, and that is a huge step in the right direction in the fight against opioid abuse nationwide.” Read AANP’s press release.
Several media outlets reported onsite. Below are several of the articles. Click on the outlet names below for their full coverage.
- Revolutionizing Health Care – Quotes AANP Immediate Past-President Cindy Cooke
- More NPs Choosing Primary Care
- Teaching Strategies to Enhance Intergenerational Learning – According to AANP Fellow Oralea Pittman and AANP member Dr. Joyce Karl, “Understanding/appreciating the different attitudes and skills that different generations and professions bring to the relationships can increase student, faculty, manager, and co-worker confidence and self-efficacy,” the authors said. “Learning new skills from each other enhances outcomes for all.”
- NPs Better Able to Diagnose and Treat Mental Health Disorders with Greater Exposure as Students – AANP member Nancy Edwards and colleagues found that “diagnostic and treatment competency levels in mental health disorders improved with increased educational time on these conditions.”
- Mammogram Referral, Screening Rates Boosted With Point-of-Care Screening Program – “A breast cancer screening program helped improve mammography referral and screening rates in a federally qualified health center,” according to AANP member Dr. Jill Muhrer.
- NPs Have Favorable View of Retail Health Clinics – AANP Fellow Julie Koch and colleagues conducted a survey at the 2016 AANP National Conference and shared their results at #AANP17.
- Managing Patients With Chronic Heart Failure – Dr. Eleanor Stone, an AANP member, reported that “successful management of the growing population of patients at risk for congestive heart failure (CHF) depends on understanding risk factor reduction and strict adherence to established guidelines.”
- NPs Improve Care Coordination for High-Risk Complex Care Patients Post-Discharge – “Post-discharge care from hospital to community coordinated by an NP in high-risk complex care patients reduced hospital readmission rates,” AANP member Dr. Ana Mola indicated.
- Advanced Practice Preceptor Development Program Improves Student Transitions into Practice – AANP member Janet Myers and Susan Bosworth found that “an innovative advanced practice preceptor program can help students and novices transition into established professionals.”
- Rivaroxaban Decreased VTE Rate in High-Risk Orthopedic Joint Surgery Patients – AANP member Kim-Khue Dinh and Yogini Patel “developed a protocol to demonstrate the efficacy of rivaroxaban in lowering the risk of venous thromboembolism among orthopedic joint surgery patients.”
- Managing Comorbidities Linked to Childhood Obesity – AANP member Roberta “Bobbe” Mansfield and colleagues found that “a point-of-care resource tool may help clinicians better manage childhood overweight- and obesity-related comorbidities.”
- Positive Outcomes Associated With Regular Depression Screening in T2D – AANP Fellow Dr. Katherine Kenny and AANP member Dr. Kristel McGhee indicated that “patients with major depressive disorder have a mean life span of 25 to 30 years less than the average person.” They found that regular depression screening in patients with type 2 diabetes improved outcomes.
- Exercise Protocol Improves Outcomes in T2D – AANP member Geraldine Q. Young found that “exercise protocol algorithms are cost-effective tools that can be used to individualize exercise regimens to encourage behavioral changes in patients with type 2 diabetes (T2D) and obesity.”
- Acceptable Variability With Novel Sensor for Glucose Monitoring in T2D – Davida Kruger and colleagues found that “sensor glucose monitoring may be an acceptable alternative to traditional monitoring methods for patients with type 2 diabetes.”
- Patient Preferences Affect Efficacy of Diabetes Care – AANP member Emily Kimble found “disconnects between medical education programs and cultural and logistical preferences of underserved populations can create barriers in healthcare.”
- Best Practices in Preconception Care in Pregestational Diabetes – AANP member Jacqueline LaManna determined that “optimized preconception care is key to creating positive short- and long-term health outcomes in patients with pregestational diabetes.”
- Women Veterans Lack Access to Effective Health Care in Civilian Practice – “Civilian healthcare providers need to be educated on the importance of screening women for military service and also be aware of the unique healthcare needs of this population,” according to AANP Member Lt. Col. Alicia Rossiter.
- Preventing Holiday Weight Gain Among Rural Hospital Nightshift Employees – Vickie Brooks indicated that “using collaboration and technology, NPs can help patients prevent weight gain and obesity-related diseases.”
- Healio Prepares for American Association of Nurse Practitioners 2017
- AANP Opening Ceremony: Health Care Revolution Starts Now
- Absorption Level of Daily Intranasal Corticosteroids Has Wide Range, Is Product Dependent – AANP Fellow Wendy L. Wright told Healio, “Millions of children are affected by allergic rhinitis. Untreated, these children are at increased risk for sinusitis, fatigue, inattentiveness, and even dental abnormalities. It is imperative that nurse practitioners assess for this condition and treat it.”
- Point of Care Screening Model Outperforms Conventional Breast Cancer Screening Methods – “While mammograms reduce mortality through early detection, utilization is low, especially among uninsured and racial and ethnic minorities, often due to lack of provider referrals,” AANP member Dr. Jill Muhrer told Healio.
- Patient Engagement Is Critical to Treat Chronic Pain, Opioid Use Disorder – According to Dr. Seddon Savage, “If someone has chronic pain, just giving that person medication isn’t necessarily going to take care of that chronic pain. What health care professionals need patients to do is recognize what’s contributing to the pain.”
- PCPs, NPs, ‘Have Responsibility’ to Inform Patients of Less Expensive Medications – AANP Fellow Peggy Vernon told Healio, “We need to be aware of what these drugs cost, we have to be effective in what we prescribe for them, but then we have to use the most economical medication that we can prescribe. We have to start containing costs in this health care system. We can’t rely on others to do that [for us].”
- Organic Causes of Pediatric Abdominal Pain Common in Primary Care – “I always tell parents that come in with their child who has abdominal pain and constipation, if they come back in with abdominal pain in the future, don’t automatically assume it’s constipation again,” AANP Fellow Sophia L. Thomas said. “It could be [from other causes like] appendicitis. Even though this child has a history [of one gastrointestinal symptom], go back through the history to make sure you’re not missing anything.”
- Better Understanding Needed on Differentiating, Managing Different Forms of Insomnia – AANP Fellow Dr. Veronica Wilbur stressed the importance of assessing sleep hygiene and habits when treating patients for insomnia.
- Treatment of Acute Rhinosinusitis Difficult Because of Increasing Antimicrobial Resistance – “Antimicrobial resistance to all Streptococcus pneumoniae has been estimated at 30% to 40% for products such as erythromycin and azithromycin, and rising fluoroquinolone resistance has made treating bacterial cases more difficult,” according to AANP Fellow Wendy L. Wright.
- Take ‘Innovative’ Approach to Managing Obesity – AANP member Dr. Kathleen Bornhoeft conducted a survey to identify barriers to effective management of patients with obesity, and she presented a poster on her findings at #AANP17.
- AANP Inaugurates Joyce Knestrick as New President
- Caregivers of Children Requiring Medical Technology Have Differing Views of Symptom Management – AANP member Dr. Regena Spratling found that “managing the symptoms of illness in a child who requires one or more medical technologies — including tracheostomies, feeding tubes and ventilators — might require more education than formerly thought because caregivers may have varying definitions of health.”
- Barriers to HPV Vaccine Uptake Identified, Suggestions to Overcome Such Obstacles Offered – “HPV vaccine rates in 2015 were below the Healthy People 2020 target of 80%, suggesting an opportunity for nurse practitioners to help improve these numbers,” according to findings presented by AANP member Dr. Brenda Cassidy.
- Strategies to Encourage More Patients to Undergo Eye Tests – “Education, along with a screening reminder card, may encourage more patients to get diabetic retinopathy eye screening exams,” found AANP member Dr. Marcia Petterson.
- Consider Alternative Approaches to Treat Insomnia – AANP member Paula Demasi suggested that “patients with insomnia should avoid sleeping with pets, and should consider getting a new mattress, sleeping in a cool, dark room; playing white noise or music that lulls them to sleep; participating in yoga or receiving acupuncture.”
- Adverse Childhood Events Likely to Be Passed in Generations, Are Root of Many Chronic Conditions – According to AANP member Sandy Schilling, “screening for adverse childhood events, such as child abuse or household dysfunction, in adults within a primary care setting may identify who is likely to pass along the same adverse events to their children — especially mothers.”
- Managing Dermatologic Conditions Requires Patience, Careful Diagnosis – Medication prices and alternatives, expected outcomes, and resources for clinicians who treat dermatologic conditions were discussed by AANP member Lakshi Aldredge.
- Telemedicine Effective in Assessing, Managing Adolescent Concussion – AANP Fellow Dr. Cydne Marckmann found that “when contact between practitioners and athletic trainers is facilitated through telemedicine for the assessment of concussion in adolescents, both the time and distance to a specialist is reduced, improving satisfaction with care for providers treating this population.”
- A To-Do List, When Considering Telemedicine – “Telehealth represents a potentially significant improvement in bringing higher quality care to underserved communities while offering cost benefits and convenience to patients, so providers should investigate its role for their institutions,” according to AANP member Jean Arlotti and Sue Neder.
- Diagnosing Laryngopharyngeal Reflux – AANP Fellow Dr. Kelly Harden explored the differences between laryngopharyngeal reflux and GERD at the AANP 2017 National Conference.
- Pediatric Oral Health Should Be Priority in Primary Care – “Nearly half of all children and two-thirds of adolescents between the ages of 12 and 19 from families of low socioeconomic status have untreated tooth decay, putting pediatricians and primary care providers in a unique position to assess oral health status,” AANP member Dr. Judith Haber found.
- Tailor Workouts to the Patient’s Diabetic Condition – According to AANP member Dr. Geraldine Q. Young, “There is no excuse for not exercising if you have diabetes and if you have a comorbidity. There’s just no excuse.” She shared protocol to help patients engage in exercise that was most appropriate for their specific health concerns.
- Insufficient Evidence to Support Pediatric Medicinal Marijuana Use – AANP Fellow Dr. Teri Moser Woo found that “the use of cannabis products in the pediatric population for a variety of conditions, including seizures and psychiatric illnesses, has not been sufficiently supported by research to justify its use in this population.”
- Updated CDC Guidelines for Neonatal HBV Testing Prevent Misclassification – According to AANP Fellow Dr. Mary Koslap-Petraco, “shortening the time frame in which an infant receives post-vaccination serologic testing for hepatitis B from 9 to 18 months to 9 to 12 months may increase adherence for testing in accordance with CDC guidelines and lessen the time in which nonresponders may come into close contact with the infection.”
- Diabetes Should Be Discussed With Women of Reproductive Age – “No matter the reason a woman of reproductive age with diabetes goes to see a medical professional, her diabetes must be part of the discussion,” asserted AANP member Dr. Jacqueline LaManna.
- Stay Connected to Changing Data, Guidelines on Contraception – Regarding options for contraception, AANP Fellow Dr. Mimi Secor said, “If we can give the information up front when women are young, that’s a gift that keeps on giving. They have a planned family situation, they have an empowered life, and control over their bodies. So the investment up front when they’re young is really, really worth it.”
- Treatment of Pediatric Obesity Comorbidities Simplified in New Algorithm – AANP member Roberta “Bobbe” Mansfield and her colleagues developed “a new set of guidelines for managing comorbidities associated with pediatric obesity, including dyslipidemia, thyroid conditions and vitamin D deficiency.”
- Flouride Varnish Applications Increase in Pediatricians’ Offices When Offered – According to AANP member Dr. Diana L. Lamboy, ““Fluoride is a great, reimbursable thing, and Medicaid reimburses for it as well. We don’t want to bypass the dentist because they’re very important, but this is another resource for the population.”
- Increased Awareness of ‘Drunkorexia’ Needed – AANP member Dr. Jo Ann L. Nicoteri suggested that “Primary care providers need to screen for eating problems and also alcohol use. In a quick 5 minutes, they can ask the person how often they exercise, how often they drink alcohol, and what are they eating. The medical professional should then co-relate the three and come up possibly with a problem area for the person.”
- Uncontrolled Asthma in Teens May Lead to Low Self-Esteem, Drug Use – “Teenagers are more likely to be noncompliant with their asthma controller medications, which may lead to self-esteem issues and depression due to uncontrolled asthma and feeling ‘different’,” according to AANP Fellow Sophia L. Thomas.
- Depression Screening Lacks in Patients with Diabetes – AANP Fellow Dr. Katherine Kenny and AANP member Dr. Kristel McGhee shared research findings that stressed the importance of screening for depression in patients with diabetes.
- Nurse Practitioners in Primary Care in the Spotlight at AANP – “Our conference theme this year is Nurse Practitioners Revolutionize Health Care, and that says a lot about how NPs are changing things for healthcare in the United States,” said AANP Fellow and Conference Chair Susan VanBeuge. AANP Fellow Dr. Mary Ellen Roberts, who is a member of the organizing committee said, “Preceptors don’t get anything monetarily, but they get satisfaction that they’re able to give back to the profession. It behooves us as NPs to teach and train the next generation of NPs coming behind us.”
- Assumptions Blind Practitioners to Human Trafficking – “Worldwide, there are 30 million victims of human trafficking, and there are 800,000 new victims each year, AANP Texas (S) State Representative Jessica Peck told Medscape. “Once recruited into trafficking, the average life expectancy of a victim is only 7 years, so we want to rescue them quickly.” According to the article, “An estimated 87% of rescued trafficking victims had at least one encounter with a healthcare provider during captivity, but they were not recognized as victims.”
- Hospital Visits by Nurse Practitioners Prevent Readmission – “When older patients are visited in the hospital by a nurse practitioner, rates of readmission in the 30 days after discharge can be reduced dramatically in this vulnerable population, according to a pilot study” by AANP member Katie Wingate.