Optimizing primary care for LGBTQ youth
October 1st 2009Caring for lesbian, gay, bisexual, transgender, and questioning youth requires both an understanding of general adolescent cognitive and sexual health development, as well as an awareness of some of the unique medical and social issues these young people may face.
Hypertension: Nursing guide to this cardiac pressure cooker
October 1st 2009Patients may be overwhelmed with the multiple lifestyle changes that control of hypertension requires. RN's care guide will help them understand why each step toward normal blood pressure is so important for long-term health.
Delivering bad news: Helping your patients retain dire details
October 1st 2009After receiving a negative diagnosis, patients often are too emotional to understand or even hear you explain their condition. Help give your patients a clearer picture of what lies ahead with our tips for sensitive engagement and education.
Unusual Lesions-Abuse or Accidental Injury?
October 1st 2009Because of the presence of unusual skin findings, a 3-year-old African American girl was evaluated for possible child abuse. The father, the primary guardian, reported that his daughter had returned home from her mother's residence 2 days before-a day earlier than planned. According to the father, the child was crying and had skin lesions, which initially appeared white and then darkened over the course of the next day or two.
Recommended Vitamin D Intake in Children: Reasons for the Recent Increase
September 22nd 2009The American Academy of Pediatrics (AAP) recently doubled the amount of vitamin D that it recommends all infants, children, and adolescents receive each day-from 200 to 400 IU. Also new is the academy's recommendation that vitamin D supplementation begin as soon after birth as possible. Supplementation is recommended in infants who do not receive 400 IU per day from formula.
Speaking About Language Development . . .
September 22nd 2009For years, pediatricians have discussed with parents the important role that reading to their children plays in the development of language skills. We have encouraged talking to children about things around them, describing objects and events, and telling stories.
Will “Just a Little” Gluten on 1 or 2 Outings a Year Harm a Teen With Celiac Disease?
September 21st 2009My teenaged patient has celiac disease and type 1 diabetes, both of which are well controlled. The patient’s mother is concerned that her son’s risk of a bowel malignancy or other celiac-related complication later in life would be significantly increased if he ingested small amounts of gluten for 5 to 7 days while at camp or on a church trip. As a result, the youngster is not allowed to participate in such outings, since it is not always possible to pack one’s own food for such trips and the available food options are usually limited.
Newborn With Wrinkled Abdomen and Other Anomalies
September 20th 2009Prune belly syndrome is a rare condition, classically referred to as a triad of abdominal wall musculature deficiency, bilateral cryptorchidism, and other urological abnormalities, although the clinical presentation can vary. A case history here.