Primary Care

An Interprofessional Perspective

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Primary Care

An Interprofessional Perspective

Second Edition

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Editors

Joanne K. Singleton, PhD, RN, FNP-BC, FNAP, FNYAM

Robert V. DiGregorio, PharmD, BCACP

Carol Green-Hernandez, PhD, ARNP, FNP-BC, FNS

Stephen Paul Holzemer, PhD, RN

Eve S. Faber, MD

Lucille R. Ferrara, EdD, RN, MBA, FNP-BC, FNAP

Jason T. Slyer, DNP, RN, FNP-BC, CHFN, FNAP

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Description

A complete, state-of-the-art bible of interprofessional primary care in one easy-to-use resource for Interprofessional Primary Care

A truly interprofessional primary care textbook, created by DNPs/APRNs, MDs, PharmDs, PAs, CNSs, and CNMs
Evidence-based practice guidelines for Primary Care
Includes community care, team work, and wellness coachings
Strong guidance on differential diagnosis, disease prevention, risk reduction and lifestyle management
Across the lifespan focus PLUS gender, occupational and palliative care considerations
Case Studies in PPT format available to faculty adopting the text

This second edition of Primary Care delivers succinct, current, and integrated information on the assessment, differential diagnosis, treatment, and management of individuals with commonly seen conditions in primary care settings. Written and edited by APNs, MDs, PAs, PharmDs and other health professionals, it emphasizes guidance on differential diagnosis, interprofessional primary care, lifestyle management, health promotion, risk reduction, and disease prevention. The text features 'relationship-centered care, extensive coverage of age, gender, and occupational considerations; complementary approaches; nutritional assessment; violence exposure and vulnerability assessment; family, community, and cultural assessment; palliative care; and evidence-based practice guidelines.

This important text presents current diagnostic criteria for each condition and includes relevant anatomy, pathology, and physiology, epidemiology of the condition, including cultural and economic factors, risk identification, and disease prevention strategies. Also included are related laboratory studies, the focused physical exam, wellness coaching, treatment options, potential pitfalls, and much more. Additionally, the book includes clinical "pearls", clinical warnings, referrals and warning points, and references. The text is of value to all interprofessional primary care providers, with a special focus on the needs of advanced practice nurses and MSN/DNP students, and as a course textbook for teaching primary health care topics

New to the Second Edition:

Increased focus on interprofessional primary care, including community care, team work, and wellness coaching
Strong guidance on differential diagnosis, disease prevention, risk reduction and lifestyle management
Broad team of interprofessional authors and editors
Special focus on elder/geriatric primary care and palliative care
Evidence-based practice guidelines
Stronger focus on age, gender, and occupational considerationsFocus on age, gender, and occupational considerations
Case Studies in PPT format available to faculty adopting the text

Contents

Contributors

Preface

Acknowledgments

Contributors to the First Edition

UNIT I: THE CONTEXT OF INTERPROFESSIONAL PRIMARY CARE

1. The Structure of Primary Care

Joanne K. Singleton, Robert V. DiGregorio, Carol Green-Hernandez, Stephen Paul Holzemer, Eve S. Faber, Lucille R. Ferrara, Jason T. Slyer

2. Family and Culture Within the Context of Primary Care

Carol Green-Hernandez, Stephen Paul Holzemer

3. Health Promotion and Disease Prevention

Robert V. DiGregorio, Lucille R. Ferrara

4. Primary Care in the Community: Assessment and Use of Resources

Stephen Paul Holzemer, Joanne K. Singleton, Carol Green-Hernandez

5. Palliative Care

Eve S. Faber, Jessica Stetz

6. Appraising Clinical Practice Guidelines

Jason T. Slyer

UNIT II: CARDIOVASCULAR CONDITIONS

7. Arrhythmia

Judy Cheng

8. Coronary Artery Disease

Joseph J. DeRose, Sr., Joseph J. DeRose, Jr.

9. Dyslipidemias

Roda Plakogiannis

10. Heart Failure

Judy Cheng, Jason T. Slyer

11. Hypertension

Judy Cheng

12. Peripheral Vascular Diseases

Jason T. Slyer, Nancy E. Iankowitz

13. Valvular Heart Disease

Kenneth Ong

UNIT III: DERMATOLOGIC CONDITIONS

14. Common Dermatologic Conditions

Virginia Arvold

UNIT IV: ENDOCRINE CONDITIONS

15. Diabetes Mellitus

Carol Green-Hernandez, Rochelle F. Rubin

16. Common Endocrine Disorders: Diseases of the Adrenal, Thyroid, and Parathyroid Glands

Margaret Donat

UNIT V: GASTROENTEROLOGIC CONDITIONS

17. Bowel Obstruction

Ashley Steinberg, Evangelia Davanos

18. Cirrhosis of the Liver

Arun B. Jesudian

19. Gallbladder

Catherine M. Concert

20. Gastroesophageal Reflux Disease

Michelle Santomassino

21. Gastroenterologic Cancers

Catherine M. Concert

22. Hepatitis

Julie Fishman

23. Inflammatory Bowel Disease

Catherine M. Concert

24. Pancreatitis: Acute and Chronic

Evangelia Davanos, Ashley Steinberg

25. Peptic Ulcer Disease

Michelle Santomassino

UNIT VI: GENITOURINARY CONDITIONS

26. Acute Kidney Injury

Karina Muzykovsky, Kimberly M. Sarosky

27. Chronic Kidney Disease

Shaffeeulah Bacchus, Shukyu Tai Bacchus

28. Nephrotic and Nephritic Renal Disease

Hillary Wall

29. Renal Tumors

Luiz M. Kolankiewicz

30. Urinary Incontinence

Renee McLeod-Sordjan

31. Urinary Tract Infections

Levita K. Hidayat, Veena Venugopalan

UNIT VII: HEMATOLOGIC CONDITIONS

32. Anemia

Sarah M. Colson

33. Coagulopathies

Evangelina Berrios-Colon, Julie Anne Billedo

34. Lymphoma

Dana H. Manning

35. Myeloproliferative and Myelodysplastic Disorders in Primary Care

Sarah M. Colson

UNIT VIII: IMMUNOLOGIC CONDITIONS

36. Connective Tissue Disorders

Stuart A. Green

37. HIV/AIDS

Agnes Cha

38. Lyme Disease

David I. Jackson

UNIT IX: MUSCULOSKELETAL CONDITIONS

39. Anterior Knee Pain

Sanjiv Bansal, Kathleen T. Roche, William Urban

40. Articulation Injuries of the Ankle and Hip

Robert Keith, Karen Anderson Keith

41. Cumulative Trauma Disorder

Stephen A. Ferrara

42. Fibromyalgia and Diffuse Illnesses

Karen Anderson Keith, Robert Keith

43. Low Back Pain

Stephen A. Ferrara

44. Osteoarthritis

Maureen F. Cooney

45. Osteoporosis

Maureen F. Cooney

46. Plantar Fasciitis

Rose M. Moran-Kelly, Deirdre R. Heym

47. Identification and Management of Temporomandibular Disorders

Golaleh Barzani, Harry Dym

UNIT X: NEUROLOGIC CONDITIONS

48. Dementia and Delirium

Scott J. Saccomano

49. Demyelinating Disease/Multiple Sclerosis

Scott J. Saccomano

50. Dizziness, Vertigo, and Ataxia

Henry Cohen, Darko Todorov, Michelle Friedman, Grace I. Shyh

51. Headache

Tracey Kramar, Christine Lazaros Amendola

52. Parkinson's Disease

Lana Hareez, Antony Q. Pham

53. Peripheral Neuropathy

Henry Cohen, Benjamin C. Wee

54. Seizure Disorders

Henry Cohen, Samantha M. Smalley

55. Stroke, Transient Ischemic Attacks, and Carotid Stenosis

Scott J. Saccomano

UNIT XI: PSYCHIATRIC CONDITIONS

56. Anxiety Disorders, With an Emphasis on Panic Disorder

Grace M. Nespoli, Stephen Paul Holzemer

57. Depression Disorders and Bipolar Disorder

Kristy Loewenstein, William Jacobowitz

58. Eating Disorders

Michael Biglow

59. Sleeping Disorders

Brian G. Mitchell

60. Somatic Symptom Disorder

Michael Biglow

61. Substance Abuse

Stephen Paul Holzemer, Joanne K. Singleton

62. Community and Intimate Partner Violence

William Jacobowitz

UNIT XII: REPRODUCTIVE CONDITIONS

63. Breast Cancer: Screening, Diagnosis, and Treatment

Una T. Hopkins

64. Gynecologic Cancers

Renee McLeod-Sordjan

65. Menopause

Andréa Sonenberg

66. Sexually Transmitted Infections

Winifred C. Connerton

67. Prostatic Hyperplasia and Male Genital Cancers

Renee McLeod-Sordjan

68. Abnormal Uterine Bleeding and Menstrual Disorders

Winifred C. Connerton

UNIT XIII: RESPIRATORY CONDITIONS

69. Asthma

Jose B. Contreras, Afnan Tariq, Ricardo Gomez, Manhal J. Izzy, Jean G. Ford

70. Carcinoma of the Lung

Sonal Bordia, Nay Min Tun

71. Chronic Obstructive Pulmonary Disease

Viswanath P. Vasudevan

72. Infections

Veena Venugopalan, Levita K. Hidayat

73. Occupational Lung Disease

Michele McDermott

74. Venous Thromboembolism

Evangelina Berrios-Colon, Rebecca Arcebido

75. Sarcoidosis

Michelle McDermott

Index

Authors

Joanne K. Singleton, PhD, RN, FNP-BC, FNAP, FNYAM, has practiced an interprofessional model throughout her career as both a nurse and family nurse practitioner, as well as in her role as educator. Presently, she is professor and chair of the Department of Graduate Studies in the College of Health Professions, and program director and researcher (FNP–DNP), Lienhard School of Nursing, Pace University. Dr. Singleton has maintained a practice as a voluntary provider and associate professor at SUNY Downstate School of Medicine, Department of Family Practice for almost 20 years.

Robert V. DiGregorio, PharmD, BCACP, is professor of pharmacy, Long Island University (Brooklyn), and senior director, Pharmacotherapy Services, and chief, Pharmacotherapy Section, Department of Internal Medicine, Brooklyn Hospital Center, in addition to being Director of Research, Pharmacotherapy Research and Consulting Services, Ltd., Hillside Manor, NY.

Carol Green-Hernandez, PhD, ARNP, FNP-BC, FNS, has worked as a nurse practitioner since 1973. She is an experienced author, educator, primary care program founder, public speaker, and workshop presenter. Currently, Dr. Green-Hernandez works in full-time primary care practice in a Veterans Administration Rural Clinic, which serves both veterans and National Guard personnel.

Stephen Paul Holzemer, PhD, RN, has worked and taught in the field of community health nursing for over 30 years. He currently is serving as associate dean and associate professor at Adelphi University in Garden City, NY.

Eve S. Faber, MD, has served as an assistant professor since November 1999 at SUNY Downstate Brooklyn, New York.

Lucille R. Ferrara, EdD, RN, MBA, FNP-BC, FNAP, has 36 years of nursing practice to her credit. She currently practices at Montefiore Medical Center in the Bronx where she cares for patients across the life span with a specialty in chronic disease management focusing on diabetes.

Jason T. Slyer, DNP, RN, FNP-BC, CHFN, FNAP, has 12 years of experience caring for patients with cardiovascular conditions as both a registered nurse and an advanced practice nurse. He currently works as nurse practitioner providing chronic disease management for patients with advanced heart failure.

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