Written by and for Nurse Practitioners from a unique collaborative perspective, Primary Care: A Collaborative Practice, 4th Edition, prepares you to provide care for all of the major disorders of adults seen in the outpatient setting.Evidence-based content reflects the latest guidelines for primary care of hundreds of conditions, including hypertension, diabetes, and sexually transmitted infections. Now in full color, the 4th Edition includes chapters on emerging topics such as genetics, obesity, lifestyle management, and emergency preparedness. Combining a special blend of academic and clinical expertise, the author team provides a practical text/reference that promotes a truly collaborative primary care practice.
Comprehensive, evidence-based content
incorporates the latest standardized guidelines for primary care in today's fast-paced, collaborative environment.
Unique!A collaborative perspective, reflecting the key roles ofNPs, MDs, PAs, PharmDs, and others, promotes seamless continuity of care.
A consistent format from chapter to chapters facilitates learning and clinical reference value.
Diagnostics and Differential Diagnosis boxes provide a quick reference for diagnosing disorders and helping to develop effective management plans.
Physician Consultation icons highlight situations or conditions in which consultation is either recommended or necessary.
Emergency Referral icons identify signs and symptoms that indicate the need for immediate referral to an emergency facility.
Co-management with Specialists discussions help you provide truly collaborative care in the outpatient setting.
Complementary and alternative therapies are addressed where supported by solid research evidence.
New to this Edition
NEW Inclusion of evidence-based guidelines for such topics as hypertension, diabetes, advanced cardiac life support, coronary artery disease, and sexually transmitted infections equips you to provide state-of-the-science primary care in these key areas.
An expanded emphasis on caring for the elderly, italicized for easy identification, equips you to provide high-quality care for our aging population.
NEW Obesity and Weight Management chapter explores the causes of and risk factors for obesity, and provides in-depth strategies for its management and prevention.
NEW Genetic Considerations in Primary Care chapter helps you look at primary care with a genetic perspective, focusing on risk assessment, family history-taking, and direct-to-consumer genetic testing.
NEW Lifestyle Management chapter offers guidelines for helping patients to increase their quality and length of life through nutrition and diet, smoking cessation, avoidance of lifestyle-related illnesses, and curbing domestic violence.
NEW Emergency Preparedness, Recognition, and Response in Primary Care chapter addresses the emerging role of primary care providers in responding to outbreaks, pandemics, and disasters.
NEW Neuropsychological Evaluation chapter explains when to refer patients with cognitive difficulties for neuropsychological testing.
NEW Environmental Allergies chapter addresses increasingly common allergy complaints.
NEW full-color design makes the text easier to read and easier to use, with key assessment findings shown in true-to-life color photos.
Expanded The Changing Landscape of Collaboratve Practice chapter coversnew partners in collaborative practice (DPTs and PharmDs), new venues for collaborative practice (such as retail health), and the future of collaborative practice (including health care reform, the patient-centered medical home, telehealth, and electronic medical records).
Expanded Health Literacy, Health Care Disparities, and Culturally Competent Care chapter includes a section on health care disparities in the treatment of patients with diabetes and LGBT patients.
Expanded Principles of Geriatric Primary Care and Common Geriatric Syndromes chapter provides greater emphasis on the care of older adults, including additional information on advance directives.
Part 1: Introduction 1. The Changing Landscape of Collaborative Practice
2. Translating Research Into Clinical Practice
3. The Patient, the Provider, and Primary Care: An Integrated Perspective
4. Professional Integrity and Decision-Making in Primary Care
5. Population-Based Care for Primary Care Providers
6. Reimbursement for Nurse Practitioner Services
7. Health Literacy, Health Care Disparities, and Culturally Competent Primary Care
8. Genetic Considerations in Primary Care NEW!
Part 2: Issues in Primary Care 9. Adolescent Issues
10. Pregnancy and Prenatal Care
11. Lactation Guidance
12. Principles of Geriatric Primary Care and Common Geriatric Syndromes
13. Palliative and End-of Life Care
14. Sleep Disorders
15. Chronic Pain
Part 3: Health Maintenance 17. Obesity and Weight Management NEW!
18. Lifestyle Management NEW!
19. Routine Health Screening and Immunization
20. Principles of Occupational and Environmental Health in Primary Care
21. College Health
22. Health Care and the International Traveler
23. Presurgical Clearance
24. Preparticipation Sports Physical
Part 4: Office Emergencies 25. Emergency Preparedness, Recognition, and Response in Primary Care NEW!
26. Acute Bronchospasm
28. Bites and Stings
29. Bradycardia and Tachycardia
30. Cardiac Arrest
31. Chemical Exposure
32. Electrical Injuries
33. Head Trauma
36. Sexual Assault
38. Thermal Injuries
Part 5: Evaluation and Management of Skin Disorders 39. Examination of the Skin and Approach to Diagnosis of Skin Disorders
40. Surgical Office Procedures
41. Principles of Dermatologic Therapy
42. Screening for Skin Cancer
43. Acne Vulgaris
45. Animal and Human Bites
46. Burns (Minor)
48. Contact Dermatitis
49. Corns and Calluses
50. Cutaneous Herpes
51. Dermatitis Medicamentosa
52. Dry Skin
53. Eczematous Dermatitis (Atopic Dermatitis)
54. Fungal Infections (Superficial)
55. Herpes Zoster (Shingles)
56. Hidradenitis Suppurativa (Acne Inversa)
59. Nail Disorders
60. Pigmentation Changes (Vitiligo)
65. Seborrheic Dermatitis
66. Stasis Dermatitis
69. Wound Management
Part 6: Evaluation and Management of Eye Disorders 70. Evaluation of the Eyes
72. Blepharitis, Hordeolum, and Chalazion
74. Corneal Surface Defects and Ocular Surface Foreign Bodies
75. Dry Eye Syndrome
76. Nasolacrimal Duct Obstruction and Dacryocystitis
77. Preseptal and Orbital Cellulitis
78. Pinguecula and Pterygium
79. Traumatic Ocular Disorders
Part 7: Evaluation and Management of Ear Disorders 80. Auricular Disorder
81. Cerumen Impaction
83. Impaired Hearing
84. Inner Ear Disturbances
85. Otitis Externa
86. Otitis Media
87. Tympanic Membrane Perforation
Part 8: Evaluation and Management of Nose Disorders 88. Chronic Nasal Congestion and Discharge
90. Nasal Trauma
93. Smell and Taste Disturbances
94. Tumors and Polyps of the Nose
Part 9: Evaluation and Management of Oropharynx Disorders 95. Dental Abscess
96. Diseases of the Salivary Glands
98. Oral Infections
100. Peritonsillar Abscess
101. Pharyngitis and Tonsillitis
Part 10: Evaluation and Management of Pulmonary Disorders 102. Acute Bronchitis
104. Chest Pain (Noncardiac)
105. Chronic Cough
106. Chronic Obstructive Pulmonary Disease
109. Lung Cancer
110. Pleurisy and Pleural Effusions
113. Pulmonary Hypertension
Part 11: Evaluation and Management of Cardiovascular Disorders 115. Cardiac Diagnostic Testing
116. Abdominal Aortic Aneurysm
117. Cardiac Arrhythmias
118. Carotid Artery Disease
119. Chest Pain and Coronary Artery Disease
120. Heart Failure
122. Infective Endocarditis
124. Peripheral Arterial and Venous Insufficiency
125. Valvular Heart Disease and Cardiac Murmurs
Part 12: Evaluation and Management of Gastrointestinal Disorders 126. Abdominal Pain and Infections
127. Anorectal Complaints
128. Cholelithiasis and Cholecystitis
131. Diarrhea (Noninfectious)
132. Diverticular Disease
133. Gastroesophageal Reflux Disease
134. Gastrointestinal Hemorrhage
136. Inflammatory Bowel Disease
137. Irritable Bowel Syndrome
139. Nausea and Vomiting
140. Oropharyngeal Dysphagia
142. Tumors of the Gastrointestinal Tract
143. Peptic Ulcer Disease
Part 13: Evaluation and Management of Genitourinary Disorders 144. Hypokalemia and Hyperkalemia
146. Infectious Processes: Urinary Tract Infections and Sexually Transmitted Infections
147. Prostate Disorders
148. Proteinura and Hematuria
149. Renal Failure
150. Sexual Dysfunction (Male)
151. Testicular Disorders
152. Obstructive Uropathies and Tumors of the Genitourinary Tract
153. Urinary Calculi
Part 14: Evaluation and Management of Gynecologic Concerns 154. Amenorrhea
155. Bartholin's Gland Cysts and Abscesses
156. Breast Disorders
157. Chronic Pelvic Pain
160. Ectopic Pregnancy
161. Fertility Control
162. Genital Tract Cancers
165. Pap Smear Abnormalities
166. Pelvic Inflammatory Disease
167. Sexual Dysfunction (Female)
168. Unplanned Pregnancy
169. Vulvar and Vaginal Disorders
Part 15: Evaluation and Management of Musculoskeletal And Arthritic Disorders 170. Ankle and Foot Pain
171. Bone Tumors
173. Elbow Pain
174. Fibromyalgia and Myofascial Pain Syndrome
176. Hand and Wrist Pain
177. Hip Pain
178. Infectious Arthritis
179. Knee Pain
180. Low Back Pain
181. Metabolic Bone Disease: Osteoporosis and Paget's Disease of the Bone
182. Neck Pain
185. Shoulder Pain
186. Sprains, Strains, and Fractures
Part 16: Evaluation and Management of Neurologic Disorders 187. Neuropsychological Evaluation NEW!
188. Amyotrophic Lateral Sclerosis
189. Bell's Palsy
190. Cerebrovascular Events
193. Dizziness and Vertigo
194. Guillain-Barré Syndrome
196. Infections of the Central Nervous System
197. Movement Disorders and Essential Tremor
198. Multiple Sclerosis
199. Parkinson's Disease
200. Seizure Disorder
201. Trigeminal Neuralgia
202. Intracranial Tumors
Part 17: Evaluation and Management of Endocrine and Metabolic Disorders 203. Acromegaly
204. Adrenal Gland Disorders
205. Diabetes Mellitus
207. Hypercalcemia and Hypocalcemia
208. Hypernatremia and Hyponatremia
209. Lipid Disorders
210. Metabolic Syndrome
211. Parathyroid Gland Disorders
212. Thyroid Disorders
Part 18: Evaluation and Management of Hematologic Disorders 213. Anemia
214. Blood Coagulation Disorders
217. Myelodysplastic Syndromes
Part 19: Evaluation and Management of Rheumatic and Multisystem Disorders Unit I: Rheumatic Disorders
218. Ankylosing Spondylitis and Related Disorders
219. Polymyalgia Rheumatica and Giant Cell Arteritis
220. Raynaud's Phenomenon
221. Rheumatoid Arthritis
222. Systemic Lupus Erythematosus
Unit II: Multisystem Disorders 224. Barotrauma and Other Diving Injuries
225. Environmental Allergies NEW!
229. Unintended Weight Loss
Part 20: Evaluation and Management of Infectious Diseases
230. Emerging and Reemerging Infectious Diseases
232. HIV Infection
234. Diarrhea (Infectious)
235. Infectious Mononucleosis
236. Tick-Borne Illness
238. West Nile Virus
Part 21: Evaluation and Management of Oncologic Disorders 239. Collaborative Management of the Oncology Patient
240. Basic Principles of Oncology Treatment
241. Oncology Complications and Paraneoplastic Syndromes
242. Oncology Pain and Symptom Management in Primary Care
243. Unknown Primary Carcinoma
Part 22: Evaluation and Management of Mental Health Disorders
244. Eating Disorders.
245. Mood Disorders
246. Anxiety Disorders
247. Schizophrenia and Other Psychotic Disorders
248. Substance Use Disorders
By Terry Mahan Buttaro, PhD, ANP-BC, GNP-BC, FAANP, Assistant Clinical Professor, Simmons College, Boston, Massachusetts; Adjunct Faculty, University of Massachusetts Boston, Boston, Massachusetts; Coastal Medical Associates, Salisbury, Massachusetts; JoAnn Trybulski, PhD, ANP-BC, DPNAP, Associate Professor of Clinical Nursing, Associate Dean for DNP Program, University of Miami School of Nursing and Health Studies, Miami, Florida; Patricia Polgar Bailey, MS, MPH, APRN, BC, FNP, CDE, BC-ADM, Family Nurse Practitioner, Nurse Manager, UVa-Healthsouth Rehabilitation Hospital, Charlottesville, Virginia and Joanne Sandberg-Cook, MS, APRN, BC, ANP, GNP, ACHPN, Adult/Gerontologic Nurse Practitioner, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Instructor in Medicine, Dartmouth Medical School, Hanover, New Hampshire