The Family Nurse Practitioner provides essential guidance and information for understanding how to diagnose and manage typical (and some atypical) patient cases. With contributions from noted experts on the topic, this new edition contains updated cases to reflect today's patient-centered approach, and includes the most recent advances in patient care. From neonatal to geriatric, all the cases demonstrate real-life scenarios and present appropriate solutions on a case-by-case basis to reflect the nuance required in practice.
The revised edition emphasizes pharmacological management, with a new section on mental health care and additional cases on chronic conditions. Greater consideration is given to race, gender, ethnicity and their impact on management options.
- Contains more than 70 case studies
- Offers new cases on pelvic pain, substance abuse, food allergies, celiac disease, child abuse, pre-conception planning, and dermatology
- Includes discussion questions to help develop understanding
Written for students and academics of nursing and nurse practitioners, The Family Nurse Practitioner is the ideal text for developing and expanding one's knowledge and comprehension of the diagnosis and management of patient care.
Table of Contents
Contributors xi
Preface xv
Acknowledgments xvii
Introduction xix
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Abbreviations and Acronyms xxi
Section 1 The Neonate 1
Case 1.1 Cardiovascular Screening Exam 3
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 1.2 Pulmonary Screening Exam 7
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 1.3 Skin Screening Exam 11
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 1.4 Oxygenation 15
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 1.5 Nutrition and Weight 19
By Mikki Meadows-Oliver, PhD, RN, FAAN
Section 2 The Infant 23
Case 2.1 Nutrition and Weight 25
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 2.2 Breastfeeding 29
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 2.3 Growth and Development 33
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 2.4 Heart Murmur 37
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 2.5 Cough 41
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 2.6 Diarrhea 45
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 2.7 Fall from Height 49
By Mikki Meadows-Oliver, PhD, RN, FAAN
Section 3 The Toddler/Preschool Child 53
Case 3.1 Earache 55
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 3.2 Bedwetting 57
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 3.3 Burn 61
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 3.4 Toothache 63
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 3.5 Abdominal Pain 67
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 3.6 Lesion on Penis 71
By Mikki Meadows-Oliver, PhD, RN, FAAN
Section 4 The School-Aged Child 75
Case 4.1 Rash without Fever 77
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 4.2 Rash with Fever 79
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 4.3 Red Eye 83
By Andrew Konesky, MSN, APRN
Case 4.4 Sore Throat 85
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 4.5 Disruptive Behavior 89
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 4.6 Cough and Difficulty Breathing 93
By Nancy Cantey Banasiak, DNP, PPCNP-BC, APRN
Case 4.7 Left Arm Pain 95
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 4.8 Nightmares 97
By Mikki Meadows-Oliver, PhD, RN, FAAN
Case 4.9 Gastrointestinal Complaint 101
By Allison Grady, MSN, APNP
Case 4.10 Food Allergies 103
By Allison Grady, MSN, APNP
Case 4.11 Obesity 107
By Mikki Meadows-Oliver, PhD, RN, FAAN
Section 5 The Adolescent 111
Case 5.1 Drug Use 113
By Anna Goddard, PhD, APRN, CPNP-PC
Case 5.2 Weight Loss 115
By Anna Goddard, PhD, APRN, CPNP-PC
Case 5.3 Menstrual Cramps 119
By Vera Borkowski, MSN, APRN, FNP-C
Case 5.4 Missed Periods 121
By Vera Borkowski, MSN, APRN, FNP-C
Case 5.5 Birth Control Decision-Making 123
By Jessica Chan, MSN, APRN, PPCNP-BC
Case 5.6 Vaginal Discharge 125
By Betsy Gaffney, MSN, APRN, FNP-BC
Case 5.7 Sexual Identity 127
By Betsy Gaffney, MSN, APRN, FNP-BC
Case 5.8 Knee Pain 129
By Jessica Chan, MSN, APRN, PPCNP-BC
Section 6 Women’s Health 133
Case 6.1 Preconception Planning 135
By Sara Smoller, RN, MSN, ANP-BC
Case 6.2 Bleeding in the First Trimester of Pregnancy 137
By Meredith Scannell, PhD, MSN, MPH, CNM, CEN, SANE-A
Case 6.3 Night Sweats 139
By Ivy M. Alexander, PhD, APRN, ANP-BC, FAANP, FAAN and Annette Jakubisin-Konicki, PhD, ANP-BC, FNP-BC, FAANP
Case 6.4 Pelvic Pain 145
By Meredith Scannell, PhD, MSN, MPH, CNM, CEN, SANE-A
Case 6.5 Vaginal Itching 147
By Sara Smoller, RN, MSN, ANP-BC
Case 6.6 Redness and Swelling in the Breast 149
By Karen M. Flaherty, MSN, MEd, APRN-BC, CBCN
Case 6.7 Sexual Assault 151
By Meredith Scannell, PhD, MSN, MPH, CNM, CEN, SANE-A
Case 6.8 Abdominal Pain 155
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 6.9 Urinary Frequency 157
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 6.10 Headache 159
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 6.11 Fatigue and Joint Pain 161
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 6.12 Muscle Tenderness 165
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 6.13 Insomnia 169
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Section 7 Men’s Health 173
Case 7.1 Fatigue 175
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 7.2 Testicular Pain 179
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 7.3 Prostate Changes 181
By Clara Gona, PhD, FNP-BC, RN
Section 8 General Adult Health 183
Case 8.1 Substance Use Disorder (SUD) 185
By Jason R. Lucey, DNP, FNP-BC
Case 8.2 Foot Ulcer 187
By Susan M. Jussaume, MSN, APRN, FNP-BC, AHN-BC
Case 8.3 Abdominal Pain and Weight Gain 191
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 8.4 Burning Leg Pain 195
By Antonia Makosky, DNP, MPH, ANP-BC, ANP
Case 8.5 Difficulty Breathing 197
By Rebecca Hill, DNP, RN, FNP-C, CNE
Case 8.6 Burning Epigastric Pain after Meals 199
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 8.7 Chest Pain and Dyspnea without Radiation 201
By Rebecca Hill, DNP, RN, FNP-C, CNE and Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 8.8 Chest Pain with Radiation 205
By Rebecca Hill, DNP, RN, FNP-C, CNE
Case 8.9 Persistent Cough and Joint Tenderness 207
By Rebecca Hill, DNP, RN, FNP-C, CNE
Case 8.10 Morning Headache 209
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 8.11 Facial Pain 211
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 8.12 Fatigue, Confusion, and Weight Loss 213
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 8.13 Hand Numbness 217
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 8.14 Chronic Diarrhea 221
By Clara M. Gona, PhD, FNP-BC, RN and Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 8.15 Intractable Pain 223
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 8.16 Wrist Pain and Swelling 225
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Section 9 Mental Health 227
Case 9.1 Sad Mood 229
By Sheila Swales, MS, RN, PMHNP-BC
Case 9.2 More Than Depression 231
By Sara Ann Jakub, MA, SYC, LPC and Anna Goddard, PhD, APRN, CPNP-PC
Case 9.3 Postpartum Depression 235
By Nancy M. Terres, PhD, RN
Case 9.4 Anxiety 239
By Sheila Swales, MS, RN, PMHNP-BC
Case 9.5 Trauma 241
By Erin Patterson Janicek, LCSW and Anna Goddard, PhD, APRN, CPNP-PC
Section 10 The Older Adult 245
Case 10.1 Forgetfulness 247
By Amy Bruno, PhD, RN, ANP-BC
Case 10.2 Behavior Change 251
By Sheila L. Molony, PhD, APRN, GNP-BC, FGSA, FAAN
Case 10.3 Tremors 255
By Amy Bruno, PhD, RN, ANP-BC
Case 10.4 Weight Gain and Fatigue 259
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 10.5 Visual Changes 263
By Millie Hepburn, PhD, RN, ACNS-BC, SCRN
Case 10.6 Back Pain 267
By Ivy M. Alexander, PhD, APRN, ANP-BC, FAANP, FAAN
Case 10.7 Acute Joint Pain 273
By Sara Smoller, RN, MSN, ANP-BC
Case 10.8 Itching and Soreness 275
By Sheila L. Molony, PhD, APRN, GNP-BC, FGSA, FAAN
Case 10.9 Knee Pain 277
By Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN
Case 10.10 Hyperthermia and Mental Status Changes in the Elderly 279
By Suellen Breakey, PhD, RN and Patrice K. Nicholas, DNSc, DHL (Hon), MPH, MS, RN, NP-C, FAAN
Section 11 Resolutions 281
Index 591
