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Primary Care: The Art and Science of Advanced Practice Nursing 6th Edition by Debera J. Dunphy, ISBN-13: 978-1719644655

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Primary Care: The Art and Science of Advanced Practice Nursing 6th Edition by Debera J. Dunphy, ISBN-13: 978-1719644655

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  • Publisher: ‎ F.A. Davis Company; Sixth edition (November 25, 2022)
  • Language: ‎ English
  • 1568 pages
  • ISBN-10: ‎ 1719644659
  • ISBN-13: ‎ 978-1719644655

Primary Care, 6th Edition, online case studies, and Davis Edge work together to create an interactive learning experience that prepares students for their roles as Advanced Practice Nurses in the primary care setting. 

LEARN—The Text
Written by nurse practitioners for nurse practitioners in collaboration with a physician, this popular text explores the theoretical foundations of everything Primary Care. Its comprehensive and easy-to-follow presentation examines the diagnosis and treatment of diseases and disorders of every body system across the life span.

APPLYCase Studies
Online case studies use real-world scenarios to develop clinical decision-making skills as students learn how to properly diagnose and treat patients.

ASSESSDavis Edge
This interactive, online Q&A review platform provides the practice needed to master course content and prepare for exams. Over 1,000 board-style questions test students’ knowledge and retention of what they are learning.

Actionable analytics enable instructors to assess their students’ mastery of the content and their critical-thinking and decision-making skills to easily identify the areas in which they are struggling and intervene quickly in class and on assignments to ensure that they succeed.

Text

  • Expanded, Revised & Updated! Significantly increased and updated content throughout, especially in the sections detailing Ear, Nose, and Throat Problems; Musculoskeletal Problems, and Psychosocial Problems.
  • New Section! Care of Vulnerable Populations in Unit 3, featuring four new chapters that focus on populations that require special attention and consideration
  • New Features! Geriatric Considerations and Pediatric/Adolescent Considerations in applicable Unit 2 chapters
  • New! Online case studies with critical thinking questions
  • Coverage of the broadest range of human disease and disorders using a systems-based approach that presents both Common Complaints and Common Problems to help students narrow down the possible differentials to the most likely diagnosis
  • Coverage of pathophysiology and diagnostic reasoning as well as up-to-date guidance on laboratory and diagnostic tests
  • Emphasis on evidence-based practice with information on evidence levels and more references to primary studies

Davis Edge

  • Enhanced! Interface that makes navigation even easier and offers instructors more flexibility and control options
  • Thousands of questions aligned to Primary Care with page references
  • Comprehensive rationales for both correct and incorrect responses
  • Personalized dashboards that track students’ progress across their assignments and highlight where they need to focus their study time

Table of Contents:

Cover
Title Page
Copyright Page
Dedication
Preface
Acknowledgments
About the Authors
Contributors
Previous Edition Contributors
Reviewers
Contents
Special Features
Disorders Quick Look Up
Unit I: Caring-Based Nursing: The Art
Chapter 1: Primary Care in the Twenty-First Century: A Circle of Caring
Where We Are and Where We Are Going
The Tip of the Iceberg
Prevention as Health Promotion
Historical Perspectives on Advanced Practice Nursing
Changing Models of Advanced Nursing Practice
Changing Models of Medical Practice
A Transformative Template: The Circle of Caring
Interprofessional Care: From Patient to Population
Further Understanding the Circle of Caring
Chapter 2: Caring and the Advanced Practice Nurse
Caring
Caring Processes
Chapter 3: Health Promotion
Health
Health Promotion
Risk Factors in Health Promotion
Influences on Health Promotion
Practical Epidemiology
Conclusion
Chapter 4: The Art of Diagnosis and Treatment
Clinical Judgment in Primary Care
The Clinical Process and Its Limitations
Diagnostic Process Overview
Elements of the Diagnostic Process
Current Diagnostic Process Trends
Documentation
Reduction of Medical Errors
The Digital Future and Telehealth
Artificial Intelligence
Precision Health Care
Ethics
Chapter 5: Evidence-Based Practice
The Aims of Nursing Research for Clinical Application
A Brief History of Evidence-Based Practice
Development of Best Practice Guidelines
Application of Clinical Practice Guidelines
Searching the Literature
Developing a Point-of-Care Strategy
EBP Clinical Decision Making
Unit II: Caring-Based Nursing: The Science
Section 1: Neurological Problems
Chapter 6: Common Neurological Complaints
Confusion
Dizziness and Vertigo
Headache
Paresthesia and Paresis
Tremors
Chapter 7: Seizure Disorders
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Chapter 8: Degenerative Disorders
Dementia
Alzheimer’s Disease
Parkinson’s Disease
Amyotrophic Lateral Sclerosis (Lou Gehrig’s Disease)
Chapter 9: Cerebrovascular Accident (Stroke)
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Chapter 10: Infectious and Inflammatory Neurological Disorders
Meningitis
Encephalitis
Herpes Zoster
Trigeminal Neuralgia
Bell’s Palsy
Guillain-Barré Syndrome
Myasthenia Gravis
Multiple Sclerosis
Section 2: Skin Problems
Chapter 11: Common Skin Complaints
Alopecia
Pigmentation Changes
Pruritus
Rash
Urticaria
Chapter 12: Parasitic Skin Infestations
Scabies
Pediculosis
Chapter 13: Mucocutaneous Fungal Infections
Candidiasis
Dermatophytoses
Onychomycosis
Chapter 14: Bacterial Skin Infections
Impetigo
Folliculitis
Furuncles and Carbuncles
Cellulitis
Chapter 15: Viral Skin Infections
Warts
Herpes Simplex Infections
Chapter 16: Dermatitis
Atopic Dermatitis
Contact Dermatitis
Seborrheic Dermatitis
Psoriasis
Chapter 17: Skin Lesions
Benign Lesions
Acne Vulgaris
Rosacea
Seborrheic Keratosis
Premalignant Lesions
Actinic Keratosis
Malignant Lesions
Malignant Melanoma
Nonmelanomatous Skin Cancers
Section 3: Eye Problems
Chapter 18: Common Eye Complaints
Dry Eye
Excessive Tearing (Epiphora)
Eye Pain
Red Eye
Visual Changes
Chapter 19: Lid and Conjunctival Pathology
Blepharitis
Hordeolum and Chalazion
Dry Eye
Excessive Tearing (Epiphora)
Red Eye/Conjunctivitis
Chapter 20: Visual Disturbances and Impaired Vision
Refractive Errors
Cataracts
Glaucoma
Diabetic Retinopathy
Macular Degeneration
Section 4: Ear, Nose, and Throat Problems
Chapter 21: Common Ear, Nose, and Throat Complaints
Ear Pain (Otalgia)
Impaired Hearing
Tinnitus
Mouth Sores
Hoarseness
Sore Throat
Epistaxis
Sinus Complaints
Neck Masses
Chapter 22: Hearing and Balance Disorders
Hearing Loss
Tinnitus
Vestibular Disorders
Benign Paroxysmal Positional Vertigo
Ménière’s Disease
Vestibular Neuritis and Labyrinthitis
Chapter 23: Inflammatory and Infectious Disorders of the Ear
Otitis Externa (Swimmer’s Ear)
Otitis Media
Chapter 24: Inflammatory and Infectious Disorders of the Nose, Sinuses, Mouth, and Throat
Rhinitis
Rhinosinusitis
Neck Masses
Stomatitis and Glossitis
Oral Cancer
Pharyngitis and Tonsillitis
Chapter 25: Epistaxis
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Chapter 26: Temporomandibular Disorders
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Chapter 27: Dysphonia
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Section 5: Respiratory Problems
Chapter 28: Common Respiratory Complaints
Cough
Dyspnea
Hemoptysis
Chapter 29: Sleep Apnea
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Chapter 30: Infectious Respiratory Disorders
Upper Respiratory Infections
Cystic Fibrosis
Pneumonia
Tuberculosis
Chapter 31: Inflammatory Respiratory Disorders
Asthma
Chronic Bronchitis and Emphysema (Chronic Obstructive Pulmonary Disease [COPD])
Interstitial Lung Disease
Chapter 32: Lung Cancer
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Chapter 33: Smoking Addiction
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Section 6: Cardiovascular Problems
Chapter 34: Common Cardiovascular Complaints
Chest Pain
Palpitations
Syncope
Dyspnea
Leg Aches
Peripheral Edema
Chapter 35: Cardiac and Associated Risk Disorders
Hypertension
Dyslipidemia
Coronary Heart Disease
Acute Coronary Syndrome
Heart Failure
Chapter 36: Dysrhythmias and Valvular Disorders
Arrhythmias
Valvular Disorders and Murmurs
Chapter 37: Disorders of the Vascular System
Peripheral Artery Disease
Deep Vein Thrombosis/Chronic Venous Insufficiency
Section 7: Abdominal Problems
Chapter 38: Common Abdominal Complaints
Abdominal Pain
Constipation
Diarrhea
Dyspepsia and Heartburn
Jaundice
Melena
Nausea and Vomiting
Dysphagia
Chapter 39: Infectious Gastrointestinal Disorders
Gastroenteritis
Hepatitis
Appendicitis
Chapter 40: Gastric and Intestinal Disorders
Gastroesophageal Reflux Disease
Peptic Ulcer Disease
Hemorrhoids
Abdominal Hernias
Irritable Bowel Syndrome
Celiac Disease
Bowel Obstruction
Diverticular Disease
Inflammatory Bowel Disease
Colorectal Cancer
Chapter 41: Gallbladder and Pancreatic Disorders
Cholecystitis
Acute Pancreatitis
Chronic Pancreatitis
Pancreatic Cancer
Chapter 42: Cirrhosis and Liver Failure
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Section 8: Renal Problems
Chapter 43: Common Urinary Complaints
Dysuria
Hematuria
Proteinuria
Chapter 44: Urinary Tract Disorders
Urinary Incontinence
Lower Urinary Tract Infections
Upper Urinary Tract Infection: Pyelonephritis
Nephrolithiasis
Chapter 45: Kidney and Bladder Disorders
Acute Kidney Injury
Chronic Kidney Disease
Renal Tumors
Bladder Tumors
Section 9: Gender-Related Health Problems
Chapter 46: Common Reproductive System Complaints
Breast Mass
Abnormal Uterine Bleeding
Dyspareunia
Nocturia in Males
Chronic Pelvic Pain Syndrome in Females
Chronic Pelvic Pain Syndrome in Males
Testicular Pain
Testosterone Deficiency
Vulvovaginitis
Chapter 47: Common Reproductive System Issues
Contraception and Family Planning
Fertility Problems
Premenstrual Syndrome and Premenstrual Dysphoric Disorder
Menopause
Chapter 48: Breast Disorders
Mastitis
Breast Cancer
Chapter 49: Vaginal, Uterine, and Ovarian Disorders
Amenorrhea
Dysmenorrhea
Endometriosis
Leiomyomas (Uterine Fibroids)
Precancerous Lesions and Cancer of the Cervix
Endometrial Cancer
Ovarian Cancer
Vulvodynia
Chapter 50: Prostate Disorders
Benign Prostatic Hyperplasia
Prostatitis
Prostate Cancer
Chapter 51: Penile and Testicular Disorders
Erectile Dysfunction
Epididymitis
Testicular Torsion
Hydrocele
Varicocele
Testicular Cancer
Chapter 52: Sexually Transmitted Infections
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Section 10: Musculoskeletal Problems
Chapter 53: Common Musculoskeletal Complaints
Acute Musculoskeletal Injury
Muscle Cramps
Paresthesias
Myofascial Pain
Regional Musculoskeletal Complaints
Neck Pain
Back Pain
Shoulder Pain
Elbow Pain
Wrist and Hand Pain
Hip Pain
Knee Pain
Ankle Pain
Foot Pain
Chapter 54: Spinal Disorders
Cervical Muscle Sprain and Strain
Cervical Spondylosis
Low Back Pain
Herniated Lumbar Disc (Herniated Nucleus Pulposus)
Lumbar Spinal Stenosis
Cauda Equina Syndrome
Vertebral Fracture
Chapter 55: Soft Tissue Disorders
Bursitis
Tendinitis/Tenosynovitis
Hand and Wrist Disorders
Carpal Tunnel Syndrome
De Quervain’s Tenosynovitis
Ganglion Cyst
Trigger Finger
Tendon Injuries of the Hand
Dupuytren’s Contracture
Shoulder Disorders
Adhesive Capsulitis
Impingement Syndrome
Calcific Tendinitis
Rotator Cuff Tear
Hip Disorders
Greater Trochanteric Pain Syndrome
Meralgia Paresthetica
Avascular Necrosis
Bone Tumors
Knee Disorders
Cruciate Ligament Injury
Medial Collateral Ligament Injury
Meniscus Tear
Foot and Ankle Disorders
Plantar Fasciitis
Interdigital Neuroma
Chapter 56: Osteoarthritis and Osteoporosis
Osteoarthritis
Osteoporosis
Section 11: Endocrine and Metabolic Problems
Chapter 57: Common Endocrine and Metabolic Complaints
Hypocalcemia
Gynecomastia
Hirsutism
Increased Neck Size
Polydipsia, Polyphagia, and Polyuria
Chapter 58: Glandular Disorders
Hyperthyroidism
Hypothyroidism
Thyroid Cancer
Cushing’s Syndrome
Adrenal Insufficiency
Chapter 59: Diabetes Mellitus
Diabetes Mellitus Type 1
Diabetes Mellitus Type 2
Diabetes Mellitus Type 3C
Chapter 60: Metabolic Disorders
Obesity
Gout
Section 12: Hematological and Immunological Problems
Chapter 61: Common Hematological and Immunological Complaints
Bruising
Fatigue
Fever
Lymphadenopathy
Chapter 62: Hematological Disorders
Anemia
Microcytic Anemia
Normocytic Anemia
Macrocytic Anemia
Sickle Cell Anemia
Polycythemia
Leukemia
Chapter 63: Immunological Disorders
Allergic Reactions
Rheumatoid Arthritis
Chronic Fatigue Syndrome and Fibromyalgia Syndrome
Sjögren’s Syndrome
Systemic Lupus Erythematosus
Chapter 64: Infectious Disorders
Infectious Mononucleosis
Lyme Disease
HIV Infection
AIDS
Section 13: Psychosocial Problems
Chapter 65: Common Psychological Complaints
Anxiety Disorders
Depressed Mood
Grief
Substance Use Disorder
Intimate Partner Violence
Chapter 66: Neurodevelopmental Disorders
Attention Deficit-Hyperactivity Disorder
Autism Spectrum Disorder
Intellectual Disability
Tic Disorders
Chapter 67: Substance-Related and Addictive Disorders
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Chapter 68: Schizophrenia Spectrum and Other Psychotic Disorders
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Chapter 69: Mood Disorders
Major Depressive Disorder
Bipolar and Related Disorders
Suicide
Chapter 70: Anxiety Disorders and Post-Traumatic Stress Disorder
Generalized Anxiety Disorder
Panic Disorder
Phobias
Post-Traumatic Stress Disorder
Chapter 71: Obsessive-Compulsive and Related Disorders
Obsessive-Compulsive Disorder
Body Dysmorphic Disorder
Hoarding Disorder
Chapter 72: Other Psychiatric Disorders
Feeding and Eating Disorders
Sleep–Wake Disorders
Insomnia Disorder
Restless Legs Syndrome
Chapter 73: Sexual Assault
Epidemiology and Causes
Pathophysiology
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Chapter 74: Human Trafficking
Epidemiology and Causes
Clinical Presentation
Diagnostic Reasoning
Management
Follow-Up and Referral
Section 14 Urgent Care Problems
Chapter 75: Common Injuries
Wounds and Lacerations
Animal and Human Bites
Arthropod Bites and Stings
Burns
Head Trauma
Pneumothorax and Hemothorax
Foreign Body Obstruction
Chapter 76: Toxic and Environmental Exposures
Poisoning
Heat-Related Illnesses
Cold-Related Illnesses
Hypothermia
Frostbite
Unit III: Caring-Based Nursing: The Practice
Section 1: Care of Vulnerable Populations
Chapter 77: Primary Care of Adolescents
Adolescence Overview
Conclusion
Chapter 78: Sports Physicals
Introduction
Examination Timing
Examination Formats
Components of Sports Physical: History, Physical Examination, and Clearance
Chapter 79: Primary Care of Patients Who Are Transgender
Introduction
Prevalence and Demographics of Transgender Patients
Assessment
Common Gender-Affirming Treatment – Trans Men
Common Gender-Affirming Treatments – Trans Women
Pharmacological Considerations
Gender-Appropriate Care
Conclusion
Chapter 80: Primary Care of Veterans
Introduction
Non-VA Health-Care Providers
Military Separation
Military and Veteran Families
Exposure to Risks for Illness and Injury
Veteran Mental Health Needs
Conclusion
Chapter 81: Primary Care of the Patient With Cancer
Introduction
Health Promotion
Chapter 82: Primary Care of Older Adults
Introduction
Demographics and the Changing Face of Aging
Processes of Aging
A Focus on Healthy Aging
Health Screening for Older Adults
Immunizations
Geriatric Syndromes
Medications in the Older Adult
Special Topics in Aging
End-of-Life Decision Making
Conclusion
Chapter 83: Pain Management
Introduction
Pain Mechanisms: Pathophysiology
Classifications of Pain
Assessment of Acute and Chronic Pain
Pain Management
Vulnerable and Special Populations
Section 2: Special Topics in Advanced Practice
Chapter 84: Palliative and End-of-Life Care
History of Palliative Care and Hospice
Differences Between Hospice and Palliative Care
Hospice Care Utilization
Death and Dying in the United States
Utilization of Palliative Care
Professional Educational Efforts to Improve the Practice of Palliative Care
Suffering
Advance Directives
Specialty Populations
The Role of the Primary Care Provider in Palliative Care
Conclusion
Chapter 85: Ethical and Legal Issues of a Caring-Based Practice
Ethical Issues
Legal Issues
Chapter 86: Quality & Value-Based Payment: Making an Economic Impact on Health Care
Introduction
Third-Party Payer Rules
Affordable Care Act: Impact and Status
Reimbursement Rules—Billing and Coding
Value-Based Reimbursement and Performance-Based Care
Conclusion
Chapter 87: Primary Care Approaches to Behavioral Health
Stress
Brain Changes in Response to Stress and Counseling
Health Coaching Using Cognitive and Behavioral Techniques
Motivational Interviewing
Summary
Chapter 88: Putting Caring Into Practice: Caring for Self
Background: Caring and Self-Care
Challenges to Self-Care Inherent in Advanced Practice Nursing
Compassion Fatigue and Burnout
The Principles of Self-Care Management
The Process of Self-Care Management
Conclusion
Index

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