On call paediatricians were not better than advice nurses for after hours medical advice in a general paediatric population.
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Comment↗
Biomedical subjects
Elizabeth Hawkins-Walsh
Publications and source records attributed to Elizabeth Hawkins-Walsh.
Case study of a young man with tremor.
PURPOSE: To provide the clinician with an opportunity to review the most common causes of tremor in young adults. DATA SOURCES: Extensive review of international scientific literature on tremors and other movement disorders, supplemented by a recent case study. CONCLUSIONS: Essential tremor (ET) is the most common tremor disorder in the world. In contrast to common expectations, the 2nd decade of life represents a period of peak incidence. The early presentation may be so mild that the tremor goes unnoticed by patients and clinicians for many years. The most important movement disorder to rule out in the workup of patients with tremors is Parkinson's disease. IMPLICATIONS FOR PRACTICE: The diagnosis of ET is generally made on clinical grounds. A comprehensive history and careful physical examination that rules out cerebellar or extrapyramidal disease is required. The clinician must distinguish between resting tremors and action tremors. If the appropriate diagnosis is unclear, a tremor recording (electromyogram) may assist in this distinction. Referral to a neurologist may be warranted.
Adult↗
A behavioural infant sleep intervention resolved sleep problems.
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Comment↗
A national survey of PNP curricula: preparing pediatric nurse practitioners to meet the challenge in behavioral mental health.
The emergent mental health needs of children and adolescents have been declared a national priority by the Surgeon General of the United States (United States Department of Health and Human Services [USDHHS], 1999). Pediatric nurse practitioners (PNP) are called upon to respond to a new challenge by increasing their knowledge and skills in providing mental health care in the primary care setting. In turn, educators of PNP programs across the country are called upon to evaluate the status of PNP curricula in the field of behavioral/mental health and determine the essential competencies needed to meet the challenge. A survey was conducted to determine the extent of pediatric mental/behavioral health content currently taught in nationally approved PNP programs to discern the level of preparation PNP students received both in the classroom and clinically in the area of the assessment, diagnosis, and management of mental/behavioral health problems in children and adolescents. The final survey included a total of 78 nationally recognized PNP programs. Pediatric behavioral/mental health content was found to vary widely across programs, but it was apparent that all programs had begun to expand their curricula to include more content in this area. As the role of the PNP continues to expand, the burden of providing a sound education in a feasible time frame will be an increasing challenge.
Behavioral Medicine↗