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Biomedical subjects

Mikel Gray

Publications and source records attributed to Mikel Gray.

18 recordsLinked to original sources

The importance of screening, assessing, and managing urinary incontinence in primary care.

PURPOSE: To present evidence that routine screening for urinary incontinence is justified because it is a clinically relevant and prevalent disorder that responds to treatment, resulting in improved outcomes for many patients managed by the nurse practitioner (NP). DATA SOURCE: Selected scientific literature. CONCLUSIONS: The prevalence of urinary incontinence and success of treatment options justify routine screening, individualized assessment, and treatment. IMPLICATIONS FOR PRACTICE: Routine screening for urinary incontinence by NPs is uncommon. Based on the relative risk, the potential success of treatment and improved quality-of-life outcomes after treatment, NPs should regularly screen and assess for incontinence.

Female↗

Interstitial cystitis: a guide to recognition, evaluation, and management for nurse practitioners.

Interstitial cystitis (IC) is a chronic disorder of unknown etiology that affects the lower urinary tract of up to 500,000 women and men in the United States. It is characterized by bladder and pelvic pain that varies from moderate discomfort to severe, debilitating pain and related lower urinary tract symptoms including nocturia, diurnal urinary frequency, and urgency. Because the symptoms of IC superficially resemble a urinary tract infection, it is often misdiagnosed and may remain so for months or even years. This article discusses the clinical manifestations of IC, including its differentiation from acute or recurring bacterial cystitis. Options for managing this significant and often debilitating voiding dysfunction are also discussed.

Cystitis, Interstitial↗

A prostate cancer primer.

Prostate cancer is the second most commonly diagnosed malignancy in men and remains the second leading cause of cancer deaths among this population. Early screening and diagnosis, advances in preventive techniques, and existing cutting-edge treatments are part of a multidimensional approach in an ongoing battle to improve the health of millions of men. This primer was designed to familiarize nurses with basic facts about prostate cancer and its management. The epidemiology of prostate cancer and its risk factors, clinical manifestations, screening and early diagnosis, treatment strategies, and implications for urologic nurses are presented.

Humans↗

Characteristics of North American urodynamic centers and clinicians.

Centers performing urodynamic testing in North America were surveyed to identify both who was performing urodynamics and what techniques were employed during specific tests. Urodynamic laboratories tend to have one or more dedicated urodynamic units, capable of measuring multiple pressures, uroflowmetry, and sphincter electromyography. Testing is typically completed by a nurse, physician, physician's assistant, or technically skilled clinician with extensive clinical experience. However, few of these clinicians report formalized education in focusing specifically on urodynamic testing techniques.

Data Collection↗

Perineal skin care for the incontinent patient.

PURPOSE: To offer an educational experience that will help improve the participant's understanding of the factors that contribute to perineal skin breakdown in incontinent patients and how to prevent or manage this clinical problem. TARGET AUDIENCE: This CME/CE activity is intended for physicians and nurses with an interest in managing the perineal skin of incontinent patients.

Dermatitis, Irritant↗