Family Nurse Practitioner Child and Family Agency of Southeastern CT New London, CT, USA
Anna Goddard, PhD, APRN, CPNP‐PC Assistant Professor College of Nursing Sacred Heart University Fairfield, CT, USA Pediatric Nurse Practitioner Child and Family Agency of Southeastern CT New London, CT, USA
Clara Gona, PhD, FNP‐BC, RN Assistant Professors School of Nursing MGH Institute of Health Professions Boston, MA, USA
Allison Grady, MSN, APNP Clinical Instructor College of Nursing University of Wisconsin–Milwaukee Milwaukee, WI, USA Pediatric Nurse Practitioner Medical College of Wisconsin/Children’s Wisconsin Clinics Milwaukee, WI, USA
Millie Hepburn, PhD, RN, SCRN, ACNS‐BC Assistant Professor Quinnipiac University Hamden, CT, USA
Rebecca Hill, DNP, RN, FNP‐C, CNE Assistant Professor School of Nursing MGH Institute of Health Professions Boston, MA, USA Family Nurse Practitioner Family Doctors, LLC Swampscott, MA, USA
Erin Janicek, LCSW Senior Director of Clinical Services Child and Family Agency of Southeastern CT New London, CT, USA
Sara Ann Jakub, MA, SYC, LPC Director of Clinical Services for School‐Based Health Centers Director of Quality Assurance Child and Family Agency of Southeastern CT New London, CT, USA
Annette Jakubisin‐Konicki, PhD, ANP‐BC, FNP‐BC, FAANP Associate Professor Director, Family Nurse Practitioner Primary Care Track School of Nursing University of Connecticut Storrs, CT, USA
Erin Janicek, LCSW Senior Director of Clinical Services Child and Family Agency of Southeastern CT New London, CT, USA
Susan M. Jussaume, MSN, APRN, FNP‐BC, AHN‐BC Instructor and Family Nurse Practitioner School of Nursing MGH Institute of Health Professions Boston, MA, USA
Andrew Konesky, MSN, APRN Pediatric Nurse Practitioner Child and Family Agency of Southeastern CT New London, CT, USA
Jason R. Lucey, DNP, FNP‐BC Assistant Professor Family Track Co‐Coordinator School of Nursing MGH Institute of Health Professions Boston, MA, USA
Antonia C. Makosky, DNP, MPH, ANP‐BC, ANP Assistant Professor Adult‐Gerontology Primary Care Track Co‐Coordinator School of Nursing MGH Institute of Health Professions Boston, MA, USA
Mikki Meadows‐Oliver, PhD, RN, FAAN Associate Professor School of Nursing Quinnipiac University Hamden, CT, USA
Sheila L. Molony, PhD, APRN, GNP‐BC, FGSA, FAAN Professor of Nursing Quinnipiac University Hamden, CT, USA
Patrice K. Nicholas, DNSc, DHL (Hon), MPH, MS, RN, NP‐C, FAAN Distinguished Teaching Professor and Director Center for Climate Change, Climate Justice, and Health School of Nursing MGH Institute of Health Professions Boston, MA, USA
Meredith Scannell, PhD, MSN, MPH, CNM, CEN, SANE‐A Clinical Research Nurse and Emergency Nurse Brigham and Women’s Hospital Boston, MA, USA
Sara Smoller, RN, MSN, ANP‐BC Assistant Professor School of Nursing MGH Institute of Health Professions Boston, MA Adult Nurse Practitioner Family Doctors, LLC Swampscott, MA, USA
Sheila Swales, MS, RN, PMHNP‐BC Instructor School of Nursing MGH Institute of Health Professions Boston, MA, USA
Nancy M. Terres, PhD, RN Associate Professor of Nursing School of Nursing MGH Institute of Health Professions Boston, MA, USA
Preface
The purpose of this book is to help clinicians and students better understand how to diagnose and manage typical (and some atypical) patient cases. While the focus is on the nurse practitioner role, this book will be useful to other patient care providers, such as physicians and physician’s assistants. The contributing authors have worked hard to update cases from the first edition of this book to better reflect patient‐centered language and advances in care. We have developed several new cases, such as one on climate change, to assist clinicians with scenarios that were not as predominant as they are today.
We have presented a variety of patients in these cases with regard to age, gender identity, socioeconomic status, family status, and other considerations. However, please don’t hesitate to alter these demographics to tailor the cases for your specific needs.
The contributing authors in this book are all subject matter experts. They have written these cases from real life. Consequently, the cases do not result in cookie‐cutter solutions. Critical thinking questions encourage the reader to think carefully about the case as presented and about potential resolutions to the case given variations that occur in real life. These cases should be used to jump‐start conversations among students, faculty, and clinicians regarding possible treatment options depending on the individual patient. All cases include the most current research and guidelines for treatment.
The cases are presented chronologically from pediatric to adolescent to adult and older adult. Cases in women’s health and men’s health have their own separate chapters. Mental health cases are now in a separate chapter.
For this second edition we moved the case resolutions to the end of the book. The best use of the book is to read and analyze the case, alter the demographics of the patient to view the case from multiple perspectives, and then review and discuss the resolutions. Keep in mind that there is typically more than one way to treat a patient and patients should always be diagnosed and treated on an individual basis, so there is often more than one possible resolution to a case. We have only included one resolution per case in this book.
Acknowledgments
I am so grateful to the readers of the first edition of this book. Thank you for using it. I hope you will find this second edition even more helpful. Many thanks to the contributing authors of this second edition. Several rejoined me from the first edition and others are new to this edition. All were easy to work with and are consummate professionals and excellent clinicians.
Thanks to all the patients and colleagues who’ve taught me so much throughout the years. Clinical practice and nursing education are my great passions and I’m grateful for all I learn every day.
Finally, thank you to Edward and Natalie Rotkoff, Kevin Boylan, Paul Neal, Corinne Neal, Andrew Neal, and Bonnie Brown.
Introduction
By Leslie Neal‐Boylan, PhD, APRN, CRRN, FAAN, FARN
Family practice is not simply the practice of caring for individuals across the lifespan. Contrary to the perceptions of many students who enter the world of family practice, it is not simply to care for people “from womb to tomb.” Practice that is guided by that philosophy risks missing so much, not only regarding the individual patient’s own health but the family dynamics and the tangible and intangible aspects of the family that impact the individual patient. If the “family” aspect of family practice is ignored or neglected, then the clinician is simply caring for individuals as any
