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ONA's Nursing Practice Topics
To help nurses keep a finger on the pulse of health care practice, ONA introduces the Practice Corner, which features links to various studies, papers and guidelines about some of the latest research on various health care issues. Each week, we will look to add to the list, providing nurses with some of the best resources possible to keep up on their practice.

Nursing Practice Topics

Pearls when Assessing Knee Pain in General Practice Settings

Everyone should already be familiar with the tips, tricks and associated evidence base for the assessment of knee pain in primary care. A careful history of recent or past injuries, sports participation and any other orthopedic injuries can help to begin to paint the picture.

However, what is often omitted is the identification of root causes or contributing factors such as lifestyle, obesity, autoimmune disease, the type of shoes the patient wears for recreational exercise, as well as, organized sports. While there is often limited time to properly address these issues in the initial visit, careful planning at this stage can often have a dramatic effect on both the immediate problem as well as the prognosis for recurrence of the knee pain.

Psychosis and Schizophrenia in Adults

The Agency for Healthcare Research and Quality (AHRQ) has updated the guidelines for primary care settings, “Psychosis and Schizophrenia in Adults: Treatment and Management”. Included in the many updates and revisions are relevant nursing considerations such as if a person is distressed, has a decline in social functioning and has transient psychotic symptoms, or other experiences, or behavior suggestive of possible psychosis, or a first-degree relative with psychosis or schizophrenia then:

Refer them for assessment without delay to a specialist mental health service because they may be at increased risk of developing psychosis.

In addition:

  • Offer a combined healthy eating and physical activity program
  • Offer caregivers of people with psychosis or schizophrenia an assessment of their own needs and strengths
  • Offer a caregiver focused education and support program

Click here to review AHRQ’s full guidelines for practice recommendations

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