American Journal of Nursing: November 2014 - Volume 114 - Issue 11

Letters

Visionary Leaders Tanis, Dawn Free Access PDF + Favorites Request Permissions

DNP Relevancy Taylor, Tina Free Access PDF + Favorites Request Permissions

DNP Relevancy Thede, Linda Q. Free Access PDF + Favorites Request Permissions

DNP Relevancy Parsley, Heather Free Access PDF + Favorites Request Permissions In the News CMS to Compensate Providers for Coordinating Care Wallis, Laura Free Access Abstract PDF + Favorites Request Permissions Palliative Care Patients Fare Better with Earlier Referrals Wilmont, Sibyl Shalo Free Access Abstract PDF + Favorites Request Permissions NewsCAP: Increases in ED visits caused by zolpidem overmedication Free Access PDF + Favorites Request Permissions Open Visitation for the Primary Support Person Carter, David Free Access Abstract PDF + Favorites Request Permissions NewsCAP: Idaho attributes its increase in pertussis to low vaccination rates Free Access PDF + Favorites Request Permissions NewsCAP: Charges for 10 common blood tests at 189 California hospitals vary widely Free Access PDF + Favorites Request Permissions ICU Survival Improves with Better Work Environments, More BSNs Wilmont, Sibyl Shalo Free Access Abstract PDF + Favorites Request Permissions Younger Female Soccer Players at Higher Risk for Concussions Potera, Carol Free Access Abstract PDF + Favorites Request Permissions NewsCAP: Higher nurse-to-bed ratios linked to lower mortality risk in stroke units Free Access PDF + Favorites Request Permissions

BMC Nursing - Research Articles, October 2014

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  Research article

   

  

  Community health nurses’ learning needs in relation to the Canadian community health nursing standards of practice: results from a Canadian survey

  Valaitis RK, Schofield R, Akhtar-Danesh N, Baumann A, Martin-Misener R, Underwood J and Isaacs SBMC Nursing 2014, 13:31 (21 October 2014)
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  Research article

   

  

  Assessment of quality in psychiatric nursing documentation – a clinical audit

  Instefjord MH, Aasekjær K, Espehaug B and Graverholt BBMC Nursing 2014, 13:32 (17 October 2014)
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  Study protocol

   

  

  Recognising the differences in the nurse consultant role across context: a study protocol

  Giles M, Parker V and Mitchell RBMC Nursing 2014, 13:30 (13 October 2014)
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  Research article

   

  

  Nurses’ views and experiences of caring for malnourished patients in surgical settings in Saudi Arabia – a qualitative study

  Khalaf A, Westergren A, Ekblom Ö, Al-Hazzaa HM and Berggren VBMC Nursing 2014, 13:29 (13 October 2014)
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  Research article

   

  

  Experiences of person-centred care - patients’ perceptions: qualitative study

  Alharbi TSJ, Carlström E, Ekman I, Jarneborn A and Olsson LEBMC Nursing 2014, 13:28 (8 October 2014)
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  Research article

   

  

  Organization of nursing care in three Nordic countries: relationships between nurses’ workload, level of involvement in direct patient care, job satisfaction, and intention to leave

  Lindqvist R, Smeds Alenius L, Runesdotter S, Ensio A, Jylhä V, Kinnunen J, Strømseng Sjetne I, Tvedt C et al.BMC Nursing 2014, 13:27 (6 October 2014)

How does pharmacogenetic testing alter the treatment course and patient response for chronic-pain patients in comparison with the current “trial-and-error” standard of care?

1. Kelly DeFeo PhD, CRNA, FNP-BC (Nurse Practitioner)^*, 
2. Kristen Sykora MSN, FNP-BC (Nurse Practitioner), 
3. Susan Eley PhD, FNP-BC (Associate Professor and Chair) and
4. Debra Vincent PhD, FNP-BC (Associate Professor and Director)

Article first published online: 7 AUG 2014

DOI: 10.1002/2327-6924.12154

©2014 American Association of Nurse Practitioners

Issue 

Journal of the American Association of Nurse Practitioners

Volume 26,  Issue 10, pages 530–536, October 2014

Abstract

Purpose

To evaluate if pharmacogenetic testing (PT) holds value for pain-management practitioners by identifying the potential applications of pharmacogenetic research as well as applications in practice.

Data sources

A review of the literature was conducted utilizing the databases EBSCOhost, Biomedical Reference Collection, CINAHL, Health Business: Full Text, Health Source: Nursing/Academic Edition, and MEDLINE with the keywords, personalized medicine, cytochrome P450, and phamacogenetics.

Conclusions

Chronic-pain patients present some of the most challenging patients to manage medically. Often paired with persistent, life-altering pain, they might also have oncologic and psychological comorbidities that can further complicate their management. One-step in-office PT is now widely available to optimize management of complicated patients and affectively remove the “trial-and-error” process of medication therapy.

Implications for practice

Practitioners must be familiar with the genetic determinants that affect a patient's response to medications in order to decrease preventable morbidity and mortality associated with drug–drug and patient–drug interactions, and to provide cost-effective care through avoidance of inappropriate medications. Improved pain managements will impove patient outcomes and satisfaction.

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