Practice Management
Four additional hours in a shift makes a big difference to busy nurses, according to new data published in the Journal of Nursing Education and Practice. Nurses working 12-hour shifts are more likely than those who put in 8 hours to experience anxiety, musculoskeletal disorders, disturbed sleep, and stress. The metaanalysis focused on 12 studies. The authors concluded that it was not so much the mere act of working for 12 hours, but the prolonged …
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Ever heard the old (and not so funny) joke about two health-care providers having a conversation at the urgent care center? First provider: “Ever seen a case of _____?” Second provider: “Turns out I have seen plenty of cases . . . just never diagnosed any!” With a nonspecific presenting condition such as fatigue, it is difficult to obtain an adequate medical history and to perform a thorough physical examination unless the differential diagnosis is …
Read MoreThe patient is a 29-year-old white male who presented three weeks after returning from a camping trip, during which he removed three ticks from his chest and back after being bitten. He reports a one-week history of fever, fatigue, hot and cold spells, and arthralgia, and a one-day history of popular rash on the dorsum of his feet (Figure 1 and Figure 2).
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