Pub Date : 2025-11-01Epub Date: 2025-10-28DOI: 10.1097/01.NPR.0000000000000381
Michelle A Nelson, J Dwayne Hooks
{"title":"Advocacy amplified: Why nurse practitioners must lead health care and legislative change in Georgia-and beyond.","authors":"Michelle A Nelson, J Dwayne Hooks","doi":"10.1097/01.NPR.0000000000000381","DOIUrl":"https://doi.org/10.1097/01.NPR.0000000000000381","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 11","pages":"8-11"},"PeriodicalIF":0.9,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-25DOI: 10.1097/01.NPR.0000000000000363
Rachel C Taylor, Chris F Webb, Marisa R Rigsby, Heather L Owens
Abstract: Despite the efficacy of HIV preexposure prophylaxis (PrEP), utilization remains suboptimal with only about 25% to 30% of eligible individuals prescribed PrEP in 2021. Providers are pivotal in addressing multifaceted barriers to PrEP access. Financial barriers, HIV stigma, and limited knowledge hinder PrEP prescribing. Providers must understand PrEP guidelines, address stigma, and conduct structured sexual health screenings. Proactive measures including education initiatives and policy advocacy are vital. By fostering open communication and promoting inclusivity, providers can significantly enhance PrEP access, contributing to HIV prevention efforts and improved public health outcomes.
{"title":"Promoting increased PrEP prescribing: The role of the primary care provider.","authors":"Rachel C Taylor, Chris F Webb, Marisa R Rigsby, Heather L Owens","doi":"10.1097/01.NPR.0000000000000363","DOIUrl":"10.1097/01.NPR.0000000000000363","url":null,"abstract":"<p><strong>Abstract: </strong>Despite the efficacy of HIV preexposure prophylaxis (PrEP), utilization remains suboptimal with only about 25% to 30% of eligible individuals prescribed PrEP in 2021. Providers are pivotal in addressing multifaceted barriers to PrEP access. Financial barriers, HIV stigma, and limited knowledge hinder PrEP prescribing. Providers must understand PrEP guidelines, address stigma, and conduct structured sexual health screenings. Proactive measures including education initiatives and policy advocacy are vital. By fostering open communication and promoting inclusivity, providers can significantly enhance PrEP access, contributing to HIV prevention efforts and improved public health outcomes.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 10","pages":"23-29"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-25DOI: 10.1097/01.NPR.0000000000000364
Mohamed El-Hussein, Rohtajpreet Singh Bal
Abstract: Respiratory syncytial virus (RSV), first linked to severe respiratory illnesses (bronchiolitis or pneumonia) in infants and children, is now recognized as a serious problem in older adults. Since the 1970s, RSV outbreaks have been observed in various long-term care facilities housing older adults. Various studies highlighted that RSV is a major driver of illness in older adult community-dwelling populations. Recently, in Canada, three vaccines, Arexvy, Abrysvo, and mResvia, have been authorized for use in older adults to prevent RSV-related lower respiratory tract disease. The National Advisory Committee on Immunization (NACI) strongly recommends immunization programs for certain older adult populations, particularly those at an increased risk of severe RSV disease. Health care providers, including nurse practitioners (NPs), should discuss RSV vaccination with older adult patients due to their increased likelihood of comorbidities and age-related changes, such as immunosenescence and inflamm-aging, that increase their risk for severe disease. Monitoring of RSV vaccine efficacy and safety is ongoing. The purpose of this article is to inform NPs about the recent development of these vaccines, summarizing the safety and efficacy information and presenting a decision tree to help NPs make vaccine recommendations for nonpregnant adults.
呼吸道合胞病毒（RSV）最初与婴儿和儿童的严重呼吸道疾病（细支气管炎或肺炎）有关，现在被认为是老年人的严重问题。自20世纪70年代以来，在各种老年人长期护理设施中观察到RSV暴发。各种研究强调，呼吸道合胞病毒是老年社区居民中疾病的主要驱动因素。最近，在加拿大，三种疫苗，Arexvy， Abrysvo和mResvia，已被批准用于老年人预防rsv相关的下呼吸道疾病。美国国家免疫咨询委员会（National Advisory Committee on Immunization， NACI）强烈建议对某些老年人实施免疫接种计划，特别是那些严重RSV疾病风险增加的人群。卫生保健提供者，包括执业护士（NPs），应与老年患者讨论呼吸道合并症疫苗接种，因为他们的合并症和年龄相关变化的可能性增加，如免疫衰老和炎症老化，增加了他们患严重疾病的风险。正在监测RSV疫苗的效力和安全性。本文的目的是向NPs介绍这些疫苗的最新进展，总结安全性和有效性信息，并提出决策树，以帮助NPs为非怀孕成人推荐疫苗。
{"title":"Respiratory syncytial virus (RSV) vaccination recommendations in older adults: An update.","authors":"Mohamed El-Hussein, Rohtajpreet Singh Bal","doi":"10.1097/01.NPR.0000000000000364","DOIUrl":"10.1097/01.NPR.0000000000000364","url":null,"abstract":"<p><strong>Abstract: </strong>Respiratory syncytial virus (RSV), first linked to severe respiratory illnesses (bronchiolitis or pneumonia) in infants and children, is now recognized as a serious problem in older adults. Since the 1970s, RSV outbreaks have been observed in various long-term care facilities housing older adults. Various studies highlighted that RSV is a major driver of illness in older adult community-dwelling populations. Recently, in Canada, three vaccines, Arexvy, Abrysvo, and mResvia, have been authorized for use in older adults to prevent RSV-related lower respiratory tract disease. The National Advisory Committee on Immunization (NACI) strongly recommends immunization programs for certain older adult populations, particularly those at an increased risk of severe RSV disease. Health care providers, including nurse practitioners (NPs), should discuss RSV vaccination with older adult patients due to their increased likelihood of comorbidities and age-related changes, such as immunosenescence and inflamm-aging, that increase their risk for severe disease. Monitoring of RSV vaccine efficacy and safety is ongoing. The purpose of this article is to inform NPs about the recent development of these vaccines, summarizing the safety and efficacy information and presenting a decision tree to help NPs make vaccine recommendations for nonpregnant adults.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 10","pages":"e26-e33"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-25DOI: 10.1097/01.NPR.0000000000000354
Reenu M Varghese
Abstract: Hyperhidrosis, a condition characterized by an overactive cooling system that produces four to five times the normal amount of sweat, can profoundly impact a person's physical, psychological, and social well-being. It can be classified as primary or secondary, and the location and severity determine treatment options. These options include topical agents, systemic agents, and nonsurgical and surgical procedures. Nurse practitioners play a crucial role in managing this condition, and their awareness and understanding are vital in designing effective treatment options for their patients. This article aims to enhance knowledge by discussing hyperhidrosis, its impact on a patient's physical and psychological well-being, and recommended treatment modalities.
{"title":"Hyperhidrosis: Diagnosis and management strategies.","authors":"Reenu M Varghese","doi":"10.1097/01.NPR.0000000000000354","DOIUrl":"10.1097/01.NPR.0000000000000354","url":null,"abstract":"<p><strong>Abstract: </strong>Hyperhidrosis, a condition characterized by an overactive cooling system that produces four to five times the normal amount of sweat, can profoundly impact a person's physical, psychological, and social well-being. It can be classified as primary or secondary, and the location and severity determine treatment options. These options include topical agents, systemic agents, and nonsurgical and surgical procedures. Nurse practitioners play a crucial role in managing this condition, and their awareness and understanding are vital in designing effective treatment options for their patients. This article aims to enhance knowledge by discussing hyperhidrosis, its impact on a patient's physical and psychological well-being, and recommended treatment modalities.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 10","pages":"31-36"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-25DOI: 10.1097/01.NPR.0000000000000362
Mandy Horne, Katie Catherine Martin
Abstract: This is the second installment in a two-part series on abnormal uterine bleeding (AUB). The article discusses management of AUB and referral recommendations for the primary care provider.
{"title":"Management of abnormal uterine bleeding in primary care.","authors":"Mandy Horne, Katie Catherine Martin","doi":"10.1097/01.NPR.0000000000000362","DOIUrl":"10.1097/01.NPR.0000000000000362","url":null,"abstract":"<p><strong>Abstract: </strong>This is the second installment in a two-part series on abnormal uterine bleeding (AUB). The article discusses management of AUB and referral recommendations for the primary care provider.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 10","pages":"13-21"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-25DOI: 10.1097/01.NPR.0000000000000371
{"title":"Promoting increased PrEP prescribing: The role of the primary care provider.","authors":"","doi":"10.1097/01.NPR.0000000000000371","DOIUrl":"10.1097/01.NPR.0000000000000371","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 10","pages":"29-30"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-25DOI: 10.1097/01.NPR.0000000000000369
Jamesetta A Newland
{"title":"Excellence in knowledge dissemination.","authors":"Jamesetta A Newland","doi":"10.1097/01.NPR.0000000000000369","DOIUrl":"10.1097/01.NPR.0000000000000369","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 10","pages":"7"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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