Case Studies in Family Practice

"This book provides useful and pragmatic case studies that are not overwhelmed by extraneous information frequently found in books like this. The cases are clear, to the point, and varied to provide examples that one would encounter in a typical practice. It is a useful reference for students and new practitioners to help them organize patient care and presentations, as well as their critical thinking skills." (Doody's, 27 January 2012)

Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP is Professor and Graduate Coordinator at Southern Connecticut State University. Dr. Neal-Boylan has extensive experience in academia as well as family practice, chronic care, and internal medicine. She has edited or co-edited four books including one which won the American Journal of Nursing Award in the medical-surgical division in 2005. Additionally Dr. Neal-Boylan has published over 90 articles in peer-reviewed journals.

Contributors xi Preface xv Acknowledgments xvii Introduction xix By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP List of Abbreviations and Acronyms xxiii Section 1 The Neonate 3 Case 1.1 Cardiovascular Screening Exam 5 By Mikki Meadows-Oliver, PhD, RN Case 1.2 Pulmonary Screening Exam 9 By Mikki Meadows-Oliver, PhD, RN Case 1.3 Skin Screening Exam 13 By Mikki Meadows-Oliver, PhD, RN Case 1.4 Oxygenation 17 By Mikki Meadows-Oliver, PhD, RN Case 1.5 Nutrition and Weight 21 By Mikki Meadows-Oliver, PhD, RN Section 2 The Infant 25 Case 2.1 Nutrition and Weight 27 By Mikki Meadows-Oliver, PhD, RN Case 2.2 Health Maintenance 31 By Mikki Meadows-Oliver, PhD, RN Case 2.3 Growth and Development 35 By Mikki Meadows-Oliver, PhD, RN Case 2.4 Heart Murmur 41 By Mikki Meadows-Oliver, PhD, RN Case 2.5 Cough 45 By Mikki Meadows-Oliver, PhD, RN Case 2.6 Diarrhea 49 By Mikki Meadows-Oliver, PhD, RN Case 2.7 Fall off Changing Table 53 By Mikki Meadows-Oliver, PhD, RN Section 3 The Toddler/Preschool Child 57 Case 3.1 Earache 59 By Mikki Meadows-Oliver, PhD, RN and Susannah Young, MSN, RN Case 3.2 Bedwetting 63 By Mikki Meadows-Oliver, PhD, RN and Mary-Christine Sullivan, MPH, MSN, RN Case 3.3 Burn 67 By Mikki Meadows-Oliver, PhD, RN Case 3.4 Toothache 73 By Mikki Meadows-Oliver, PhD, RN Case 3.5 Abdominal Pain 77 By Mikki Meadows-Oliver, PhD, RN and Anna Faria, MSN, PNP-BC Case 3.6 Lesion on Penis 83 By Mikki Meadows-Oliver, PhD, RN and Katharine Swan, MSN, RN Section 4 The School-Aged Child 87 Case 4.1 Skin Rash 89 By Emily Croce, RN, MSN, CPNP Case 4.2 Eye Irritation 93 By Anna Tielsch Goddard, CPNP-PC Case 4.3 Cough and Diffi culty Breathing 101 By Nancy Cantey Banasiak, MSN, PNP-BC, APRN Case 4.4 Obesity 105 By Elaine Gustafson, MSN, PNP Case 4.5 Sore Throat 109 By Mikki Meadows-Oliver, PhD, RN and Julie Murray, MSN, PNP Case 4.6 Rash and Fever 113 By Mikki Meadows-Oliver, PhD, RN and Jennifer Mygatt, MSN, RN Case 4.7 Incontinence 117 By Vanessa Reid, MSN, APRN, CPNP Case 4.8 Disruptive Behavior 123 By Patricia Ryan-Krause, MS, RN, MSN, CPNP Case 4.9 Nightmares 127 By Mikki Meadows-Oliver, PhD, RN and Allison Grady, MSN, RN Section 5 The Adolescent 133 Case 5.1 Birth Control Decision-Making 135 By Alison Moriarty Daley, MSN, APRN, PNP-BC Case 5.2 Funny Feeling with Urination 139 By Alison Moriarty Daley, MSN, APRN, PNP-BC Case 5.3 Weight Loss 143 By Alison Moriarty Daley, MSN, APRN, PNP-BC Case 5.4 Menstrual Cramps 147 By Alison Moriarty Daley, MSN, APRN, PNP-BC and Tracey Fender, RN, MSN, CPNP Case 5.5 Mother's Concern 151 By Alison Moriarty Daley, MSN, APRN, PNP-BC Case 5.6 Sexual Identity 155 By Alison Moriarty Daley, MSN, APRN, PNP-BC and Kevy Wijaya, MSN, RN, CPNP Case 5.7 Missed Periods 161 By Alison Moriarty Daley, MSN, APRN, PNP-BC Case 5.8 Left Knee Pain and Swelling 165 By Phoebe M. Heffron, MSN, PNP Section 6 Women's Health Cases 169 Case 6.1 Headache 171 By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP Case 6.2 Night Sweats 175 By Ivy M. Alexander, PhD, APRN, ANP-BC, FAAN Case 6.3 Abdominal Pain 189 By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP Case 6.4 Fatigue and Joint Pain 193 By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP Case 6.5 Muscle Tenderness 197 By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP Case 6.6 Urinary Frequency 201 By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP Case 6.7 Insomnia 205 By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP Case 6.8 Vaginal Itching 209 By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP Case 6.9 Abdominal Pain and Weight Gain 213 By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-BC Case 6.10 Contraception 219 By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP Section 7 Men's Health Cases 225 Case 7.1 Fatigue 227 By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-BC Case 7.2 Testicular Pain 231 By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-B