Advanced Practice in Endocrinology Nursing

Dr. Sofia Llahana, DNSc, MSc, BSc(Hons), RN, INP, is a Senior Lecturer, Education and Research, in Advanced Clinical Practice at City, University of London. She was the first Consultant Nurse in Endocrinology in the United Kingdom and worked at University College Hospital in London where she continues to maintain an honorary position. She has a special clinical and research interest in pituitary and adrenal conditions, reproductive endocrinology, men’s health, self-management, adherence to medication and behavioural medicine. Her current research portfolio includes ongoing and new investigator-led and collaborative national and European studies in adrenal insufficiency, testosterone replacement therapy, male reproduction, pituitary conditions, growth hormone deficiency, and type 2 diabetes. She is the Chair of the Nurses Committee and a member of the Executive Committee of the European Society of Endocrinology (ESE), a Board member of the Federation of International Nurses inEndocrinology (FINE), and the only nurse member in the  Scientific Committee for the International Congress in Men’s Health. She also holds affiliations with several national and international Patient Advocacy Groups in Endocrinology. Dr.Cecilia Follin graduated as a registered nurse from Institution of Health care science at the Medical faculty of Lund University in Sweden. She has over 15 years of experience from the field of Endocrinology. She holds particular interest in late complications after childhood cancer and pituitary and hypothalamic disorders. Cecilia is initiator and chair of the Nordic network of endocrine nurses. In 2010 Dr Follin was awarded with a PhD degree in Endocrinology. The thesis was titled ”Late complications of childhood acute lymphoblastic leukemia (ALL), with special reference to hormone secretion, cardiovascular risk and bone health”. In 2010-2012 Cecilia had a post-doc position at the institution of clinical sciences and currently she has a postition as researcher and senior teacher at Lund University. Dr Follin has published numerous of papers.Dr. Christine G. Yedinak (DNP, FNP-BC, MN, RN) is a board certified Family Nurse Practitioner and a Doctor of Nursing Practice who has provided clinical diagnosis and management of patients with pituitary and adrenal dysfunction for the last 14 years. She completed her post graduate and Doctoral Studies at Oregon Health & Sciences University, Portland Oregon.  Dr. Yedinak also holds a post Graduate Diploma in Tertiary Education in Nursing from University of Southern Queensland, Toowoomba, Australia and provides clinical mentorship for doctoral and advanced practice nursing students, endocrine and neurosurgical residents and fellows. Her Doctoral project involved the development and pilot of an instrument for the measurement of Quality of Life in patients with pituitary tumors and diseases. Her ongoingclinical research is focused on clinical outcome studies and issues in the management of patients with acute and chronic pituitary diseases. Dr. Yedinak is involved in ongoing international collaborative studies in pituitary diseases.  She authored 28 peer-reviewed articles, 43 abstracts and 6 book chapters and has presented her research at numerous scientific meetings worldwide. Dr. Yedinak is the President-elect of the US Endocrine Nurses Association, is co- founder of the Federation of International Nurses in Endocrinology (F.I.N.E) and a member of the European Society of Endocrinology Nurses’ Working Group. Prof. Ashley Grossmann is Professor of Endocrinology and Consultant Physician at Oxford Centre for Diabetes, Endocrinology &; Metabolism, in Green Templeton College,Oxford, UK. His original interest lay on uncovering the control and regulatory mechanisms for the hypthalamus and pituitary. He is immediate Past-President of the European Neuroendocrine Association (ENEA), Chairman of the UKI Neuroendocrine Tumour Society (UKINETS), Chairman of the European Neuroendocrine Society (ENETS) Advisory Board, a Member of Council of the European Society for Clinical Investigation, and President elect for the European Society of Endocrinology.

“This is the first textbook written for nurses in endocrinology. … The aim of the textbook is to support nurses in their clinical and professional development to progress from novice to expert level and advanced nursing practice, as well as a useful resource for endocrinologists/fellows, general practitioners, and other health care providers with an interest in Endocrinology.” (PENS Reporter, Vol. 31, 2019)“Its 13 sections and 69 chapters are a comprehensive evidencebased clinical reference for paediatric and adult nurses in endocrinology, but are also useful for specialty trainees, general practitioners, students and expert patients. … This vital resource should support our colleagues to ensure the best possible patient care and to raise the profile of endocrine nursing around the globe.” (ESE News, Issue 39, 2019)“The information on the book is exquisitely organized and extremely informative. … Works like this book provide a needed opportunityto expand the number of nurses that go into endocrinology. This will undoubtedly help increase awareness of pituitary disease, and endocrine disorders in general.” (Pituitary World News, pituitaryworldnews.org, April 07, 2019)

• Growth and Development:- The Importance of Auxology for Growth Assessment.-Short stature, growth hormone deficiency and primary IGF-1 deficiency.-Disorders of Sex Development.-Puberty: normal, delayed,and precocious.- Treatment issues in the care of paediatric patients with endocrine conditions.- Transition from paediatric to adult services.- Endocrine disorders & genetics in childhood: Genetics and fanily history.-Congenital hyperinsulinism (CHI) in children.-Genetic syndromes presenting in childhood  affecting hypothalamic function.-McCune Albright Syndrome.-Hypothalamus & Pituitary: Anatomy and physiology of the hypothalamic-pituitary axis.- Metabolic effects of the hypothalamic dysfunction.- Sella and supra sella brain tumours and infiltrarive disorders affecting the HPA-axis.- Dynamic Investigations and Diagnostic Testing.- Diagnostic Imaging.- Non functional pituitary adenomas and incidentalomas.- Thyroid Stimulating Hormone Producing Adenomas:TSHomas.- Prolactin Producing Adenomas: Prolactinomas.- Growth Hormone Producing Adenomas:Acromegaly.- ACTH Producing Adenomas: Cushing's Disease.- Pituitary surgery.- Radiotherapy.- Hypopituitarism and adult growth hormone deficiency.-  The Thyroid Gland: Thyroid Anatomy and Physiology.- Thyroid Investigations.- Hyperthyroidism in adults.- Thyroid Cancer.- Diagnosis and management of hypothyroidism in adults.- Thyroid Eye Disease.- Disorders of the thyroid in childhood and adolescence.- Thyroid disease in pre and post pregnancy.- The Adrenal Gland:  Anatomy and Physiology of the thyroid gland.- Congenital Adrenal Hyperplasia.- Adrenal tumours: adrenocortical functioning adenomas, pheochromocytomas, incidentalomas and adrenocortical cancer.- Adrenal insufficiency and cortisol replacement therapy in children and adults .- Female endocrinology and reproduction:  Anatomy and physiology of the female reproductive system.- Assessment and management of women with Polycystic Ovary Syndrome (PCOS).- Diagnosis and management of Turner Syndrome in Children and Adults.- Premature ovarian insufficiency, menopause and hormone replacement therapy.- Endocrine needs during pregnancy.- Male endocrinology and reproduction: Anatomy and physiology of the Hypothalamic-Pituitary-Gonadal (HPG) axis.- Classification of Hypothalamic-Pituitary-Gonadal (HPG) axis endocrine disorders.- Evaluation of endocrine disorders of the hypothalamic-pituitary-gonadal (HPG) axis.- Testosterone replacement therapy in men.- Spermatogenesis and assisted fertility treatment.- Diagnosis and management of erectile dysfunction in men.- Genetic counselling and psychosexual considerations in male health and reproduction.- Parathyroid, calcium and bone disorders: Hyperparathyroidism and Hypoparathyroidism.- Calcium Disorders.- Congenital and Acquired Bone Disorders.- Osteoporosis.- Vitamin D Deficiency and Treatment.- Obesity and disorders of lipid metabolism: Late complications after childhood cancer treatment.- Endocrinopathy after childhood cancer.- Neurocognitive dysfunction and psychosocial issues.- Endocrine emergencies: Management of hyponatraemia in adults and children.- Management of adrenal crisis in adults and children.- Thyroid emergencies: thyroid storm and myxoedema: Neuroendocrine tumours.- Multiple endocrine neoplasia.- Advanced practice nursing in endocrinology: Role development and factors influencing role performance.- Principles and componets of Advanced Practice Nursing with focus in endocrinology.- Research: audit, service evaluation and independent nursing research.