J FEATURE ARTICLES
10 Leadership Initiatives in Patient-Centered
D. Rowe, Y.C. Ng, L. O’Keefe
Advanced practice nurses develop solutions that
can improve health care access and services for
transgender persons in the VA.
17 Patient Knowledge and Attitudes About
Fecal Microbiota Therapy for Clostridium
C. Goodman, N. O’Rourke, C. Amundson,
Physician recommendation seemed to be the largest
factor affecting the likelihood of patients considering
future fecal microbial therapy.
22 Decentralized vs Centralized Pharmacist
Treatment of Patients With Atrial
Fibrillation Managed With Anticoagulants
C. Elgin, V. Nuhi
Centralization of pharmacy services for anticoagulants
increased access to care without impacting adherence
or adverse events.
Case in Point
28 The Importance of Subclavian
Angiography in the Evaluation
of Chest Pain
M. Kinno, O. T. Niazi, J.D. Lorin, K. Chandrasekaran
Routine preoperative screening for the presence of
brachiocephalic disease is a cost-effective and essential
means to prevent the development of coronary-subclavian steal syndrome.
34 Diabetes: Health Literacy Education
Improves Veteran Outcomes
C. Wimer, D. Shipman, L. Lea
This pilot study adds to the literature of the positive
impact of nursing interventions delivered with
consideration of the participants’ personal goals and
health care needs for diabetes self-management.
CONTENTS JANUARY 2017
Case in Point
40 Torsades de Pointes in Severe Alcohol
Withdrawal and Cirrhosis: Implications
for Risk Stratification and Management
T. Yamamoto, S.E. Friedman
Close monitoring, timely and aggressive
management of withdrawal, and repletion
of electrolytes may prevent life-threatening
arrhythmias for patients being treated for acute
44 Dementia Evaluation, Management, and
J.B. Blumenthal, S. Cai, C. May, G. Scarinzi,
E. Gernat, K.L. Mordecai, D.J. Loreck, N.J.
Brandt, A.B. Inscore, O. Intrator
The Dementia Evaluation, Management, and
Outreach program improves access and satisfaction
for rural patients with cognitive deficits.
6 What’s New for Federal Practitioner
Mental Health Care Practice
8 Addressing Sexual Health With Patients
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