The morass of managed care: has it a place for advanced practice nursing?

This study was undertaken to describe the most common symptoms experienced during pregnancy by couples with a history of infertility and to compare them with symptoms of expectant couples without a history of reproductive problems. The Symptomatology Inventory, a 42-item checklist of common pregnancy symptoms, was used. The 10 most frequent symptoms reported and their rank order were very similar for the women from both groups. Men from the two groups frequently reported similar symptoms, but differed on their rank order. This research provides evidence that in terms of pregnancy symptoms infertile and fertile couples are more alike than they are different.     

A deficit for arithmetical procedures: lack of knowledge or lack of monitoring?

A patient is described with a specific deficit for arithmetical procedures. Unlike in previously described cases, where the observed problems could be attributed to the systematic application of disturbed algorithms, this patient's difficulty seems to stem from an inability to monitor the sequence of operations that calculation procedures specify. Criteria are provided for distinguishing impairments in written calculation due to the application of defective knowledge of the procedures from those determined by lack of monitoring. The role of monitoring and control processes in different calculation components is also discussed.     

Specialism in nursing: the case of nursing care for elderly people

Is elderly care nursing a specialty? This paper reports results from an interview-based study which aims to uncover the distinctive elements of nursing work with elderly people. Within the context of sociological literature on specialism it is concluded that a case for seeing elderly care nursing as a specialty area can be made. However, that case has implications for the continued marginalization of elderly people in society.     

Consultation-liaison psychiatric nursing in long-term care

1. The psychiatric and mental health APRN is in an excellent position to use his or her training and expertise to integrate various models of care. 2. Clinical functions of the psychiatric and mental health APRN include patient-focused and staff-centered activities, administrative functions include consulting, performance improvement, and research. 3. The psychiatric and mental health APRN is well-equipped to adapt to developing changes and challenges in the future of long-term care.