Primary Care
A Collaborative Practice
Fourth Edition
Terry Mahan Buttaro, PhD, ANP-BC, GNP-BC, FAANP
Assistant Clinical Professor, Simmons College
Adjunct Faculty, University of Massachusetts Boston, Boston, Massachusetts
Coastal Medical Associates, Salisbury, Massachusetts
JoAnn Trybulski, PhD, ANP-BC, DPNAP
Associate Professor of Clinical Nursing
Associate Dean for DNP Program, University of Miami School of Nursing and Health Studies, Miami, Florida
Patricia Polgar Bailey, MS, MPH, APRN, BC, FNP, CDE, BC-ADM
Family Nurse Practitioner, Nurse Manager, UVa-HealthSouth Rehabilitation Hospital, Charlottesville, Virginia
Joanne Sandberg-Cook, MS, APRN, BC, ANP, GNP, ACHPN
Adult/Gerontologic Nurse Practitioner, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
Instructor in Medicine, Dartmouth Medical School, Hanover, New Hampshire
Mosby
Table of Contents
Copyright
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PRIMARY CARE: A COLLABORATIVE PRACTICE
ISBN: 978-0-323-07501-5
Copyright 2013 by Mosby, an imprint of Elsevier Inc.
Copyright 2008, 2003, 1999 Mosby, Inc., an affiliate of Elsevier Inc.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publishers permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
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Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Primary care: a collaborative practice / [edited by] Terry Mahan Buttaro [et al.]. 4th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-07501-5 (hardcover: alk. paper)
I. Buttaro, Terry Mahan.
[DNLM: 1. Primary Health Care. W 84.61]
610dc23
2011053491
Executive Content Strategist: Lee Henderson
Content Development Specialist: Jacqueline Twomey
Publishing Services Manager: Deborah Vogel
Project Manager: Brandilyn Tidwell
Designer: Amy Buxton
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Dedication
To primary care providers everywhere with the hopes that this text will educate, inspire, and sustain them as they provide care to their patients and families
Contributors
Karen S. Abate, RN, APRN, PhD
Family Nurse Practitioner
Assistant Professor, College of Notre Dame of Maryland, Baltimore, Maryland
Lisa V. Adams, MD
Assistant Professor, Section of Infectious Disease and International Health
Director, Global Health Initiative, Dickey Center for International Understanding, Dartmouth Medical School, Hanover, New Hampshire
Julio C. Albornoz, FNP
Family Nurse Practitioner, University of Miami Hospital, Miami, Florida
Joanne Aldrich, EdD, GNP-BC
Nurse Practitioner
Assistant Professor, University of Massachusetts at Lowell, Lowell, Massachusetts
Deborah Allen, PhD, FNP-C, BC
Assistant Professor
Graduate Program Director, Georgia Southern University, Statesboro, Georgia
Antonia Altomare, DO
Infectious Disease Fellow, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire
Sharon Alzner, MPT
Senior Physical Therapist, Department of Rehabilitation Services, Brigham and Womens Hospital, Boston, Massachusetts
Patricia Polgar Bailey, MS, MPH, APRN, BC, FNP, CDE, BC-ADM
Family Nurse Practitioner, Nurse Manager, UVa-HealthSouth Rehabilitation Hospital, Charlottesville, Virginia
Marie A. Bakitas, DNSc, APRN, ACHPN, FAAN
Associate Professor
Nurse Practitioner, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire
James T. Banta, MD
Associate Professor of Clinical Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida
Virginia L. Beggs, MSc, APRN
Nurse Practitioner, Cardiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire
Marjorie S. Bernice, MSN, APRN, WHNP-BC
Womens Health Nurse Practitioner, The Queen Emma Clinics, The Queens Medical Center, Honolulu, Hawaii
Mary Ann Best, PhD, RN, CPNP
Associate Professor, School of Nursing, University of Texas Medical Branch, Galveston, Texas
Courtney L. Betts, MSN, ANP-BC
Adult Nurse Practitioner, Faulkner Hospital, Boston, Massachusetts
Wendy L. Biddle, PhD, CFNP
Nurse Practitioner, Digestive and Liver Disease Specialists, Norfolk, Virginia
Barbara S. Bishop, MS, ANP-C, CNRN, MSCN
Adult Nurse Practitioner, Virginia Beach Neurology, Division of Neurology Consultants of Tidewater PLLC, Virginia Beach, Virginia
Margaret Firer Bishop, RN, MS, APRN
Adult Nurse Practitioner, Dartmouth Hitchcock Medical Center Lebanon, New Hampshire
Glen Blair, MSN, DCNP
Nurse Leader, Dermatology Harvard Vanguard Medical Associates of Massachusetts, Roxbury, Massachusetts
Maureen Bell Boardman, MSN, ARNP
Family Nurse Practitioner, Little Rivers Healthcare, Bradford, Vermont
Instructor, Community and Family Medicine, Dartmouth Medical School, Hanover, New Hampshire
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