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Nurse Practitioner January 2010 Chien & Bradway	Acquired fecal incontinence in community-dwelling adults Although the economic cost of fecal incontinence has not yet been determined, it is projected to be similar to the estimated $14 billion that it costs community-dwellers to manage urinary incontinence.
American Family Physician June 15, 2001 John L. Pfenninger	Common Anorectal Conditions: Part I. Symptoms and Complaints Anorectal symptoms and complaints are common and may be caused by a wide spectrum of conditions...
American Family Physician December 1, 2000 Patrick J. Culligan & Michael Heit	Urinary Incontinence in Women: Evalution and Management Because the prevalence of urinary incontinence increases with age, a working knowledge of the diagnosis and treatment of the various types of urinary incontinence is fundamental to the care of women...
Nurse Practitioner Keyock & Newman	Understanding stress urinary incontinence Underreported and undertreated, stress urinary incontinence leads to decreased quality of life in sufferers and financial burdens for both the patient and the healthcare industry. Nurse practitioners should understand their role in identifying, diagnosing, and treating the condition.
American Family Physician June 1, 2002 Daisy A. Arce	Evaluation of Constipation Constipation is the reason for 2.5 million physician visits per year in the United States, with more than one half of these visits to primary care physicians. The differential diagnosis of constipation and the approach to its evaluation differ in adults and children.
American Family Physician December 1, 2005 Christine Hsieh	Treatment of Constipation in Older Adults Effectiveness of a variety of treatments for chronic constipation in the elderly.
American Journal of Nursing February 2009 Janet K. Specht	Assessment of Transient Urinary Incontinence in Older Adults Many caregivers erroneously consider urinary incontinence to be inevitable in older adults. Failure to identify and respond to transient urinary incontinence may lead to established incontinence and to other poor outcomes.
Nurse Practitioner May 2012 Diana L. Wadlund	Meeting the challenge of IBS IBS is the best studied, most common functional GI disorder, and is often characterized by debilitating symptoms without any pathologic findings. The predominant symptoms of IBS are abdominal pain and an alteration in bowel habits with an absence of organic pathology.
American Journal of Nursing August 2011 Craft & Prahlow	From Fecal Impaction to Colon Perforation The authors present the case of an elderly, nonverbal nursing home resident with dementia who developed fecal impaction, despite interventions such as enema.
American Family Physician January 15, 2005 Barry D. Weiss	Selecting Medications for the Treatment of Urinary Incontinence Before prescribing medications for incontinence, physicians should determine the nature and cause of the patient's incontinence.
American Family Physician February 1, 2006 Briggs & Dery	Evaluation and Treatment of Constipation in Infants and Children Constipation in children usually is functional and the result of stool retention. However, family physicians must be alert for red flags that may indicate the presence of an uncommon but serious organic cause of constipation.
Nursing November 2008 Michael W. Day	Fight Back Against Inflammatory Bowel Disease It takes guts to live with Crohn's disease or ulcerative colitis, both of which can take a heavy toll on their victims. Find out how to help your patient tame the attacks.
American Family Physician October 15, 2006 Jennifer Kessmann	Hirschsprung's Disease: Diagnosis and Management The disease most commonly involves the rectosigmoid region of the colon but can affect the entire colon and, rarely, the small intestine. The disease usually presents in infancy, although some patients present with persistent, severe constipation later in life.
American Family Physician July 1, 2001 John L. Pfenninger	Common Anorectal Conditions: Part II. Lesions Patients with a wide variety of anorectal lesions present to family physicians. Most can be successfully managed in the office setting. A high index of suspicion for cancer should be maintained...
American Family Physician February 15, 2002 Grace Brooke Huffman	Evaluating and Treating Unintentional Weight Loss in the Elderly Unintentional weight loss in the elderly patient can be difficult to evaluate. Accurate evaluation is essential, however, because this problem is associated with increased morbidity and mortality...
American Family Physician November 15, 2002 Viera et al.	Management of Irritable Bowel Syndrome Irritable bowel syndrome is the most common functional disorder of the gastrointestinal tract and is frequently treated by family physicians.
American Journal of Nursing October 2007 Terry Fulmer	How to Try This: Fulmer SPICES Fulmer SPICES is a framework for assessing older adults. This assessment, done regularly, can lead to the prevention and treatment of common conditions.
American Family Physician May 15, 2003 Holten & Wetherington	Problem-Oriented Diagnosis Diagnosing the patient with abdominal pain and altered bowel habits: is it irritable bowel syndrome?
Nursing September 2008 Denise L. Lyons et al.	Double Trouble: When Delirium Complicates Dementia Learn to protect a patient with dementia from the disabling effects of delirium.
American Journal of Nursing March 2008 Evans & Cotter	Avoiding Restraints in Patients with Dementia Understanding, prevention, and management are the keys to reducing restraint use.
Nursing July 2008 Held-Warmkessel & Schliech	Responding to 4 Gastrointestinal Complications in Cancer Patients If your patient has cancer, be prepared to help her manage such serious GI complications as bowel obstruction, peritonitis, fistula formation, and intestinal perforation.
American Family Physician September 15, 2001 Douglas D. Ross & Carla S. Alexander	Management of Common Symptoms in Terminally Ill Patients: Part II. Constipation, Delirium and Dyspnea In addition to pain, patients who are approaching the end of life commonly have other symptoms...
Nursing March 2010 Peg Gray-Vickrey	Gathering pearls of knowledge for assessing older adults If you attended nursing school more than 10 years ago, you may have received limited education about gerontological nursing. But as baby boomers age, this is becoming an increasingly important area of nursing practice.
American Family Physician November 15, 2001 Edward R. Feller	Gynecologic Aspects of Crohn's Disease This article reviews the diverse gynecologic spectrum, protean manifestations and diagnostic difficulties of pelvic Crohn's disease...
American Family Physician February 15, 2004	A New View of Occult and Obscure Gastrointestinal Bleeding Occult gastrointestinal bleeding usually is discovered when fecal occult blood test results are positive or iron deficiency anemia is detected. Fecal occult blood testing methods vary, but all have limited sensitivity and specificity.
American Family Physician December 1, 2000	Urinary Incontinence in Women What is urinary incontinence?... What causes urinary incontinence?... What treatment options are available?... How well does surgery for stress incontinence work?... etc.
Nursing Management December 2010 Tory Schmitz	Location, Location, Location: Incontinence Care Supplies at the Bedside Health guidelines support the use of an all-in-one premoistened barrier cloth and recommend the storage of incontinence care supplies at the bedside to enhance caregiver compliance.
American Family Physician November 1, 2006 Lyon & Clark	Diagnosis of Acute Abdominal Pain in Older Patients Acute abdominal pain is a common presenting complaint in older patients, but may be difficult to diagnose. Here are some common causes of abdominal pain in old patients and recommendations for treatment.
American Family Physician February 1, 2006	Chronic Constipation in Your Child An informative patient hand-out: What is constipation?... How common is chronic constipation... Why does my child have constipation?... etc.
American Family Physician November 15, 2005 Haas et al.	Management of the Difficult Patient All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Specific communication techniques and greater patient involvement in the process of care may enhance the relationship.
Nursing February 2010 Daniel A. Hussar	New Drugs 2010, PART 1 In this article, you'll learn about 16 new drugs.
American Family Physician October 15, 2006 Jarvis & Golding	Lubiprostone (Amitiza) for Chronic Idiopathic Constipation Although bulk or osmotic laxatives are less expensive first options for treating patients with chronic idiopathic constipation, lubiprostone is an alternative for those who do not tolerate or respond to these agents, or in patients older than 65 years in whom tegaserod use is not recommended.
American Family Physician April 1, 2005 Manning-Dimmitt et al.	Diagnosis of Gastrointestinal Bleeding in Adults The clinical evaluation of gastrointestinal bleeding depends on the hemodynamic status of the patient and the suspected source of the bleeding.
American Family Physician October 15, 2003 Leeman et al.	Repair of Obstetric Perineal Lacerations Family physicians who deliver babies must frequently repair perineal lacerations after episiotomy or spontaneous obstetric tears. Effective repair requires a knowledge of perineal anatomy and surgical technique.
AskMen.com February 27, 2014 Patrick Owen	They've Discovered Something That Might Cure Obesity. But It's Seriously Gross. The eternal battle between good and bad bacteria in your gut is greatly affected by your diet, sleep, stress levels, and general health.
American Family Physician April 15, 2002 Thomas J. Zuber	Hemorrhoidectomy for Thrombosed External Hemorrhoids Acutely tender, thrombosed external hemorrhoids can be surgically removed if encountered within the first 72 hours after onset. Hemorrhoidectomy is performed through an elliptic incision over the site of thrombosis with removal of the entire diseased hemorrhoidal plexus in one piece...
Pharmaceutical Executive November 1, 2013 Ben Comer	Top Medical Innovations for 2014 At the conclusion of the Cleveland Clinic's Medical Innovations Summit each year, 10 innovative technologies are unveiled before the audience, and designated as new and revolutionary tools for the treatment of disease and disability.
American Family Physician June 1, 2002	Constipation in Your Child What is constipation?... What causes constipation in children?... Why is it important to treat constipation?... What can I do to treat my child's constipation?... When should my child see a doctor?
AskMen.com Chris Good	Diseases You Thought You Were Too Young To Get As it turns out, many health conditions don't care about a man's age as much as we thought.
American Family Physician June 1, 2002	Constipation in Adults What is constipation?... What causes constipation?... What can I do to prevent or treat constipation?... Should I use a laxative?... When should I call my doctor?
Health February 2007 Christina Boufis	Me and My Kegels Doing pelvic exercises the right way can pay off in the bathroom - and the bedroom.
Pharmaceutical Executive November 1, 2005 Alana Klein	Direct to Consumer: A Q&A with Jim Hoyes Multiple sclerosis patients can benefit from a new kind of support system.
American Family Physician January 15, 2005	Pelvic Floor Muscle Exercises A patient handout on exercises that help alleviate the symptoms of urinary incontinence.
Science News October 11, 2003 Janet Raloff	Wash Those Hands! In most instances food poisoning can be blamed on bacteria or viruses that originate in animal or human feces. A Florida-based company is now developing a laser-based scanning technology to scout for dirty hands. Installed in restaurant washrooms or daycare centers, it could identify fecal traces.