Five Clinical Practice Guidelines for Primary Care Nurses
Clinical Practice Guidelines for Primary Care Nurses
Clinical practice guidelines are a crucial part of providing quality treatment. Primary care nurses need to be familiar with these resources and how to access them. So here’s a look at five guidelines for common conditions:
•Head lice remain a common condition, especially among children from economically disadvantaged homes. Current guidelines recommend the use of a bright flashlight or, preferably, a fine-tooth comb in detecting louses or nymphs. Active infestations are indicated when a nit is 6mm or closer to the scalp. Examining the nape of the neck or the area behind the ears are also excellent ways to find evidence of these pests. The preferred treatment method is a 1% solution of Permethrin, applied to the hair and scalp for 10 minutes then rinsed off. A second application should be administered seven to ten days later.
•Hypertension remains a major cause of chronic health problems such as heart disease and stroke. One method of detecting it is to use automated blood pressure systems. However, these are frequently inaccurate if the patient has an irregular heartbeat, such as the kind that exists with a trial fibrillation. In such cases, manual testing should be performed. Also, if the patient has a measurement above 140/90 at the beginning of his or her appointment, a second check should be performed later during the session. If this one is significantly lower than the first, then a third should be performed later on. The lower of the previous two measurements should be entered in his or her chart.
•Sunburn is a painful condition commonly seen during the summer. In most cases, recommended treatment methods include cold packs, topical analgesics, and prescribing rest and adequate nutrition. Some alternative forms of therapy include oatmeal baths, applying milk and use of vitamin C and E creams. The healthcare provider should also educate the patient on the importance of avoiding prolonged exposure to the sun and of using sunscreen when outside.
•Lower back pain is another commonly reported condition that primary care nurses must deal with. Current guidelines stress certain diagnostic criteria, such as determining how long the patient has suffered pain, how the pain rates in severity from 0 to 10, and whether it causes loss of functionality. Therapeutic intra-articular facet joint injections are not recommended as a treatment method, but caudal epidural steroid injections are advised in some cases. Such measures should only be used if milder forms of therapy, such as exercise and chiropractic adjustment, have been tried first and have failed to give relief of symptoms.
•Rheumatoid arthritis is another condition that a primary care nurse will commonly see. Therapy centers around the management of symptoms, with medicines such as glucocorticoids administered for immediate relief of flare-ups, and paracetamol, codeine or other analgesics used for long-term pain management. Non-steroidal anti-inflammatory agents should be used conservatively on an as-needed basis. Referral to a specialist is warranted when the small joints of the hands or feet are affected.
Clinical practice guidelines should be consulted on a regular basis by the primary care nurse. Guidelines.gov is an excellent free resource where guides for hundreds of conditions can be found. Use of these materials will enable healthcare providers of all types to be more effective in curing illnesses and relieving symptoms for their patients.
A degree from CTU connects you to what matters most: powerful professional network, real-world professional faculty and innovative technology. Once you earn your degree you hit the ground running.
- Master of Science in Nursing - Nursing Administration
- Bachelor of Science in Nursing (RN to BSN completion)
- Master of Science in Nursing - Nursing Education
Several nursing programs are available at the bachelor's, post-graduate, master's, and doctoral levels.
- Nursing (BS)
Liberty University provides a world-class education with a solid Christian foundation, equipping men and women with the values, knowledge, and skills essential for success in every aspect of life.
- Master of Science in Nursing: Nursing Administration
- Master of Science in Nursing: Nurse Educator
- BS in Nursing (RN to BSN)
Grand Canyon University - College of Nursing & Health Care Professions. Online & Campus - Bachelor's and Master's Degrees!
- B.S. in Nursing (Registered Nurse - R.N. to B.S.N)
- M.S. in Nursing: Health Care Informatics (Bridge)
- M.S. in Nursing: Public Health (Bridge)
- And more...
Kaplan University is focused on recognizing the achievements of military and veteran students and offers the flexibility of an online education.
- MS in Nursing
- Master of Science - DNP Path (Doctor of Nursing Practice)
- Master of Science in Nursing-Family Nurse Practitioner
- And more...
For over 35 years, Keiser University has maintained a practical, hands-on approach to career education to help our students achieve their personal and professional goals.
- Master of Science in Nursing
Earn your graduate degree online with Northcentral University.
- Doctor of Education - Nursing Education
At Fortis Institute, you may get the skills and training you need to prepare for a career.
* Programs vary by location
* Please contact each individual campus for accreditation information
- Associate Degree in Nursing
- Practical Nursing
- Medical Assistant
Start a great career in healthcare with Medical Careers Institute.
- Nursing (RN-BSN) - Bachelor's
- Nursing (RN) - Associate's
- Practical Nursing - Diploma
- And more...
Give your career a boost with an education from Southern New Hampshire University.
- MS Nursing
- MS Nursing: Patient Safety and Quality
- MS Nursing: Clinical Nurse Leader
- And more...
Centura College, with campus locations in Virginia, South Carolina and Florida.
- Practical Nursing Diploma
- Associate of Occupational Science Degree in Medical Assisting-Clinical Concentration
Technology changes everything®
You’ve found Ashford University, where school comes to you
- BS/Nursing (RN to BSN)
As a student at South University, you will have the opportunity to learn from accomplished faculty members who have real-world experience in the subjects that they teach. Our small class sizes allow you to receive personalized attention from instructors, and the encouragement to recognize your goals for the future and the means to achieve them.
- Nursing (BS)
Study online with California University of Pennsylvania.
- RN-BSN (Bachelor of Science) - Online
- Dual Degree: MSN-MBA (MSN-MBA) - Online
- MSN Nursing Administration & Leadership (Master of Science) - Online
Miller-Motte Technical College (MMTC) can help get you from here to a new career!
- Medical Assisting - Associate of Occupational Science