Presence is an elusive concept in nursing practice that has been recognized as advantageous in the patient experience. Dictionary sources define presence as being with and attending to another; involvement, companionship. Nursing scholars and theorists have elaborated on the dictionary definition of presence to include a holistic definition inclusive of the patient experience and the connection experienced between both patient and provider. However, despite attempts to define presence as it relates to nursing practice, a definition that completely encompasses the substantial benefits on the patient experience is yet to be developed. As guided by Walker and Avant, this concept analysis was performed by selection of a concept, determination of the purpose of the analysis, evaluation of existing definitions, identification of defining attributes of the concept, formulation of patient cases that epitomize and contrast the concept, and identification of antecedents and empirical referents of the concept. Thus, in this concept analysis article, existing definitions of presence will be recognized and evaluated, cases demonstrating nursing presence explored, and a definition of presence in nursing developed.
Besides professional sports, what do Alex Rodriguez, Michelle Kwan, and Greg Norman have in common? They all suffered from a condition called femoroacetabular impingement, or FAI. First identified by Dr. Reinhold Ganz, an orthopaedic surgeon in the mid-1990s, FAI has gained recognition in recent years as more professional athletes have been diagnosed with this condition. Characterized as a condition involving an abnormal morphological shape of the femoral head (cam type deformity) or acetabulum (pincer type deformity) of the hip joint, FAI is commonly diagnosed after the athlete complains of hip or groin pain and restricted range of motion (, p. 8). Femoroacetabular impingement is often diagnosed in young, active individuals, such as athletes, and can be successfully managed and treated. In this article, types and diagnosis and management of FAI in athletes, as well as measures to successfully return athletes to participation in sports, are discussed.
The use of herbal and natural remedies to prevent and manage disease is increasing in popularity. Individuals are attracted to the nonsynthetic qualities, affordability, and purity of natural remedies as compared to standard pharmacological and invasive interventions. Fish oil supplementation, for example, has been used in the management of dyslipidemia in patients choosing a natural approach to treatment or in adjunct to prescribed medication regimens. Research studies have supported the use of fish oil supplementation to reduce elevated levels of triglycerides and increase healthy cholesterol levels, as well as reduce the risk factors for cardiovascular disease. In this article, the use of fish oil supplementation to manage dyslipidemia will be explored, and considerations for this therapy for health care providers will be discussed.
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