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Erectile Dysfunction Screening in Type 2 Diabetes: Developing an Evidence-Based Policy forPrimary Care
By Yanet Alvarez and Rachel Quintana, DNP Men with type 2 diabetes mellitus (T2DM) have a significantly increased risk of developing erectile dysfunction (ED), which frequently precedes the diagnosis of heart disease by several years. Because of the stigma around it, many men never raise it, and many clinicians wait for the patient to bring it up, so it often goes unaddressed. The American Diabetes Association’s 2025 Standards of Care recommend screening for ED using a brief,
5 hours ago3 min read


Closing the Gap on Adult ADHD in Primary Care
By Karina Cata and Rachel Quintana, DNP Adult ADHD is common, yet primary care often misses it. Adults who come in for anxiety, poor sleep, or trouble at work rarely have an underlying attention problem considered. Even when they raise attention concerns, most clinics have no established way to screen for adult ADHD and no standard process for referring the patient to a specialist. For her DNP capstone at Ana G. Méndez University, Karina Cata set out to close that gap in Sout
5 hours ago2 min read


Mejora del conocimiento de los enfermeros de atención domiciliaria sobre la polifarmacia y ladesprescripción.
Pedro R. Pena, RN, APRN Rachel Quintana, MSN, FNP, DNPc Antecedentes La polifarmacia representa un desafío importante en la atención de adultos mayores con múltiples enfermedades crónicas. Los regímenes farmacológicos complejos pueden aumentar el riesgo de interacciones farmacológicas perjudiciales, de efectos adversos y de dificultades para cumplir con las recomendaciones terapéuticas (Anand et al., 2021). Los enfermeros de atención domiciliaria se encuentran en una posición
5 hours ago4 min read
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