Adult Patients With Peritonsillar Abscess: What Nurse Practitioners in Primary Care Need to Know
Background and purpose: A peritonsillar abscess (PTA) is the most common deep neck space infection. Surprisingly, there are no clinical practice guidelines to guide nurse practitioners (NPs) caring for patients with a PTA. This risks inconsistencies in practice and the potential for poor patient out...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Tiefel, Nicole L. [verfasserIn] Lorenz, Mark [verfasserIn] Bartlett, T. Robin [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: The journal for nurse practitioners - New York, NY [u.a.] : Elsevier, 2005, 17, Seite 202-208 |
|---|---|
| Übergeordnetes Werk: |
volume:17 ; pages:202-208 |
| DOI / URN: |
10.1016/j.nurpra.2020.09.007 |
|---|
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ELV053218167 |
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| 520 | |a Background and purpose: A peritonsillar abscess (PTA) is the most common deep neck space infection. Surprisingly, there are no clinical practice guidelines to guide nurse practitioners (NPs) caring for patients with a PTA. This risks inconsistencies in practice and the potential for poor patient outcomes. The purpose of this article is to equip NPs with information to accurately diagnose and appropriately manage patients with a PTA. This article describes the most common characteristics of the patient who presents to outpatient providers with unilateral throat pain consistent with a diagnosis of PTA. Accurate diagnosis improves patient safety and prevents inadequate care by implementing research-based management.Methods: As part of a quality improvement project, a retrospective analysis was performed on medical record data of 100 patients aged 19 to 59 diagnosed with PTAs at a private outpatient otolaryngology practice. The data were analyzed to look at the most common characteristics of PTA.Conclusions: Findings demonstrated that patients with PTA experienced difficulty controlling oral secretions, where patients with phlegmon did not. A larger number of patients with PTA also experienced lymphadenopathy.Implications for practice: Intervening early with accurate diagnosis and initiation of antibiotics and steroids is essential in the treatment of PTA. When symptoms suggest surgical intervention, the NP should promptly refer the patient to otolaryngology to improve outcomes. Close monitoring of the patient with a PTA improves patient safety by decreasing the likelihood of further airway obstruction and to ensure symptoms continue to improve. | ||
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10.1016/j.nurpra.2020.09.007 doi (DE-627)ELV053218167 (ELSEVIER)S1555-4155(20)30509-2 DE-627 ger DE-627 rda eng 610 VZ 44.63 bkl Tiefel, Nicole L. verfasserin aut Adult Patients With Peritonsillar Abscess: What Nurse Practitioners in Primary Care Need to Know 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and purpose: A peritonsillar abscess (PTA) is the most common deep neck space infection. Surprisingly, there are no clinical practice guidelines to guide nurse practitioners (NPs) caring for patients with a PTA. This risks inconsistencies in practice and the potential for poor patient outcomes. The purpose of this article is to equip NPs with information to accurately diagnose and appropriately manage patients with a PTA. This article describes the most common characteristics of the patient who presents to outpatient providers with unilateral throat pain consistent with a diagnosis of PTA. Accurate diagnosis improves patient safety and prevents inadequate care by implementing research-based management.Methods: As part of a quality improvement project, a retrospective analysis was performed on medical record data of 100 patients aged 19 to 59 diagnosed with PTAs at a private outpatient otolaryngology practice. The data were analyzed to look at the most common characteristics of PTA.Conclusions: Findings demonstrated that patients with PTA experienced difficulty controlling oral secretions, where patients with phlegmon did not. A larger number of patients with PTA also experienced lymphadenopathy.Implications for practice: Intervening early with accurate diagnosis and initiation of antibiotics and steroids is essential in the treatment of PTA. When symptoms suggest surgical intervention, the NP should promptly refer the patient to otolaryngology to improve outcomes. Close monitoring of the patient with a PTA improves patient safety by decreasing the likelihood of further airway obstruction and to ensure symptoms continue to improve. management peritonsillar abscess phlegmon unilateral throat pain Lorenz, Mark verfasserin aut Bartlett, T. Robin verfasserin (orcid)0000-0003-0895-7571 aut Enthalten in The journal for nurse practitioners New York, NY [u.a.] : Elsevier, 2005 17, Seite 202-208 Online-Ressource (DE-627)499546806 (DE-600)2202063-9 (DE-576)271586257 1878-058X nnns volume:17 pages:202-208 GBV_USEFLAG_U GBV_ELV SYSFLAG_U GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.63 Krankenpflege VZ AR 17 202-208 |
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10.1016/j.nurpra.2020.09.007 doi (DE-627)ELV053218167 (ELSEVIER)S1555-4155(20)30509-2 DE-627 ger DE-627 rda eng 610 VZ 44.63 bkl Tiefel, Nicole L. verfasserin aut Adult Patients With Peritonsillar Abscess: What Nurse Practitioners in Primary Care Need to Know 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and purpose: A peritonsillar abscess (PTA) is the most common deep neck space infection. Surprisingly, there are no clinical practice guidelines to guide nurse practitioners (NPs) caring for patients with a PTA. This risks inconsistencies in practice and the potential for poor patient outcomes. The purpose of this article is to equip NPs with information to accurately diagnose and appropriately manage patients with a PTA. This article describes the most common characteristics of the patient who presents to outpatient providers with unilateral throat pain consistent with a diagnosis of PTA. Accurate diagnosis improves patient safety and prevents inadequate care by implementing research-based management.Methods: As part of a quality improvement project, a retrospective analysis was performed on medical record data of 100 patients aged 19 to 59 diagnosed with PTAs at a private outpatient otolaryngology practice. The data were analyzed to look at the most common characteristics of PTA.Conclusions: Findings demonstrated that patients with PTA experienced difficulty controlling oral secretions, where patients with phlegmon did not. A larger number of patients with PTA also experienced lymphadenopathy.Implications for practice: Intervening early with accurate diagnosis and initiation of antibiotics and steroids is essential in the treatment of PTA. When symptoms suggest surgical intervention, the NP should promptly refer the patient to otolaryngology to improve outcomes. Close monitoring of the patient with a PTA improves patient safety by decreasing the likelihood of further airway obstruction and to ensure symptoms continue to improve. management peritonsillar abscess phlegmon unilateral throat pain Lorenz, Mark verfasserin aut Bartlett, T. Robin verfasserin (orcid)0000-0003-0895-7571 aut Enthalten in The journal for nurse practitioners New York, NY [u.a.] : Elsevier, 2005 17, Seite 202-208 Online-Ressource (DE-627)499546806 (DE-600)2202063-9 (DE-576)271586257 1878-058X nnns volume:17 pages:202-208 GBV_USEFLAG_U GBV_ELV SYSFLAG_U GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.63 Krankenpflege VZ AR 17 202-208 |
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10.1016/j.nurpra.2020.09.007 doi (DE-627)ELV053218167 (ELSEVIER)S1555-4155(20)30509-2 DE-627 ger DE-627 rda eng 610 VZ 44.63 bkl Tiefel, Nicole L. verfasserin aut Adult Patients With Peritonsillar Abscess: What Nurse Practitioners in Primary Care Need to Know 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and purpose: A peritonsillar abscess (PTA) is the most common deep neck space infection. Surprisingly, there are no clinical practice guidelines to guide nurse practitioners (NPs) caring for patients with a PTA. This risks inconsistencies in practice and the potential for poor patient outcomes. The purpose of this article is to equip NPs with information to accurately diagnose and appropriately manage patients with a PTA. This article describes the most common characteristics of the patient who presents to outpatient providers with unilateral throat pain consistent with a diagnosis of PTA. Accurate diagnosis improves patient safety and prevents inadequate care by implementing research-based management.Methods: As part of a quality improvement project, a retrospective analysis was performed on medical record data of 100 patients aged 19 to 59 diagnosed with PTAs at a private outpatient otolaryngology practice. The data were analyzed to look at the most common characteristics of PTA.Conclusions: Findings demonstrated that patients with PTA experienced difficulty controlling oral secretions, where patients with phlegmon did not. A larger number of patients with PTA also experienced lymphadenopathy.Implications for practice: Intervening early with accurate diagnosis and initiation of antibiotics and steroids is essential in the treatment of PTA. When symptoms suggest surgical intervention, the NP should promptly refer the patient to otolaryngology to improve outcomes. Close monitoring of the patient with a PTA improves patient safety by decreasing the likelihood of further airway obstruction and to ensure symptoms continue to improve. management peritonsillar abscess phlegmon unilateral throat pain Lorenz, Mark verfasserin aut Bartlett, T. Robin verfasserin (orcid)0000-0003-0895-7571 aut Enthalten in The journal for nurse practitioners New York, NY [u.a.] : Elsevier, 2005 17, Seite 202-208 Online-Ressource (DE-627)499546806 (DE-600)2202063-9 (DE-576)271586257 1878-058X nnns volume:17 pages:202-208 GBV_USEFLAG_U GBV_ELV SYSFLAG_U GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.63 Krankenpflege VZ AR 17 202-208 |
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10.1016/j.nurpra.2020.09.007 doi (DE-627)ELV053218167 (ELSEVIER)S1555-4155(20)30509-2 DE-627 ger DE-627 rda eng 610 VZ 44.63 bkl Tiefel, Nicole L. verfasserin aut Adult Patients With Peritonsillar Abscess: What Nurse Practitioners in Primary Care Need to Know 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and purpose: A peritonsillar abscess (PTA) is the most common deep neck space infection. Surprisingly, there are no clinical practice guidelines to guide nurse practitioners (NPs) caring for patients with a PTA. This risks inconsistencies in practice and the potential for poor patient outcomes. The purpose of this article is to equip NPs with information to accurately diagnose and appropriately manage patients with a PTA. This article describes the most common characteristics of the patient who presents to outpatient providers with unilateral throat pain consistent with a diagnosis of PTA. Accurate diagnosis improves patient safety and prevents inadequate care by implementing research-based management.Methods: As part of a quality improvement project, a retrospective analysis was performed on medical record data of 100 patients aged 19 to 59 diagnosed with PTAs at a private outpatient otolaryngology practice. The data were analyzed to look at the most common characteristics of PTA.Conclusions: Findings demonstrated that patients with PTA experienced difficulty controlling oral secretions, where patients with phlegmon did not. A larger number of patients with PTA also experienced lymphadenopathy.Implications for practice: Intervening early with accurate diagnosis and initiation of antibiotics and steroids is essential in the treatment of PTA. When symptoms suggest surgical intervention, the NP should promptly refer the patient to otolaryngology to improve outcomes. Close monitoring of the patient with a PTA improves patient safety by decreasing the likelihood of further airway obstruction and to ensure symptoms continue to improve. management peritonsillar abscess phlegmon unilateral throat pain Lorenz, Mark verfasserin aut Bartlett, T. Robin verfasserin (orcid)0000-0003-0895-7571 aut Enthalten in The journal for nurse practitioners New York, NY [u.a.] : Elsevier, 2005 17, Seite 202-208 Online-Ressource (DE-627)499546806 (DE-600)2202063-9 (DE-576)271586257 1878-058X nnns volume:17 pages:202-208 GBV_USEFLAG_U GBV_ELV SYSFLAG_U GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.63 Krankenpflege VZ AR 17 202-208 |
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10.1016/j.nurpra.2020.09.007 doi (DE-627)ELV053218167 (ELSEVIER)S1555-4155(20)30509-2 DE-627 ger DE-627 rda eng 610 VZ 44.63 bkl Tiefel, Nicole L. verfasserin aut Adult Patients With Peritonsillar Abscess: What Nurse Practitioners in Primary Care Need to Know 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background and purpose: A peritonsillar abscess (PTA) is the most common deep neck space infection. Surprisingly, there are no clinical practice guidelines to guide nurse practitioners (NPs) caring for patients with a PTA. This risks inconsistencies in practice and the potential for poor patient outcomes. The purpose of this article is to equip NPs with information to accurately diagnose and appropriately manage patients with a PTA. This article describes the most common characteristics of the patient who presents to outpatient providers with unilateral throat pain consistent with a diagnosis of PTA. Accurate diagnosis improves patient safety and prevents inadequate care by implementing research-based management.Methods: As part of a quality improvement project, a retrospective analysis was performed on medical record data of 100 patients aged 19 to 59 diagnosed with PTAs at a private outpatient otolaryngology practice. The data were analyzed to look at the most common characteristics of PTA.Conclusions: Findings demonstrated that patients with PTA experienced difficulty controlling oral secretions, where patients with phlegmon did not. A larger number of patients with PTA also experienced lymphadenopathy.Implications for practice: Intervening early with accurate diagnosis and initiation of antibiotics and steroids is essential in the treatment of PTA. When symptoms suggest surgical intervention, the NP should promptly refer the patient to otolaryngology to improve outcomes. Close monitoring of the patient with a PTA improves patient safety by decreasing the likelihood of further airway obstruction and to ensure symptoms continue to improve. management peritonsillar abscess phlegmon unilateral throat pain Lorenz, Mark verfasserin aut Bartlett, T. Robin verfasserin (orcid)0000-0003-0895-7571 aut Enthalten in The journal for nurse practitioners New York, NY [u.a.] : Elsevier, 2005 17, Seite 202-208 Online-Ressource (DE-627)499546806 (DE-600)2202063-9 (DE-576)271586257 1878-058X nnns volume:17 pages:202-208 GBV_USEFLAG_U GBV_ELV SYSFLAG_U GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.63 Krankenpflege VZ AR 17 202-208 |
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Tiefel, Nicole L. Lorenz, Mark Bartlett, T. Robin |
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adult patients with peritonsillar abscess: what nurse practitioners in primary care need to know |
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Adult Patients With Peritonsillar Abscess: What Nurse Practitioners in Primary Care Need to Know |
| abstract |
Background and purpose: A peritonsillar abscess (PTA) is the most common deep neck space infection. Surprisingly, there are no clinical practice guidelines to guide nurse practitioners (NPs) caring for patients with a PTA. This risks inconsistencies in practice and the potential for poor patient outcomes. The purpose of this article is to equip NPs with information to accurately diagnose and appropriately manage patients with a PTA. This article describes the most common characteristics of the patient who presents to outpatient providers with unilateral throat pain consistent with a diagnosis of PTA. Accurate diagnosis improves patient safety and prevents inadequate care by implementing research-based management.Methods: As part of a quality improvement project, a retrospective analysis was performed on medical record data of 100 patients aged 19 to 59 diagnosed with PTAs at a private outpatient otolaryngology practice. The data were analyzed to look at the most common characteristics of PTA.Conclusions: Findings demonstrated that patients with PTA experienced difficulty controlling oral secretions, where patients with phlegmon did not. A larger number of patients with PTA also experienced lymphadenopathy.Implications for practice: Intervening early with accurate diagnosis and initiation of antibiotics and steroids is essential in the treatment of PTA. When symptoms suggest surgical intervention, the NP should promptly refer the patient to otolaryngology to improve outcomes. Close monitoring of the patient with a PTA improves patient safety by decreasing the likelihood of further airway obstruction and to ensure symptoms continue to improve. |
| abstractGer |
Background and purpose: A peritonsillar abscess (PTA) is the most common deep neck space infection. Surprisingly, there are no clinical practice guidelines to guide nurse practitioners (NPs) caring for patients with a PTA. This risks inconsistencies in practice and the potential for poor patient outcomes. The purpose of this article is to equip NPs with information to accurately diagnose and appropriately manage patients with a PTA. This article describes the most common characteristics of the patient who presents to outpatient providers with unilateral throat pain consistent with a diagnosis of PTA. Accurate diagnosis improves patient safety and prevents inadequate care by implementing research-based management.Methods: As part of a quality improvement project, a retrospective analysis was performed on medical record data of 100 patients aged 19 to 59 diagnosed with PTAs at a private outpatient otolaryngology practice. The data were analyzed to look at the most common characteristics of PTA.Conclusions: Findings demonstrated that patients with PTA experienced difficulty controlling oral secretions, where patients with phlegmon did not. A larger number of patients with PTA also experienced lymphadenopathy.Implications for practice: Intervening early with accurate diagnosis and initiation of antibiotics and steroids is essential in the treatment of PTA. When symptoms suggest surgical intervention, the NP should promptly refer the patient to otolaryngology to improve outcomes. Close monitoring of the patient with a PTA improves patient safety by decreasing the likelihood of further airway obstruction and to ensure symptoms continue to improve. |
| abstract_unstemmed |
Background and purpose: A peritonsillar abscess (PTA) is the most common deep neck space infection. Surprisingly, there are no clinical practice guidelines to guide nurse practitioners (NPs) caring for patients with a PTA. This risks inconsistencies in practice and the potential for poor patient outcomes. The purpose of this article is to equip NPs with information to accurately diagnose and appropriately manage patients with a PTA. This article describes the most common characteristics of the patient who presents to outpatient providers with unilateral throat pain consistent with a diagnosis of PTA. Accurate diagnosis improves patient safety and prevents inadequate care by implementing research-based management.Methods: As part of a quality improvement project, a retrospective analysis was performed on medical record data of 100 patients aged 19 to 59 diagnosed with PTAs at a private outpatient otolaryngology practice. The data were analyzed to look at the most common characteristics of PTA.Conclusions: Findings demonstrated that patients with PTA experienced difficulty controlling oral secretions, where patients with phlegmon did not. A larger number of patients with PTA also experienced lymphadenopathy.Implications for practice: Intervening early with accurate diagnosis and initiation of antibiotics and steroids is essential in the treatment of PTA. When symptoms suggest surgical intervention, the NP should promptly refer the patient to otolaryngology to improve outcomes. Close monitoring of the patient with a PTA improves patient safety by decreasing the likelihood of further airway obstruction and to ensure symptoms continue to improve. |
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