Karen E Greco

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As the application of genomic information and technology crosses the horizon of health care into our everyday lives, expanding genomic knowledge continues to affect how health care services are defined and delivered. Genomic discoveries have led to enhanced clinical capabilities to predict susceptibility to common diseases and conditions such as cancer,(More)
OBJECTIVE The objective of this study was to examine the association between psychoactive medications and sleep quality in a sample of nursing home patients. DESIGN We studied a baseline data collection for a clinical trial of a nonpharmacologic sleep intervention program. SETTING This study was conducted at six community nursing homes. PARTICIPANTS(More)
PURPOSE/OBJECTIVES To provide an overview of factors related to life-style, diet, and chemoprevention agents that may help lower the incidence of prostate cancer in the future. DATA SOURCES Analysis of literature from MEDLINE (National Library of Medicine, Bethesda, MD), published journal articles, papers from journal bibliographies, and protocol of the(More)
OBJECTIVE Authors evaluated the safety of intramuscular ziprasidone for use in acute agitation in an elderly population. METHOD Medical records were reviewed retrospectively to identify consecutive patients who were admitted to our neuropsychiatry service with the presenting complaint of dementia (DSM-IV) with agitation and who were given intramuscular(More)
PURPOSE This study's purpose is to describe and explain how women 55 years of age and older with a family history of breast cancer make screening mammography decisions. DESIGN A qualitative design based on grounded theory. This purposeful sample consisted of 23 women 55 years of age or older with one more first-degree relatives diagnosed with breast(More)
OBJECTIVES To review cancer risk assessment and counseling, hereditary cancer syndrome risk factors, indicators for cancer predisposition testing, and interpretation of genetic test results. DATA SOURCES Research studies, review articles, and authors' experience. CONCLUSION Approximately 10% of those with a diagnosis of cancer may have a hereditary(More)
Scientific advances in genetics and genomics are rapidly redefining our understanding of health and illness and creating a significant shift in practice for all health care disciplines. Nurses educated at the graduate level are well-prepared to assume clinical and leadership roles in health care systems and must also be prepared to assume similar roles(More)
PURPOSE To present an overview of the issues relating to second licensure and advanced nursing practice in oncology and to summarize recommendations regarding second licensure from the State-of-the-Knowledge Conference on Advanced Practice in Oncology Nursing. DATA SOURCES Published journal articles, a position paper and survey prepared by the National(More)