Practice Support Update Blog

Leslie D McDowell, DNP, ANP-BC, RN


Recent Posts

Practical ways in everyday clinic work to practice mindfulness.

Dec 18, 2024 12:37:21 PM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Wellness, stress, mindfulness, health

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LiveOaks.sunset.gg

Let's face it. Sometimes it's just plain hard to work in health care.

Mindfulness (paying deliberate attention to the present moment) has been shown to improve cognitive performance, empathy, health and well-being.

We offer 10 simple ways to incorporate mindfulness into your day to day activities.  

Take care of yourself as you take care of others.

 

 

Mindfulness Exercises

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Rural Nursing: A Unique Specialty!

Dec 4, 2024 12:30:00 PM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Nursing, rural health

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Graham County view

Just as orthopedic nurses are skilled at caring for patients with musculoskeletal conditions, and cardiac nurses specialize in patient care of cardiovascular disease, rural nurses are skilled at knowing a little bit about everything! They balance the needs of their patients with the often-limited resources and other challenges in small and sometimes isolated areas.

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Do you know XEC? New SARS-CoV-2 Variant

Nov 26, 2024 2:00:00 PM / by Leslie D McDowell, DNP, ANP-BC, RN posted in COVID-19, public health, family medicine, Pediatric, Vaccination

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Once again, a new SARS-CoV-2 variant is likely to be the gift many did not want to receive from attending holiday gathering!

virus

You may recall in the early days of the COVID-19 pandemic, there was frequent breaking news about each latest variant of the virus (remember Delta and Omicron?). Now that the worldwide public health emergencies have expired, detecting, monitoring, and responding to new variants has become more challenging. 

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Lung Cancer Screening

Nov 25, 2024 8:30:00 AM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Primary Care, medicare, screening, Adult health, lung cancer, smoking

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autumn.path.gg

November is Lung Cancer Awareness Month. A perfect time to revisit this topic!

Tobacco use is the leading cause of preventable disease, disability, and death in the U.S., and smoking causes almost a half a million deaths per year.

Rural NC Road in Autumn. Photo used with permission

U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General

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NP Week 2024: Celebrating Nurse Practitioners!

Nov 13, 2024 8:30:00 AM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Primary Care, family medicine, Pediatrics, nurse practitioners

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female pediatrician and a little boy where both are smiling

More and more patients are embracing prevention and early intervention to stay healthy and avoid health related complications. NPs encourage health promotion and a comprehensive, wellness-first approach. November 10-16, 2024 is National Nurse Practitioners (NP) Week! 

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Interesting Topics to Start Your Summer: Free HRSA-Sponsored Webinars

May 22, 2024 9:00:00 AM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Primary Care, learning, mental health, Substance Use, aging, naloxone

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ocean.sunrise.sailboats.GG

Today we bring you news from the HRSA (Health Resources and Services Administration) Primary Health Care Digest, on a variety of topics we thought would be of interest to primary care practitioners in all settings.

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Opioid Prescriber Training: Live Webinar May 10, 2024

May 1, 2024 4:23:56 PM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Substance Use, opioid use disorder, opioids, Medication assisted treatment

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April 16: National Healthcare Decisions Day

Mar 26, 2024 4:00:00 PM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Primary Care, medicare, advance care planning, conversation

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voice callouts

National Healthcare Decisions Day exists to inspire, educate and empower the public and providers about the importance of advance care planning.  It is an initiative to encourage patients to express their wishes regarding healthcare and for providers and facilities to respect those wishes, whatever they may be.  (Source: https://theconversationproject.org/nhdd/)

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In NC, 9 Babies Died of Congenital Syphilis in 2023

Feb 7, 2024 1:28:00 PM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Primary Care, Pregnancy, OB/GYN, family medicine, STIs, prenatal

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Portrait of a man holding a baby in his hands

With only a single case in our state about a decade ago, congenital syphilis has been on the rise ever since.

In 2023, (according to preliminary data), North Carolina lost nine people from this completely preventable cause; with another 63 babies suffering from  congenital syphilis infection.  

According to Victoria Mobley, HIV/STI medical director for the North Carolina Department of Health and Human Services' Division of Public Health, more than half of the mothers of the babies born with syphilis had no documented prenatal care at the time they delivered. Equally of concern, of the women who did have prenatal care, only 41% received appropriate screening tests, despite state law requirements for syphilis testing for anyone who is pregnant (at first pre-natal visit, again between 28-30 weeks gestation and at time of delivery). 

Sadly, this is a national epidemic, and more action must be taken to begin to address it.

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Improve Your Day With These Easy Desk Stretches!

Jan 31, 2024 8:00:00 AM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Primary Care, exercise, practice management

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Businesswoman leading sedentary lifestyle causing back pain

You've been sitting there longer than you meant to, right?

You have

  • Three reports that need to get done
  • Five more to do's on your list
  • 17 emails to respond to (and 33 more land in your inbox while you're on number 3)

    Now, 
    • The phone rings
    • Your supervisor is standing at your door looking frustrated

      Sound familiar? Just another (insert day of week here)!

No doubt you are feeling the tension building in your neck, shoulders, and arms....

Try these 3 Easy Desk Stretches!

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