The solution to swimmer's ear

The solution to swimmer's ear

A homemade solution helps keep swimmer's ear at bay.

Auscultating a young patient

Auscultating a young patient

It is often difficult to get young patients to take deep breaths. This simple penlight trick can help.

Use a laser to get patients walking

Use a laser to get patients walking

A simple technique gets patients with Parkinson disease and dementia to ambulate.

Magic hands to soothe a restless child

Magic hands to soothe a restless child

A trick to help pediatric patients sit still during routine exams.

A tongue blade can detect temporomandibular joint disorder

A tongue blade can detect temporomandibular joint disorder

In patients with chronic headaches, ear or jaw pain, a tongue blade test can detect TMJ.

Get a grip on dislocated fingers

Get a grip on dislocated fingers

A tip for performing a closed reduction on a dislocated finger.

How to suppress gagging during a strep test

How to suppress gagging during a strep test

A simple technique can help stifle patients' gag reflex.

Minimize reactions to transdermal patches

Minimize reactions to transdermal patches

Applying triamcinolone prior to a transdermal patch helps prevent contact dermatitis.

A little carbonation helps the medicine go down

A little carbonation helps the medicine go down

Soda water or seltzer can help mask the flavor of bad-tasting medicine.

Ease constipation caused by calcium supplements

Ease constipation caused by calcium supplements

Omega-3 supplements can help constipation in postmenopausal women taking calcium and vitamin D supplements.

Identifying the cause of bilateral ear pain

Identifying the cause of bilateral ear pain

Consider unusual causes of chronic or recurrent ear pain.

Easing pain during suturing

Easing pain during suturing

Steps to follow after wound irrigation to ensure patient comfort.

Gargling sore throats away

Gargling sore throats away

A nurse practitioner shares a homemade gargling solution for patients with pharyngitis.

A fun way to rehydrate children

A fun way to rehydrate children

Tips for improving the taste of oral electrolyte solution.

Can I get your number?

Can I get your number?

Asking medical-insurance representatives for their identification number can save time.

A handy guide to measurements

A handy guide to measurements

Approximate proportions of skin rashes and lesions using your hand.

The ABCs of shaving

The ABCs of shaving

Advice for preventing shaving-related chafing, itching, bumps and lesions.

Gassing up at the gynecologic exam

Gassing up at the gynecologic exam

A nurse practitioner shares a tip for teaching students how to insert a speculum and locate the cervix.

Use distilled water when taking thyroid medication

Use distilled water when taking thyroid medication

Minerals in tap and bottled water can deactivate some of the hormones in thyroid medication.

Minimize pain during an eye exam

Minimize pain during an eye exam

A simple tip helps patients stay still during an eye exam by reducing eye pain associated with bright lights.

File away anxiety over trimming infant fingernails

File away anxiety over trimming infant fingernails

Many parents are anxious about cutting their infant's fingernails.

Improve eustachian tube dysfunction with nasal spray

Improve eustachian tube dysfunction with nasal spray

A 12-hour nasal decongestant spray can help provide relief for kids with eustachian tube dysfunction.

Examining the prostate of an obese man

Examining the prostate of an obese man

Excess fat around the gluteal region can make performing digital rectal exams in obese patients difficult. How can this challenge be overcome?

Try GERD medication for pediatric molluscum

Try GERD medication for pediatric molluscum

A medication for gastrointestinal disorders can help resolve pediatric skin lesions caused by a benign viral infection.

Avoid vitamin A supplementation in smokers

Avoid vitamin A supplementation in smokers

Individuals who smoke or have ever smoked should avoid high-dose vitamin A supplementation due to a high correlation between smoking, vitamin A and lung cancer.

Polishing off a sticky situation

Polishing off a sticky situation

Patients often complain they have a difficult time completely removing the adhesive from ECG pads. Pass on this simple tip for painless removal.

Sources of comfort for those with dementia

Sources of comfort for those with dementia

A clinician shares gender-specific advice for comforting patients with dementia in moments of confusion.

Getting the cervix in view

Getting the cervix in view

A nurse practitioner offers tips to get patients in the proper position for a cervical exam.

Show—don't tell—when it comes to weight loss

Show—don't tell—when it comes to weight loss

Conversations about weight loss can contribute tremendously to behavioral changes, but tangible examples may be even more effective.

Plumbing for atherosclerosis

Using plumbing as an analogy for atherosclerosis can help improve treatment adherence.

The best tests for hepatitis C

Hepatitis C virus (HCV) antibody remains active even in an individuals treated successfully or those who clear the virus. Learn how to avoid unnecessary referrals.

Illustrating coronary anatomy

A helpful analogy for helping patients understand coronary anatomy.

Keeping a bleeding child calm

Follow this easy tip to help get injured children to treatment before symptoms of shock develop.

Secondary malignancy following breast and uterine cancer

Could a patient's anterior thigh pain signify osteosarcoma?

Antibiotic eye drop reminder

A simple tip to improve antibiotic eye drop adherence among women, who sometimes miss applications because they wear clothes without pockets.

Rectal foreign body removal

A Foley catheter can help remove foreign objects from the rectum.

Decreasing agitation in patients 
with dementia


Distressed elderly patients — especially those with dementia — frequently have a paradoxical reaction to benzodiazepines, causing extremely agitated states.

Attitude is everything

A nurse offers a tip to help lift patients' spirits.

Implementing new pain-management terminology

The term "contract" when used in regard to agreements with patients who have chronic pain is dated, perceived negatively and not preferred.

Check for flat feet in young patients with shin splints

Ruling out pes planus can help avoid unnecessary prescriptions and referrals.

Ice down dyspnea

A nurse offers a surprising, yet effective solution for helping patients catch their breath.

A little birdie can facilitate pediatric ear exams

Getting pediatric patients to remain still and quiet during ear exams is no longer an elusive goal with this nurse practitioner's tip.

Squeeze out the gag reflex

A physicians assistant offers an easy tip for helping patients cope with gag reflex during a throat exam.

Freezing fish-oil capsules

Advise patients who are bothered by the fishy taste of omega-3 fish oil capsules to freeze the supplements.

Size up, not down, when choosing a catheter for a man

Larger catheters are stiffer, thus better able to pass through the prostatic urethra.

Spray steroidal nasal spray toward the ears

Help patients avoid nose bleeds with this simple directive.

Timely reminder to keep stretching

Getting patients to perform stretching exercises for minor rehabilitation can be problematic, but a physician assistant shares his secret for improving compliance.

Preventing diarrhea after esophageal reconstruction

Advising patients to take OTC antidiarrheal medications at specific times in relation to when they eat their meals can help reduce the number of bowel movements.

A visual hypertension warning

A nurse practitioner offers an easy tip to help increase patient adherence to antihypertensive medication by enabling them to visualize their condition.

Wiping out UTIs in women

A simple suggestion for patients can help reduce the incidence of recurrent urinary tract infections you see in your practice.

Improvised medication spacer

A nurse practitioner shares instructions for making an asthma medication spacer to use in emergency situations out of every day materials.

Easing children's anxiety over cast removal

Cast saws can be terrifying for children. An orthopedic physician assistant shares a tip to help ease pediatric patient's fear.

The devil is in the "D-TAILS"

A nurse practitioner shares a useful mnemonic device for taking thorough patient histories.

"Alarming" teen contraceptive-pill compliance

Teens often tell me they forget to take their birth-control pills (BCPs), sometimes as often as three or more times per cycle.

Maintain precision when apply medications to the scalp

A simple tip to help you keep scalp medications where they belong, instead of saturating the hair.

Making contraceptive vaginal-ring insertion easy

A nurse offers advice for patients that are unsure how to properly place the contraceptive vaginal ring.

Preventing drug confusion

Many providers confuse metoprolol tartrate and metoprolol succinate. Learn an easy way to keep them straight.

Dietary-restriction tool is money in the bank

Advise patients with dietary restrictions to manage their daily allowance like a checkbook.

Simple pounds-to-kilograms conversion

A nurse shares a simple tip for converting pounds to kilograms when calculating pediatric doses.

Cooking technique for dialysis patients

Patients on dialysis much watch their potassium intake from vegetables like potatoes. Offer this cooking tip.

Breathing tips for patients with COPD

A nurse uses two easy-to-remember catch phrases to encourage pursed-lip breathing among patients with COPD.

A spoonful of sugar helps students visualize the metric system

A spoonful of sugar helps students visualize the metric system

Read this tip for making abstract concepts, like converting metric medication doses, go down smoothly.

Moving beyond "Just say no"

Moving beyond "Just say no"

Discourage teenagers from engaging in risky behaviors such as drug, tobacco and alcohol use in a meaningful way.

Offer alternatives to the food diary

Offer alternatives to the food diary

Are you doing everything you can to help your patients lose weight? Read this physician assistants' creative tip for helping patients kick those stubborn pounds to the curb.

Remember to HALT SLIPS in older patients

A clinician offers a useful mnemonic device to help prevent falls in older patients.

Nasal spray to reduce skin irritation

Clinician shares an unexpected dermatologic use for fluticasone.

To limit fluid intake, freeze before serving

Read this tip for restricting fluid intake that still enables patient to quench thirst.

Sneaky tonsil swab

Tip for guaranteeing a culture the first time you swab.

Easing painful cryotherapy

Reducing pain among patients undergoing cyrotherapy for warts on sensitive areas.

Celiac disease as a cause of infertility

Consider the possibility of celiac disease, which even when clinically silent, as the cause of infertility in women.

Telltale toes

Tinea pedis almost always involves the fourth and fifth toes.

Slaying the gag reflex

A tip for performing rapid strep tests and throat cultures.

Overcoming shyness during pediatric visits

Transform pediatric exam into a game to make apprehensive children feel comfortable.

Alzheimer's disease affects clinicians as well

Caregivers often experience burnout and compassion fatigue.

More tips on gout prevention

Treat the acute pain of gout aggressively and early on in the flare.

Medicinal lullaby

Treatments for elderly patients who have dementia and sleep disorders.

An EAASY way to prevent blood clots

Solutions for prevent blood clots on long flights.

Remedy for postmenopausal vaginal dryness

A simple solution for patients complaining of vaginal dryness and irritation with intercourse.

Facilitating self-care in patients wearing rigid collars

Practical advice to make life easier for patients who wear rigid collars.

More help for vaginal atrophy

Using lower doses of vaginal estrogen cream, customized suppositories may also be effective treatments.

"UTI" not always what it seems

If urinalysis findings do not suggest UTI, check the culture before prescribing antibiotics.

Off-label anticonvulsant relieves neuropathic pain

The antiseizure medication tiagabine (Gabitril) has been used off-label to manage neuropathic pain, either diabetic or spinal in nature.

Prevent skin reactions when plastering

Helpful tip for splinting.

Postmenopausal dryness remedy

Simple solution for patients complaining of vaginal dryness and irritation with intercourse.

Managing hyponatremia

Some individuals develop hyponatremia when on a diuretic — not because the sodium level is diluted, but because the diuretic causes the sodium to be excreted with the excess fluid.

Helping the medicine go down

This advice works without a spoonful of sugar.

Preventing abrasions caused by rigid cervical collars

Padding collars with fleece or felt is an inexpensive way to protect pressure areas.

Bacon makes everything better

A surprising anecdote for retrieving splinters.

Belly buttons in the spotlight

A tip for diagnosing meningitis in toddlers

Turn low back pain upside down

An inversion table may help in the treatment of low back pain, which is usually caused by pressure between two vertebral bodies.

Nasal foreign body removal is a breeze

I see many children in the emergency department with a foreign body lodged in one nare.

The truth about drinking

Injection diversion

Cheers for Murphy's sign

Chill on fish oil

Ensuring a steady gaze

How Many Insulin Vials?

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