2016 TNA–TASN Joint Conference

Culture of Health: The Nurse, The Patient, The Community – Maximizing Life’s Potential
Adolescents and Apps: Bad Connections
Patsy E. Crihfield DNP, APRN, FNP-BC, PMHNP-BC, PMHS
Poster Presentation Abstracts
Problem: Technology and social media have expanded our abilities to be more informed and to reach out to a greater number of
people and resources. However, these advances have increased the risks of encountering unwanted and often harmful contacts for a
vulnerable population.
Background: Technology, especially the smart phone, provides opportunities to improve communication and share educational and
personal information. Approximately 75% of adolescents in the US have access to a smart phone. 93% of adolescents report they
use the phone to avoid boredom. Smart phones can pose a risk, especially to adolescents who are not developmentally mature and
lack discernment about the safety of phone applications. Most applications pose little or no threat to the physical or emotional safety
of the adolescents. Unfortunately, some expose adolescents to negative or dangerous influences. The highlight of most questionable
applications is anonymity. This can be simultaneously alluring and threatening if the contact person has inappropriate intentions.
Many companies admit that filtering systems are not failsafe. For example, Chatroulette, Kik, Omegle, and others have reported
problems with inappropriate content, including sexting and pornography.
Summary and Implications: Health care providers need to recognize the positive and negative aspects of technology use by
adolescents. We have opportunities in a multitude of settings to educate parents and adolescents about the vigilant use of social
media and open the dialogue about safe practices to avoid harm. Recommendations and data from reliable sources provide us with
the information to provide accurate information to both adolescents and parents.
An Innovative Approach in Prevention of Pneumocystis Jirovecii Pneumonia in
Patients with Human Immunodeficiency Virus
Tracy McClinton, DNP, AG-ACNP, BC
Pneumocystis pneumonia (PCP) is a common opportunistic infection in individuals with human immunodeficiency virus (HIV) and a
CD4 count less than 200, as well as individuals who have advanced to the Acquired Immunodeficiency Disease Syndrome (AIDS).
In 2015 Tennessee was ranked 12th of the top 15 states leading with AIDS diagnoses in the United States. The Centers for Disease
Control and Prevention estimate a mortality rate of 5% to 40% for those treated for PCP and a mortality rate of 100% for those not
treated. The recommendation for HIV patients with a CD4 count less than 200 is treatment with PCP prophylaxis. An innovative
approach is evaluation of treatment decisions and development of a force field to document such decisions.
Background: Increase number of individuals with human immunodeficiency virus in the community.
Objective: To determine whether patients with human immunodeficiency virus (HIV) with a CD4 lymphocyte count of