Many cancer survivors suffer from chronic pain related to treatment. Pain management in the survivor is similar to chronic noncancer pain, with the important caveat that new or worsening pain must be promptly assessed for malignancy. This article reviews cancer survivorship, identifies common pain problems, and discusses strategies for management.

Abstract: Chronic obstructive pulmonary disease (COPD) is quickly becoming one of the leading causes of morbidity and mortality. The purpose of this article is to present an overview of the clinical presentation, spirometry, and pharmacologic management of COPD, as well as the results of a survey examining nurse practitioners' (NPs) knowledge about COPD and its management.

Innovative group medical visit programs have emerged in an effort to increase efficiency, improve service and quality of healthcare, and better manage high-risk patient populations. A case study program for cancer survivors, adapted from the Centering Healthcare Institute's model, demonstrates how nurse practitioners can lead the implementation and measurement outcomes of group visit models.

Endometriosis is a common problem characterized by abdominal pain, back pain, pain with intercourse, dysfunctional uterine bleeding, and infertility. The cause of endometriosis is not well understood, but advances in treatment have been made. Primary care clinicians are uniquely situated to improve patient outcomes by making informed treatment decisions.