title: Metabolic syndrome: clinical perspective for best practice.
abstract: OBJECTIVE
  To explore current studies on metabolic syndrome (MetS), including its complex pathophysiology and to describe the unique role of the advanced practice nurse including management and ethical decision making utilizing a case study to exemplify salient points.
  
  
  METHODS
  From original research articles extracted from nursing and medical databases.
  
  
  CONCLUSIONS
  MetS is a constellation of characteristics that increases the risk for the development of diabetes and cardiovascular disease. The pathophysiology of MetS is not completely understood, but is thought to involve a complex interaction between the environment, genetic susceptibility, insulin resistance, and abnormal adipose tissue function.
  
  
  CONCLUSIONS
  The role of the advanced practice nurse is appropriate for early intervention and counseling of patients with MetS and those who are at risk, as well as addressing the ethical challenges that accompany their care.
authors.affiliation: Silver Sage Center for Family Medicine, Reno, Nevada.
authors.forename: Darin
authors.initials: D
authors.lastname: Olde
authors.forename: Patricia
authors.initials: P
authors.lastname: Alpert
authors.forename: Alona
authors.initials: A
authors.lastname: Dalusung-Angosta
mesh_terms: D057179:Advanced Practice Nursing; D000368:Aged; D005260:Female; D006801:Humans; D024821:Metabolic Syndrome / Q000209:etiology* / Q000503:physiopathology* / Q000628:therapy; D024802:Nurse's Role
keywords: Metabolic syndrome; cardiovascular disease; diabetes; dyslipidemia