Mikel L. Gray, PhD, FNP, PNP, CUNP, CCN-AP, FAANP, FAAN, Author at Grand Rounds in Urology

Streamlining Management of the Neurogenic Patient Population with or without Incontinence

Posted by Mikel L. Gray, PhD, FNP, PNP, CUNP, CCN-AP, FAANP, FAAN | Aug 2024

Mikel L. Gray, PhD, FNP, PNP, CUNP, CCN-AP, FAANP, delves into the management of neurogenic bladder dysfunction, with or without incontinence. He emphasizes the necessity for a comprehensive, multidisciplinary approach that integrates the latest advancements in diagnostics, therapeutics, and patient education to optimize clinical outcomes and enhance quality of life.

A focal point of Dr. Gray’s discourse is the importance of individualized care plans. Dr. Gray highlights the integration of pharmacological treatments, such as anticholinergics and beta-3 agonists, which are pivotal in managing symptoms of neurogenic bladder dysfunction. Additionally, he advocates for non-pharmacological interventions, including pelvic floor muscle training and neuromodulation therapies.

Looking ahead, Dr. Gray addresses emerging technologies and potential advancements in regenerative medicine. He highlights ongoing research and development efforts aimed at creating more effective and less invasive treatments, which could revolutionize care practices in the near future.

Chronic Catheter Patients Made Simple

Posted by Mikel L. Gray, PhD, FNP, PNP, CUNP, CCN-AP, FAANP, FAAN | Aug 2024

Mikel L. Gray, PhD, FNP, PNP, CUNP, CCN-AP, FAANP, addresses the complexities of managing chronic catheter patients, offering insights and strategies to simplify their care. He discusses the types of catheters commonly used in chronic care, including indwelling urethral catheters, suprapubic catheters, and intermittent catheters, highlighting the indications for each type and providing guidance on selecting the most appropriate catheter based on individual patient needs and conditions.

Dr. Gray underscores the critical importance of infection prevention and best practices for catheter insertion and maintenance. He discusses the role of antimicrobial catheters and the appropriate use of prophylactic antibiotics in reducing infection rates and addresses the causes of catheter blockages.

Expectations for Mentorship Among APPs: What Urologists Should Know

Posted by Mikel L. Gray, PhD, FNP, PNP, CUNP, CCN-AP, FAANP, FAAN | May 2024

Mikel L. Gray, PhD, PNP, FNP, CUNP, CCCN, FAANP, FAAN, provides guidance on how Urologists and APPs can get the most out of mentorships. Dr. Gray begins by reviewing the critical importance of APPs in Urology, and highlighting the AUA’s history of explicit support of APPs in urologic practice.

Dr. Gray then outlines the general experiences of APPs regarding training and fellowship in urology practices, and the lack of available structure for advancement. He outlines the various paths for APPs to enter into practice, and the challenges they represent.

Dr. Gray then turns to the role of the Urologist in mentoring urologic APPs. He explicitly highlights the “4 Cs” that the Mentor Urologist must actively facilitate for a successful mentorship: Connection, Conversation, Community, and Culture.

Dr. Gray concludes by providing guidance on what an APP should actively seek out in a mentor. He underscores the importance of finding the right mix of subspecialty and general urology in a practice, and seeking both Urologist and APP mentors.

Mikel L. Gray, PhD, FNP, PNP, CUNP, CCN-AP, FAANP, FAAN

University of Virginia School of Medicine

Charlottesville, Virginia

Talks by Mikel L. Gray, PhD, FNP, PNP, CUNP, CCN-AP, FAANP, FAAN

Streamlining Management of the Neurogenic Patient Population with or without Incontinence

Chronic Catheter Patients Made Simple

Expectations for Mentorship Among APPs: What Urologists Should Know

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