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Laura L. Hanke, APRN, ARNP

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Specializes in: Internal Medicine (Adult Medicine)

Professional interests include: chronic illness, acid reflux (GERD), headache, and more.

1265 36th Street
Vero Beach, FL 32960

(772) 567-6340

Laura L. Hanke, APRN, ARNP is a nurse in Vero Beach, FL specializing in internal medicine (adult medicine). Laura L. Hanke, APRN, ARNP is affiliated with Cleveland Clinic, Indian River Hospital Primary Care of the TC, Vero and INDIAN RIVER HEALTH SERVICES INC.

Office Locations

Address:

1265 36th Street
Vero Beach, FL 32960

Some issues Laura L. Hanke, APRN, ARNP can help you with:

Depression

Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."

Some common symptoms of depression include:

Feeling sad, guilty, empty or hopeless
Fatigue and a lack of energy and motivation
A loss of pleasure in activities that were previously enjoyed
Unusual sleep or eating habits
Mental fog -- trouble concentrating, remembering, or making decisions
Physical aches and pains
Suicidal thoughts or a preoccupation with death

We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.

Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.

Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.

Headache

Headaches are dull or sharp pains that occur in regions of the head and face. Headaches occur in many different forms and vary in location, severity, and duration. They are not necessarily a sign of an underlying illness and often resolve on their own. However, headaches can present significant day-to-day discomfort. The most common forms of headaches include:

Migraines: one of the most prevalent types of headache, migraines typically last from two hours to three days, causing a throbbing pain on one side of the head. Nausea, sensitivity to bright lights, fatigue, and blurred vision all may accompany migraines. While migraines have no known cure, medications and lifestyle modifications may ease symptoms. Avoiding behaviors that may trigger migraines such as lack of sleep or loud, repetitive noises can improve headaches.
Tension headaches: also known as stress headaches, these headaches are characterized by pain in the upper top part of the head and behind the eyes. Tension headaches are common and have no exact cause; however, certain practices may increase the likelihood of developing them. For example, wearing one's hair up in a tight hairstyle or wearing a restrictive hat can put pressure on the scalp, leading to a tension headache. Other causes of tension headaches may include alcohol or nicotine use, caffeine, teeth grinding, stress, overexertion, and eye strain. Some people find posture improvement, alternating sleeping positions, and neck exercise can alleviate tension headaches. Over-the-counter pain relievers such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve) may also reduce tension-headache pain.
Sinus headaches: this type of headache causes pain in the sinuses, but may progress to pain and pressure in the eyes, forehead, and cheeks. These headaches are often accompanied by nasal congestion, fatigue, and ache in the upper teeth and may or may not be caused by sinus infections or sinusitis (sinus inflammation). Some sinus headaches are allergic headaches, which arise from allergic triggers such as seasonal allergies (pollen allergies) or hay fever, causing sinus pressure and facial pain. Other symptoms of allergic headaches include nasal congestion, irritated or watery eyes, runny nose, and sneezing. Allergic headaches may be treated with antihistamine medications such as cetirizine (Zyrtec). Allergic headaches are common during pollen season, which is usually around springtime.
Cluster headaches: these headaches occur suddenly and cause stabbing, sharp pain from one eye down to the one side of the neck. They are often referred to as the most aggravating and painful type of headaches. Other symptoms of cluster headaches include nasal congestion, droopy eyelid, and enlarged pupil on one side of the face. In the past, it was widely believed that cluster headaches were caused by a bevy or "cluster" of multiple types of headaches, such as a combination of an allergic headache and a tension headache. Medical experts now recognize that cluster headaches are a separate and unique form of headache. Cluster headaches last for around twenty minutes to two hours. They may recur throughout the period of a day or several weeks, but usually dissipate within a month. Treatment for cluster headaches includes over-the-counter pain medications such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve). Prescription Prednisone can help with swelling and Verapamil may reduce pain by relaxing the blood vessels.

Living with headaches is challenging; headaches can prevent people from fully enjoying life. Medical treatment and care in avoiding certain triggers can help those with headaches begin to feel normal once again.

nursing home care	2373

**Gender**
Male	147
Female	288

**Ethnicity**
Non-Hispanic White	379
Black	39
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	55
From 75 to 84	134
85 and over	217
Less than 65	29

Hypertension	75
High Cholesterol	59
Stroke	17
Ischemic Heart Disease	54
Depression	50
Chronic Kidney Disease	53
Asthma	5
Osteoperosis	20
Atrial Fibrilation	27
Heart Failure	42
Chronic Obstructive Pulmonary Disease	26
Diabetes	42
Dementia	75
Cancer	9

nursing home care	2299

**Gender**
Male	143
Female	252

**Ethnicity**
Non-Hispanic White	343
Black	39
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	60
From 75 to 84	106
85 and over	201
Less than 65	28

Hypertension	75
High Cholesterol	59
Stroke	16
Ischemic Heart Disease	52
Depression	54
Chronic Kidney Disease	51
Asthma	6
Osteoperosis	19
Atrial Fibrilation	30
Heart Failure	44
Chronic Obstructive Pulmonary Disease	32
Diabetes	41
Dementia	75
Cancer	10

doctor visit	78
nursing home care	3121

**Gender**
Male	318
Female	514

**Ethnicity**
Non-Hispanic White	736
Black	74
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	124
From 75 to 84	222
85 and over	438
Less than 65	48

Hypertension	75
High Cholesterol	68
Stroke	19
Ischemic Heart Disease	58
Depression	61
Chronic Kidney Disease	47
Asthma	21
Osteoperosis	25
Atrial Fibrilation	33
Heart Failure	44
Chronic Obstructive Pulmonary Disease	32
Diabetes	47
Dementia	75
Cancer	12

nursing home care	2787

**Gender**
Male	151
Female	257

**Ethnicity**
Non-Hispanic White	366
Black	30
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	58
From 75 to 84	104
85 and over	223
Less than 65	23

Hypertension	75
High Cholesterol	66
Stroke	19
Ischemic Heart Disease	58
Depression	62
Chronic Kidney Disease	56
Asthma	34
Osteoperosis	25
Atrial Fibrilation	31
Heart Failure	46
Chronic Obstructive Pulmonary Disease	36
Diabetes	40
Dementia	75
Cancer	11

nursing home care	2576

**Gender**
Male	140
Female	267

**Ethnicity**
Non-Hispanic White	362
Black	34
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	57
From 75 to 84	115
85 and over	215
Less than 65	20

Hypertension	75
High Cholesterol	65
Stroke	17
Ischemic Heart Disease	57
Depression	59
Chronic Kidney Disease	56
Asthma	6
Osteoperosis	22
Atrial Fibrilation	27
Heart Failure	42
Chronic Obstructive Pulmonary Disease	31
Diabetes	43
Dementia	75
Cancer	12

nursing home care	2314

**Gender**
Male	151
Female	194

**Ethnicity**
Non-Hispanic White	285
Black	46
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	64
From 75 to 84	87
85 and over	171
Less than 65	23

Hypertension	75
High Cholesterol	66
Stroke	19
Ischemic Heart Disease	59
Depression	67
Chronic Kidney Disease	59
Asthma	5
Osteoperosis	13
Atrial Fibrilation	23
Heart Failure	46
Chronic Obstructive Pulmonary Disease	31
Diabetes	46
Dementia	75
Cancer	13

nursing home care	2016

**Gender**
Male	123
Female	161

**Ethnicity**
Non-Hispanic White	243
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	60
From 75 to 84	79
85 and over	116
Less than 65	29

Hypertension	75
High Cholesterol	68
Stroke	15
Ischemic Heart Disease	54
Depression	69
Chronic Kidney Disease	64
Asthma	4
Osteoperosis	12
Atrial Fibrilation	20
Heart Failure	39
Chronic Obstructive Pulmonary Disease	33
Diabetes	40
Dementia	75
Cancer	10

nursing home care	1560

**Gender**
Male	107
Female	103

**Ethnicity**
Non-Hispanic White	175
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	51
From 75 to 84	55
85 and over	76
Less than 65	28

Hypertension	75
High Cholesterol	66
Stroke	20
Ischemic Heart Disease	54
Depression	70
Chronic Kidney Disease	70
Asthma	7
Osteoperosis	13
Atrial Fibrilation	24
Heart Failure	48
Chronic Obstructive Pulmonary Disease	36
Diabetes	41
Dementia	75
Cancer	14

doctor visit	274
nursing home care	1626

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Laura L. Hanke, APRN, ARNP for Medicare patients.

The highest averages for the top procedures that Laura L. Hanke, APRN, ARNP treated as a nurse in Vero Beach, FL were nursing home care.

doctor visit	177
nursing home care	2296

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Laura L. Hanke, APRN, ARNP.

**Gender**
Female	203
Male	128

**Ethnicity**
Black / African American	26
Asian / Pacific Islander	0
Non-Hispanic White	288
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	165
75 to 84	90
Less than 65	22
65 to 74	52

Average of Total of Conditions of Medicare patients treated by Laura L. Hanke, APRN, ARNP From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Laura L. Hanke, APRN, ARNP treated were dementia, hypertension, high cholesterol and depression.

Hypertension	60
High Cholesterol	51
Stroke	14
Ischemic Heart Disease	44
Depression	49
Chronic Kidney Disease	45
Asthma	8
Osteoporosis	14
Heart Failure	35
Chronic Obstructive Pulmonary Disease	25
Diabetes	34
Atrial Fibrillation	21
Dementia	60
Cancer	9

Education & Training

She is certified by the Family Nurse Practitioner and has a state license in Florida.

Board Certification: Family Nurse Practitioner

Licensed In: Florida

Affiliations & Hospitals

Laura L. Hanke, APRN, ARNP is associated with these hospitals and organizations:

Cleveland Clinic

Indian River Hospital Primary Care of the TC, Vero

INDIAN RIVER HEALTH SERVICES INC

Ratings & Reviews

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Biography

Clinical interests for Ms. Laura Hanke include depression, high cholesterol (hyperlipidemia), and metabolic syndrome. She is professionally affiliated with Cleveland Clinic.