The final 2019 issue of American Nurse Today offers a continuing nurse education article focused on chronic obstructive pulmonary disease and the importance of early identification and patient education to prevent exacerbation. It also includes two features: one on procedures and protocols for inpatient STEMIs and the other on carotid stenosis. Other articles cover topics ranging from virtual reality in nurse education, video surveillance to protect nurses from patient violence, conscientious objection that used the nursing process to protect patient care and individual nurse values. Click here to access the digital edition.