PARADIGM BYTES
Newsletter for Paradigm 97 January 26, 2007
Our NEW website......http://paradigm97.blogspot.com/
PARADIGM DEFINED:
1) an outstandingly clear or typical example or archetype.
2) a philosophical and theoretical framework of a scientific school or discipline within which theories, laws,
Our NEW website......http://paradigm97.blogspot.com/
PARADIGM DEFINED:
1) an outstandingly clear or typical example or archetype.
2) a philosophical and theoretical framework of a scientific school or discipline within which theories, laws,
and generalizations, and the experiments performed in support of them, are formulated.
MISSION STATEMENT
We believe that nurses need each other for support during the "lean and mean" days to help survive them.
We offer research results and other ideas to enrich the nursing experience.
Please drop in ...the AOL chatroom is "manned" by GingerMyst for 45 min on Tuesday evenings:
9 pm EST, 8 pm CST, 7 pm MST, 6 pm PST (Please note that these times are actually the same time in essence). The Paradigm97 chatroom is always there....door open, lights on,
waiting for visitors to come in. Check your Buddy List.....and invite your friends in for a little chat
Let me know if you want others involved e.g. prospective new members.
~*~*~*~*~*~*~*~*~*~*~*~*~*~
SNIPPETS
MARJOLIN'S ULCERS
Marjolin's ulcers are malignancies that arise from previously traumatized, chronically inflamed, or
scarred skin.
They may be found in a variety of different types of cutaneous scars and chronic wounds, such as bum scars, chronic venous ulcers, pressure ulcers osteomyelitis sinuses, urinary fistulas, pilonidal sinuses,
smallpox vaccination scars and radiation scars.
Characteristics:
- Arises as a new, persistent site of ulceration
- Histologically, is a well-differentiated squamous cell carcinoma
- Behavior is very aggressive when arising in pressure sores as compared to burns or osteomyelitis with a metastatic rate of approximately 18-38%.
- Poor prognosis and a greater metastatic rate because of delayed detection
- characteristic keratotic invasive SCC is a raised, firm, pink-to-flesh-colored keratotic papule or plaque with
MISSION STATEMENT
We believe that nurses need each other for support during the "lean and mean" days to help survive them.
We offer research results and other ideas to enrich the nursing experience.
Please drop in ...the AOL chatroom is "manned" by GingerMyst for 45 min on Tuesday evenings:
9 pm EST, 8 pm CST, 7 pm MST, 6 pm PST (Please note that these times are actually the same time in essence). The Paradigm97 chatroom is always there....door open, lights on,
waiting for visitors to come in. Check your Buddy List.....and invite your friends in for a little chat
Let me know if you want others involved e.g. prospective new members.
~*~*~*~*~*~*~*~*~*~*~*~*~*~
SNIPPETS
MARJOLIN'S ULCERS
Marjolin's ulcers are malignancies that arise from previously traumatized, chronically inflamed, or
scarred skin.
They may be found in a variety of different types of cutaneous scars and chronic wounds, such as bum scars, chronic venous ulcers, pressure ulcers osteomyelitis sinuses, urinary fistulas, pilonidal sinuses,
smallpox vaccination scars and radiation scars.
Characteristics:
- Arises as a new, persistent site of ulceration
- Histologically, is a well-differentiated squamous cell carcinoma
- Behavior is very aggressive when arising in pressure sores as compared to burns or osteomyelitis with a metastatic rate of approximately 18-38%.
- Poor prognosis and a greater metastatic rate because of delayed detection
- characteristic keratotic invasive SCC is a raised, firm, pink-to-flesh-colored keratotic papule or plaque with
or without a cutaneous horn arising in a chronic site of inflammation, or scar
-History - Lump or bleeding ulcer, Increasing size, usually present for few months, May be painful (if deeper structures are involved),May be several lesions
Diagnosis:
Biopsy is the definitive diagnostic tool and should include tissue specimens from both the center and margins
-History - Lump or bleeding ulcer, Increasing size, usually present for few months, May be painful (if deeper structures are involved),May be several lesions
Diagnosis:
Biopsy is the definitive diagnostic tool and should include tissue specimens from both the center and margins
of suggestive lesions.
Treatment:
Skin lesions will not heal in the presence of tumor cells.
Wide local excision with a margin of at least 1 cm of healthy tissue should be done in cases of Marjolin's ulcer.
Amputation is indicated when wide local excision is prevented by deep invasion, bone or joint space involvement, infection, or hemorrhage, or when excision would impair function and encumber the patient.
Prevention:
In all wounds, infection should be treated early; adequate drainage should be provided when necessary; and culture results should be used to choose appropriate antibiotics. Recurring chronic ulcers should be excised even if they are not malignant, and skin grafts or flaps should be used for coverage to facilitate complete
Treatment:
Skin lesions will not heal in the presence of tumor cells.
Wide local excision with a margin of at least 1 cm of healthy tissue should be done in cases of Marjolin's ulcer.
Amputation is indicated when wide local excision is prevented by deep invasion, bone or joint space involvement, infection, or hemorrhage, or when excision would impair function and encumber the patient.
Prevention:
In all wounds, infection should be treated early; adequate drainage should be provided when necessary; and culture results should be used to choose appropriate antibiotics. Recurring chronic ulcers should be excised even if they are not malignant, and skin grafts or flaps should be used for coverage to facilitate complete
healing as quickly as possible.
References
De Costa J.C.: Carcinomatous changes in an area of chronic, ulceration, or Marjolin's ulcer. Ann. Surg.,
References
De Costa J.C.: Carcinomatous changes in an area of chronic, ulceration, or Marjolin's ulcer. Ann. Surg.,
37: 496-502, 1903.
Marjolin J.N.: Ulcre. In: Adelon N.P. (Ed.): "Dictionnaire de medicine",
Vol. 21, 31-50, Bechet, Paris, 1828.
Wilhelmi BJ, Neumeister M, "Pressure Ulcers, Surgical Treatment and Principles" Updated 2/9/04, Accessed 10/11/04 emedicine.com
Xie Er-fan, Li A0 (Ngao), Wang Shi-liang, Kang Shao-yu, Cheng Guang-Xiu, "BURN SCAR CARCINOMA: CASE REPORTS AND REVIEW OF THE LITERATURE," Annals of the MBC - Vol. 5, June 1992
"Marjolin's Ulcer of the Foot Caused by Nonburn Trauma" Brad B. Hill, David A. Sloan, Eun Y. Lee, Patrick C. McGrath, and Daniel E. Kenady , Southern Medical Journal, July, 1996
Goldman, G, "Squamous Cell Carcinoma" Updated 3/10/03, Accessed 10/11/04 emedicine.com
Fleming MD, Hunt JL, Purdue GF, et al: Marjolin's ulcer: a review and reevaluation of a difficult problem. J Burn Care Rehabil 1990; 11:460-469
~*~*~*~*~*~*~*~*~*~*~*~*~*~
FORGOTTEN HISTORY
This section is cancelled d/t needed space. Any comments pro or con the cancellation would be appreciated. Frankie (Several liked it....but this will be my final one. I am a Woman Marine Veteran...so
this is of great interest. Wasn't a nurse then....electronics tech)
Veterans Day is observed on November 11. The holiday was orginally called Armistice Day, and it commemorated the end of World War I on November 11, 1918. Fighting stopped at 11 a.m., the 11th hour of the
11th day of the 11th month. In 1954, the name of the holiday was changed to Veterans Day to honor
those who had served in World War II (1939-1945) and the Korean War (1950-1953). Today, the holiday honors all veterans. Click here to read an inspiring poem by Emily Strange titled "Vietnam Women's Memorial".
World War I (1914-1918)-Women who wanted to serve their country during World War I did so by serving as a nurse. Navy nurses expanded their number from 20 in 1908 to 160 on the eve of World
War I. In addition to normal hospital and clinic duties, they were active in training local nurses in the U.S. overseas possessions and the Navy's male enlisted medical personnel. By the end of the war, Navy
nurses numbered more than 1,550.
It was another 23 years before women would be officially considered an integral part of the United States military establishment. However, this war proved that women were an important component to the United States both in war and at home. Women in this war helped give a huge push in the passing of the 19th Amendment, the suffrage amendment. In proposing the passing of the 19th Amendment,
President Woodrow Wilson's dramatic plea asked that the senators recognize the contributions made by American women in the war. Wilson proclaimed:
"...Are we alone to ask and take the utmost that our women can give service and sacrifice of every kind, and still say we do not see what title that gives them to stand by our sides in the guidance of the affairs of their nations and ours? We have made partners of the women in this war; shall we admit them only to a
partnership of suffering and a sacrifice and toil and not to a partnership of privilege and right?"
During World War I, more than 10,000 U.S. Army nurses served overseas in France, Russia, Italy, China, England, Belgium, Germany, the Philippines and Puerto Rico. One hundred and two Army
nurses died as a result of illness or accident while serving overseas. Over the course of the war, approximately 265 Army nurse died as a result of their service, the majority from influenza.
At least three Army nurses were awarded the Distinguished Service Cross, the nation's second-highest military honor. Several received the Distinguished Service Medal, our highest noncombat award, and more than 20 were awarded the French Croix de Guerre. Nurses were wounded, and several died overseas and are buried in military cemeteries far from home.
By the end of World War I, about 34,000 women served as nurses in all the armed forces, which included by then nurses in the Marines and Coast Guard as well as in the Army and Navy.
World War II (1939-1945)-World War II was the largest and most violent armed conflict in the history of mankind. More than 59,000 American nurses served in the Army Nurse Corps during the war.
The skill and dedication of these nurses contributed to the extremely low post-injury mortality rate among American military forces in every theater of the war. Overall, fewer than four percent of the American
soldiers who received medical care in the field or underwent evacuation died from wounds or disease.
a.. Approximately 124,000 nurses graduated from the U.S. Cadet Nurse Corps program to serve during World War II.
b.. Nurses received 1,619 medals, citations and commendations during the war, reflecting the courage and dedication of all who served. Sixteen medals were awarded posthumously to nurses who
died as a result of enemy fire. Thirteen flight nurses died in aircraft crashes while on duty.
c.. The need for nurses clarified the status of the nursing profession. The Army reflected this changing attitude in June 1944 when it granted its nurse officers commissions and full retirement
privileges, dependents' allowances and equal pay. Moreover, the government provided free education to nursing students between 1943 and 1948. World War II changed American society irrevocably and redefined
the status and opportunities of the professional nurse.
d.. Nurses specializing in the care of psychiatric patients were in great demand. One out of every 12 patients in Army hospitals was admitted for psychiatric care, and the Army discharged
approximately 400,000 soldiers for psychiatric reasons. The Surgeon General developed a 12-week program to train nurses in the care and medication of these patients.
Korean War (1950-1953)-At the time the war broke out in 1950, there were about 22,000 women in the armed forces, with roughly one-third in nursing or health-related jobs. At the peak of the
war, the number of women in the armed forces was 48,700, declining to about 35,000 by the war's end. The exact number of Army Nurse Corp officers who saw action in the Korean War over the course of the
three-year conflict is unknown. However, Army nurse participants vary from 540 to 1,502. An undetermined number of Army Nurse Corps officers served in the Far East Command at that time. While not physicially
located in the combat zone, these women suffered many of the same deprivations, rose to meet similar relentless challenges and worked long, hard hours. Indeed, the contributions of all Army Nurse Corps
officers who served during the Korean War, whether in Korea, the Far East Command or other worldwide locales, were significant. Because the nation and the Army Nurse Corps were simultaneously locked in the
depths of a critical and dangerous nursing shortage, it is noteworthy that the small number of caregivers was capable of providing support for the enormous number of casualties. In this era, the Army rarely
acknowledged the contributions of service members with awards. It recognized only the highest levels of performance. Thus it is not surprising that during this war, authorities approved and awarded only
nine Legions of Merit, 120 Bronze Stars and 173 Commendation Ribbons to Army nurses whose service during the hostilities were exceptional.
Vietnam War (1962-1973)- "The women's war was different from the men's-instead of exploding in the jungle, it blew up in the mind. Surrounded by death, the nurses had to shut down emotionally. They could not show their feelings to the soldiers they were trying to heal."-a former Army nurse in Vietnam.
a.. It is estimated that more than 265,000 women volunteered during the Vietnam War (this includes the Red Cross, other volunteer organizations and the militiary).
b.. 11,500 women served as nurses and other documented roles, more than 5,000 of these
Marjolin J.N.: Ulcre. In: Adelon N.P. (Ed.): "Dictionnaire de medicine",
Vol. 21, 31-50, Bechet, Paris, 1828.
Wilhelmi BJ, Neumeister M, "Pressure Ulcers, Surgical Treatment and Principles" Updated 2/9/04, Accessed 10/11/04 emedicine.com
Xie Er-fan, Li A0 (Ngao), Wang Shi-liang, Kang Shao-yu, Cheng Guang-Xiu, "BURN SCAR CARCINOMA: CASE REPORTS AND REVIEW OF THE LITERATURE," Annals of the MBC - Vol. 5, June 1992
"Marjolin's Ulcer of the Foot Caused by Nonburn Trauma" Brad B. Hill, David A. Sloan, Eun Y. Lee, Patrick C. McGrath, and Daniel E. Kenady , Southern Medical Journal, July, 1996
Goldman, G, "Squamous Cell Carcinoma" Updated 3/10/03, Accessed 10/11/04 emedicine.com
Fleming MD, Hunt JL, Purdue GF, et al: Marjolin's ulcer: a review and reevaluation of a difficult problem. J Burn Care Rehabil 1990; 11:460-469
~*~*~*~*~*~*~*~*~*~*~*~*~*~
FORGOTTEN HISTORY
This section is cancelled d/t needed space. Any comments pro or con the cancellation would be appreciated. Frankie (Several liked it....but this will be my final one. I am a Woman Marine Veteran...so
this is of great interest. Wasn't a nurse then....electronics tech)
Veterans Day is observed on November 11. The holiday was orginally called Armistice Day, and it commemorated the end of World War I on November 11, 1918. Fighting stopped at 11 a.m., the 11th hour of the
11th day of the 11th month. In 1954, the name of the holiday was changed to Veterans Day to honor
those who had served in World War II (1939-1945) and the Korean War (1950-1953). Today, the holiday honors all veterans. Click here to read an inspiring poem by Emily Strange titled "Vietnam Women's Memorial".
World War I (1914-1918)-Women who wanted to serve their country during World War I did so by serving as a nurse. Navy nurses expanded their number from 20 in 1908 to 160 on the eve of World
War I. In addition to normal hospital and clinic duties, they were active in training local nurses in the U.S. overseas possessions and the Navy's male enlisted medical personnel. By the end of the war, Navy
nurses numbered more than 1,550.
It was another 23 years before women would be officially considered an integral part of the United States military establishment. However, this war proved that women were an important component to the United States both in war and at home. Women in this war helped give a huge push in the passing of the 19th Amendment, the suffrage amendment. In proposing the passing of the 19th Amendment,
President Woodrow Wilson's dramatic plea asked that the senators recognize the contributions made by American women in the war. Wilson proclaimed:
"...Are we alone to ask and take the utmost that our women can give service and sacrifice of every kind, and still say we do not see what title that gives them to stand by our sides in the guidance of the affairs of their nations and ours? We have made partners of the women in this war; shall we admit them only to a
partnership of suffering and a sacrifice and toil and not to a partnership of privilege and right?"
During World War I, more than 10,000 U.S. Army nurses served overseas in France, Russia, Italy, China, England, Belgium, Germany, the Philippines and Puerto Rico. One hundred and two Army
nurses died as a result of illness or accident while serving overseas. Over the course of the war, approximately 265 Army nurse died as a result of their service, the majority from influenza.
At least three Army nurses were awarded the Distinguished Service Cross, the nation's second-highest military honor. Several received the Distinguished Service Medal, our highest noncombat award, and more than 20 were awarded the French Croix de Guerre. Nurses were wounded, and several died overseas and are buried in military cemeteries far from home.
By the end of World War I, about 34,000 women served as nurses in all the armed forces, which included by then nurses in the Marines and Coast Guard as well as in the Army and Navy.
World War II (1939-1945)-World War II was the largest and most violent armed conflict in the history of mankind. More than 59,000 American nurses served in the Army Nurse Corps during the war.
The skill and dedication of these nurses contributed to the extremely low post-injury mortality rate among American military forces in every theater of the war. Overall, fewer than four percent of the American
soldiers who received medical care in the field or underwent evacuation died from wounds or disease.
a.. Approximately 124,000 nurses graduated from the U.S. Cadet Nurse Corps program to serve during World War II.
b.. Nurses received 1,619 medals, citations and commendations during the war, reflecting the courage and dedication of all who served. Sixteen medals were awarded posthumously to nurses who
died as a result of enemy fire. Thirteen flight nurses died in aircraft crashes while on duty.
c.. The need for nurses clarified the status of the nursing profession. The Army reflected this changing attitude in June 1944 when it granted its nurse officers commissions and full retirement
privileges, dependents' allowances and equal pay. Moreover, the government provided free education to nursing students between 1943 and 1948. World War II changed American society irrevocably and redefined
the status and opportunities of the professional nurse.
d.. Nurses specializing in the care of psychiatric patients were in great demand. One out of every 12 patients in Army hospitals was admitted for psychiatric care, and the Army discharged
approximately 400,000 soldiers for psychiatric reasons. The Surgeon General developed a 12-week program to train nurses in the care and medication of these patients.
Korean War (1950-1953)-At the time the war broke out in 1950, there were about 22,000 women in the armed forces, with roughly one-third in nursing or health-related jobs. At the peak of the
war, the number of women in the armed forces was 48,700, declining to about 35,000 by the war's end. The exact number of Army Nurse Corp officers who saw action in the Korean War over the course of the
three-year conflict is unknown. However, Army nurse participants vary from 540 to 1,502. An undetermined number of Army Nurse Corps officers served in the Far East Command at that time. While not physicially
located in the combat zone, these women suffered many of the same deprivations, rose to meet similar relentless challenges and worked long, hard hours. Indeed, the contributions of all Army Nurse Corps
officers who served during the Korean War, whether in Korea, the Far East Command or other worldwide locales, were significant. Because the nation and the Army Nurse Corps were simultaneously locked in the
depths of a critical and dangerous nursing shortage, it is noteworthy that the small number of caregivers was capable of providing support for the enormous number of casualties. In this era, the Army rarely
acknowledged the contributions of service members with awards. It recognized only the highest levels of performance. Thus it is not surprising that during this war, authorities approved and awarded only
nine Legions of Merit, 120 Bronze Stars and 173 Commendation Ribbons to Army nurses whose service during the hostilities were exceptional.
Vietnam War (1962-1973)- "The women's war was different from the men's-instead of exploding in the jungle, it blew up in the mind. Surrounded by death, the nurses had to shut down emotionally. They could not show their feelings to the soldiers they were trying to heal."-a former Army nurse in Vietnam.
a.. It is estimated that more than 265,000 women volunteered during the Vietnam War (this includes the Red Cross, other volunteer organizations and the militiary).
b.. 11,500 women served as nurses and other documented roles, more than 5,000 of these
were in the Army Nurse Corps.
c.. Army nurses who served in Vietnam averaged 23.6 years of age and were relatively new to nursing; only 35 percent had more than two years of nursing experience. Nurses were both female (79
percent) and male (21 percent). Nurses typically served a 12-month tour in Vietnam; working six days a week, 12 hours a day (information from the U.S. Army Center of Military History).
d.. "It is stated that the military, which prided itself on records it kept in Vietnam, counted the enemy number of weapons captured, for example, cannot to this day say with certainty how many women served. The Army that sent them never bothered to count them."-Laura Palmer, Shrapnel in the Heart. OMG
e.. In 1970, Brig. Gen. Anna Mae Hays, head of the Army Nurse Corps, became the first woman to attain a star rank in nursing.
Sources http://www.womensmemorial.org
www.palletmastersworkshop.com
http://userpages.aug.com/captbarb/femvets4.html
http://userpages.aug.com/captbarb/femvets5.html
http://www.army.mil/cmh-pg/books/wwii/72-14/72-14.htm
http://korea50.army.mil/history/factsheets/armynurses.shtml
Women Veterans: Past, Present and Future, Robert E. Klein, PhD
The spacing in this article is THEIRS.......absolutely not mine! Ohhh, woe is me..........Sorry.
~*~*~*~*~*~*~*~*~*~*~*~*~*~
MEMBER'S ANNOUNCEMENTS
This is from Jenxl@aol.com ...............Thanks, Linda
In celebration of the newest accomplishment .....having a PARADIGM97 Web page, I am offering a 1/2 off
c.. Army nurses who served in Vietnam averaged 23.6 years of age and were relatively new to nursing; only 35 percent had more than two years of nursing experience. Nurses were both female (79
percent) and male (21 percent). Nurses typically served a 12-month tour in Vietnam; working six days a week, 12 hours a day (information from the U.S. Army Center of Military History).
d.. "It is stated that the military, which prided itself on records it kept in Vietnam, counted the enemy number of weapons captured, for example, cannot to this day say with certainty how many women served. The Army that sent them never bothered to count them."-Laura Palmer, Shrapnel in the Heart. OMG
e.. In 1970, Brig. Gen. Anna Mae Hays, head of the Army Nurse Corps, became the first woman to attain a star rank in nursing.
Sources http://www.womensmemorial.org
www.palletmastersworkshop.com
http://userpages.aug.com/captbarb/femvets4.html
http://userpages.aug.com/captbarb/femvets5.html
http://www.army.mil/cmh-pg/books/wwii/72-14/72-14.htm
http://korea50.army.mil/history/factsheets/armynurses.shtml
Women Veterans: Past, Present and Future, Robert E. Klein, PhD
The spacing in this article is THEIRS.......absolutely not mine! Ohhh, woe is me..........Sorry.
~*~*~*~*~*~*~*~*~*~*~*~*~*~
MEMBER'S ANNOUNCEMENTS
This is from Jenxl@aol.com ...............Thanks, Linda
In celebration of the newest accomplishment .....having a PARADIGM97 Web page, I am offering a 1/2 off
sale of my VHS tapes to PARADIGM97 nurses. Each video is 20 minutes or less so can be watched when
in a medical clinic, library or home. Two of the videos are childbirth preparation taught in an actual class room setting & are available only in Spanish as is the birth video 'Dar a Luz Con Amor' . 'Si! Se Puede', another
birth video, is available in Spanish or with English narration as 'Yes! You Can' (It is also available with Chinese
narration). Further information can be found on my website www.birthprep.com
CONGRATULATIONS to all who put in so many countless, frustrating hours bringing and continuing to keep PARADIGM97 alive and well!!! (THANK YOU, Linda.......need the atta girls.)
****************************************
This is about one of our members---Sandy Congratulations !
December 8, 2006 --
The Baltimore Sun published "Nurses' achievements merit international recognition," an op-ed by Columbia University nursing professor Kristine Gebbie and Center for Nursing Advocacy executive
director Sandy Summers. The op-ed argues that nurses deserve a Nobel Prize or comparable annual award because their leaders have long been at the forefront of health research and clinical practice. They have
changed the world by reinventing health systems, pioneering new therapies, and improving community health, from AIDS treatment to neonatal care to pain management. Establishing such a prize would shine
a light on the profession's life-saving achievements. It would also help show how important it is that nursing get the clinical and educational resources it needs to overcome the global nursing shortage.
The publication of this piece is the culmination of significant effort by the Center. We thank The Baltimore Sun for its openness to new ideas on nursing, and its commitment to publishing the op-ed. And we urge you
to read it, think about it, and show it to others. http://tinyurl.com/yzy4lb
*******************************
This is from Sandy Summers fight about the images of nursing as sexy flighty things...and look what has happened all due to her battling the powers that be !
From Birdijo@AOL.com (Cary) who writes: " you might be interested to know that today's AOL front page has
right in the middle of the headlines the Heart Attack Grill Naughty Nurse controversy, with a little article it links to. It seemed fairly balanced. Wow, a nursing topic finally gets some attention and it doesn't involve nurses killing anyone!!"
And from Tom Qualey tqualey@HOUSTON.RR.COM who writes: " The item apparently made the wire service. Here is what appeared in the Houston Chronicle: http://www.chron.com/disp/story.mpl/bizarre/4389685.html "
***********************************
I wrote the following e-mail to AARP......re: Nursing Shortages
I am amazed that we AARP members don't see the complete picture of the Nursing shortage.
People state that nurses are getting older, but that is not the only reason nurses
are leaving the nursing field. The west coast has a solution..........to keep the nurse to patient ratio
at a doable amount: 1 to 5 on the floors. The nurses here in Florida are lucky to have 7 acute care
patients and often end up with 8. Sharing one nurse's aide with two to three other nurses (hospitals'
attempt to save money) does not help.
My daughter is a Cardiology nurse--- step down e.g. straight from the O.R. and the ICU. These cardiac
patients have many IVs running--- codes going on, and still the nurse has 7 patients...often no
telemetry tech to watch the patient's cardiac condition. Charge nurse or floor nurses have to monitor tele...
and often there isn't a charge nurse. The nurses are running to take care of the patients.......unable to do
the kind of care that they should/ want to do. The back massage is long out of date, but other cares are essential and often delayed. I am a wound care nurse working in a clinic, so I don' t have that
experience, now. I worked in Portland and Sacramento hospitals with the 5 to 1 ratio. It does work well..
......the nurses still have demands on them, but are able to keep up ...and not "drown" as Florida
nurses very often do. So, "we" in AARP are now in the hospital very often.........and we as
AARP members can and must exert our clout to insist on the 1 to 5 ratio and facilitate the retention of nurses---
helps us,other patients, and absolutely helps the nursing profession. (rnfrankie@bellsouth.net)
~~~***~~~***~~~***~~~
INTERESTING READING
Please remember that the REUTERS' articles are good for 30 days only
Thanks to Tom Qualey...here is an interesting article:
Item from today's USA Today on medical residents and what 24-hour
shifts does to them:
http://www.usatoday.com/news/health/2006-12-11-sleep-study_x.htm
Tom says "While I am not aware of nurses doing 24-hour shifts...there
is enough out there that multiple back-to-back 12-hour shifts can be
just as dangerous. If the writer were to focus on the interactive
effects that these two professional groups with sleep deficits are
having - and its impact on patient safety - maybe the IOM and OSHA
would show some additional interest".
*****************************
This may sound odd that this is a pet peeve of mine. Please read ..this will surprise you......and I feel vindicated. It seems to have first been brought to light by University of Arizona environmental
micro- biologist Charles Gerba when he published a scientific article in 1975 describing bacterial and viral aerosols due to toilet flushing (2). He conducted tests by placing pieces of gauze in different
locations around the bathroom and measuring the bacterial and viral levels on them after a toilet flush,
narration). Further information can be found on my website www.birthprep.com
CONGRATULATIONS to all who put in so many countless, frustrating hours bringing and continuing to keep PARADIGM97 alive and well!!! (THANK YOU, Linda.......need the atta girls.)
****************************************
This is about one of our members---Sandy Congratulations !
December 8, 2006 --
The Baltimore Sun published "Nurses' achievements merit international recognition," an op-ed by Columbia University nursing professor Kristine Gebbie and Center for Nursing Advocacy executive
director Sandy Summers. The op-ed argues that nurses deserve a Nobel Prize or comparable annual award because their leaders have long been at the forefront of health research and clinical practice. They have
changed the world by reinventing health systems, pioneering new therapies, and improving community health, from AIDS treatment to neonatal care to pain management. Establishing such a prize would shine
a light on the profession's life-saving achievements. It would also help show how important it is that nursing get the clinical and educational resources it needs to overcome the global nursing shortage.
The publication of this piece is the culmination of significant effort by the Center. We thank The Baltimore Sun for its openness to new ideas on nursing, and its commitment to publishing the op-ed. And we urge you
to read it, think about it, and show it to others. http://tinyurl.com/yzy4lb
*******************************
This is from Sandy Summers fight about the images of nursing as sexy flighty things...and look what has happened all due to her battling the powers that be !
From Birdijo@AOL.com (Cary) who writes: " you might be interested to know that today's AOL front page has
right in the middle of the headlines the Heart Attack Grill Naughty Nurse controversy, with a little article it links to. It seemed fairly balanced. Wow, a nursing topic finally gets some attention and it doesn't involve nurses killing anyone!!"
And from Tom Qualey tqualey@HOUSTON.RR.COM who writes: " The item apparently made the wire service. Here is what appeared in the Houston Chronicle: http://www.chron.com/disp/story.mpl/bizarre/4389685.html "
***********************************
I wrote the following e-mail to AARP......re: Nursing Shortages
I am amazed that we AARP members don't see the complete picture of the Nursing shortage.
People state that nurses are getting older, but that is not the only reason nurses
are leaving the nursing field. The west coast has a solution..........to keep the nurse to patient ratio
at a doable amount: 1 to 5 on the floors. The nurses here in Florida are lucky to have 7 acute care
patients and often end up with 8. Sharing one nurse's aide with two to three other nurses (hospitals'
attempt to save money) does not help.
My daughter is a Cardiology nurse--- step down e.g. straight from the O.R. and the ICU. These cardiac
patients have many IVs running--- codes going on, and still the nurse has 7 patients...often no
telemetry tech to watch the patient's cardiac condition. Charge nurse or floor nurses have to monitor tele...
and often there isn't a charge nurse. The nurses are running to take care of the patients.......unable to do
the kind of care that they should/ want to do. The back massage is long out of date, but other cares are essential and often delayed. I am a wound care nurse working in a clinic, so I don' t have that
experience, now. I worked in Portland and Sacramento hospitals with the 5 to 1 ratio. It does work well..
......the nurses still have demands on them, but are able to keep up ...and not "drown" as Florida
nurses very often do. So, "we" in AARP are now in the hospital very often.........and we as
AARP members can and must exert our clout to insist on the 1 to 5 ratio and facilitate the retention of nurses---
helps us,other patients, and absolutely helps the nursing profession. (rnfrankie@bellsouth.net)
~~~***~~~***~~~***~~~
INTERESTING READING
Please remember that the REUTERS' articles are good for 30 days only
Thanks to Tom Qualey...here is an interesting article:
Item from today's USA Today on medical residents and what 24-hour
shifts does to them:
http://www.usatoday.com/news/health/2006-12-11-sleep-study_x.htm
Tom says "While I am not aware of nurses doing 24-hour shifts...there
is enough out there that multiple back-to-back 12-hour shifts can be
just as dangerous. If the writer were to focus on the interactive
effects that these two professional groups with sleep deficits are
having - and its impact on patient safety - maybe the IOM and OSHA
would show some additional interest".
*****************************
This may sound odd that this is a pet peeve of mine. Please read ..this will surprise you......and I feel vindicated. It seems to have first been brought to light by University of Arizona environmental
micro- biologist Charles Gerba when he published a scientific article in 1975 describing bacterial and viral aerosols due to toilet flushing (2). He conducted tests by placing pieces of gauze in different
locations around the bathroom and measuring the bacterial and viral levels on them after a toilet flush,
and his results are more than just a little disturbing. First is the confirmation of the existence of the
aerosol effect, even though it is largely unrecognized. "Droplets are going all over the place-it's like the
aerosol effect, even though it is largely unrecognized. "Droplets are going all over the place-it's like the
Fourth of July," said Gerba.
"One way to see this is to put a dye in the toilet, flush it, and then hold a piece of paper over it" (8). Indeed, Gerba's studies have shown that the water droplets in an invisible cloud travel six to eight feet out and up, so
the areas of the bathroom not directly adjacent the toilet are still contaminated. Walls are obviously affected, and in public or communal bathrooms, the partitions between stalls are definitely coated in the
spray mist from the toilet (1). Also, toilet paper will be cleanest when it is enclosed in a plastic or metal casing; after all, it's subject to the same droplets splattering on it,and its proximity to the toilet bowl makes contamination potential obvious. The ceiling is also still contaminated and is in fact a potential problem site because it is often overlooked in the cleaning process. Bacteria cling to ceilings (similar to bats??) and
"One way to see this is to put a dye in the toilet, flush it, and then hold a piece of paper over it" (8). Indeed, Gerba's studies have shown that the water droplets in an invisible cloud travel six to eight feet out and up, so
the areas of the bathroom not directly adjacent the toilet are still contaminated. Walls are obviously affected, and in public or communal bathrooms, the partitions between stalls are definitely coated in the
spray mist from the toilet (1). Also, toilet paper will be cleanest when it is enclosed in a plastic or metal casing; after all, it's subject to the same droplets splattering on it,and its proximity to the toilet bowl makes contamination potential obvious. The ceiling is also still contaminated and is in fact a potential problem site because it is often overlooked in the cleaning process. Bacteria cling to ceilings (similar to bats??) and
thrive in the humid environment there; if the situation is left untreated for months or years (as is often the case), odors remain in restrooms that seem to have been to be otherwise thoroughly cleaned
(1). The bacterial mist has also been shown to stay in the air for at least two hours after each flush, thus maximizing its chance to float around and spread (2). "The greatest aerosol dispersal occurs not
during the initial moments of the flush, but rather once most of the water has already left the bowl," according
to Philip Tierno, MD, director of clinical microbiology and diagnostic immunology at New York
University Medical Center and Mt. Sinai Medical Center. He therefore advises leaving immediately
after flushing to not have the microscopic, airborne mist land on you (I turn my back and get out quickly) (4). Worse still is the possibility of getting these airborne particles in the lungs by inhaling them, from which one could easily contract a cough or cold (6).Obviously, the idea of toilet water being unknowingly distributed
around the bathroom is less than appealing, but a study of this sort calls for looking in detail at
precisely what microscopic organisms we're dealing with here, even if we don't really want to know. Put
rather graphically, it can be summed up as the F3 force: Fecal Fountain Factor, compounded by the favorable
temperatures for bacterial propagation in room temperature toilet water (3). Using a more
scientific viewpoint, streptococcus, staphylococcus, E. coli and shigella bacteria, hepatitis A virus and the common cold virus are all common inhabitants of public bathrooms, but just because they're all
over the place doesn't mean we necessarily get sick. After all, humans carry disease-causing organisms on our bodies all the times, but with healthy immune systems, the quantities in which these organisms
exist is not enough to affect us, particularly with a good hand-washing after every restroom visit (4). This begs the question, however,of the number of people who actually wash their hands after going to
the toilet, and more importantly, the number who wash their hands effectively. Simply rinsing one's hands
under running water for a few seconds without soap, as some people do, is not effective at all.
The way to ensure maximum standards of hygiene is to lather your palms, the back of your hands, in between fingers, and under fingernails for 20-30 seconds with soap and hot water; the friction will kill off the
bathroom bacteria (6). Toilet seats have actually been determined to be the least infected place in the bathroom because the environment is too dry to support a large bacterial population (7). In accordance with
that theory, the underside of the seat has a higher than average microbial
population.The place in a restroom with the highest concentration of microbial colonies in restrooms is,
surprisingly, the sink, due in part to accumulations of water where these organisms breed freely after landing
their aerial journey. While toilets are obviously not sterile environments, they tend to not
be as bad as people think because they receive more attention and are cleaned more often. ... almost
certainly you should not put your toothbrush in your mouth because, with its traditional, uncovered spot in the bathroom, it is one of the hotspots for fecal bacteria and germs spewed into the air by the
aerosol effect (5). Understandably,the toothbrush with toilet water droplets on it is one of the most
retold horror stories to emerge from Gerba's report.
There are also greater implications from the study of the aerosol effect than simple grossness factor.
Most obviously, bathrooms should be cleaned even more meticulously than before, with emphasis
not just on and around the toilet, but equal emphasis on all areas of the bathroom because all areas
are equally affected by the spray. Using the right cleaners is important because all-purpose cleaning
solutions are not necessarily antibacterial, whereas most cleaners made
specifically for restrooms are referred to as disinfectants or germicidal cleaners
(1). Given that the sink area teems with bacteria, one must now be more
careful about washing hands properly after walking into the bathroom for any non toilet-related purposes like washing your face and brushing teeth. Using a hair dryer can potentially be problematic
in regard to bacteria counts because the effect would be largely the same as hot-air hand dryers,
which actually increase the bacteria on hands by 162 percent, as opposed to paper towels, which
decrease them by 29 percent (7). If you're still not convinced that bacteria exist in any
significant quantities on your hands, consider that kitchen sink actually harbors the most fecal matter
(1). The bacterial mist has also been shown to stay in the air for at least two hours after each flush, thus maximizing its chance to float around and spread (2). "The greatest aerosol dispersal occurs not
during the initial moments of the flush, but rather once most of the water has already left the bowl," according
to Philip Tierno, MD, director of clinical microbiology and diagnostic immunology at New York
University Medical Center and Mt. Sinai Medical Center. He therefore advises leaving immediately
after flushing to not have the microscopic, airborne mist land on you (I turn my back and get out quickly) (4). Worse still is the possibility of getting these airborne particles in the lungs by inhaling them, from which one could easily contract a cough or cold (6).Obviously, the idea of toilet water being unknowingly distributed
around the bathroom is less than appealing, but a study of this sort calls for looking in detail at
precisely what microscopic organisms we're dealing with here, even if we don't really want to know. Put
rather graphically, it can be summed up as the F3 force: Fecal Fountain Factor, compounded by the favorable
temperatures for bacterial propagation in room temperature toilet water (3). Using a more
scientific viewpoint, streptococcus, staphylococcus, E. coli and shigella bacteria, hepatitis A virus and the common cold virus are all common inhabitants of public bathrooms, but just because they're all
over the place doesn't mean we necessarily get sick. After all, humans carry disease-causing organisms on our bodies all the times, but with healthy immune systems, the quantities in which these organisms
exist is not enough to affect us, particularly with a good hand-washing after every restroom visit (4). This begs the question, however,of the number of people who actually wash their hands after going to
the toilet, and more importantly, the number who wash their hands effectively. Simply rinsing one's hands
under running water for a few seconds without soap, as some people do, is not effective at all.
The way to ensure maximum standards of hygiene is to lather your palms, the back of your hands, in between fingers, and under fingernails for 20-30 seconds with soap and hot water; the friction will kill off the
bathroom bacteria (6). Toilet seats have actually been determined to be the least infected place in the bathroom because the environment is too dry to support a large bacterial population (7). In accordance with
that theory, the underside of the seat has a higher than average microbial
population.The place in a restroom with the highest concentration of microbial colonies in restrooms is,
surprisingly, the sink, due in part to accumulations of water where these organisms breed freely after landing
their aerial journey. While toilets are obviously not sterile environments, they tend to not
be as bad as people think because they receive more attention and are cleaned more often. ... almost
certainly you should not put your toothbrush in your mouth because, with its traditional, uncovered spot in the bathroom, it is one of the hotspots for fecal bacteria and germs spewed into the air by the
aerosol effect (5). Understandably,the toothbrush with toilet water droplets on it is one of the most
retold horror stories to emerge from Gerba's report.
There are also greater implications from the study of the aerosol effect than simple grossness factor.
Most obviously, bathrooms should be cleaned even more meticulously than before, with emphasis
not just on and around the toilet, but equal emphasis on all areas of the bathroom because all areas
are equally affected by the spray. Using the right cleaners is important because all-purpose cleaning
solutions are not necessarily antibacterial, whereas most cleaners made
specifically for restrooms are referred to as disinfectants or germicidal cleaners
(1). Given that the sink area teems with bacteria, one must now be more
careful about washing hands properly after walking into the bathroom for any non toilet-related purposes like washing your face and brushing teeth. Using a hair dryer can potentially be problematic
in regard to bacteria counts because the effect would be largely the same as hot-air hand dryers,
which actually increase the bacteria on hands by 162 percent, as opposed to paper towels, which
decrease them by 29 percent (7). If you're still not convinced that bacteria exist in any
significant quantities on your hands, consider that kitchen sink actually harbors the most fecal matter
in the average home, carried there by unwashed hands after using the bathroom (5). A tablespoon of
bleach in a cup of warm water on the offending sink will fix the situation... for the day.
To limit the scope of the aerosol effect, the simplest method is to close the lid on the toilet every time
before flushing (5). This would also provide the peace of mind that while you are washing your hands
for 30 seconds, microscopic, bacteria-laden water droplet will not be descending upon your person. Unfortunately, most public toilets, including the ones in Bryn Mawr's dorms, don't even have lids for
that option. Besides, given the large number of people who have used the toilet before you, it probably
To limit the scope of the aerosol effect, the simplest method is to close the lid on the toilet every time
before flushing (5). This would also provide the peace of mind that while you are washing your hands
for 30 seconds, microscopic, bacteria-laden water droplet will not be descending upon your person. Unfortunately, most public toilets, including the ones in Bryn Mawr's dorms, don't even have lids for
that option. Besides, given the large number of people who have used the toilet before you, it probably
wouldn't make much difference. After washing your hands, use a paper towel to turn off the faucet
and to open the door to leave, in order to avoid being recontaminated (4). And today, get a new
toothbrush and always, always keep it in the medicine cabinet or some other enclosed place after use (2).
http://serendip.brynmawr.edu/biology/b103/f02/web2/stan.html
References (1) Janitorial Resource Center - Dr Klean.
(2) A Straight Dope Classic - Cecil's been asked.
(3) Car Talk's mailbag - People are talking back.
(4) WebMD - What can you catch from restrooms?
(5) Harvard Gazette book review - Overkill, by
Kimberly Thompson
(6) When in doubt, Ask Men - What can you catch
from (men's) restrooms?
(7) Sean Blair: Writer. Researcher. Editor. -Killer
offices.
(8) The Atlantic Monthly - Something in the water
****************************
What's a really memorable pairing? No, not wine and food pairings. Vitamin pairings. And the answer is B12 and B9. Seems older people who are short on vitamin B12 have more trouble recalling certain words, and low levels of B9 (folate) may add to the brain drain. What to do? Seek out yet another
great pairing: salmon and beans, brimming in B12 and folate, respectively. Here's a tasty way to combine the two:
Fennel-Crusted Salmon on White Beans
5 teaspoons extra-virgin olive oil, divided
1 bulb fennel, halved, cored and thinly sliced, plus 1 tablespoon
chopped fennel fronds
2 15-ounce cans white beans, rinsed
2 medium tomatoes, diced
1/3 cup white wine
1 tablespoon Dijon mustard
1/2 teaspoon freshly ground pepper, divided
1 tablespoon fennel seeds
1 pound salmon fillet, skin removed, cut into 2 portions
1. Heat 2 teaspoons oil in a large nonstick skillet over medium
heat. Add the sliced fennel; cook, stirring occasionally, until lightly
browned, about 6 minutes. Stir in the beans, tomatoes, and wine. Cook,
stirring occasionally, until the tomatoes begin to break down,
about 3 minutes. Transfer to a bowl; stir in the chopped fennel fronds,
mustard, and 1/4 teaspoon pepper. Cover to keep warm.
2. Meanwhile, combine the fennel seeds and the remaining 1/4
teaspoon pepper in a small bowl; sprinkle evenly on both sides of the
salmon.
3. Wipe out the pan. Add the remaining 3 teaspoons of oil and
heat over high heat until shimmering but not smoking. Add the salmon,
skinned-side up, and cook until golden brown, 3 to 5 minutes. Turn the
salmon over, cover and remove from the heat. Let stand until the
salmon finishes cooking off the heat, 3 to 5 minutes more. Transfer the
salmon to a cutting board and flake with a fork. Serve on top of the warm bean mixture.
Per serving: 306 calories; 13 g fat (2 g sat, 6 g mono); 28 g
carbohydrate; 25 g protein; 9 g fiber; 467 mg sodium.
Source: Eating Well. Find more delicious recipes at EatingWell.com!
References: Getting enough Bs to keep your mind sharp takes effort. Take the RealAge daily recommendation of 25 micrograms of B12, for instance. Even one serving of salmon and one of tuna a
and to open the door to leave, in order to avoid being recontaminated (4). And today, get a new
toothbrush and always, always keep it in the medicine cabinet or some other enclosed place after use (2).
http://serendip.brynmawr.edu/biology/b103/f02/web2/stan.html
References (1) Janitorial Resource Center - Dr Klean.
(2) A Straight Dope Classic - Cecil's been asked.
(3) Car Talk's mailbag - People are talking back.
(4) WebMD - What can you catch from restrooms?
(5) Harvard Gazette book review - Overkill, by
Kimberly Thompson
(6) When in doubt, Ask Men - What can you catch
from (men's) restrooms?
(7) Sean Blair: Writer. Researcher. Editor. -Killer
offices.
(8) The Atlantic Monthly - Something in the water
****************************
What's a really memorable pairing? No, not wine and food pairings. Vitamin pairings. And the answer is B12 and B9. Seems older people who are short on vitamin B12 have more trouble recalling certain words, and low levels of B9 (folate) may add to the brain drain. What to do? Seek out yet another
great pairing: salmon and beans, brimming in B12 and folate, respectively. Here's a tasty way to combine the two:
Fennel-Crusted Salmon on White Beans
5 teaspoons extra-virgin olive oil, divided
1 bulb fennel, halved, cored and thinly sliced, plus 1 tablespoon
chopped fennel fronds
2 15-ounce cans white beans, rinsed
2 medium tomatoes, diced
1/3 cup white wine
1 tablespoon Dijon mustard
1/2 teaspoon freshly ground pepper, divided
1 tablespoon fennel seeds
1 pound salmon fillet, skin removed, cut into 2 portions
1. Heat 2 teaspoons oil in a large nonstick skillet over medium
heat. Add the sliced fennel; cook, stirring occasionally, until lightly
browned, about 6 minutes. Stir in the beans, tomatoes, and wine. Cook,
stirring occasionally, until the tomatoes begin to break down,
about 3 minutes. Transfer to a bowl; stir in the chopped fennel fronds,
mustard, and 1/4 teaspoon pepper. Cover to keep warm.
2. Meanwhile, combine the fennel seeds and the remaining 1/4
teaspoon pepper in a small bowl; sprinkle evenly on both sides of the
salmon.
3. Wipe out the pan. Add the remaining 3 teaspoons of oil and
heat over high heat until shimmering but not smoking. Add the salmon,
skinned-side up, and cook until golden brown, 3 to 5 minutes. Turn the
salmon over, cover and remove from the heat. Let stand until the
salmon finishes cooking off the heat, 3 to 5 minutes more. Transfer the
salmon to a cutting board and flake with a fork. Serve on top of the warm bean mixture.
Per serving: 306 calories; 13 g fat (2 g sat, 6 g mono); 28 g
carbohydrate; 25 g protein; 9 g fiber; 467 mg sodium.
Source: Eating Well. Find more delicious recipes at EatingWell.com!
References: Getting enough Bs to keep your mind sharp takes effort. Take the RealAge daily recommendation of 25 micrograms of B12, for instance. Even one serving of salmon and one of tuna a
day, plus an egg, a cup of milk, and a cup of yogurt -- all good B12 sources --
won't get you there. To guard against a shortfall, especially if you're a vegetarian, it's smart to take a supplement. Don't take a folate supplement unless your doctor tests your B12 levels. High levels of
folate may mask a B12 deficiencyBut folate (B9) is found in lots of fortified foods, including cereals,
won't get you there. To guard against a shortfall, especially if you're a vegetarian, it's smart to take a supplement. Don't take a folate supplement unless your doctor tests your B12 levels. High levels of
folate may mask a B12 deficiencyBut folate (B9) is found in lots of fortified foods, including cereals,
breads, and pastas, so you may get plenty in your diet.
************************
You can do this easy test in just a minute to find out how healthy your lungs are.
Here it is: Briskly run up two flights of stairs or walk 6 blocks without stopping. HAHA HA
(my comments) That's it. If you can do either one without pausing to rest, your lungs are
probably in pretty good shape. If you don't pass, see your healthcare provider for a checkup.
(If you have a medical condition, don't do the test without clearing it with your doc first.)
One of the major warnings of decreased lung function is a sharp change in your ability to complete
the test, from being able to walk the blocks or run up the stairs easily to suddenly
having a lot of trouble. The reason? When you exercise over a compact period
of time, shortness of breath means all your organs feel deprived of oyxgen, and that some of them
might not be getting enough. A lack of air can mean many things, so see your healthcare
provider to diagnose the cause. It may just mean you are totally out of shape. It also could be a
problem that doesn't start and stop with your lungs. If your heart isn't working properly, it can't
pump blood forward, meaning that some blood can back up into your lungs -- making those
tissues soggy when they should be dry and fluffy instead. And that means they can no longer
exchange air. In many cases, when you feel shortness of breath, the solution is to find out and
address what's wrong with the heart so it can help with moving blood out of the lungs properly.
References: YOU: The Owner's Manual. Roizen, M. F., Oz, M. C., New York: HarperCollins, 2005.
************************************
Can you name three close friends that you see regularly? If you can't, you're not alone.
Twenty years ago, each American had about three close confidants; today, we average about two.
That doesn't bode well for long-term health and well-being. Is your world getting smaller? Give --
and get -- the gift of friendship this year. Grab a plate of goodies, head next door, and say, "Hi."
Cell phones, e-mail, and text messaging let you reach out to anyone, anywhere, anytime. But
despite being better connected, Americans have fewer confidants to turn to when they need help,
advice, or just a willing ear and an open mind. So nurture the friendships you have, and work toward
building new relationships. You'll be doing a good thing for yourself -- and your new friends. A
supportive social circle can make you years younger by acting as a shield against the aging effects
of stress. References: Social isolation in America: changes in core discussion networks over two decades. McPherson, M.,Smith-Lovin, L., Brashears, M. E., American Sociological Review 2006 Jun;71:353-375.
************************
Bone loss, back pain, high cholesterol . . . very different problems.
But there's a single solution. It's cross-training. Research shows that increasing the variety of
exercises you do increases the range of benefits you get. The triple reward for consistently mixing it
up: stronger bones, a limber back, and a healthier cholesterol profile. When women who went through
menopause early combined a number of different physical activities -- from strength training to
jumping rope -- the results were clear: broadening their fitness menu expanded their physical benefits.
************************
You can do this easy test in just a minute to find out how healthy your lungs are.
Here it is: Briskly run up two flights of stairs or walk 6 blocks without stopping. HAHA HA
(my comments) That's it. If you can do either one without pausing to rest, your lungs are
probably in pretty good shape. If you don't pass, see your healthcare provider for a checkup.
(If you have a medical condition, don't do the test without clearing it with your doc first.)
One of the major warnings of decreased lung function is a sharp change in your ability to complete
the test, from being able to walk the blocks or run up the stairs easily to suddenly
having a lot of trouble. The reason? When you exercise over a compact period
of time, shortness of breath means all your organs feel deprived of oyxgen, and that some of them
might not be getting enough. A lack of air can mean many things, so see your healthcare
provider to diagnose the cause. It may just mean you are totally out of shape. It also could be a
problem that doesn't start and stop with your lungs. If your heart isn't working properly, it can't
pump blood forward, meaning that some blood can back up into your lungs -- making those
tissues soggy when they should be dry and fluffy instead. And that means they can no longer
exchange air. In many cases, when you feel shortness of breath, the solution is to find out and
address what's wrong with the heart so it can help with moving blood out of the lungs properly.
References: YOU: The Owner's Manual. Roizen, M. F., Oz, M. C., New York: HarperCollins, 2005.
************************************
Can you name three close friends that you see regularly? If you can't, you're not alone.
Twenty years ago, each American had about three close confidants; today, we average about two.
That doesn't bode well for long-term health and well-being. Is your world getting smaller? Give --
and get -- the gift of friendship this year. Grab a plate of goodies, head next door, and say, "Hi."
Cell phones, e-mail, and text messaging let you reach out to anyone, anywhere, anytime. But
despite being better connected, Americans have fewer confidants to turn to when they need help,
advice, or just a willing ear and an open mind. So nurture the friendships you have, and work toward
building new relationships. You'll be doing a good thing for yourself -- and your new friends. A
supportive social circle can make you years younger by acting as a shield against the aging effects
of stress. References: Social isolation in America: changes in core discussion networks over two decades. McPherson, M.,Smith-Lovin, L., Brashears, M. E., American Sociological Review 2006 Jun;71:353-375.
************************
Bone loss, back pain, high cholesterol . . . very different problems.
But there's a single solution. It's cross-training. Research shows that increasing the variety of
exercises you do increases the range of benefits you get. The triple reward for consistently mixing it
up: stronger bones, a limber back, and a healthier cholesterol profile. When women who went through
menopause early combined a number of different physical activities -- from strength training to
jumping rope -- the results were clear: broadening their fitness menu expanded their physical benefits.
After 2 years of doing cross-training workouts at varying speeds and intensities, the women had increased
their bone mass, boosted their muscle strength, reduced their back pain, and improved their
cholesterol profiles.
The lesson for everyone: The more you mix up your workouts, the more rewards you're likely to
reap. And adding variety helps keep your interest up, too. Doing yoga or Pilates, jogging, hiking, lifting
weights, biking, playing racquetball or golf, jumping rope, dancing, walking, swimming . . . it's hard to
get bored when you have so many get-moving options. References: Benefits of 2 years of intense
exercise on bone density, physical fitness, and blood lipids in early postmenopausal osteopenic
cholesterol profiles.
The lesson for everyone: The more you mix up your workouts, the more rewards you're likely to
reap. And adding variety helps keep your interest up, too. Doing yoga or Pilates, jogging, hiking, lifting
weights, biking, playing racquetball or golf, jumping rope, dancing, walking, swimming . . . it's hard to
get bored when you have so many get-moving options. References: Benefits of 2 years of intense
exercise on bone density, physical fitness, and blood lipids in early postmenopausal osteopenic
women: results of the Erlangen Fitness Osteoporosis Prevention Study (EFOPS). Kemmler, W.,
Lauber, D., Weineck, J., Hensen, J., Kalender, W., Engelke, K., Archives of Internal Medicine 2004
May 24;164(10):1084-1091.
***********************
Why do you need a spider plant in your bedroom? Quite simply, because plants are nature's air freshener -- they continually improve a room's air quality by increasing the oxygen and removing pollutants.
Easy-to-grow spider plants, philodendrons, and golden pothos are the most effective, according to a NASA study. Talk about potluck! What goes for chili recipes and golf swings also goes for air quality:
Little changes can make a big difference. In addition to placing purifying plants around your home,
here are some things you can do to go with the air flow:
a.. In heavy traffic, drive with the windows rolled up and the air on a recycle setting.
b.. If you use an air purifier or humidifier, change the filter regularly.
c.. Clear your life of tobacco smoke -- secondhand or otherwise.
d.. Test for radon before buying a house.
One caveat: If you have pollen allergies, you'll obviously have to use caution when selecting household plants. The same goes for people with allergies to mold or fungi, which often can form in
houseplants. Limit yourself to just a few, and check them often for signs of mold or fungus. References:
***********************
Why do you need a spider plant in your bedroom? Quite simply, because plants are nature's air freshener -- they continually improve a room's air quality by increasing the oxygen and removing pollutants.
Easy-to-grow spider plants, philodendrons, and golden pothos are the most effective, according to a NASA study. Talk about potluck! What goes for chili recipes and golf swings also goes for air quality:
Little changes can make a big difference. In addition to placing purifying plants around your home,
here are some things you can do to go with the air flow:
a.. In heavy traffic, drive with the windows rolled up and the air on a recycle setting.
b.. If you use an air purifier or humidifier, change the filter regularly.
c.. Clear your life of tobacco smoke -- secondhand or otherwise.
d.. Test for radon before buying a house.
One caveat: If you have pollen allergies, you'll obviously have to use caution when selecting household plants. The same goes for people with allergies to mold or fungi, which often can form in
houseplants. Limit yourself to just a few, and check them often for signs of mold or fungus. References:
YOU: The Owner's Manual. Roizen, M. F., Oz, M. C., New York: HarperCollins, 2005.
****************************
FDA Aproves New Biologic Treatment for Wet Age-Related Macular Degeneration
The Food and Drug Administration (FDA) today approved Lucentis (ranibizumab injection) for the treatment of patients with neovascular (wet) age-related macular degeneration (AMD). Lucentis is the first treatment which, when dosed monthly, can maintain the vision of more than 90 percent of patients with this type of AMD. Lucentis is a new molecular entity (NME), meaning it contains an active substance that has never before
****************************
FDA Aproves New Biologic Treatment for Wet Age-Related Macular Degeneration
The Food and Drug Administration (FDA) today approved Lucentis (ranibizumab injection) for the treatment of patients with neovascular (wet) age-related macular degeneration (AMD). Lucentis is the first treatment which, when dosed monthly, can maintain the vision of more than 90 percent of patients with this type of AMD. Lucentis is a new molecular entity (NME), meaning it contains an active substance that has never before
been approved for marketing in any form in the United States. Lucentis will be the first FDA--approved
product to provide prescription information in the new format for prescription drug package inserts, to provide professionals and consumers clear and concise prescription information.
http://www.fda.gov/bbs/topics/NEWS/2006/NEW01405.html
*******************************
When To Begin Treatment with Human Erythropoietin in Patient with Chronic Kidney Disease
(This one is interesting for any nurses involved with dialysis patients.) Anemia is a state of reduced oxygen delivery to tissues and organs of the body.[1] As a result, symptoms such as fatigue or dyspnea may occur. The body attempts to compensate for anemia by augmenting cardiac output and through vasodilatation.
product to provide prescription information in the new format for prescription drug package inserts, to provide professionals and consumers clear and concise prescription information.
http://www.fda.gov/bbs/topics/NEWS/2006/NEW01405.html
*******************************
When To Begin Treatment with Human Erythropoietin in Patient with Chronic Kidney Disease
(This one is interesting for any nurses involved with dialysis patients.) Anemia is a state of reduced oxygen delivery to tissues and organs of the body.[1] As a result, symptoms such as fatigue or dyspnea may occur. The body attempts to compensate for anemia by augmenting cardiac output and through vasodilatation.
These adaptations partially maintain oxygen delivery but may result in secondary problems such as left ventricular hypertrophy. Anemia in chronic kidney disease (CKD) has been associated with adverse outcomes including increased risk for mortality.
Anemia in (Chronic Kidney Disease) CKD is caused by several factors, of which the most important
is relative deficiency of the glycoprotein hormone erythropoietin.[2] As the kidney loses excretory
function, its endocrine function is diminished in parallel. Anemia may develop early in the course of
kidney disease, but in most cases significant anemia does not occur until creatinine clearance (CrCl)
is less than 30 mL/min.[3] The most important component of the treatment of the anemia of kidney
disease is replacement of erythropoietin by administering an erythropoiesis-stimulating agent (ESA).
http://www.medscape.com/viewarticle/544172?src=mp
*********************************************
(I volunteer as a Literacy Tutor.... and have taught people with less than a 3rd grade education)
Many Adults Need Help Understanding Basic Medical Instructions, as Most Are Written
at Above-Average Level, Study Says
Fewer than one in six U.S. adults have proficient health literacy, according to report released
on Wednesday by the National Center for Education Statistics, the AP/San Francisco Chronicle
reports. For the report, researchers analyzed data from the 2003 National Assessment of Adult
Literacy and determined the relationship between demographic characteristics and literacy.
Researchers compared gender, race, age and educational levels of 19,000 U.S. adults who took
the series of tests, which had a possible total score of 500 points.
According to the report, most participants had intermediate health literacy, which mean that most
U.S. adults will find it difficult to use health-related materials accurately and consistently, Rima Rudd of
the Harvard School of Public Health said. The report also finds:
a.. Women had an average score of 248 points on the tests, compared with 242 points for men;
b.. Participants older than age 65 had lower health literacy levels than younger participants;
c.. Whites and Asians had higher health literacy levels than blacks, Hispanics and American Indians;
d.. Hispanics had lower health literacy levels than any other racial group.
The report indicates that health care providers, health insurers and pharmaceutical companies must
improve their communication skills to ensure patients understand basic medical instructions,
Rudd said. She added, "They're writing things at a level in the health field that is very difficult for the
general public to work with" (Freking, AP/San Francisco Chronicle, 9/6).
http://www.kaisernetwork.org/daily_reports/rep_hpolicy_recent_rep.cfm?dr_cat=3&show=yes&dr_DateTime=07-Sep-06#39669
*************************
Here is another article on illiteracy........
Misunderstanding patient's health illiteracy... It showed that nearly half of the patients in the study
misinterpreted at least one or more out of the five prescription labels they were shown. Patients with low
Anemia in (Chronic Kidney Disease) CKD is caused by several factors, of which the most important
is relative deficiency of the glycoprotein hormone erythropoietin.[2] As the kidney loses excretory
function, its endocrine function is diminished in parallel. Anemia may develop early in the course of
kidney disease, but in most cases significant anemia does not occur until creatinine clearance (CrCl)
is less than 30 mL/min.[3] The most important component of the treatment of the anemia of kidney
disease is replacement of erythropoietin by administering an erythropoiesis-stimulating agent (ESA).
http://www.medscape.com/viewarticle/544172?src=mp
*********************************************
(I volunteer as a Literacy Tutor.... and have taught people with less than a 3rd grade education)
Many Adults Need Help Understanding Basic Medical Instructions, as Most Are Written
at Above-Average Level, Study Says
Fewer than one in six U.S. adults have proficient health literacy, according to report released
on Wednesday by the National Center for Education Statistics, the AP/San Francisco Chronicle
reports. For the report, researchers analyzed data from the 2003 National Assessment of Adult
Literacy and determined the relationship between demographic characteristics and literacy.
Researchers compared gender, race, age and educational levels of 19,000 U.S. adults who took
the series of tests, which had a possible total score of 500 points.
According to the report, most participants had intermediate health literacy, which mean that most
U.S. adults will find it difficult to use health-related materials accurately and consistently, Rima Rudd of
the Harvard School of Public Health said. The report also finds:
a.. Women had an average score of 248 points on the tests, compared with 242 points for men;
b.. Participants older than age 65 had lower health literacy levels than younger participants;
c.. Whites and Asians had higher health literacy levels than blacks, Hispanics and American Indians;
d.. Hispanics had lower health literacy levels than any other racial group.
The report indicates that health care providers, health insurers and pharmaceutical companies must
improve their communication skills to ensure patients understand basic medical instructions,
Rudd said. She added, "They're writing things at a level in the health field that is very difficult for the
general public to work with" (Freking, AP/San Francisco Chronicle, 9/6).
http://www.kaisernetwork.org/daily_reports/rep_hpolicy_recent_rep.cfm?dr_cat=3&show=yes&dr_DateTime=07-Sep-06#39669
*************************
Here is another article on illiteracy........
Misunderstanding patient's health illiteracy... It showed that nearly half of the patients in the study
misinterpreted at least one or more out of the five prescription labels they were shown. Patients with low
literacy made the most mistakes and frequently were unable to grasp four out of five label
instructions. But even people with a high school education or higher had problems.
"Just being able to read the label doesn't mean you'll be able to interpret it," says
Michael Wolf, asst. professor of medicine at Northwestern University's Feinberg School
of Medicine. His study showed that the more medications a patient takes, the more likely
he or she will misunderstand the labels.
The most common mistake made by patients in the study was misinterpreting dosage
instructions, such as a tablespoon versus a teaspoon, followed by misunderstanding the
dose frequency. The most common misinterpretation was to take two pills a day
(when asked what twice daily meant). The hardest label to understand: Take 1 teaspoon
3 times a day for 7 days. Study participants would flip the numbers, confuse, and misread them.
The 395 patients participating in the study ranged from 18 through mid-70's.
Another study led by Wolf showed that the FDA-approved education materials aren't
useful to patients, especially those with low literacy skills, because there's too much
information on them.
Individual wording for prescriptions is chosen by each pharmacist (there is no standardization
for the wording). There's also no process for saying which warnings should be on the label
and which should not. The study was published online Nov. 29 at this site: (http://www.annals.org)
(One of my patients....educated...actually misread the prescription and was taking the antibiotic three times a day instead of just daily....
He was nauseated , had a lack of appetite d/t the nausea....and did not know to notify the doctor or
instructions. But even people with a high school education or higher had problems.
"Just being able to read the label doesn't mean you'll be able to interpret it," says
Michael Wolf, asst. professor of medicine at Northwestern University's Feinberg School
of Medicine. His study showed that the more medications a patient takes, the more likely
he or she will misunderstand the labels.
The most common mistake made by patients in the study was misinterpreting dosage
instructions, such as a tablespoon versus a teaspoon, followed by misunderstanding the
dose frequency. The most common misinterpretation was to take two pills a day
(when asked what twice daily meant). The hardest label to understand: Take 1 teaspoon
3 times a day for 7 days. Study participants would flip the numbers, confuse, and misread them.
The 395 patients participating in the study ranged from 18 through mid-70's.
Another study led by Wolf showed that the FDA-approved education materials aren't
useful to patients, especially those with low literacy skills, because there's too much
information on them.
Individual wording for prescriptions is chosen by each pharmacist (there is no standardization
for the wording). There's also no process for saying which warnings should be on the label
and which should not. The study was published online Nov. 29 at this site: (http://www.annals.org)
(One of my patients....educated...actually misread the prescription and was taking the antibiotic three times a day instead of just daily....
He was nauseated , had a lack of appetite d/t the nausea....and did not know to notify the doctor or
the clinic of the problem until he was seen in the clinic).
*********************************
Study Finds that Lung Cancer can be Detected Earlier using a type of CT Scan
(AP) -- A controversial new study offers the strongest evidence yet that screening smokers for
lung cancer with computerized chest scans can save lives, much as mammograms do for
women with breast cancer. Doctors have long had doubts that early detection of tumors could
improve survival, and also feared that screening would lead to too many
false alarms and unnecessary biopsies. Scans are not now recommended,
but many smokers have been paying for them on their own for their peace of mind.
The new study strongly suggests there is a survival benefit. But it does not prove the point,
because it lacked a comparison group, many scientists say.
http://www.cnn.com/2006/HEALTH/10/25/lung.cancer.ap/index.html
*************************************
STANFORD, Calif., Nov. 3 -- Allowed a 40-minute nap midway through 12-hour night shifts, emergency room residents and nurses responded with more vigilance and vigor,found researchers here Nevertheless, the randomized study that compared nappers with non-nappers working the night shift at a Stanford hospital
ER was not all positive. The nappers did not exceed the nonnappers in all parameters, and during post-shift driving simulator tests even the nappers had catastrophic lapses in motor skills.
http://www.medpagetoday.com/EmergencyMedicine/EmergencyMedicine/tb/4434
*************************************
VIETNAM NURSES DVD They knew where they were going, but they had no idea what
they were going to. In this 45-minute documentary DVD, Vietnam Nurses with Dana Delany,
for the first time Vietnam nurses reveal the horrors they witnessed, the care they provided and
the emotional scars they earned as nurses in Vietnam.
WE tv, the only cable network dedicated to helping women connect to one another and the
world around them, aired the premier of Vietnam Nurses with Dana Delany in August 2006. This
*********************************
Study Finds that Lung Cancer can be Detected Earlier using a type of CT Scan
(AP) -- A controversial new study offers the strongest evidence yet that screening smokers for
lung cancer with computerized chest scans can save lives, much as mammograms do for
women with breast cancer. Doctors have long had doubts that early detection of tumors could
improve survival, and also feared that screening would lead to too many
false alarms and unnecessary biopsies. Scans are not now recommended,
but many smokers have been paying for them on their own for their peace of mind.
The new study strongly suggests there is a survival benefit. But it does not prove the point,
because it lacked a comparison group, many scientists say.
http://www.cnn.com/2006/HEALTH/10/25/lung.cancer.ap/index.html
*************************************
STANFORD, Calif., Nov. 3 -- Allowed a 40-minute nap midway through 12-hour night shifts, emergency room residents and nurses responded with more vigilance and vigor,found researchers here Nevertheless, the randomized study that compared nappers with non-nappers working the night shift at a Stanford hospital
ER was not all positive. The nappers did not exceed the nonnappers in all parameters, and during post-shift driving simulator tests even the nappers had catastrophic lapses in motor skills.
http://www.medpagetoday.com/EmergencyMedicine/EmergencyMedicine/tb/4434
*************************************
VIETNAM NURSES DVD They knew where they were going, but they had no idea what
they were going to. In this 45-minute documentary DVD, Vietnam Nurses with Dana Delany,
for the first time Vietnam nurses reveal the horrors they witnessed, the care they provided and
the emotional scars they earned as nurses in Vietnam.
WE tv, the only cable network dedicated to helping women connect to one another and the
world around them, aired the premier of Vietnam Nurses with Dana Delany in August 2006. This
documentary DVD is about the young American nurses sent halfway around the world to serve in
horrific and dangerous conditions. Delany, who played Army nurse Colleen McMurphy on
horrific and dangerous conditions. Delany, who played Army nurse Colleen McMurphy on
ABC-TVs China Beach, narrates the documentary.
http://www.medinfonow.com/linkredirect.asp?PID=88139&LinkID=1741.
************************
Timeliness of Reporting Timely reporting and receipt of critical test results and values can
directly affect patient care and safety. Medical staff, nursing, and diagnostic services, such as
laboratory and imaging, need to work together to define critical tests and results, establish time
frames for reporting, and implement a reporting system.
The reporting system should clearly identify how clinicians are made aware of critical values
and how to document the communication. The system should: . Verify that a critical test or result
http://www.medinfonow.com/linkredirect.asp?PID=88139&LinkID=1741.
************************
Timeliness of Reporting Timely reporting and receipt of critical test results and values can
directly affect patient care and safety. Medical staff, nursing, and diagnostic services, such as
laboratory and imaging, need to work together to define critical tests and results, establish time
frames for reporting, and implement a reporting system.
The reporting system should clearly identify how clinicians are made aware of critical values
and how to document the communication. The system should: . Verify that a critical test or result
has been identified. . Report the result to the appropriate licensed individual or authorized alternate.
. Document the report of the test result, including the patient's name, test, result, date, time,
reporter, and receiver. . Document receipt of the test result. . Repeat the reporting and documenting
. Document the report of the test result, including the patient's name, test, result, date, time,
reporter, and receiver. . Document receipt of the test result. . Repeat the reporting and documenting
steps until the information reaches the responsible licensed caregiver. . Take appropriate action on
the test result. http://www.doody.com/s8.asp?ID=1013-88139-JRM41982
**********************************
"Good resource--it is mostly generic and relevant in all states"
BAcello@aol.com sent this in.
**********************************
"Good resource--it is mostly generic and relevant in all states"
BAcello@aol.com sent this in.
PATIENT SAFETY PROGRAM MANUAL
http://www.dhs.ca.gov/Lnc/download/PSPM/PatientSafetyProgramManual09-20-2006.pdf
This manual represents California's Patient Safety Improvement project for the 2004-05
Patient Safety Improvement Corps (PSIC). The Patient Safety Improvement Corps (PSIC)
is a partnership between the Agency for Healthcare Research and Quality (AHRQ)
and Veterans Administration (VA). The PSIC seeks to improve patient safety by providing
knowledge and skills to teams of State field staff and hospital partners selected by States.
The manual is an attempt to assist health care facilities in developing an effective patient safety
program by identifying and defining elements for consideration to be included in a patient safety
program. They also have these two available for download: California Bioterrorism Hospital
http://www.dhs.ca.gov/Lnc/download/PSPM/PatientSafetyProgramManual09-20-2006.pdf
This manual represents California's Patient Safety Improvement project for the 2004-05
Patient Safety Improvement Corps (PSIC). The Patient Safety Improvement Corps (PSIC)
is a partnership between the Agency for Healthcare Research and Quality (AHRQ)
and Veterans Administration (VA). The PSIC seeks to improve patient safety by providing
knowledge and skills to teams of State field staff and hospital partners selected by States.
The manual is an attempt to assist health care facilities in developing an effective patient safety
program by identifying and defining elements for consideration to be included in a patient safety
program. They also have these two available for download: California Bioterrorism Hospital
Response Planning Guide Complete Nursing Home Residents' Rights
http://www.dhs.ca.gov/Lnc/download/default.htm
********************************
Energy drinks wire a generation More than 500 new energy drinks were launched worldwide this year,
http://www.dhs.ca.gov/Lnc/download/default.htm
********************************
Energy drinks wire a generation More than 500 new energy drinks were launched worldwide this year,
and coffee fans are probably too old to understand why. They taste like carbonated cough syrup, but still
attract strong followings. Energy drinks aren't merely popular with young people. They attract fan
mail on their own MySpace pages. They spawn urban legends. They get reviewed by bloggers.
attract strong followings. Energy drinks aren't merely popular with young people. They attract fan
mail on their own MySpace pages. They spawn urban legends. They get reviewed by bloggers.
And they taste like carbonated cough syrup.
Vying for the dollars of teenagers with promises of weight loss, increased endurance and legal highs,
Vying for the dollars of teenagers with promises of weight loss, increased endurance and legal highs,
the new products join top-sellers Red Bull, Monster and Rockstar to make up a $3.4 billion-a-year
industry that grew by 80 percent last year.
industry that grew by 80 percent last year.
http://www.cnn.com/2006/HEALTH/10/27/energy.drinks.ap/index.html
*****************************************
CNN) -- It may be America's No. 1 killer, but people aren't scared enough of heart disease,
*****************************************
CNN) -- It may be America's No. 1 killer, but people aren't scared enough of heart disease,
says a top U.S. research cardiologist. "We've done a good job of advertising to people that we're
doing better with heart disease, so people tend to sort of feel good about it," said Dr.
Robert Califf, vice chancellor for clinical research at Duke University Medical Center. "We have
Robert Califf, vice chancellor for clinical research at Duke University Medical Center. "We have
bypass surgery and stents and drugs that work; the [mortality] rates are declining."
It's true that U.S. heart disease deaths overall are down. From 1993 to 2003, cardiovascular disease
It's true that U.S. heart disease deaths overall are down. From 1993 to 2003, cardiovascular disease
death rates dropped 22.1 percent. But more than 910,000 Americans still die of heart disease annually, according to the American Heart Association. And more than 70 million Americans live every day with some form of heart disease, which can include high blood pressure, cardiovascular disease, stroke, angina (chest pain), heart attack and congenital heart defects. http://www.cnn.com/2006/HEALTH/10/30/heart.overview/index.html
************************
This was sent in by ThreeCansAndHome (Shellie) THANKS !
Subject: Mastectomy Hospital Bill currently in Congress
If you know anyone who has had a mastectomy, you may know that there is a lot of discomfort
and pain afterwards. Insurance companies are trying to make mastectomies an outpatient procedure.
Let's give women the chance to recover properly in the hospital for 2 days after surgery.
It takes 2 seconds to do this and is very important...please take the time and do it really quickly!
Breast Cancer Hospitalization Bill - Important legislation for all women.
Please send this to everyone in your address book.. If there was ever a time when our voices and choices should be heard, this is one of those times.
There's a bill called the Breast Cancer Patient Protection Act which will require insurance
companies to cover a minimum 48-hour hospital stay for patients undergoing a mastectomy. It's about eliminating the drive-through mastectomy" where women are forced to go home just a few
hours after surgery, against the wishes of their doctor, still groggy from anesthesia and sometimes
************************
This was sent in by ThreeCansAndHome (Shellie) THANKS !
Subject: Mastectomy Hospital Bill currently in Congress
If you know anyone who has had a mastectomy, you may know that there is a lot of discomfort
and pain afterwards. Insurance companies are trying to make mastectomies an outpatient procedure.
Let's give women the chance to recover properly in the hospital for 2 days after surgery.
It takes 2 seconds to do this and is very important...please take the time and do it really quickly!
Breast Cancer Hospitalization Bill - Important legislation for all women.
Please send this to everyone in your address book.. If there was ever a time when our voices and choices should be heard, this is one of those times.
There's a bill called the Breast Cancer Patient Protection Act which will require insurance
companies to cover a minimum 48-hour hospital stay for patients undergoing a mastectomy. It's about eliminating the drive-through mastectomy" where women are forced to go home just a few
hours after surgery, against the wishes of their doctor, still groggy from anesthesia and sometimes
with drainage tubes still attached.
Lifetime Television has put this bill on their web page with a petition drive to show your support.Last year over half the House signed on.
PLEASE ! ! Sign the petition on the web site below. You need not give more than your name and zip code number. http://www.lifetimetv.com/health/breast_mastectomy_pledge.html
***********************
Diabetes Pulse: Update on Insulin Therapy (more...) http://www.metabolicpulse.com/CmeActivities.do
Summarizing the 2006 American Diabetes Associations Scientific Sessions, this 10-page newsletter highlights late-breaking trial presentations, intensive diabetes therapy comparisons, and the influence
Lifetime Television has put this bill on their web page with a petition drive to show your support.Last year over half the House signed on.
PLEASE ! ! Sign the petition on the web site below. You need not give more than your name and zip code number. http://www.lifetimetv.com/health/breast_mastectomy_pledge.html
***********************
Diabetes Pulse: Update on Insulin Therapy (more...) http://www.metabolicpulse.com/CmeActivities.do
Summarizing the 2006 American Diabetes Associations Scientific Sessions, this 10-page newsletter highlights late-breaking trial presentations, intensive diabetes therapy comparisons, and the influence
of patient and physician attitudes on successful insulin therapy.
**************************
ER: In Critical Condition - A Nurse's Perspective (from BAcello@AOL.com Barbara)
CBS 42 - Austin,TX,USA ... your plate.". A central Texas nurse agreed to be candid about what she's
seen in a local ER if we protect her identity. "I think ...
http://keyetv.com/topstories/local_story_327211630.html
****************************
Modest weight loss healthy for older women 2006-11-30 (Reuters Health) NEW YORK (Reuters Health) - Shedding just a few pounds can be beneficial to older women's health, and doesn't result in loss of high
quality muscle tissue, a new study shows. Dr. Gloria Mazzali of the University of Verona in Italy and
**************************
ER: In Critical Condition - A Nurse's Perspective (from BAcello@AOL.com Barbara)
CBS 42 - Austin,TX,USA ... your plate.". A central Texas nurse agreed to be candid about what she's
seen in a local ER if we protect her identity. "I think ...
http://keyetv.com/topstories/local_story_327211630.html
****************************
Modest weight loss healthy for older women 2006-11-30 (Reuters Health) NEW YORK (Reuters Health) - Shedding just a few pounds can be beneficial to older women's health, and doesn't result in loss of high
quality muscle tissue, a new study shows. Dr. Gloria Mazzali of the University of Verona in Italy and
colleagues found that obese women who lost about 5 percent of their body weight
showed a healthier body fat distribution and an increased sensitivity to insulin, reducing their risk of diabetes.
http://www.reutershealth.com/archive/2006/11/30/eline/links/20061130elin001.html
********************************
Tobacco-related diseases including cancers and heart disease will kill 6.4 million people a
showed a healthier body fat distribution and an increased sensitivity to insulin, reducing their risk of diabetes.
http://www.reutershealth.com/archive/2006/11/30/eline/links/20061130elin001.html
********************************
Tobacco-related diseases including cancers and heart disease will kill 6.4 million people a
year by 2015, 50 percent more than AIDS, a World Health Organization study said this week. But the
HIV/AIDS epidemic will be the leading cause of illness and disability in low- and middle-income countries by then and take an increasing number of lives worldwide, it said.
http://www.cnn.com/2006/HEALTH/11/29/tobacco.health.reut/index.html
****************************
The following was sent in by BAcello@AOL.com Barbara ........Thank you
.
She writes" The article below prompted me to post the "rights" for med administration in the "files"
http://www.cnn.com/2006/HEALTH/11/29/tobacco.health.reut/index.html
****************************
The following was sent in by BAcello@AOL.com Barbara ........Thank you
.
She writes" The article below prompted me to post the "rights" for med administration in the "files"
section of the listserv. The list I use has six rights. Some lists have five. Although
the problem below happened in a hospital, it could have just as easily happened in any setting.
Three important safeguards were circumvented:
1. They had a barcode system to identify pt and med...the nurse didn't use it
2. It has been reported that the IV tubing was colored light green instead of clear because of the nature
of the drug. They overlooked it. (I have not been able to verify that #2 is an accurate statement.)
3. They failed to use the "rights" for med administration, which are taught to all nurses and would
the problem below happened in a hospital, it could have just as easily happened in any setting.
Three important safeguards were circumvented:
1. They had a barcode system to identify pt and med...the nurse didn't use it
2. It has been reported that the IV tubing was colored light green instead of clear because of the nature
of the drug. They overlooked it. (I have not been able to verify that #2 is an accurate statement.)
3. They failed to use the "rights" for med administration, which are taught to all nurses and would
have prevented the problem from the outset.
It may be a good idea to remind the staff about using the "rights" or putting the list of rights at the
It may be a good idea to remind the staff about using the "rights" or putting the list of rights at the
nurses' station or in the med book.". Barbara
http://www.channel3000.com/news/9558313/detail.html
MADISON, Wis. -- A Madison hospital was cited for several deficiencies by the state and WISC-TV
has learned that federal officials have issued an "immediate jeopardy" warning, saying patient safety is
at risk at St. Mary's Hospital. These developments stem from an investigation into the death of
the teenager who died during labor due to a medical mistake at St. Mary's. Late Friday afternoon,
http://www.channel3000.com/news/9558313/detail.html
MADISON, Wis. -- A Madison hospital was cited for several deficiencies by the state and WISC-TV
has learned that federal officials have issued an "immediate jeopardy" warning, saying patient safety is
at risk at St. Mary's Hospital. These developments stem from an investigation into the death of
the teenager who died during labor due to a medical mistake at St. Mary's. Late Friday afternoon,
two separate documents that shed details on how Jasmine Gant, 16, died were released to the media. An
investigation by the state health department blames a medical error by St. Mary's Hospital for Gant's
death. Gant was at St. Mary's Hospital on July 5 preparing to give birth to her son, Gregory. WISC-TV
investigation by the state health department blames a medical error by St. Mary's Hospital for Gant's
death. Gant was at St. Mary's Hospital on July 5 preparing to give birth to her son, Gregory. WISC-TV
previously reported that the Verona High School student was given the wrong medication while in labor and
died.
************************************
The Center for Nursing Advocacy fights inaccurate media images of nursing because those images affect
died.
************************************
The Center for Nursing Advocacy fights inaccurate media images of nursing because those images affect
how decision-makers and members of the public value the profession. For most people, the media is the
major source of information about nursing. But because the profession's image is so inaccurate and degraded, decision-makers tend not to fully fund nursing clinical practice, education or research. Short-staffing
is one result. If we want to resolve the global nursing crisis, we must change the way the world thinks about nursing. Nurses save lives and improve outcomes every day, but few people outside nursing know that.
Right now the Center has the resources to address a few of the most influential images of nursing. But we
major source of information about nursing. But because the profession's image is so inaccurate and degraded, decision-makers tend not to fully fund nursing clinical practice, education or research. Short-staffing
is one result. If we want to resolve the global nursing crisis, we must change the way the world thinks about nursing. Nurses save lives and improve outcomes every day, but few people outside nursing know that.
Right now the Center has the resources to address a few of the most influential images of nursing. But we
need far more funding to do what really needs to be done, including working proactively to create better
images. If you value what the Center does, please donate a corresponding amount to help us continue our work. The Center needs your support! ssummers@nursingadvocacy.org
(I donate...please join me in sending a donation for the great work that Sandy does !).
***************************************
Diego developed this guide to use when you prepare to call a doctor for orders.
images. If you value what the Center does, please donate a corresponding amount to help us continue our work. The Center needs your support! ssummers@nursingadvocacy.org
(I donate...please join me in sending a donation for the great work that Sandy does !).
***************************************
Diego developed this guide to use when you prepare to call a doctor for orders.
(This may help you avoid being yelled at when you call the doc at 0330 ) !!!
1. What is my concern?
_________________________________________________
2. Have I discussed this with my charge nurse?
a. Is the concern urgent or can it wait?
b. Which MD do I call?
3. Check the following:
a. Recent MD orders
b. All standing orders
c. MD progress notes
d. Previous shift nurses' notes
4. List the desired outcome for this call (new orders, MD consultation with the patient, condition notification, transfer orders, etc.)
5. Organize patient data:
a. Most recent vital signs THIS IS VITAL
b. Previous lab results for comparison YES
c. Med list, IV fluids, diagnostic study results, I&O
d. Allergy list
e. Code status
f. Access to patient record
6. Call reminders: THIS SHOULD BE AT THE BEGINNING OF THE CALL
a. Identify self, patient, and unit
b. Provide patient background for MD
c. Briefly state your concern or problem, time of occurrence and all applicable details.
7. Call follow up:
a. Document date and time of call
b. Document whom you spoke with
c. Summarize conversation
d. Document all orders
~*~*~*~*~*~*~*~*~*~*~
HUMOR
It was 1992. I had completed all my prerequisite courses and begun my first
semester of nursing classes with a mixture of trepidation and soaring enthusiasm.
Everything was brand-new to me, from the vocabulary, to the procedures, to the care plans -
all of it. It was all unexplored territory, and I took it very, very seriously. I would have people's
lives in my hands after all. Our very first clinical was at a nursing home where we were to
give baths to residents. Prior to nursing school, I had never imagined that a bath could
be so complicated. I read the recommended procedure over carefully several times. I
practiced on a dummy. I could not have been more serious about the prospect of bathing
another adult human being than if I was faced with having to do open-heart massage.
This was not fun and games! I would be responsible for the dignity, the modesty and the
cleanliness of a stranger. I was terrified.
I remember standing at the door to my assigned patient's room for long minutes, peeking in.
My patient was bedfast. This was good news because I would not be required to try to get
him up out of bed. This was bad news because I would have to bathe him and move him
and raise his arms and legs without hurting him or breaking him or killing him.
I wondered if I might just close the door and hide in the closet for the duration of the clinical.
Finally, I took a deep breath, squared my shoulders and went into the room. It wasn't because
I felt ready to approach the patient. It wasn't because I knew that this first time would be the
most difficult and that I had better just get it over with. It was not because I felt prepared for the
experience and eager to try my hand. It was because my instructor was coming down the hall toward
me. I went in and introduced myself. I gathered supplies together. I gave that poor man the most
thorough and painstaking bath I imagine he had ever had in his life. I started with his eyes, going
from inside corner to outside corner with such care and gentle timidity that it is unlikely he felt it at all.
I washed his face and felt a little surge of confidence. As a mother of three little kids, I was very
1. What is my concern?
_________________________________________________
2. Have I discussed this with my charge nurse?
a. Is the concern urgent or can it wait?
b. Which MD do I call?
3. Check the following:
a. Recent MD orders
b. All standing orders
c. MD progress notes
d. Previous shift nurses' notes
4. List the desired outcome for this call (new orders, MD consultation with the patient, condition notification, transfer orders, etc.)
5. Organize patient data:
a. Most recent vital signs THIS IS VITAL
b. Previous lab results for comparison YES
c. Med list, IV fluids, diagnostic study results, I&O
d. Allergy list
e. Code status
f. Access to patient record
6. Call reminders: THIS SHOULD BE AT THE BEGINNING OF THE CALL
a. Identify self, patient, and unit
b. Provide patient background for MD
c. Briefly state your concern or problem, time of occurrence and all applicable details.
7. Call follow up:
a. Document date and time of call
b. Document whom you spoke with
c. Summarize conversation
d. Document all orders
~*~*~*~*~*~*~*~*~*~*~
HUMOR
It was 1992. I had completed all my prerequisite courses and begun my first
semester of nursing classes with a mixture of trepidation and soaring enthusiasm.
Everything was brand-new to me, from the vocabulary, to the procedures, to the care plans -
all of it. It was all unexplored territory, and I took it very, very seriously. I would have people's
lives in my hands after all. Our very first clinical was at a nursing home where we were to
give baths to residents. Prior to nursing school, I had never imagined that a bath could
be so complicated. I read the recommended procedure over carefully several times. I
practiced on a dummy. I could not have been more serious about the prospect of bathing
another adult human being than if I was faced with having to do open-heart massage.
This was not fun and games! I would be responsible for the dignity, the modesty and the
cleanliness of a stranger. I was terrified.
I remember standing at the door to my assigned patient's room for long minutes, peeking in.
My patient was bedfast. This was good news because I would not be required to try to get
him up out of bed. This was bad news because I would have to bathe him and move him
and raise his arms and legs without hurting him or breaking him or killing him.
I wondered if I might just close the door and hide in the closet for the duration of the clinical.
Finally, I took a deep breath, squared my shoulders and went into the room. It wasn't because
I felt ready to approach the patient. It wasn't because I knew that this first time would be the
most difficult and that I had better just get it over with. It was not because I felt prepared for the
experience and eager to try my hand. It was because my instructor was coming down the hall toward
me. I went in and introduced myself. I gathered supplies together. I gave that poor man the most
thorough and painstaking bath I imagine he had ever had in his life. I started with his eyes, going
from inside corner to outside corner with such care and gentle timidity that it is unlikely he felt it at all.
I washed his face and felt a little surge of confidence. As a mother of three little kids, I was very
accustomed to washing faces. Then I stood, a little perplexed. I knew that I was supposed to
change washcloths, but what was I supposed to do with the used one?
I wished that I had brought my textbook into the room with me. I should have foreseen that
with a complicated patient care procedure such as this, I might need a reference.
I tried to recall if the subject of used washcloths had been addressed.
I remembered that there were two methods of holding the washcloth described. I mentally
reviewed them. There was the "triangular method" and the "rectangular method".
I remembered that I was to wash the various bits of the patient -from distal to proximal -
to promote venous circulation. I remembered I was to use long, smooth strokes with some firmness.
I was stumped. I thought that I had studied carefully. I had quizzed myself. I'd had my mother
quiz me. I made flashcards.
But what in the world was I supposed to do with the used washcloths?
I stood there with the washcloth I had used on the patient's face cooling in my hand, absolutely
at a loss and paralyzed to advance, or retreat. I was startled a little by a tap on the door.
"Everything going alright?" asked my instructor.
"Um, uh, sure," I said. "I was just washing Mr. Jones' face. And I was just wondering, I mean,
I studied the whole thing, and really, I know it.
I had decided to use the Triangular Bath Mitt Method and all, but I just wondered, "What am I supposed to do with the used washcloths when I'm done? I think I missed that part."
I have done a lot of different things as a nurse. Some of them were very simple; some of them
very difficult. None of them has been more difficult than that very first bath,
and I am fortunate that my patient was a good sport about it.
We both got through it, eventually. I am willing to bet that it was the most careful, complete and
tentative bath old Mr. Jones had ever had. And at 1 hour and 27 minutes almost certainly the longest.
Elizabeth Bussey Sowdal works in a trauma ICU in Oklahoma City.
~*~*~*~*~*~*~*~*~*~*~*~*~*~
CEU SITES---(CME and CNE)
Those that are-----Free and Otherwise..........
Bob Hess announced that Nursing Spectrum CE was changed on January 1 to: www.nurse.com
(Please a note of this change).
A website offering free CEUs:
http://www.medscape.com/cmecenterdirectory/nurses
This site is loaded with CE/CME offerings.......check it out.
http://www.medscape.com/nurses/ce
A huge offering of CEUs for LPNs and RNs.......for $24.99
https://nursing.advanceweb.com/Common/CE/Main.aspx
~*~*~*~*~*~*~*~*~*~*~*~*~*~
WEBSITES/ LINKS
Always on the lookout for interesting websites / links. Please send them to:
RNFrankie@bellsouth.net
A - Z Guide on Health Topics
http://www.webmd.com/a_to_z_guide/health_topics.htm
Rozalfaro's website (Roz) http://www.alfaroteachsmart.com/
Raconte's website (Geneviève) http://www.solutionsoutsidethebox.net,
(got this from the listserve...thought you all might be interested)
For the skinny on copyright, ... visit the Copyright Office at the Library of Congress website (_http://www.copyright.gov_ (http://www.copyright.gov) ).
*****************************************************
********************************
*
MEDICAL RECALLS
*
*****************************
****************************************************
FDA informed healthcare professionals and consumers that the Agency
ordered firms to stop marketing unapproved drug products containing
quinine, citing serious safety concerns, including deaths associated
with quinine products. There are multiple unapproved products
containing quinine currently on the market, used off-label to treat leg
cramps and similar conditions. Since 1969, FDA received 665 reports of
adverse
events with serious outcomes associated with quinine use, including 93
deaths. Quinine drugs are associated with serious side effects, such as
cardiac arrhythmias, thrombocytopenia, and severe hypersensitivity
reactions. Qualaquin, manufactured by Mutual Pharmaceutical Company, is
the only quinine product approved by the FDA.
http://www.fda.gov/medwatch/safety/2006/safety06.htm#Quinine
************************
FDA and Bayer Pharmaceuticals notified healthcare professionals of revisions to the prescribing
information for Trasylol. The new labeling has a more focused indication, a new Warning that
Trasylol administration increases the risk of renal dysfunction and may increase the need for dialysis
in the perioperative period, and stronger warnings about anaphylactic reactions. In addition, due
to the higher risk for anaphylactic reactions, re-administration of Trasylol to patients with a known or
suspected exposure during the past 12 months is contraindicated.
http://www.fda.gov/medwatch/safety/2006/safety06.htm#Trasylol
************************
FDA issued a Public Health Advisory to notify healthcare professionals that it has received
additional information about a new disease, known as Nephrogenic Systemic Fibrosis or
Nephrogenic Fibrosing Dermopathy (NSF/NFD), which may occur in patients with moderate
to end-stage kidney disease after they have had a Magnetic Resonance Imaging (MRI) or
Magnetic Resonance Angiography (MRA) scan with a gadolinium-based contrast agent.
FDA has received reports of 90 patients with moderate to end-stage kidney disease who
developed NSF/NFD after they had an MRI or MRA with a gadolinium-based contrast agent.
FDA is notifying health care providers and patients that: 1] Patients with moderate to end-stage
kidney disease who receive an MRI or MRA with a gadolinium-based contrast agent may get
NSF/NFD which is debilitating and may cause death, 2] Patients who believe they may have
NSF/NFD should contact their doctor, 3] When a patient with moderate to end-stage kidney
disease needs an imaging study, select imaging methods other than MRI or MRA with a
gadolinium-based contrast agent for the study whenever possible, and 4]
FDA asks health care professionals and patients to report possible cases of NSF/NFD to the
change washcloths, but what was I supposed to do with the used one?
I wished that I had brought my textbook into the room with me. I should have foreseen that
with a complicated patient care procedure such as this, I might need a reference.
I tried to recall if the subject of used washcloths had been addressed.
I remembered that there were two methods of holding the washcloth described. I mentally
reviewed them. There was the "triangular method" and the "rectangular method".
I remembered that I was to wash the various bits of the patient -from distal to proximal -
to promote venous circulation. I remembered I was to use long, smooth strokes with some firmness.
I was stumped. I thought that I had studied carefully. I had quizzed myself. I'd had my mother
quiz me. I made flashcards.
But what in the world was I supposed to do with the used washcloths?
I stood there with the washcloth I had used on the patient's face cooling in my hand, absolutely
at a loss and paralyzed to advance, or retreat. I was startled a little by a tap on the door.
"Everything going alright?" asked my instructor.
"Um, uh, sure," I said. "I was just washing Mr. Jones' face. And I was just wondering, I mean,
I studied the whole thing, and really, I know it.
I had decided to use the Triangular Bath Mitt Method and all, but I just wondered, "What am I supposed to do with the used washcloths when I'm done? I think I missed that part."
I have done a lot of different things as a nurse. Some of them were very simple; some of them
very difficult. None of them has been more difficult than that very first bath,
and I am fortunate that my patient was a good sport about it.
We both got through it, eventually. I am willing to bet that it was the most careful, complete and
tentative bath old Mr. Jones had ever had. And at 1 hour and 27 minutes almost certainly the longest.
Elizabeth Bussey Sowdal works in a trauma ICU in Oklahoma City.
~*~*~*~*~*~*~*~*~*~*~*~*~*~
CEU SITES---(CME and CNE)
Those that are-----Free and Otherwise..........
Bob Hess announced that Nursing Spectrum CE was changed on January 1 to: www.nurse.com
(Please a note of this change).
A website offering free CEUs:
http://www.medscape.com/cmecenterdirectory/nurses
This site is loaded with CE/CME offerings.......check it out.
http://www.medscape.com/nurses/ce
A huge offering of CEUs for LPNs and RNs.......for $24.99
https://nursing.advanceweb.com/Common/CE/Main.aspx
~*~*~*~*~*~*~*~*~*~*~*~*~*~
WEBSITES/ LINKS
Always on the lookout for interesting websites / links. Please send them to:
RNFrankie@bellsouth.net
A - Z Guide on Health Topics
http://www.webmd.com/a_to_z_guide/health_topics.htm
Rozalfaro's website (Roz) http://www.alfaroteachsmart.com/
Raconte's website (Geneviève) http://www.solutionsoutsidethebox.net,
(got this from the listserve...thought you all might be interested)
For the skinny on copyright, ... visit the Copyright Office at the Library of Congress website (_http://www.copyright.gov_ (http://www.copyright.gov) ).
*****************************************************
********************************
*
MEDICAL RECALLS
*
*****************************
****************************************************
FDA informed healthcare professionals and consumers that the Agency
ordered firms to stop marketing unapproved drug products containing
quinine, citing serious safety concerns, including deaths associated
with quinine products. There are multiple unapproved products
containing quinine currently on the market, used off-label to treat leg
cramps and similar conditions. Since 1969, FDA received 665 reports of
adverse
events with serious outcomes associated with quinine use, including 93
deaths. Quinine drugs are associated with serious side effects, such as
cardiac arrhythmias, thrombocytopenia, and severe hypersensitivity
reactions. Qualaquin, manufactured by Mutual Pharmaceutical Company, is
the only quinine product approved by the FDA.
http://www.fda.gov/medwatch/safety/2006/safety06.htm#Quinine
************************
FDA and Bayer Pharmaceuticals notified healthcare professionals of revisions to the prescribing
information for Trasylol. The new labeling has a more focused indication, a new Warning that
Trasylol administration increases the risk of renal dysfunction and may increase the need for dialysis
in the perioperative period, and stronger warnings about anaphylactic reactions. In addition, due
to the higher risk for anaphylactic reactions, re-administration of Trasylol to patients with a known or
suspected exposure during the past 12 months is contraindicated.
http://www.fda.gov/medwatch/safety/2006/safety06.htm#Trasylol
************************
FDA issued a Public Health Advisory to notify healthcare professionals that it has received
additional information about a new disease, known as Nephrogenic Systemic Fibrosis or
Nephrogenic Fibrosing Dermopathy (NSF/NFD), which may occur in patients with moderate
to end-stage kidney disease after they have had a Magnetic Resonance Imaging (MRI) or
Magnetic Resonance Angiography (MRA) scan with a gadolinium-based contrast agent.
FDA has received reports of 90 patients with moderate to end-stage kidney disease who
developed NSF/NFD after they had an MRI or MRA with a gadolinium-based contrast agent.
FDA is notifying health care providers and patients that: 1] Patients with moderate to end-stage
kidney disease who receive an MRI or MRA with a gadolinium-based contrast agent may get
NSF/NFD which is debilitating and may cause death, 2] Patients who believe they may have
NSF/NFD should contact their doctor, 3] When a patient with moderate to end-stage kidney
disease needs an imaging study, select imaging methods other than MRI or MRA with a
gadolinium-based contrast agent for the study whenever possible, and 4]
FDA asks health care professionals and patients to report possible cases of NSF/NFD to the
FDA through the MedWatch program.
http://www.fda.gov/medwatch/safety/2006/safety06.htm#Gadolinium
~*~*~*~*~*~*~*~*~*~*~*~*~*~
NURSING HINTS CORNER
When an incontinent patient needs a DuoDerm dressing on an area that can get soiled,
http://www.fda.gov/medwatch/safety/2006/safety06.htm#Gadolinium
~*~*~*~*~*~*~*~*~*~*~*~*~*~
NURSING HINTS CORNER
When an incontinent patient needs a DuoDerm dressing on an area that can get soiled,
I cover the Duo"Derm with a clean TEgaderm. That way, I can remove the tegaderm as needed
and replace it with a new one---withot having to disturb the DuoDerm. Nancy Redner, RN
Used with permission from 1,001 Nursing Tips & Timesavers, Third Edition, 1997, p. 46 Springhouse Corporation/www.springnet.com
~*~*~*~*~*~*~*~*~*~*~*~*~*~
ADVERTISEMENTS from the members
This ad is from Decubqueen @aol.com (Gerry).......... Accu-Ruler ( I like it...works well)
Accurate wound measurement designed by nurses, for nurses.
Now carrying wound care and first-aid supplies at prices you can afford. Free Shipping with first order.
Visit us at http://www.accu-ruler.com/.
~*~*~*~*~*~*~*~*~*~*~*~*~*~
This ad is from: GShort @AOL.com (Gwen) These are great little cakes !
http://www.delightfulgreetingcakes.com/worldsgreatest.php
~*~*~*~*~*~*~*~*~*~*~*~*~*~
NEW MEMBERS
Welcome to : (no new members this issue)
Please send the prospective members' screen names and first names to
me: RNFrankie@bellsouth.net
~*~*~*~*~*~*~*~*~*~*~*~*~*~
ADDRESS CHANGES
NOTICE: I attempt to send newsletters to your current email addresses on file and if the newsletters a
Used with permission from 1,001 Nursing Tips & Timesavers, Third Edition, 1997, p. 46 Springhouse Corporation/www.springnet.com
~*~*~*~*~*~*~*~*~*~*~*~*~*~
ADVERTISEMENTS from the members
This ad is from Decubqueen @aol.com (Gerry).......... Accu-Ruler ( I like it...works well)
Accurate wound measurement designed by nurses, for nurses.
Now carrying wound care and first-aid supplies at prices you can afford. Free Shipping with first order.
Visit us at http://www.accu-ruler.com/.
~*~*~*~*~*~*~*~*~*~*~*~*~*~
This ad is from: GShort @AOL.com (Gwen) These are great little cakes !
http://www.delightfulgreetingcakes.com/worldsgreatest.php
~*~*~*~*~*~*~*~*~*~*~*~*~*~
NEW MEMBERS
Welcome to : (no new members this issue)
Please send the prospective members' screen names and first names to
me: RNFrankie@bellsouth.net
~*~*~*~*~*~*~*~*~*~*~*~*~*~
ADDRESS CHANGES
NOTICE: I attempt to send newsletters to your current email addresses on file and if the newsletters a
re rejected THREE consecutive times, I must then delete the e-mail address until you contact me with an
updated e-mail address; I have no way to reach you without a correct e-mail address....Remember
most ISPs do not send the updated e-mail address. You could always send me your
Home number.......lol
Old Address: cambron@hiwaay.net.
New Address: cambron@nehp.net. (Laura)
AND
Old Address: Pd3RN@comcast.net
New Address: Pd3RN@oh.rr.com Kristi Kirschnick RN, COS-C, HCS-D
So please send me your new name/address, ok? rnfrankie@bellsouth.net
~*~*~*~*~*~*~*~*~*~*~*~*~*~
Editorial Staff: GingerMyst @AOL.com (Anne), GALLO RN @AOL.com (Sue),
HSears9868 @AOL.com (Bonnie), Laregis @AOL.com (Laura), Mrwrn @AOL.com
(Miriam), and Schulthe @AOL.com (Susan)
Membership BIO Committee...(if you haven't sent in your BIO....Please send it to the appropriate
section below) : Check by your screen name's first letter.........If you have any questions...feel free to
write either the Bio/Profile person or myself. Be very glad to help you.
BCK131 @AOL.com (Chris) A thru B section,
Dick515 @AOL.com (Eileen) C thru D section,
GALLO RN @AOL.com (Sue) E thru I section,
rnfrankie @bellsouth.net (Frankie) J thru K section,
Jntcln @AOL.com(Janet) L thru M section,
GALLO RN @AOL.com (Sue) N thru Q section
Schulthe @AOL.com (Susan) R thru T section
Sandy1956 @AOL.com (Sandy) U thru Z section.
Paradigm 97 Co-Founders:
MarGerlach @AOL.com (Marlene) and RNFrankie @bellsouth.net (Frankie)
+*+*+*+*+*+*+*+*+*+*+*+
DISCLAIMER:
The intent of this PARADIGM BYTES Newsletter is to provide communication and information
for our members. Please research the hyperlinks and information provided by our members.
The articles and web sites are not personally endorsed by the editors, nor do the articles necessarily
reflect the staff's views.
<<<<<<<<<<>>>>>>>>>>>
THOUGHT FOR THE DAY
If you have built castles in the air, your work need not
be lost; that is where they should be. Now put
the foundations under them.
Henry David Thoreau
Hope to hear from you ..... Frankie
(RNFrankie@bellsouth.net)
updated e-mail address; I have no way to reach you without a correct e-mail address....Remember
most ISPs do not send the updated e-mail address. You could always send me your
Home number.......lol
Old Address: cambron@hiwaay.net.
New Address: cambron@nehp.net. (Laura)
AND
Old Address: Pd3RN@comcast.net
New Address: Pd3RN@oh.rr.com Kristi Kirschnick RN, COS-C, HCS-D
So please send me your new name/address, ok? rnfrankie@bellsouth.net
~*~*~*~*~*~*~*~*~*~*~*~*~*~
Editorial Staff: GingerMyst @AOL.com (Anne), GALLO RN @AOL.com (Sue),
HSears9868 @AOL.com (Bonnie), Laregis @AOL.com (Laura), Mrwrn @AOL.com
(Miriam), and Schulthe @AOL.com (Susan)
Membership BIO Committee...(if you haven't sent in your BIO....Please send it to the appropriate
section below) : Check by your screen name's first letter.........If you have any questions...feel free to
write either the Bio/Profile person or myself. Be very glad to help you.
BCK131 @AOL.com (Chris) A thru B section,
Dick515 @AOL.com (Eileen) C thru D section,
GALLO RN @AOL.com (Sue) E thru I section,
rnfrankie @bellsouth.net (Frankie) J thru K section,
Jntcln @AOL.com(Janet) L thru M section,
GALLO RN @AOL.com (Sue) N thru Q section
Schulthe @AOL.com (Susan) R thru T section
Sandy1956 @AOL.com (Sandy) U thru Z section.
Paradigm 97 Co-Founders:
MarGerlach @AOL.com (Marlene) and RNFrankie @bellsouth.net (Frankie)
+*+*+*+*+*+*+*+*+*+*+*+
DISCLAIMER:
The intent of this PARADIGM BYTES Newsletter is to provide communication and information
for our members. Please research the hyperlinks and information provided by our members.
The articles and web sites are not personally endorsed by the editors, nor do the articles necessarily
reflect the staff's views.
<<<<<<<<<<>>>>>>>>>>>
THOUGHT FOR THE DAY
If you have built castles in the air, your work need not
be lost; that is where they should be. Now put
the foundations under them.
Henry David Thoreau
Hope to hear from you ..... Frankie
(RNFrankie@bellsouth.net)
