PARADIGM BYTES
Newsletter for Paradigm 97
January 12, 2010
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. Our website...... http://paradigm97.blogspot.com/ Please copy, paste, and bookmark it.
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.
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SNIPPETS
ABOUT THE PATIENT-CENTERED CARE IMPROVEMENT GUIDE (sent in by BAcello-- Barbara)
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.
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SNIPPETS
ABOUT THE PATIENT-CENTERED CARE IMPROVEMENT GUIDE (sent in by BAcello-- Barbara)
Considered a radical concept not so long ago, today patient-centered care is a core component of healthcare quality recognized by the Institute of Medicine. In broad terms, patient-centered care is a model in which providers partner with patients and their families to identify and satisfy the full range of patient needs and preferences, while simultaneously supporting the professional and personal aspirations of their staff. The adoption of the HCAHPS survey as a nationally standardized, publicly-reported standard for evaluating the patient experience has made implementation of a patient-centered approach a priority for countless healthcare leaders. However, the reality is that, for many, the fundamentals of what it means to be patient-centered remain unclear, and many organizations struggle with how to actualize the concept into the day-to-day business of caring for patients and families.To address this widespread interest, Planetree joined forces with the Picker Institute to develop a resource that would translate patient-centered care from a nebulous concept into a concrete one. Founded 30 years ago, Planetree is a not-for-profit organization that partners with healthcare organizations to transform organizational cultures and improve the patient experience; the Picker Institute is an international non-profit organization that supports research in the field of patient-centered care.The new Patient-Centered Care Improvement Guide represents the culmination of this year-long collaboration. It reflects the collective wisdom of organizations implementing patient-centered care at an advanced level, as well as the experiences of those whose efforts have been hindered by any number of barriers. ttp://tinyurl.com/ybc6roh http://www.patient-centeredcare.org/inside/abouttheguide.html
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Sandy Summers directs this non-profit organization and they need all the support they can get. The Truth is instrumental in "watchdogging" TV and media portrayals of nursing....this includes public speakers....to persuade the media to portray nurses accurately. Please help keep the Truth going strong.
Best and Worst of the Decade Awards Baltimore, MD, December 31, 2009 -- The Truth About Nursing announces its list of the best and worst media portrayals of nurses it saw between 2000 and 2009. The Truth's Decade Awards highlight media portrayals from a decade in which the world has faced a deadly nursing shortage fueled in significant part by poor public understanding of the profession. The three new nurse-focused shows that appeared on U.S. television in 2009, led by Showtime's Nurse Jackie and NBC's Mercy, made the "best" list despite their recent appearance, because they have presented millions of viewers with compelling portrayals of skilled nurses fighting for patients. But the nursing group said that on the whole, the global media continues to undermine the profession...
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Sandy Summers directs this non-profit organization and they need all the support they can get. The Truth is instrumental in "watchdogging" TV and media portrayals of nursing....this includes public speakers....to persuade the media to portray nurses accurately. Please help keep the Truth going strong.
Best and Worst of the Decade Awards Baltimore, MD, December 31, 2009 -- The Truth About Nursing announces its list of the best and worst media portrayals of nurses it saw between 2000 and 2009. The Truth's Decade Awards highlight media portrayals from a decade in which the world has faced a deadly nursing shortage fueled in significant part by poor public understanding of the profession. The three new nurse-focused shows that appeared on U.S. television in 2009, led by Showtime's Nurse Jackie and NBC's Mercy, made the "best" list despite their recent appearance, because they have presented millions of viewers with compelling portrayals of skilled nurses fighting for patients. But the nursing group said that on the whole, the global media continues to undermine the profession...
http://www.truthaboutnursing.org/press/awards/2000-09_decade/awd.html (She followed up with the following note: You must see Mercy: http://www.nbc.com/mercy/
You can see some of the most recent ones on the web. Overall, it's very good for nurses. We should be rejoicing!
You can see some of the most recent ones on the web. Overall, it's very good for nurses. We should be rejoicing!
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FROM THE MEMBERS
This is from Sandy Summers The Truth About Nursing "Nurses: Pain affects everything else" September 14, 2009 -- Today United Press International (UPI) issued a short item about the pain management research of Johns Hopkins nurse scholars Gayle Page and Sharon Kozachik. The main idea is that the nurses have "determined through research that pain management is not only a matter of compassion, but a medical necessity for patients to heal"--a statement that could as easily be made about the profession of nursing, which many decision-makers see as being more about compassion than life-saving. The piece includes short quotes by both scholars. Page says pain is an "exquisite stressor" because it affects so many components of wellbeing, from sleep to the ability to heal. Kozachik describes the challenge of finding the point at which pain is adequately managed--a line that is vital to clinical care. The piece notes that the research relies on animal studies; it does not explore the ethical issues involved. The item might have described more of the specific effects of this research on patient outcomes and costs, and told readers that Page and Kozachik are leading scholars with doctorates. But on the whole, the piece is a good example of press coverage of nursing research, coverage that remains rare. Indeed, though the UPI item (presumably the result of a September 11 Hopkins press release) was noted on a few health-oriented web sites, we saw no other mainstream press coverage. We commend UPI and Hopkins for their efforts to inform the public about the value of nursing research. more...
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MEDICAL NEWS
One superbug infection costs hospital $60,000: Study WASHINGTON (Reuters 12/15) - A single patient infected with the increasingly common "superbug" known as MRSA can cost a hospital $60,000, U.S. researchers reported Tuesday....
http://www.reuters.com/article/idUSTRE5BE5M020091215?feedType=nl&feedName=ushealth1100
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INTERESTING READING
Please remember that the REUTERS articles usually good for only 30 days
FROM THE MEMBERS
This is from Sandy Summers The Truth About Nursing "Nurses: Pain affects everything else" September 14, 2009 -- Today United Press International (UPI) issued a short item about the pain management research of Johns Hopkins nurse scholars Gayle Page and Sharon Kozachik. The main idea is that the nurses have "determined through research that pain management is not only a matter of compassion, but a medical necessity for patients to heal"--a statement that could as easily be made about the profession of nursing, which many decision-makers see as being more about compassion than life-saving. The piece includes short quotes by both scholars. Page says pain is an "exquisite stressor" because it affects so many components of wellbeing, from sleep to the ability to heal. Kozachik describes the challenge of finding the point at which pain is adequately managed--a line that is vital to clinical care. The piece notes that the research relies on animal studies; it does not explore the ethical issues involved. The item might have described more of the specific effects of this research on patient outcomes and costs, and told readers that Page and Kozachik are leading scholars with doctorates. But on the whole, the piece is a good example of press coverage of nursing research, coverage that remains rare. Indeed, though the UPI item (presumably the result of a September 11 Hopkins press release) was noted on a few health-oriented web sites, we saw no other mainstream press coverage. We commend UPI and Hopkins for their efforts to inform the public about the value of nursing research. more...
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MEDICAL NEWS
One superbug infection costs hospital $60,000: Study WASHINGTON (Reuters 12/15) - A single patient infected with the increasingly common "superbug" known as MRSA can cost a hospital $60,000, U.S. researchers reported Tuesday....
http://www.reuters.com/article/idUSTRE5BE5M020091215?feedType=nl&feedName=ushealth1100
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INTERESTING READING
Please remember that the REUTERS articles usually good for only 30 days
Solving the RN Shortage: When something works well in the nursing community, there's a tendency to want to share it with colleagues so everyone can benefit. That's the feeling now in New England where three states - Massachusetts, Rhode Island and New Hampshire - have joined forces against a long-term nursing shortage by developing a regional approach to nursing education.
With a $250,000 grant, the Tufts Health Plan Foundation is boosting this tri-state collaboration in an effort called "Creativity and Connections: Building a Regional Nursing Education Framework."
Tufts is one of 19 foundations nationwide to receive funding from "Partners Investing in Nursing's Future," an initiative led by the Robert Wood Johnson Foundation and the Northwest Health Foundation.
The idea is to test innovative ideas locally, find out what works and then share those ideas with nurses nationwide. ... http://nursing.advanceweb.com/editorial/content/editorial.aspx?cc=210644
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Kaplan L et al. – The Doctor of Nursing Practice (DNP) educational preparation for advanced practice nursing and DNP role development are innovations that require intense scrutiny through formative and summative evaluation. It is imperative to move beyond standard curriculum evaluation approaches to capture the transformation of advanced nursing practice and the profession. The University of Washington School of Nursing designed a comprehensive DNP evaluation plan that focuses on both program effectiveness and the experience of transition as described by faculty and students. The evaluation plan is outlined, and lessons learned regarding data collection, student and faculty participation, and institutional review board approval are discussed. Examples of instruments are included.... http://nln.allenpress.com/nlnonline/?request=get-abstract&issn=1536-5026&volume=030&issue=06&page=0362
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RANDOM FACT: Take a closer look at this sentence: The quick brown fox jumps over the lazy yellow dog. It uses every letter in the alphabet.
With a $250,000 grant, the Tufts Health Plan Foundation is boosting this tri-state collaboration in an effort called "Creativity and Connections: Building a Regional Nursing Education Framework."
Tufts is one of 19 foundations nationwide to receive funding from "Partners Investing in Nursing's Future," an initiative led by the Robert Wood Johnson Foundation and the Northwest Health Foundation.
The idea is to test innovative ideas locally, find out what works and then share those ideas with nurses nationwide. ... http://nursing.advanceweb.com/editorial/content/editorial.aspx?cc=210644
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Kaplan L et al. – The Doctor of Nursing Practice (DNP) educational preparation for advanced practice nursing and DNP role development are innovations that require intense scrutiny through formative and summative evaluation. It is imperative to move beyond standard curriculum evaluation approaches to capture the transformation of advanced nursing practice and the profession. The University of Washington School of Nursing designed a comprehensive DNP evaluation plan that focuses on both program effectiveness and the experience of transition as described by faculty and students. The evaluation plan is outlined, and lessons learned regarding data collection, student and faculty participation, and institutional review board approval are discussed. Examples of instruments are included.... http://nln.allenpress.com/nlnonline/?request=get-abstract&issn=1536-5026&volume=030&issue=06&page=0362
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RANDOM FACT: Take a closer look at this sentence: The quick brown fox jumps over the lazy yellow dog. It uses every letter in the alphabet.
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Reflux Esophagitis Due to Immune Reaction, Not Acute Acid Burn Contrary to current thinking, a condition called gastroesophageal reflux disease (GERD) might not develop as a direct result of acidic digestive juices burning the esophagus, UT Southwestern Medical Center researchers have found in an animal study.
Rather, gastroesophageal reflux spurs the esophageal cells to release chemicals called cytokines, which attract inflammatory cells to the esophagus. It is those inflammatory cells, drawn to the esophagus by cytokines, that cause the esophageal damage that is characteristic of GERD. The condition is manifested by symptoms such as heartburn and chest pain.... http://nursing.advanceweb.com/Editorial/Content/Editorial.aspx?CC=211176
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Cost effectiveness and outcomes of a nurse practitioner–paramedic–family physician model of care: the Long and Brier Islands study
http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=3473864
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Swine flu not as "catchy" as other pandemic strains A study found that the odds of catching the H1N1 flu from a household member were about one in eight, a rate lower than that of previous pandemics. However, children younger than 18 were twice as likely as adults younger than 50 to contract the virus, according to U.S. and British researchers.... http://news.yahoo.com/s/ap/20091230/ap_on_he_me/us_med_swine_flu;_ylt=AiI SpwpJ98sDtp13p5jrntfVJRIF;_ylu=X3oDMTJobHE4aXIyBGFzc2V0A2FwLzIwMDkx MjMwL3VzX21lZF9zd2luZV9mbHUEY3BvcwMxBHBvcwMyBHNlYwN5bl90b3Bfc3 RvcnkEc2xrA3N3aW5lZmx1bm90YQ
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NEW YORK (Reuters 12/29) - Breast milk can be refrigerated for up to four days without losing its nutritional value or allowing bacteria to build up, a small study suggests.
Guidelines on safe storage of breast milk vary somewhat. But in general, it's thought that breast milk can be refrigerated at 39 degrees Fahrenheit for as long as five to eight days, though it should ideally be used within two or three days.... http://abcnews.go.com/Health/wireStory?id=9442401
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WASHINGTON (Reuters 12/30) - Elevated levels of three proteins show ovarian cancer is starting to grow years before women are diagnosed, but they do not increase soon enough to be an early indicator of the disease, U.S. researchers said on Wednesday... http://www.reuters.com/article/idUSTRE5BT4FQ20091230?feedType=nl&feedName=ushealth1100
(apparently as much as three years prior)
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RANDOM FACT A cat’s ability to see well at night is due to its taptum, a membrane that reflects the light from the back of the cat’s eye. It’s also what causes the weird “glowing” effect in the dark.
Reflux Esophagitis Due to Immune Reaction, Not Acute Acid Burn Contrary to current thinking, a condition called gastroesophageal reflux disease (GERD) might not develop as a direct result of acidic digestive juices burning the esophagus, UT Southwestern Medical Center researchers have found in an animal study.
Rather, gastroesophageal reflux spurs the esophageal cells to release chemicals called cytokines, which attract inflammatory cells to the esophagus. It is those inflammatory cells, drawn to the esophagus by cytokines, that cause the esophageal damage that is characteristic of GERD. The condition is manifested by symptoms such as heartburn and chest pain.... http://nursing.advanceweb.com/Editorial/Content/Editorial.aspx?CC=211176
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Cost effectiveness and outcomes of a nurse practitioner–paramedic–family physician model of care: the Long and Brier Islands study
http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=3473864
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Swine flu not as "catchy" as other pandemic strains A study found that the odds of catching the H1N1 flu from a household member were about one in eight, a rate lower than that of previous pandemics. However, children younger than 18 were twice as likely as adults younger than 50 to contract the virus, according to U.S. and British researchers.... http://news.yahoo.com/s/ap/20091230/ap_on_he_me/us_med_swine_flu;_ylt=AiI SpwpJ98sDtp13p5jrntfVJRIF;_ylu=X3oDMTJobHE4aXIyBGFzc2V0A2FwLzIwMDkx MjMwL3VzX21lZF9zd2luZV9mbHUEY3BvcwMxBHBvcwMyBHNlYwN5bl90b3Bfc3 RvcnkEc2xrA3N3aW5lZmx1bm90YQ
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NEW YORK (Reuters 12/29) - Breast milk can be refrigerated for up to four days without losing its nutritional value or allowing bacteria to build up, a small study suggests.
Guidelines on safe storage of breast milk vary somewhat. But in general, it's thought that breast milk can be refrigerated at 39 degrees Fahrenheit for as long as five to eight days, though it should ideally be used within two or three days.... http://abcnews.go.com/Health/wireStory?id=9442401
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WASHINGTON (Reuters 12/30) - Elevated levels of three proteins show ovarian cancer is starting to grow years before women are diagnosed, but they do not increase soon enough to be an early indicator of the disease, U.S. researchers said on Wednesday... http://www.reuters.com/article/idUSTRE5BT4FQ20091230?feedType=nl&feedName=ushealth1100
(apparently as much as three years prior)
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RANDOM FACT A cat’s ability to see well at night is due to its taptum, a membrane that reflects the light from the back of the cat’s eye. It’s also what causes the weird “glowing” effect in the dark.
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New Guidelines Urge A1C Test for Diabetes Diagnosis The American Diabetes Association issued new clinical guidelines calling for the use of the hemoglobin A1C blood test in diagnosing Type 2 diabetes and prediabetes, saying it is easier and more convenient than other testing. The guidelines say A1C levels between 5.7% and 6.4% indicate prediabetes, while levels 6.5% or higher warrant a diabetes diagnosis.... http://news.yahoo.com/s/hsn/20091229/hl_hsn/newguidelinesurgea1ctestfordiabetesdiagnosis
RANDOM FACT Dry cereal for breakfast was invented by John Henry Kellogg at the turn of the century .
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Electronic health records aren't helping to improve care coordination between patients and clinicians in some areas, particularly in enabling data exchange across different care settings, according to research sponsored by the Commonwealth Fund. The results show that "improving care coordination will not happen with technology alone," said Commonwealth Fund Vice President Anne-Marie Audet, adding, "What is needed is a redesign of care processes and work flow; clinicians will also need to adopt new ways of working and communicating within practices and across organizations." Modern Healthcare (free registration) (12/29) https://home.modernhealthcare.com/clickshare/authenticateUserSubscription.do?CSProduct=modernhealthcare&CSAuthReq=1:173348963480125:AIDIDAID=20091229/REG/312299984ID=:34A236A0A8ECE7FEE771E9295B9EF941&AID=20091229/REG/312299984&title=HITS%20brief2%20EHRs%20fall%20short%20to%20improve%20care%20coordination%3A%20study&ID=&CSTargetURL=http%3A%2F%2Fwww.modernhealthcare.com%2Fapps%2Fpbcs.dll%2Flogin%3FAssignSessionID%3D173348963480125%26AID%3D20091229%2FREG%2F312299984
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The Impact of Registered Nurses While A et al. – With the move to all–graduate registered nursing, the benefit of the registered nurse to patients' lives will be closely scrutinized in the coming months. The jibe 'too posh to wash' challenges the ethos of academic nurse education that highlights the need to base care on both the patient's psychosocial needs and on evidence–based clinical interventions. Indeed, the invisibility of technical nursing care from media portrayals is a cause for concern. http://www.bjcn.co.uk/cgi-bin/go.pl/library/article.html?uid=45534;article=BJCN_14_12_558
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With autism at 1 in 110 kids, treatment in demand (Reuters 12/18) - New federal estimates suggest that autism affects as many as one in 110 U.S. children - a staggering number to receive a diagnosis of an incurable lifetime condition. Advocacy groups have been clamoring for treatment options and for better research to show what might be causing the apparent increase in numbers, and the new estimates may add to pressure on both fronts.
Drug companies are likely to look closer at the potential of medical treatments for autism. In July, Pfizer Inc, the world's largest drugmaker, said it would start developing treatments for autism. Specialists in non-medical therapy may be looking for funding to redouble efforts to find ways to help children with autism using psychological approaches, cognitive therapy and other types of training. School districts and local governments will come under more pressure to offer expensive, specialized services for children diagnosed with autism... . http://www.reutershealth.com/archive/2009/12/18/eline/links/20091218elin011.html
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New Guidelines Urge A1C Test for Diabetes Diagnosis The American Diabetes Association issued new clinical guidelines calling for the use of the hemoglobin A1C blood test in diagnosing Type 2 diabetes and prediabetes, saying it is easier and more convenient than other testing. The guidelines say A1C levels between 5.7% and 6.4% indicate prediabetes, while levels 6.5% or higher warrant a diabetes diagnosis.... http://news.yahoo.com/s/hsn/20091229/hl_hsn/newguidelinesurgea1ctestfordiabetesdiagnosis
RANDOM FACT Dry cereal for breakfast was invented by John Henry Kellogg at the turn of the century .
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Electronic health records aren't helping to improve care coordination between patients and clinicians in some areas, particularly in enabling data exchange across different care settings, according to research sponsored by the Commonwealth Fund. The results show that "improving care coordination will not happen with technology alone," said Commonwealth Fund Vice President Anne-Marie Audet, adding, "What is needed is a redesign of care processes and work flow; clinicians will also need to adopt new ways of working and communicating within practices and across organizations." Modern Healthcare (free registration) (12/29) https://home.modernhealthcare.com/clickshare/authenticateUserSubscription.do?CSProduct=modernhealthcare&CSAuthReq=1:173348963480125:AIDIDAID=20091229/REG/312299984ID=:34A236A0A8ECE7FEE771E9295B9EF941&AID=20091229/REG/312299984&title=HITS%20brief2%20EHRs%20fall%20short%20to%20improve%20care%20coordination%3A%20study&ID=&CSTargetURL=http%3A%2F%2Fwww.modernhealthcare.com%2Fapps%2Fpbcs.dll%2Flogin%3FAssignSessionID%3D173348963480125%26AID%3D20091229%2FREG%2F312299984
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The Impact of Registered Nurses While A et al. – With the move to all–graduate registered nursing, the benefit of the registered nurse to patients' lives will be closely scrutinized in the coming months. The jibe 'too posh to wash' challenges the ethos of academic nurse education that highlights the need to base care on both the patient's psychosocial needs and on evidence–based clinical interventions. Indeed, the invisibility of technical nursing care from media portrayals is a cause for concern. http://www.bjcn.co.uk/cgi-bin/go.pl/library/article.html?uid=45534;article=BJCN_14_12_558
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With autism at 1 in 110 kids, treatment in demand (Reuters 12/18) - New federal estimates suggest that autism affects as many as one in 110 U.S. children - a staggering number to receive a diagnosis of an incurable lifetime condition. Advocacy groups have been clamoring for treatment options and for better research to show what might be causing the apparent increase in numbers, and the new estimates may add to pressure on both fronts.
Drug companies are likely to look closer at the potential of medical treatments for autism. In July, Pfizer Inc, the world's largest drugmaker, said it would start developing treatments for autism. Specialists in non-medical therapy may be looking for funding to redouble efforts to find ways to help children with autism using psychological approaches, cognitive therapy and other types of training. School districts and local governments will come under more pressure to offer expensive, specialized services for children diagnosed with autism... . http://www.reutershealth.com/archive/2009/12/18/eline/links/20091218elin011.html
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RANDOM FACT: Starfish don't have brains. They feel their way through life just using the senses of touch and taste and smell.
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Neutralize LDL with This Party Snack Cholesterol. You know it's bad for your heart and arteries. But you could make it less bad with this crunchy party snack: almonds. Turns out almonds not only improve cholesterol levels but also help make LDL -- the bad cholesterol -- less likely to oxidize. Which is great, because LDL can do scary things when it's oxidized, like block arteries and cut blood flow to the heart.... http://www.realage.com/tips/neutralize-ldl-with-this-party snack
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RANDOM FACT: Lack of water is the #1 trigger of daytime fatigue. *******************
Survey data on the H1N1 flu in the U.S. showed at least 60 million people have been vaccinated against it, and children are twice as likely as adults to have the protection. The CDC said about 100 million doses of the vaccine are now available throughout the U.S.... http://news.yahoo.com/s/afp/20091222/hl_afp/healthfluuschildrenvaccine
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Tumors can re-seed themselves, study finds (Reuters 12/24) Tumors can not only spread throught the body by sending out tiny cells called seeds, but they can re-seed themselves, researchers said in a report on Thursday that may help explain why tumors grow back even after they are removed.... http://www.reuters.com/article/idUSTRE5BN2N320091224?feedType=nl&feedName=ushealth1100
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RANDOM FACT: Maine is the only state in the United States whose name is one syllable.
Neutralize LDL with This Party Snack Cholesterol. You know it's bad for your heart and arteries. But you could make it less bad with this crunchy party snack: almonds. Turns out almonds not only improve cholesterol levels but also help make LDL -- the bad cholesterol -- less likely to oxidize. Which is great, because LDL can do scary things when it's oxidized, like block arteries and cut blood flow to the heart.... http://www.realage.com/tips/neutralize-ldl-with-this-party snack
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RANDOM FACT: Lack of water is the #1 trigger of daytime fatigue. *******************
Survey data on the H1N1 flu in the U.S. showed at least 60 million people have been vaccinated against it, and children are twice as likely as adults to have the protection. The CDC said about 100 million doses of the vaccine are now available throughout the U.S.... http://news.yahoo.com/s/afp/20091222/hl_afp/healthfluuschildrenvaccine
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Tumors can re-seed themselves, study finds (Reuters 12/24) Tumors can not only spread throught the body by sending out tiny cells called seeds, but they can re-seed themselves, researchers said in a report on Thursday that may help explain why tumors grow back even after they are removed.... http://www.reuters.com/article/idUSTRE5BN2N320091224?feedType=nl&feedName=ushealth1100
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RANDOM FACT: Maine is the only state in the United States whose name is one syllable.
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Study urges zero weight gain in pregnancy for obese women Researchers with the four-year Healthy Moms study said obese pregnant women should try not to gain any pounds at all, and if they do, to limit it to 3% of their baseline weight. Women in the study will be followed through their pregnancies and will meet with a dietitian and participate in weekly support groups led by weight management specialists.... The New York Times (12/14) http://www.nytimes.com/2009/12/15/health/15obese.html?_r=3&ref=health
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Alzheimer's protein may be early risk factor (Reuters 12/14) - Imaging tests may be able to detect the early signs of Alzheimer's disease long before it begins to affect memory, a finding that may lead to earlier, more effective treatments, U.S. researchers said on Monday.... http://www.reuters.com/article/idUSTRE5BE05720091215?feedType=nl&feedName=ushealth1100
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THRIFTY TIP: The federal government will reimburse you for 30 percent of the cost, up to $1,500 for highly efficient insulation. Additionally, low-income households can qualify for an average of $6,500 worth of weatherization improvements to their homes through government programs administered by each state! Please pass this on to your elderly and poor patients
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Nurse-Midwives' Experienes with Planned Home Birth: Impact on Attitudes and Practice Vedam S et al. – The results suggest that nurse–midwives' choice of practice site and comfort with planned home birth are strongly influenced by the nature and amount of exposure to home birth during professional education or practice experiences, in addition to interprofessional, logistic, and environmental factors. Findings from this research may inform interdisciplinary education and collaborative practice in the area of planned home birth..... http://www3.interscience.wiley.com/journal/123190787/abstract?CRETRY=1&SRETRY=0
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RANDOM FACT: The term Cop comes from Constable on Patrol, which is a term used in England.
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Starting some solid foods late boosts allergy risk Researchers from Finland found that children introduced to certain foods later were more likely to become sensitized to them, increasing their risk of developing full-blown allergies.
The American Academy of Pediatrics and other authorities on child health recommend babies be breastfed exclusively up to six months of age, at which time parents can begin introducing solid food. But there is evidence that this strategy may increase children's likelihood of developing allergic disease, Dr. Bright Nwaru of the University of Tampere and colleagues note in the journal Pediatrics.... http://www.reuters.com/article/idUSTRE5B75F120091208?feedType=nl&feedName=ushealth1100
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Osteoporosis prevention and nutrition Current Osteoporosis Reports, 12/02/09 Tucker KL et al. – Although calcium and vitamin D have been the primary focus of nutritional prevention of osteoporosis, recent research has clarified the importance of several additional nutrients and food constituents. Further, results of calcium and vitamin D supplementation trials have been inconsistent, suggesting that reliance on this intervention may be inadequate. In addition to dairy, fruit and vegetable intake has emerged as an important modifiable protective factor for bone health. Several nutrients, including magnesium, potassium, vitamin C, vitamin K, several B vitamins, and carotenoids, have been shown to be more important than previously realized. Rather than having a negative effect on bone, protein intake appears to benefit bone status, particularly in older adults. Regular intake of cola beverages shows negative effects and moderate alcohol intake shows positive effects on bone, particularly in older women. Current research on diet and bone status supports encouragement of balanced diets with plenty of fruit and vegetables, adequate dairy and other protein foods, and limitation of foods with low nutrient density. ...
http://www.mdlinx.com/NurseLinx/newsl-article.cfm/2970004/ZZ5603146585149290157159/?news_id=467
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Prasugrel for acute coronary syndromes: Faster, more potent, but higher bleeding risk Prasugrel (Effient) has been approved for reducing the risk of thrombotic complications in patients with acute coronary syndromes who are to undergo percutaneous coronary intervention. In a large clinical trial (N Engl J Med 2007; 357:2001–2005), prasugrel was superior to clopidogrel (Plavix), another drug of its class, in this situation. However, bleeding complications were more frequent with prasugrel, and so this drug should be avoided in patients at higher risk of bleeding.... (full text available) http://www.ccjm.org/content/76/12/707.full
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FDA targets rogue Internet pharmacies The U.S. Food and Drug Administration is pressuring a number of Internet service providers to shut off nearly 12 dozen Web sites alleged to be selling counterfeit or unapproved prescription drugs. The FDA's office of criminal investigations said it sent 22 warning letters to the operators of the sites, and alerted the appropriate ISPs and domain name registrars that the sites were selling phony pharmaceuticals, all without requiring a prescription. The agency said none of the sites represent pharmacies located in the United States or Canada, as most claim.... http://www.legitscript.com/blog/110
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Walmart's $4 Drugs Coming From Indian Company Whose Products Have Been Banned In US and Canada http://www.citizens.org/?p=398
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The Seven women's health problems doctors still miss........ http://www.cnn.com/2009/HEALTH/10/19/undiagnosed.women.problem/index.html
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Body mass and waist size can predict heart disease A large 10-year study found that half of all fatal heart disease cases and a quarter of all non-fatal cases are linked to being overweight and having a high body mass index (BMI) or large waist.
Body mass index and waist circumference are well known risk factors for cardiovascular diseases but the Dutch researchers said their work showed BMI and waist size could actually help predict the risk of dying from or developing heart disease.... http://www.reuters.com/article/idUSTRE5B63ZT20091207?feedType=nl&feedName=ushealth1100
*********************
Bone loss or lost bone: Rationale and recommendations for the diagnosis and treatment Zaidi M et al. – Recent reports suggest that bone loss begins during late perimenopause at a dramatic rate, even before estrogen levels plummet. During the ensuing 5 years, there is evidence of the beginnings of microarchitectural deterioration, which impacts bone strength and ultimately enhances its propensity to fracture. The diagnosis of osteoporosis based on T–scores alone, or through stratification for a high fracture risk by FRAX, excludes these women who are rapidly losing bone. Because all antiosteoporosis therapies, in particular bisphosphonates, reduce bone loss, we propose aggressive, likely short–term therapy with a goal to reduce bone loss, stabilize bone density, and prevent microarchitectural deterioration.... http://www.metapress.com/content/vt62n015k318763x/
************************
The following was submitted by KurtUllman@sprintmail.com Kurt:
Why Females Live Longer Than Males: Is It Due to the Father's Sperm? ScienceDaily (Dec. 2, 2009) — Researchers in Japan have found that female mice produced by using genetic material from two mothers but no father live significantly longer than mice with the normal mix of maternal and paternal genes. Their findings provide the first evidence that sperm genes may have a detrimental effect on lifespan in mammals.http://www.sciencedaily.com/releases/2009/12/091201192105.htm
******************
RANDOM FACT A ten gallon hat holds less then one gallon of liquid.
********************
Less is More: Simplified 4-step Algorithm Improves BP Control With Simple Algorithm, 20% More Reached BP Target Feldman explained to heartwire that the Canadian Hypertension Education Program (CHEP) guidelines currently cover 162 recommendations including, for example, a choice of five first-line drugs.
"Hypertension globally is a general-practitioner-based disease; they've got BP guidelines and lots of other guidelines to follow, and we know it's difficult for them to find the time and make the effort to control BP. And patients don't like taking pills either—we know that the more pills they are taking, the more likely they are to stop taking them, and the more switches that occur, the less likely they are to comply."
So the researchers developed the Simplified Treatment Intervention to Control Hypertension (STITCH) algorithm, which consists of four steps: initial use of a low dose of diuretic/ACE-inhibitor or diuretic/angiotensin-receptor blocker (ARB) fixed-dose combination; uptitration of combination therapy to the highest dose; addition of a calcium-channel blocker and up-titration; and addition of a non–first-line antihypertensive agent .... http://cme.medscape.com/viewarticle/590398
************************
Add these to your veggies for extra energy Green beans, broccoli, squash . . . eke out a little extra get-through-the-day energy from them with this topper: toasted sesame seeds.
These nutty little seeds are loaded with magnesium -- a mineral that cells need in order to convert food to energy, according to Dr. Maoshing Ni, author of Second Spring. Add the seeds to bread, cookie, and muffin batters, too, for extra magnesium and a delicate crunch.... http://www.realage.com/tips/add-these-to-your-veggies-for-extra-energy
*********************
Breast Cancer's Spread Now Better Understood SUNDAY, Dec. 6 (HealthDay News) -- The spread of breast cancer cells from the main tumor to other parts of the body is controlled by a growth factor known as TGFb, which may prove a promising target for new drugs to prevent metastatic breast cancer, British researchers say.
Previous studies have shown that TGFb (transforming growth factor beta) regulates normal cell growth and movement. In this new study, a team from Cancer Research UK used an advanced microscopy and analysis technique to document the movement of cancer cells from primary breast tumor sites in mice.... http://www.healthday.com/Article.asp?AID=633611
***************
Geriatric Resource Information Program (GRIP) The Geriatric Resource Information Program (GRIP) from the University of Minnestota Center on Aging, links to 15 up-to-date, highly informative video lectures recently developed by experts on key health care topics pertinent to the care of older individuals. The lectures are intended for a wide variety of professional audiences, and can be easily accessed from any computer. Each module lasts about an hour and consists of an expert-narrated PowerPoint slide presentation, and short exam. Lecture notes can be downloaded for every module.Topics include: End of Life Care, Nursing Home Care, Dementia Drug Therapy, Incontinence, Elder Abuse, Geriatric Rehabilitation, Assessment, .... and more http://tinyurl.com/yeaqskv
Study urges zero weight gain in pregnancy for obese women Researchers with the four-year Healthy Moms study said obese pregnant women should try not to gain any pounds at all, and if they do, to limit it to 3% of their baseline weight. Women in the study will be followed through their pregnancies and will meet with a dietitian and participate in weekly support groups led by weight management specialists.... The New York Times (12/14) http://www.nytimes.com/2009/12/15/health/15obese.html?_r=3&ref=health
*******************
Alzheimer's protein may be early risk factor (Reuters 12/14) - Imaging tests may be able to detect the early signs of Alzheimer's disease long before it begins to affect memory, a finding that may lead to earlier, more effective treatments, U.S. researchers said on Monday.... http://www.reuters.com/article/idUSTRE5BE05720091215?feedType=nl&feedName=ushealth1100
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THRIFTY TIP: The federal government will reimburse you for 30 percent of the cost, up to $1,500 for highly efficient insulation. Additionally, low-income households can qualify for an average of $6,500 worth of weatherization improvements to their homes through government programs administered by each state! Please pass this on to your elderly and poor patients
*********************
Nurse-Midwives' Experienes with Planned Home Birth: Impact on Attitudes and Practice Vedam S et al. – The results suggest that nurse–midwives' choice of practice site and comfort with planned home birth are strongly influenced by the nature and amount of exposure to home birth during professional education or practice experiences, in addition to interprofessional, logistic, and environmental factors. Findings from this research may inform interdisciplinary education and collaborative practice in the area of planned home birth..... http://www3.interscience.wiley.com/journal/123190787/abstract?CRETRY=1&SRETRY=0
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RANDOM FACT: The term Cop comes from Constable on Patrol, which is a term used in England.
**************
Starting some solid foods late boosts allergy risk Researchers from Finland found that children introduced to certain foods later were more likely to become sensitized to them, increasing their risk of developing full-blown allergies.
The American Academy of Pediatrics and other authorities on child health recommend babies be breastfed exclusively up to six months of age, at which time parents can begin introducing solid food. But there is evidence that this strategy may increase children's likelihood of developing allergic disease, Dr. Bright Nwaru of the University of Tampere and colleagues note in the journal Pediatrics.... http://www.reuters.com/article/idUSTRE5B75F120091208?feedType=nl&feedName=ushealth1100
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Osteoporosis prevention and nutrition Current Osteoporosis Reports, 12/02/09 Tucker KL et al. – Although calcium and vitamin D have been the primary focus of nutritional prevention of osteoporosis, recent research has clarified the importance of several additional nutrients and food constituents. Further, results of calcium and vitamin D supplementation trials have been inconsistent, suggesting that reliance on this intervention may be inadequate. In addition to dairy, fruit and vegetable intake has emerged as an important modifiable protective factor for bone health. Several nutrients, including magnesium, potassium, vitamin C, vitamin K, several B vitamins, and carotenoids, have been shown to be more important than previously realized. Rather than having a negative effect on bone, protein intake appears to benefit bone status, particularly in older adults. Regular intake of cola beverages shows negative effects and moderate alcohol intake shows positive effects on bone, particularly in older women. Current research on diet and bone status supports encouragement of balanced diets with plenty of fruit and vegetables, adequate dairy and other protein foods, and limitation of foods with low nutrient density. ...
http://www.mdlinx.com/NurseLinx/newsl-article.cfm/2970004/ZZ5603146585149290157159/?news_id=467
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Prasugrel for acute coronary syndromes: Faster, more potent, but higher bleeding risk Prasugrel (Effient) has been approved for reducing the risk of thrombotic complications in patients with acute coronary syndromes who are to undergo percutaneous coronary intervention. In a large clinical trial (N Engl J Med 2007; 357:2001–2005), prasugrel was superior to clopidogrel (Plavix), another drug of its class, in this situation. However, bleeding complications were more frequent with prasugrel, and so this drug should be avoided in patients at higher risk of bleeding.... (full text available) http://www.ccjm.org/content/76/12/707.full
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FDA targets rogue Internet pharmacies The U.S. Food and Drug Administration is pressuring a number of Internet service providers to shut off nearly 12 dozen Web sites alleged to be selling counterfeit or unapproved prescription drugs. The FDA's office of criminal investigations said it sent 22 warning letters to the operators of the sites, and alerted the appropriate ISPs and domain name registrars that the sites were selling phony pharmaceuticals, all without requiring a prescription. The agency said none of the sites represent pharmacies located in the United States or Canada, as most claim.... http://www.legitscript.com/blog/110
************************
Walmart's $4 Drugs Coming From Indian Company Whose Products Have Been Banned In US and Canada http://www.citizens.org/?p=398
***********************
The Seven women's health problems doctors still miss........ http://www.cnn.com/2009/HEALTH/10/19/undiagnosed.women.problem/index.html
*********************
Body mass and waist size can predict heart disease A large 10-year study found that half of all fatal heart disease cases and a quarter of all non-fatal cases are linked to being overweight and having a high body mass index (BMI) or large waist.
Body mass index and waist circumference are well known risk factors for cardiovascular diseases but the Dutch researchers said their work showed BMI and waist size could actually help predict the risk of dying from or developing heart disease.... http://www.reuters.com/article/idUSTRE5B63ZT20091207?feedType=nl&feedName=ushealth1100
*********************
Bone loss or lost bone: Rationale and recommendations for the diagnosis and treatment Zaidi M et al. – Recent reports suggest that bone loss begins during late perimenopause at a dramatic rate, even before estrogen levels plummet. During the ensuing 5 years, there is evidence of the beginnings of microarchitectural deterioration, which impacts bone strength and ultimately enhances its propensity to fracture. The diagnosis of osteoporosis based on T–scores alone, or through stratification for a high fracture risk by FRAX, excludes these women who are rapidly losing bone. Because all antiosteoporosis therapies, in particular bisphosphonates, reduce bone loss, we propose aggressive, likely short–term therapy with a goal to reduce bone loss, stabilize bone density, and prevent microarchitectural deterioration.... http://www.metapress.com/content/vt62n015k318763x/
************************
The following was submitted by KurtUllman@sprintmail.com Kurt:
Why Females Live Longer Than Males: Is It Due to the Father's Sperm? ScienceDaily (Dec. 2, 2009) — Researchers in Japan have found that female mice produced by using genetic material from two mothers but no father live significantly longer than mice with the normal mix of maternal and paternal genes. Their findings provide the first evidence that sperm genes may have a detrimental effect on lifespan in mammals.http://www.sciencedaily.com/releases/2009/12/091201192105.htm
******************
RANDOM FACT A ten gallon hat holds less then one gallon of liquid.
********************
Less is More: Simplified 4-step Algorithm Improves BP Control With Simple Algorithm, 20% More Reached BP Target
"Hypertension globally is a general-practitioner-based disease; they've got BP guidelines and lots of other guidelines to follow, and we know it's difficult for them to find the time and make the effort to control BP. And patients don't like taking pills either—we know that the more pills they are taking, the more likely they are to stop taking them, and the more switches that occur, the less likely they are to comply."
So the researchers developed the Simplified Treatment Intervention to Control Hypertension (STITCH) algorithm, which consists of four steps: initial use of a low dose of diuretic/ACE-inhibitor or diuretic/angiotensin-receptor blocker (ARB) fixed-dose combination; uptitration of combination therapy to the highest dose; addition of a calcium-channel blocker and up-titration; and addition of a non–first-line antihypertensive agent
************************
Add these to your veggies for extra energy Green beans, broccoli, squash . . . eke out a little extra get-through-the-day energy from them with this topper: toasted sesame seeds.
These nutty little seeds are loaded with magnesium -- a mineral that cells need in order to convert food to energy, according to Dr. Maoshing Ni, author of Second Spring. Add the seeds to bread, cookie, and muffin batters, too, for extra magnesium and a delicate crunch.... http://www.realage.com/tips/add-these-to-your-veggies-for-extra-energy
*********************
Breast Cancer's Spread Now Better Understood SUNDAY, Dec. 6 (HealthDay News) -- The spread of breast cancer cells from the main tumor to other parts of the body is controlled by a growth factor known as TGFb, which may prove a promising target for new drugs to prevent metastatic breast cancer, British researchers say.
Previous studies have shown that TGFb (transforming growth factor beta) regulates normal cell growth and movement. In this new study, a team from Cancer Research UK used an advanced microscopy and analysis technique to document the movement of cancer cells from primary breast tumor sites in mice.... http://www.healthday.com/Article.asp?AID=633611
***************
Geriatric Resource Information Program (GRIP) The Geriatric Resource Information Program (GRIP) from the University of Minnestota Center on Aging, links to 15 up-to-date, highly informative video lectures recently developed by experts on key health care topics pertinent to the care of older individuals. The lectures are intended for a wide variety of professional audiences, and can be easily accessed from any computer. Each module lasts about an hour and consists of an expert-narrated PowerPoint slide presentation, and short exam. Lecture notes can be downloaded for every module.Topics include: End of Life Care, Nursing Home Care, Dementia Drug Therapy, Incontinence, Elder Abuse, Geriatric Rehabilitation, Assessment, .... and more http://tinyurl.com/yeaqskv
***********************
RANDOM FACT: Donald Duck comics were banned in Finland because he didn't wear pants.
RANDOM FACT: Donald Duck comics were banned in Finland because he didn't wear pants.
**************
Adequate pain management training sorely lacking, new report says More needs to be done to train doctors and healthcare workers about treating chronic pain, according to a new report. The first stop for most people in pain the their primary physician, according to a report last week from The Mayday Fund. But current systems of care do not sufficiently train internists, family physicians or other healthcare providers who provide primary care in treating pain as a chronic illness. As a result, patients bounce around to different providers, often resulting in longer hospital stays and higher healthcare costs. 16 page report download:http://tinyurl.com/yf34fkq http://www.maydaypainreport.org/
********************
Surprising habits that make you old: Are you accidentally making yourself older? Check out what these choices are doing to your body:
Choosing organic. We don't have a problem with choosing organic when it comes to fruit and vegetables. The trouble is when you think "organic" is synonymous with "healthy." Sorry -- organic potato chips are still potato chips and contain aging fat and extra calories. Try to opt for organic when shopping for these foods.
Just dealing with it. If you tend to treat pain with a stiff upper lip rather than a pill or a doctor visit, it's like playing catcher without a mitt: It feels lousy. About 75% of pain sufferers do not receive adequate treatment, and if you're one of them, you're at risk for depression, irritability, fatigue, and an overall diminished quality of life. Treating pain early -- we like to start with RICE (rest, ice, compression, and elevation of injuries) coupled with an NSAID in pill or patch form -- is an important step in regaining your quality of life. Call your doctor right away if it doesn't get better quickly. Get more advice on how to heal sprains and muscle strains.... http://www.realage.com/blogs/doctor-oz-roizen/surprising-habits-that-make-you-old
********************
Get great Winter skin with 3 essentials: Does your winter face look a little different than your summer face? Don't worry. Dry, dull skin doesn't have to be inevitable this season.
To keep your skin looking healthy and radiant no matter the weather, start with three winter essentials: a moisturizer, a lip balm, and an exfoliant. But, say the experts at our sister site RealBeauty.com, you've gotta choose the right ones.... http://www.realage.com/tips/get-great-winter-skin-with-three-essentials
*****************************
How Nurses Can Impact the Diabetes Epidemic - What if nurses could help curb an epidemic that experts predict might eventually affect up to a third of the country’s population?
(this article came in in Dec 2009) November is American Diabetes Month®, designed to spotlight this serious and widespread disease that can lead to life-threatening complications such as heart disease, stroke, kidney disease, blindness and amputation. This year the American Diabetes Association (ADA) is using this annual observance to launch a national movement to Stop DiabetesSM, and experts point out the important role that nurses can play in this movement.... http://www.nursezone.com/nursing-news-events/more-features.aspx?articleid=32966
*********************
Adequate pain management training sorely lacking, new report says More needs to be done to train doctors and healthcare workers about treating chronic pain, according to a new report. The first stop for most people in pain the their primary physician, according to a report last week from The Mayday Fund. But current systems of care do not sufficiently train internists, family physicians or other healthcare providers who provide primary care in treating pain as a chronic illness. As a result, patients bounce around to different providers, often resulting in longer hospital stays and higher healthcare costs. 16 page report download:http://tinyurl.com/yf34fkq http://www.maydaypainreport.org/
********************
Surprising habits that make you old: Are you accidentally making yourself older? Check out what these choices are doing to your body:
Choosing organic. We don't have a problem with choosing organic when it comes to fruit and vegetables. The trouble is when you think "organic" is synonymous with "healthy." Sorry -- organic potato chips are still potato chips and contain aging fat and extra calories. Try to opt for organic when shopping for these foods.
Just dealing with it. If you tend to treat pain with a stiff upper lip rather than a pill or a doctor visit, it's like playing catcher without a mitt: It feels lousy. About 75% of pain sufferers do not receive adequate treatment, and if you're one of them, you're at risk for depression, irritability, fatigue, and an overall diminished quality of life. Treating pain early -- we like to start with RICE (rest, ice, compression, and elevation of injuries) coupled with an NSAID in pill or patch form -- is an important step in regaining your quality of life. Call your doctor right away if it doesn't get better quickly. Get more advice on how to heal sprains and muscle strains.... http://www.realage.com/blogs/doctor-oz-roizen/surprising-habits-that-make-you-old
********************
Get great Winter skin with 3 essentials: Does your winter face look a little different than your summer face? Don't worry. Dry, dull skin doesn't have to be inevitable this season.
To keep your skin looking healthy and radiant no matter the weather, start with three winter essentials: a moisturizer, a lip balm, and an exfoliant. But, say the experts at our sister site RealBeauty.com, you've gotta choose the right ones.... http://www.realage.com/tips/get-great-winter-skin-with-three-essentials
*****************************
How Nurses Can Impact the Diabetes Epidemic - What if nurses could help curb an epidemic that experts predict might eventually affect up to a third of the country’s population?
(this article came in in Dec 2009) November is American Diabetes Month®, designed to spotlight this serious and widespread disease that can lead to life-threatening complications such as heart disease, stroke, kidney disease, blindness and amputation. This year the American Diabetes Association (ADA) is using this annual observance to launch a national movement to Stop DiabetesSM, and experts point out the important role that nurses can play in this movement.... http://www.nursezone.com/nursing-news-events/more-features.aspx?articleid=32966
*********************
Evaluation of Nurses' Self-Insight Into Their Pain Assessment and Treatment Decisions Abstract Research generally indicates that providers demonstrate modest insight into their clinical decision processes. In a previous study utilizing virtual human (VH) technology, we found that patient demographic characteristics and facial expressions of pain were statistically significant predictors of many nurses' pain-related decisions. The current study examined the correspondence between the statistically identified and self-reported influences of contextual information on pain-related decisions. Fifty-four nurses viewed vignettes containing a video of a VH patient and text describing a postsurgical context.... http://www.jpain.org/article/PIIS1526590009007184/abstract?rss=yes
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Gene Maps to highlight scientists' work on Cancer (Reuters 12/18) - Scientists have indentified all the changes in cells of two deadly cancers to produce the first entire cancer gene maps and say the findings mark a "transforming moment" in their understanding of the disease.... http://www.reuters.com/article/idUSTRE5BF42O20091216?feedType=nl&feedName=ushealth1100
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RANDOM FACT Kansas state law requires pedestrians crossing the highways at night to wear tail lights. (LOL what a visual !! )
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RANDOM FACT Kansas state law requires pedestrians crossing the highways at night to wear tail lights. (LOL what a visual !! )
~~**~**~~**~~**~~**~~
HUMOR SECTION
An elderly woman was arrested for shoplifting in a supermarket.
When she went before the judge, he asked her, "What did you steal?"
She answered, " A can of peaches."
The judge asked the woman why she had stolen the can of peaches, and she replied that she was hungry.
"How many peaches were in the can?"
"Six."
"Then I'll give you six days in jail."
HUMOR SECTION
An elderly woman was arrested for shoplifting in a supermarket.
When she went before the judge, he asked her, "What did you steal?"
She answered, " A can of peaches."
The judge asked the woman why she had stolen the can of peaches, and she replied that she was hungry.
"How many peaches were in the can?"
"Six."
"Then I'll give you six days in jail."
The woman's husband suddenly stood, and asked the judge if he could say something.
"What is it?" the judge asked.
" She also stole a can of peas."
"What is it?" the judge asked.
" She also stole a can of peas."
~~**~~**~~**~~**~~**~~
CEU SITES---(CME and CNE)
Those that are-----Free and Otherwise..........
Pay Only $34.99 for a full year of CONTACT HOURS http://www.nursingspectrum.com /
Free CEs http://www.myfreece.com/welcome.asp
When breathing is a burden: How to help patients with COPD By Gerene S. Bauldoff, PhD, RN, FCCP This continuing education article provides an overview of COPD, including the pathphysiology, risk factors, clinical features, screening, diagnosis, pharmacologic and nonpharmacologic treatment, and nursing management. http://www.americannursetoday.com/Article.aspx?id=6070&fid=6002
Plus 34 more CEU courses!!
****************
https://nursing.advanceweb.com/CE/TestCenter/Main.aspx
This site was sent in by FNPMSN@aol.com (Cindy) http://cmepain.com/ !
~~**~~**~~**~~**~~**~~
WEBSITES/ LINKS
Always on the lookout for interesting websites / links. Please send them to: RNFrankie@AOL.com.
CEU SITES---(CME and CNE)
Those that are-----Free and Otherwise..........
Pay Only $34.99 for a full year of CONTACT HOURS http://www.nursingspectrum.com /
Free CEs http://www.myfreece.com/welcome.asp
When breathing is a burden: How to help patients with COPD By Gerene S. Bauldoff, PhD, RN, FCCP This continuing education article provides an overview of COPD, including the pathphysiology, risk factors, clinical features, screening, diagnosis, pharmacologic and nonpharmacologic treatment, and nursing management. http://www.americannursetoday.com/Article.aspx?id=6070&fid=6002
Plus 34 more CEU courses!!
****************
https://nursing.advanceweb.com/CE/TestCenter/Main.aspx
This site was sent in by FNPMSN@aol.com (Cindy) http://cmepain.com/ !
~~**~~**~~**~~**~~**~~
WEBSITES/ LINKS
Always on the lookout for interesting websites / links. Please send them to: RNFrankie@AOL.com.
Robert Hess, RN, PhD, FAAN (856) 424-4270 (610) 805-8635 (cell)
Founder, Forum for Shared Governance info@sharedgovernance.org www.sharedgovernance.org
Founder, Forum for Shared Governance info@sharedgovernance.org www.sharedgovernance.org
Decubqueen's website: www.accu-ruler.com
http://www.thebreastcancersite.com/clickToGive/home.faces?siteId=2
http://www.nationalnurse3.blogspot.com/
RNs launch a national safe staffing campaign http://www.1199seiu.org/media/magazine/sept_2007/safe_staffing.cfm
H.R. 2123, The Nurse Staffing Standards for Patient Safety and Quality Care Act of 2007
http://www.washingtonwatch.com/bills/show/110_HR_2123.html
Board Supports Your Right to Refuse An Unsafe Assignment: Nurse Practice Act cites three conditions for patient abandonment http://findarticles.com/p/articles/mi_qa4102/is_200408/ai_n9450263
The Nursing Site http://thenursingsite.com .
http://www.snopes.com
http://www.solutionsoutsidethebox.net/ Raconte's website
http://www.theanimalrescuesite.com/clickToGive/home.faces?siteId=3
National Do Not Call Registry
If you're buying a used car, it is recommended having a mechanic inspect it first. And screen the car's VIN through the free database at carfax.com/flood
This is a sampling of the offers on : Rozalfaro's website: http://www.alfaroteachsmart.com/articles.htm
Critical Thinking is More Than Problem Solving Critical Thinking: Not Usually Rapid Fire
Should Clinical Courses Get a Letter Grade?
Metric conversion calculators and tables for metric conversions
http://www.metric-conversions.org/
Website: http://www.infoplease.com/ anything and everything answered.
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*
MEDICAL RECALLS
*
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http://www.thebreastcancersite.com/clickToGive/home.faces?siteId=2
http://www.nationalnurse3.blogspot.com/
RNs launch a national safe staffing campaign http://www.1199seiu.org/media/magazine/sept_2007/safe_staffing.cfm
H.R. 2123, The Nurse Staffing Standards for Patient Safety and Quality Care Act of 2007
http://www.washingtonwatch.com/bills/show/110_HR_2123.html
Board Supports Your Right to Refuse An Unsafe Assignment: Nurse Practice Act cites three conditions for patient abandonment http://findarticles.com/p/articles/mi_qa4102/is_200408/ai_n9450263
The Nursing Site http://thenursingsite.com .
http://www.snopes.com
http://www.solutionsoutsidethebox.net/ Raconte's website
http://www.theanimalrescuesite.com/clickToGive/home.faces?siteId=3
National Do Not Call Registry
If you're buying a used car, it is recommended having a mechanic inspect it first. And screen the car's VIN through the free database at carfax.com/flood
This is a sampling of the offers on : Rozalfaro's website: http://www.alfaroteachsmart.com/articles.htm
Critical Thinking is More Than Problem Solving Critical Thinking: Not Usually Rapid Fire
Should Clinical Courses Get a Letter Grade?
Metric conversion calculators and tables for metric conversions
http://www.metric-conversions.org/
Website: http://www.infoplease.com/ anything and everything answered.
*******************************************************
********************************************
*
MEDICAL RECALLS
*
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Nzu, Traditional Remedy for Morning Sickness The Texas Department of State Health Services and FDA notified healthcare professionals and consumers, especially pregnant or breastfeeding women, to avoid consuming a product called “Nzu”, taken as a traditional remedy for morning sickness,because of the potential health risks from high levels of lead and arsenic, noted on laboratory analysis by Texas DSHS.... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts
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Tylenol Arthritis Pain Caplet 100 count: Recall of all lots McNeil Consumer Healthcare and FDA notified consumers that it is expanding a voluntary recall to include all available product lots of TYLENOL Arthritis Pain Caplet 100 count bottles, with the distinctive red EZ-OPEN CAP (Full list of lot numbers provided in press release at link below). In November 2009, 5 lots of this product were recalled due to consumer reports of an unusual moldy, musty, or mildew-like odor that was associated with nausea, stomach pain, vomiting and diarrhea. The odor is caused by the presence of a chemical 2,4,6-tribromoanisole, believed to be the breakdown of a chemical used to treat wooden pallets that transport and store packaging materials. The health effects of this compound have not been well studied, and to date all of the observed events reported to McNeil were temporary and non-serious... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts/ucm195704.htm
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Cleviprex (clevidipine butyrate): Recall The Medicines Company and FDA notified healthcare professionals of a nationwide recall of eleven lots of Cleviprex (clevidipine butyrate) injectable emulsion, indicated for treatment of hypertension, due to the potential presence of particulate matter found to be inert stainless steel particles. If the particles were to aggregate, or if larger particles were present, then they could theoretically reduce blood flow in capillaries, cause mechanical damage to some tissues, or initiate acute or chronic inflammatory reactions. Reduced blood supply to tissues may lead to ischemia or organ insufficiency in the brain, kidney, liver, heart or lungs.... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts/ucm194585.htm
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Atlas Operations, Inc.: Recall of Sexual Enhancement Products Atlas Operations, Inc. and FDA notified consumers of a nationwide recall of the company's dietary supplements for sexual enhancement. These products are currently being sold as dietary supplements throughout the United States. FDA lab analyses found that the products tested from certain batches contain Sulfoaildenafil, an analogue of Sildenafil, an FDA-approved drug used as treatment for male erectile dysfunction, making these products unapproved drugs. The active drug ingredient is not listed on the product labels. ... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsfor HumanMedicalProducts/ucm194091.htm
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Thermoflect Blankets and product line - Recall Encompass Group and FDA notified healthcare professionals of the voluntary recall of the Thermoflect product line for relabeling regarding its use in the MR (Magnetic Resonance) environment. FDA has recommended that the Thermoflect blankets and other products not be used in MR conditional or MR compatible environments. Encompass is in the process of sending labels to customers to be attached per instructions to remind hospitals that the product line should not be used in the MR environment. A complete list of Thermoflect products and additional information can be found at www.thermoflect.com. http://www.fda.gov/Safety/MedWatch/SafetyInformation/ SafetyAlertsforHumanMedicalProducts/ucm195703.htm
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Bayer Consumer Care and FDA notified Consumers of a recall of a single product lot of the combination package of Alka-Seltzer Plus Day & Night Cold Formula Liquid Gels. The labeling on the foil blister card of certain packages within the lot were printed with the label reversed. The label for the green Night product appears under some of the blue Day product and vice versa. Consumers using the affected product lot may not be aware of the warnings of an antihistamine in the product that could cause drowsiness.... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts/ucm193583.htm
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FDA MedWatch - UPDATE: CT Brain Perfusion Scans Safety Investigation The FDA, working with state and local health authorities, has identified at least 50 additional patients who were exposed to excess radiation of up to eight times the expected level during their CT perfusion scans. These cases so far involve more than one manufacturer of CT scanners. Some of these patients reported hair loss or skin redness following their scans. High doses of radiation can cause cataracts and increase the risk of some forms of cancer.
On the basis of its investigation to date, the FDA is providing interim recommendations (as follows) for imaging facilities, radiologists, and radiologic technologists to help prevent additional cases of excess exposure....
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Tylenol Arthritis Pain Caplet 100 count: Recall of all lots McNeil Consumer Healthcare and FDA notified consumers that it is expanding a voluntary recall to include all available product lots of TYLENOL Arthritis Pain Caplet 100 count bottles, with the distinctive red EZ-OPEN CAP (Full list of lot numbers provided in press release at link below). In November 2009, 5 lots of this product were recalled due to consumer reports of an unusual moldy, musty, or mildew-like odor that was associated with nausea, stomach pain, vomiting and diarrhea. The odor is caused by the presence of a chemical 2,4,6-tribromoanisole, believed to be the breakdown of a chemical used to treat wooden pallets that transport and store packaging materials. The health effects of this compound have not been well studied, and to date all of the observed events reported to McNeil were temporary and non-serious... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts/ucm195704.htm
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Cleviprex (clevidipine butyrate): Recall The Medicines Company and FDA notified healthcare professionals of a nationwide recall of eleven lots of Cleviprex (clevidipine butyrate) injectable emulsion, indicated for treatment of hypertension, due to the potential presence of particulate matter found to be inert stainless steel particles. If the particles were to aggregate, or if larger particles were present, then they could theoretically reduce blood flow in capillaries, cause mechanical damage to some tissues, or initiate acute or chronic inflammatory reactions. Reduced blood supply to tissues may lead to ischemia or organ insufficiency in the brain, kidney, liver, heart or lungs.... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts/ucm194585.htm
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Atlas Operations, Inc.: Recall of Sexual Enhancement Products Atlas Operations, Inc. and FDA notified consumers of a nationwide recall of the company's dietary supplements for sexual enhancement. These products are currently being sold as dietary supplements throughout the United States. FDA lab analyses found that the products tested from certain batches contain Sulfoaildenafil, an analogue of Sildenafil, an FDA-approved drug used as treatment for male erectile dysfunction, making these products unapproved drugs. The active drug ingredient is not listed on the product labels. ... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsfor HumanMedicalProducts/ucm194091.htm
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Thermoflect Blankets and product line - Recall Encompass Group and FDA notified healthcare professionals of the voluntary recall of the Thermoflect product line for relabeling regarding its use in the MR (Magnetic Resonance) environment. FDA has recommended that the Thermoflect blankets and other products not be used in MR conditional or MR compatible environments. Encompass is in the process of sending labels to customers to be attached per instructions to remind hospitals that the product line should not be used in the MR environment. A complete list of Thermoflect products and additional information can be found at www.thermoflect.com. http://www.fda.gov/Safety/MedWatch/SafetyInformation/ SafetyAlertsforHumanMedicalProducts/ucm195703.htm
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Bayer Consumer Care and FDA notified Consumers of a recall of a single product lot of the combination package of Alka-Seltzer Plus Day & Night Cold Formula Liquid Gels. The labeling on the foil blister card of certain packages within the lot were printed with the label reversed. The label for the green Night product appears under some of the blue Day product and vice versa. Consumers using the affected product lot may not be aware of the warnings of an antihistamine in the product that could cause drowsiness.... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts/ucm193583.htm
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FDA MedWatch - UPDATE: CT Brain Perfusion Scans Safety Investigation The FDA, working with state and local health authorities, has identified at least 50 additional patients who were exposed to excess radiation of up to eight times the expected level during their CT perfusion scans. These cases so far involve more than one manufacturer of CT scanners. Some of these patients reported hair loss or skin redness following their scans. High doses of radiation can cause cataracts and increase the risk of some forms of cancer.
On the basis of its investigation to date, the FDA is providing interim recommendations (as follows) for imaging facilities, radiologists, and radiologic technologists to help prevent additional cases of excess exposure....
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsfor HumanMedicalProducts/ucm186105.htm
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Voltaren Gel (diclofenac sodium topical gel) 1% - Hepatic Effects Labeling Changes Endo, Novartis and FDA notified healthcare professionals of revisions to the Hepatic Effects section of the Prescribing Information to add new warnings and precautions about the potential for elevation in liver function tests during treatment with all products containing diclofenac sodium. In postmarketing reports, cases of drug-induced hepatotoxicity have been reported in the first month but can occur at any time during treatment with diclofenac. Postmarketing surveillance has reported cases of severe hepatic reactions, including liver necrosis, jaundice, fulminant hepatitis with and without jaundice, and liver failure. Some of these reported cases resulted in fatalities or liver transplantation.... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsfor Human MedicalProducts
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Voltaren Gel (diclofenac sodium topical gel) 1% - Hepatic Effects Labeling Changes Endo, Novartis and FDA notified healthcare professionals of revisions to the Hepatic Effects section of the Prescribing Information to add new warnings and precautions about the potential for elevation in liver function tests during treatment with all products containing diclofenac sodium. In postmarketing reports, cases of drug-induced hepatotoxicity have been reported in the first month but can occur at any time during treatment with diclofenac. Postmarketing surveillance has reported cases of severe hepatic reactions, including liver necrosis, jaundice, fulminant hepatitis with and without jaundice, and liver failure. Some of these reported cases resulted in fatalities or liver transplantation.... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsfor Human MedicalProducts
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Valproate Sodium and related products (valproic acid and divalproex sodium): Risk of Birth Defects The FDA notified health care professionals and patients about the increased risk of neural tube defects and other major birth defects, such as craniofacial defects and cardiovascular malformations, in babies exposed to valproate sodium and related products (valproic acid and divalproex sodium) during pregnancy. Healthcare practitioners should inform women of childbearing potential about these risks, and consider alternative therapies, especially if using valproate to treat migraines or other conditions not usually considered life-threatening.... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts
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Steris System 1 Processor FDA notified healthcare facility administrators and infection control healthcare professionals of important information regarding the regulatory status of the STERIS System 1 Processor (SS1) used in surgical and endoscopy suites for reprocessing, i.e., sterilizing or disinfecting, medical devices.
STERIS has significantly modified the SS1 and FDA has not approved or cleared this modified product. Thus, FDA has not determined whether the SS1 is safe or effective for its labeled claims, including claims that it sterilizes medical devices. Use of a device that is promoted to sterilize or disinfect a medical or surgical device, but that does not properly perform these functions, poses risks to patients and users.... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts/ucm192842.htm
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Lexiva (fosamprenavir calcium) GlaxoSmithKline and FDA notified healthcare professionals of a potential association between Lexiva and myocardial infarction and dyslipidemia in HIV infected adults. GSK has modified the existing Warnings and Precautions section of the Prescribing Information to note that increases in cholesterol have occurred with treatment, the importance of lipids management, and a recommendation that triglyceride and cholesterol testing be performed prior to initiating therapy with LEXIVA and at periodic intervals during therapy http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts
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Norpramin (desipramine hydrochloride) Sanofi-Aventis and FDA notified healthcare professionals of changes to the Warnings and Overdosage sections of the Prescribing Information for Norpramin (desipramine hydrochloride), indicated for the treatment of depression. The new safety information states that extreme caution should be used when this drug is given to patients who have a family history of sudden death, cardiac dysrhythmias, and cardiac conduction disturbances; and that seizures precede cardiac dysrhythmias and death in some patients. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts
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NURSING HINTS CORNER
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Steris System 1 Processor FDA notified healthcare facility administrators and infection control healthcare professionals of important information regarding the regulatory status of the STERIS System 1 Processor (SS1) used in surgical and endoscopy suites for reprocessing, i.e., sterilizing or disinfecting, medical devices.
STERIS has significantly modified the SS1 and FDA has not approved or cleared this modified product. Thus, FDA has not determined whether the SS1 is safe or effective for its labeled claims, including claims that it sterilizes medical devices. Use of a device that is promoted to sterilize or disinfect a medical or surgical device, but that does not properly perform these functions, poses risks to patients and users.... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts/ucm192842.htm
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Lexiva (fosamprenavir calcium) GlaxoSmithKline and FDA notified healthcare professionals of a potential association between Lexiva and myocardial infarction and dyslipidemia in HIV infected adults. GSK has modified the existing Warnings and Precautions section of the Prescribing Information to note that increases in cholesterol have occurred with treatment, the importance of lipids management, and a recommendation that triglyceride and cholesterol testing be performed prior to initiating therapy with LEXIVA and at periodic intervals during therapy http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts
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Norpramin (desipramine hydrochloride) Sanofi-Aventis and FDA notified healthcare professionals of changes to the Warnings and Overdosage sections of the Prescribing Information for Norpramin (desipramine hydrochloride), indicated for the treatment of depression. The new safety information states that extreme caution should be used when this drug is given to patients who have a family history of sudden death, cardiac dysrhythmias, and cardiac conduction disturbances; and that seizures precede cardiac dysrhythmias and death in some patients. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts
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NURSING HINTS CORNER
I thought it would be kinda nice to have the following as a handy reference for those of us not in Neuro.
- Olfactory-- smell
- Optic--vision
- Oculometer-- iris and eye movements
- Trochlear-- eye movements
- Trigeminal-- upper and lower mouth and teeth, forehead, anterior half of scalp
- Abducens-- eye movements (lateral)
- Facial-- facial expression
- Acoustic-- hearing, balance
- Glossopharyngeal-- tastebuds on posterior part of tongue, throat sensations, saliva secretions
- Vagus-- swallowing, vocal cords, goes to abdominal organs
- Accessory-- head and shoulder movements
- Hypoglossal-- chewing, speaking, swallowing
Beatrice Humphris, RN (her contribution had a face indicating where each nerve was, which I can not copy)
Used with permission from 1,001 Nursing Tips & Timesavers, Third Edition, 1997, p.32 , Springhouse Corporation/www.springnetcom.
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ADVERTISEMENTS
from the members
This ad is from Decubqueen (Gerry)..........Accu-RulerAccurate wound measurement designed by nurses, for nurses. Now carrying wound care and first-aid supplies at prices you can afford.Visit us at http://www.accu-ruler.com/.
ADVERTISEMENTS
from the members
This ad is from Decubqueen (Gerry)..........Accu-RulerAccurate wound measurement designed by nurses, for nurses. Now carrying wound care and first-aid supplies at prices you can afford.Visit us at http://www.accu-ruler.com/.
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NEW MEMBERS
Please send the prospective members' screen names and first names to me: RNFrankie@AOL.com
WELCOME TO: angiedadams@hotmail.com Angie (December 13, 2009)
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NOTICE:
I attempt to send newsletters to your email addresses on file and if the newsletters are rejected THREE consecutive times, I must then delete the email address until you contact me with an updated email address; I have no way to reach you without a correct email address....You could always send me your Home number....lol So please send me your new name/address, ok? RNFrankie@AOL.com
NEW MEMBERS
Please send the prospective members' screen names and first names to me: RNFrankie@AOL.com
WELCOME TO: angiedadams@hotmail.com Angie (December 13, 2009)
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NOTICE:
I attempt to send newsletters to your email addresses on file and if the newsletters are rejected THREE consecutive times, I must then delete the email address until you contact me with an updated email address; I have no way to reach you without a correct email address....You could always send me your Home number....lol So please send me your new name/address, ok? RNFrankie@AOL.com
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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)
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PARADIGM 97 CO-FOUNDERS:
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)
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PARADIGM 97 CO-FOUNDERS:
MarGerlach @AOL.com (Marlene) and RNFrankie @AOL.com (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
When will our consciences grow so tender that we will act to prevent human misery rather than avenge it?
--ELEANOR ROOSEVELT
Hope to see you online..... Frankie
RNFrankie@AOL.com
