Showing posts with label consumer advocacy. Show all posts
Showing posts with label consumer advocacy. Show all posts

Monday, February 14, 2011

Patient Stories May Improve Health, NYTimes.com

The only reservation that he mentioned was the same one all the other patients had — he feared that death would come before the perfect organ.

But during one visit just before he finally got the transplant, he confessed that he had been grappling with another concern, one so overwhelming he had even considered withdrawing from the waiting list. He worried that he would not be strong enough mentally and physically to survive a transplant.

In desperation, he told me, he had contacted several patients who had already undergone a transplant. “That’s what made me believe I’d be O.K.,” he said. “You doctors have answered all of my questions, but what I really needed was to hear the stories about transplant from people like me.”

Patients and doctors have long understood the power of telling and listening to personal narratives. Whether among patients in peer support groups or between doctors and patients in the exam room or even between doctors during consultations, stories are an essential part of how we communicate, interpret experiences and incorporate new information into our lives.

Despite the ubiquitousness of storytelling in medicine, research on its effects in the clinical setting has remained relatively thin. While important, a vast majority of studies have been anecdotal , offering up neither data nor statistics but rather — you guessed it — stories to back up the authors’ claims.

Now The Annals of Internal Medicine has published the results of a provocative new trial examining the effects of storytelling on patients with high blood pressure. And it appears that at least for one group of patients, listening to personal narratives helped control high blood pressure as effectively as the addition of more medications.

Monitoring the blood pressure of nearly 300 African-American patients who lived in urban areas and had known hypertension, the researchers at three-month intervals gave half the patients videos of similar patients telling stories about their own experiences. The rest of the patients received videos of more generic and impersonal health announcements on topics like dealing with stress. While all the patients who received the storytelling DVD had better blood pressure control on average, those who started out with uncontrolled hypertension were able to achieve and maintain a drop as significant as it had been for patients in previous trials testing drug regimens.

“Telling and listening to stories is the way we make sense of our lives,” said Dr. Thomas K. Houston, lead author of the study and a researcher at the University of Massachusetts Medical School in Worcester and the Veterans Affairs medical center in Bedford, Mass. “That natural tendency may have the potential to alter behavior and improve health.”

Experts in this emerging field of narrative communication say that storytelling effectively counteracts the initial denial that can arise when a patient learns of a new diagnosis or is asked to change deeply ingrained behaviors. Patients may react to this news by thinking, “This is not directly related to me,” or “My experience is different.” Stories help break down that denial by engaging the listener, often through some degree of identification with the storyteller or one of the characters.

“The magic of stories lies in the relatedness they foster,” Dr. Houston said. “Marketers have known this for a long time, which is why you see so many stories in advertisements.”

In health care, storytelling may have its greatest impact on patients who distrust the medical system or who have difficulty understanding or acting on health information because they may find personal narratives easier to digest. Stories may also help those patients who struggle with more “silent” chronic diseases, like diabetes or high blood pressure. In these cases, stories can help patients realize the importance of addressing a disease that has few obvious or immediate symptoms. “These types of patients and diseases may be a particular ‘sweet spot’ for storytelling,” Dr. Houston noted.

This particular benefit from stories comes as welcome news not only for patients but also for doctors, who are increasingly reimbursed based on patient outcomes. “There’s only so much the doctor can do, so providers are looking for innovative ways to help their patients,” Dr. Houston said. While more research still needs to be done, the possibilities for integrating storytelling into clinical practice are numerous. In one possible situation, which is not all that dissimilar from popular dating sites, doctors and patients would be able to access Web sites that would match patients to videos of similar patients recounting their own experiences with the same disease.

Dr. Houston is currently involved in several more studies that will examine the broader use of storytelling in patient care and delineate ways in which it can best be integrated. Nonetheless, he remains certain of one thing: Sharing narratives can be a powerful tool for doctors and patients.

“Storytelling is human,” Dr. Houston said. “We learn through stories, and we use them to make sense of our lives. It’s a natural extension to think that we could use stories to improve our health.”

Join the discussion on the Well blog, Healing Through Storytelling.”

Click on the link to read the full story.

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Friday, February 11, 2011

Medical News: Nursing Home Med Errors Vary by Form of Drug - in Geriatrics, General Geriatrics from MedPage Today

Residents in nursing and old age homes are four times as likely to get an incorrect dose of medication if it's in liquid rather than pill form, researchers reported.

In a study in 55 British homes, errors included such things as incorrect measurements and not shaking a suspension, according to David Phillip Alldred, PhD, of the University of Leeds in Leeds, England, and colleagues.

Errors also were more likely with inhalers and other drug formulations, compared with pills or tablets dispensed using a monitored dosage system, Alldred and colleagues reported online in BMJ Quality and Safety.

Monitored dosage systems -- also known as unit dose systems -- consist of a tray or cassette with compartments for one or more doses for a particular day and time and are intended to simplify the administration of medications for staff, the researchers noted.

But such systems can't be used for all medications -- liquids, among others -- and it's not clear that they are safer than delivering drugs from the manufacturer's own packaging, Alldred and colleagues noted.

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Andrew Lopez, RN
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Wednesday, February 9, 2011

Why Vitaminwater Is Bad For Public Health - Matthew Herper - The Medicine Show - Forbes

Who needs a flu shot when you can have a bottle of flat sugar water spiked with ascorbic acid and food coloring?

At least, that’s the impression that Vitaminwater, made by Coca-Cola’s Glaceau unit, left in one advertisement. The National Consumers League, a 100-year-old advocacy group, sent a formal complaint about Vitaminwater’s ads to the Federal Trade Commission last week. The NCL also complained about a Vitaminwater TV spot, and about the slogans on the company’s bottles, which declare that “vitamins + water = all you need.” I’ve included both advertisements in this story for reference.

Courtesy National Consumers League

“Discouraging members of the public from getting a flu shot as recommended by government health authorities is not only deceptive, but dangerous,” writes Sally Greenberg, the NCL’s executive director. “The Centers for Disease Control and Prevention (CDC), and other public health agencies, have recommended that many Americans get a vaccination to protect them from contracting the flu.”

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Click on the forbes link for the full article.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Sunday, February 6, 2011

Most ED patients willing to wait longer to avoid nondoctor care :: Aug. 30, 2010 ... American Medical News

Nurse practitioners and physician assistants account for at least 10% of outpatient visits and increasingly are being used to handle patient care in emergency departments, according to previous research.

But a new survey said 80% of patients expect to see a physician when they come to the ED. Fewer than half would be willing to see an NP or PA for an ankle injury -- they would rather wait two more hours to be cared for by a physician.

The survey of 507 ED patients at three teaching hospitals in Pittsburgh and Dallas found that, even for a minor complaint such as a cold symptom, only 57% would agree to see a nurse practitioner and 53% would see a physician assistant, according to the study in the August American Journal of Bioethics. Patients also preferred to see a fully trained physician compared with a medical resident, but not by as wide a margin as their desire to avoid nonphysicians.

Given their strong preferences for care from physicians, patients deserve greater disclosure about who is providing care and what the level of training is, said study lead author Gregory L. Larkin, MD, professor of emergency medicine at Yale University School of Medicine in Connecticut.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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Friday, February 4, 2011

Reader's Digest Partners With OrganizedWisdom to Close the "Online Health Gap"

OrganizedWisdom, an expert-driven platform for health and wellness, and Reader's Digest, the world's largest global editorial brand whose name is synonymous with "getting to the heart of the matter," today announced a partnership aimed at improving consumers' search for health information. Under the agreement, OrganizedWisdom will power a new search-driven, consumer-facing health program that will aggregate, organize and promote high-quality Web resources, medical journal articles, and other vetted health content shared online to give millions of people the right information at the right time.

"Our goal is to do everything we can to close the 'Online Health Gap' -- the scary space that exists between a doctor visit and the Internet, where people are left alone with an empty search box and millions of computer-generated results," explains Steven Krein, CEO of OrganizedWisdom. "By partnering with trusted content curators like Reader's Digest, we can help elevate the standard of care as we guide millions of people to discover valuable health information contributed by experts."

In addition to search, consumers will also be able to access the program's content at OrganizedWisdom.com and at the newly relaunched RD.com, now known as the Reader's Digest Version. The program will also consist of additional online and offline initiatives, including inserts in print editions of Reader's Digest and pamphlets distributed to up to 300,000 doctor waiting rooms. Multiplatform sponsorship opportunities enable health marketers to interact meaningfully with consumers at the most critical moment -- during their search for information.

"This is a year of tremendous growth and innovation for the Reader's Digest brand with a return to our roots as expert content curator and the launch of a range of new, digitally-driven products, ensuring that consumers can experience Reader's Digest however they choose," said Dan Lagani, President of Reader's Digest Media. "The partnership with OrganizedWisdom extends our ability to deliver trusted, time-saving insights beyond the Reader's Digest Version website and mobile platforms."

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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Thursday, February 3, 2011

CMS Initiative Will Link Incentives With Reduced Infections, Readmissions - California Healthline

CMS is planning a "major multi-year financial commitment" involving Medicare, Medicaid and private insurers that aims to curb hospital-acquired infections and readmissions, according to a confidential draft of a CMS document, Inside Health Reform reports.

The so-called National Patient Safety Initiative -- which is being developed by CMS' innovation center -- would link $70 billion in Medicare funds across 10 years to hospitals' ability to achieve new standardized performance metrics. Under the plan, 6% of hospitals' Medicare payments will be contingent on reporting errors and meeting safety measures, with the proportion of payments increasing to 9% by 2015.

By hiring state contractors, CMS will develop measures and monitor progress, and then use results to determine payments.
Medicaid and private insurance plans that chose to participate in initiative also will link a larger portion of payments to patient safety goals, affordability and patient-centered care.

The innovation center also will fund studies that aim to determine how to disseminate best practices data, and support states and health systems that develop networked learning projects, Inside Health Reform reports (Inside Health Reform, 1/26).

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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Wednesday, February 2, 2011

Website offers top tips on caring for people with learning disabilities | News | Nursing Times

A new website, offering practical tips on supporting people with learning disabilities, is proving popular with healthcare providers for its hands-on approach.

www.Netbuddy.org.uk provides solutions to issues many learning disability nurses will recognise, such as: how to administer medicines comfortably, how to manage constipation, how to communicate with someone who is non-verbal and how to cope with challenging behaviour.

All the tips are contributed by people with first-hand experience of learning disability.

Netbuddy co-founder Deborah Gundle said: “Netbuddy appeals to healthcare professionals because the advice is very practical, and it comes directly from people with everyday experience of learning disability. It’s a goldmine of useful information from people who really know what they’re talking about.

Since www.Netbuddy.org.uk launched in September 2010, the site has had thousands of hits from parents, carers and healthcare providers - either picking up ideas or contributing tips.

“Parents immediately recognised how useful Netbuddy could be and started using it straight away,” said Deborah. “Now we are getting more healthcare professionals to the site, which is fantastic. We particularly want to hear from learning disability nurses, as they will have lots of useful ideas to pass on.

“We really believe that Netbuddy can make a huge difference in providing excellent quality of care for people with learning disabilities.”

Parents, caregivers of special needs children will find this article of interest.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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Saturday, January 15, 2011

Oregon sues Johnson & Johnson over "phantom" Motrin - Jan. 13, 2011

Oregon has sued Johnson & Johnson for allegedly selling defective Motrin drugs to consumers in the state for more than a year, and for trying to secretly remove the faulty drugs from stores.

"Companies that break the rules and put consumers at risk will be held accountable," Oregon Attorney General John Kroger said in a statement.

The state filed the lawsuit Wednesday against J&J (JNJ, Fortune 500) and its two subsidiaries, McNeil PPC Inc. and McNeil Healthcare Inc. The company's McNeil division makes over-the-counter cold and pain drugs such as Tylenol, Motrin and Benadryl.

The suit claims that J&J discovered in late 2008 that some supplies of Motrin sold in gas stations and convenience stores nationwide were defective because they were not properly dissolving.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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Monday, January 10, 2011

HealthCare.gov (Healthcare Reform, Affordable Care Act)

Your Rights and Protections Under the Affordable Care Ac... 

Under the new health care law, you will see an end to some of the worst abuses of the insurance industry. New rules will put you – not your insurance company – in control of your health care.…Continue Reading →

Myths vs. Facts: Repeal Would Be Bad for Americans’ Heal... 

You may have read in today’s New York Times that the health care law enacted nine months ago is in jeopardy. Nothing could be farther from the truth. Let’s take these issues one at a time and talk about facts.

Making Living Independently A Reality for People with Di... 

Many Americans with disabilities face challenges in accessing the fundamental right to determine where and how they want to live their lives. Thanks to a new inter-agency partnership, more people living with disabilities will have that choice.


Keeping an Eye on Proposed Premium Hikes  

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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Sunday, January 9, 2011

Starve a Cold, Feed a Fever? | Patient Advocate - Kitty Wilde, RN

Do you starve a cold and feed a fever when you’re feeling under the weather? Or is it the other way around?

Good news — starving is never the correct answer.

When you eat a nutritional, well-balanced diet, many other factors fall in place that keep your body functioning optimally. Foods that are rich in nutrients help fight infections and may help to prevent illness. Because a wide array of nutrients in foods — some of which we may not even know about — are essential for wellness, relying on dietary supplements (vitamins and minerals) for good nutrition may limit your intake to just the known nutritional compounds rather than letting you get the full benefit of all nutrients available in food.

Including more raw fruits and vegetables in your diet is the best way to ensure a high intake of antioxidants. And when you cook these super-nutrients, be sure you cook them using as little liquid as possible to prevent nutrient loss.

To read the rest of the article, click on the link above.

See also, patient advocates:
http://www.nursefriendly.com/nursing/consumer.advocate/patient.awareness.orga...
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Andrew Lopez, RN
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38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

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Wednesday, January 5, 2011

I'll Never Ration. Not Me. Not I. - NYTimes.com

Opposition to health-care rationing is a little like opposition to growing up. It sounds great. It’s just not very practical.

A society’s resources are always limited. So we have to make choices about what we can afford and what we can’t. Not everyone can afford to own a vacation home — which means vacation homes are rationed. Not everyone can afford to live in towns with excellent public schools — which means that good public education is rationed.

Similarly, we can’t afford to try every feasible medical treatment on every patient. Instead, we make choices. The most obvious form of rationing is the millions of Americans who lack health insurance today. Most of them get less medical care than they need and, in the process, keep down the nation’s total medical bill.

But even those with health insurance experience rationing. How? In many ways.

This country has not spent the money to install computerized medical records, and we suffer more medical errors than many other countries. We underpay primary care doctors, relative to specialists, and we’re left stewing in waiting rooms while our primary-care doctors try to see as many patients as possible. Specialists are usually not paid for time they spend collaborating with doctors in other specialties, and many hard-to-diagnose conditions go untreated. Nurses are usually not paid to counsel people on how to improve their diets or remember to take their pills, and manageable cases of diabetes and heart disease become fatal.

At some point we'll need to accept the fact that we cannot all have every test, every operation, every treatment, every new medicine or see every specialist.

To read the rest of the article, click on the link above:

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
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Monday, January 3, 2011

More Patients Making Appointments Online As Doctors Embrace Web - Kaiser Health News

After relocating to Washington, D.C., Clint Morrison needed a doctor to follow up a tonsillectomy he had a few weeks earlier in California. But when he started calling specialists in his health plan’s directory, he struck out: they either weren't taking new patients or had no openings for several weeks.  

So in September Morrison went to a website called www.zocdoc.com. He could see doctors' appointment calendars and identify those that took his insurance and were located near his office. With a couple clicks, Morrison, 24, scheduled an appointment for the next day with Mark Dettelbach, an ear, nose and throat doctor. "It was painless," Morrison says of the experience.

Dettelbach's group practice is one of a growing number that allow patients to schedule appointments online — eliminating multiple calls, waiting on hold and increasing the likelihood of finding someone with an opening.

About 16 percent of family doctors used online scheduling in 2009, up from 6 percent in 2005, according to the American Academy of Family Physicians. Most are doing it on their own or through health systems where they work.

Several factors drive the trend. On the doctors' side, it's mostly the need to add patients and reduce overhead costs. They're also growing more comfortable with computers. About half of family doctors use electronic health records and 44 percent prescribe electronically, according to the academy.

To read the complete article click on the above link:
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New Drug Approvals Slipped in 2010 - WSJ.com

The Food and Drug Administration approved about 21 drugs in 2010, a relatively modest figure that shows the pharmaceutical industry hasn't yet escaped its drought in recent years.

A few potential blockbusters won approval during the year, but some of the most highly anticipated new products got delayed into next year or beyond. That partly reflects a tougher environment at the FDA, with regulators stepping up their scrutiny of safety issues in drugs for obesity, diabetes and other conditions.

According to monthly drug-approval reports on the FDA's website, 21 new drugs were approved in 2010, down from 25 in 2009 and 24 in 2008, but higher from a recent low of 18 in 2007.

The final approval figures, as well as the number of applications received by the agency in 2010, won't be available until next month. The approval figures don't include dozens of approvals granted for new formulations or new uses of existing drugs.

Although the 2010 figures are a bit lower than previous years, FDA spokeswoman Sandy Walsh said there's "no systemic change in how the FDA is approaching drug approvals."

The figures include several major biologic drugs, which are created from living cells and represent a growing portion of the pharmaceutical market. Amgen Inc. won approval for Prolia, a drug that is injected twice yearly to treat osteoporosis in postmenopausal women. Roche Holding AG's biotechnology unit, Genentech, won approval for Actemra, a drug that's administered intravenously to treat rheumatoid arthritis.

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Friday, December 31, 2010

Primary care needs more than 15 minutes for patients, KevinMD.com

Psychotherapy appointments have traditionally lasted 50 minutes with 10 minutes for paperwork. This has lead to the expression, “the 50-minute hour”.

More recently there has been talk of incorporating psychotherapy techniques in brief visits in primary care. The provoking title “The Fifteen Minute Hour” is from a book about addressing the emotional aspects of disease in primary care during brief appointments. The title and the concept seem relevant to much of what we do in my specialty.

In primary care we seldom spend more than 15 minutes at a time with an established patient. Yet we are required to cover infinitely more details and consider more outside authorities in every visit today than when I first started practicing medicine. Between health insurance and office administration, there are now many more mouths to feed from the office charges than there were then. Sometimes it feels like we are not alone in the exam room even for the short time we do have.

Except for doctors in concierge medicine or micropactices, most of us cannot change the amount of time we have with each patient. Even if we hope to change the system, the patients we see today deserve the best we can give them in today’s 15-minute visits.

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Thursday, December 30, 2010

Shoveling Snow? How to Protect Your Back (and Your Heart) - Chronic Pain - Health.com

Snow and ice can make driving treacherous, of course, but snowfall—especially the wet, heavy kind—can be dangerous even if you never leave your driveway. Each year, shoveling piles of snow after a storm is believed to cause tens of thousands of back and shoulder injuries in the United States, not to mention several hundred heart attacks.

Overall, more than 70,000 people ended up with a shoveling-related injury bad enough to trigger a doctor’s visit in 2008, according to the Consumer Products Safety Commission. A quarter of those people visited an emergency room, and about 900 were admitted to a hospital.

The exertion, cold weather, and slippery surfaces snow shovelers face are a dangerous combination, especially if it’s an activity you’re not used to. Snow shoveling "is one of the most high-intensity exercises you can do," says Suzanne Steinbaum, DO, a preventive cardiologist at Lenox Hill Hospital, in New York City. "You’re using all your major muscle groups."

But there are steps you can take to shovel safely and ensure that you survive the winter in one piece.

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Monday, December 13, 2010

Doctors, nurses often contribute to patients' weight problems - FierceHealthcare

Although some doctors and nurses seems to think stigma and shame can help motivate patients to lose weight, the opposite seems to be true, according to a doctor's commentary published today in the Los Angeles Times.

"People who are exposed to stigmatizing situations are more likely to engage in unhealthy eating behaviors and less likely to be physically active," said Rebecca Puhl, director of research at the Rudd Center for Food Policy and Obesity at Yale University, who was interviewed for the piece.

Indeed, most women in one study coped with stigma over their weight by eating more food or refusing to diet.

What's more, humiliating interactions may make overweight patients unwilling to seek out medical care, which means their other medical problems likely will go untreated, as well. Puhl says that healthcare providers need to adjust their expectations, pointing out that losing weight isn't just about having patients go on diets. An inability to diet down to a healthy weight isn't due to just lack of motivation, according to Puhl.

She also calls on healthcare providers to recognize that even relatively small changes in weight count as progress toward better health. Most people can't lose more than 10 percent of their body weight and keep the weight off over time, she says.

Dr. Valerie Ulene, the commentary's author and a preventive medicine specialist whose siblings tortured her when she was an overweight child, says that patients who are overweight deserve to be treated compassionately and effectively. "It's not just the right thing to do, it's the best approach for successful treatment," she writes.

To learn more:
- here's the Los Angeles Times commentary

Related Articles:
Too often, MDs blame obese patients' ills on fat
To help patients lose weight, don't call them fat
Health-conscious docs more likely to offer lifestyle advice
Conquering chronic disease with lifestyle medicine
Guest Commentary: Brad Wilson on fighting obesity

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Tuesday, December 7, 2010

Alabama Legal Nurse Consultants, Nursing Entrepreneurs, Nurse-Owned Businesses

Kathy G. Ferrell, RN, BS, CLNC:"Kathy G. Ferrell, RN, BS, CLNC is a Certified Legal Nurse Consultant (CLNC) with over 30 years of professional nursing experience. Kathy Ferrell will work with attorneys in selecting the right case and maximize its value, or assist the defense in defending the case or mitigating damages. Kathy can provide these services at a fraction of the cost charged by physicians and other experts who often charge $250-$500 per hour for case review."
Kathy G. Ferrell, RN, BS, CLNC
Medical - Legal Consulting
1037 Blue Heron Point
Birmingham, AL 35242
Phone: 205-566-5406
Email: Kathy@FerrellConsulting.com
http://www.ferrellconsulting.com/

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RN Litigation Specialist - Personal Injuries:"Services Available: 1) Initial Phone Interview with the client. 2) Obtain Medical Records. 3) Review of Medical Records/Analysis of standards of care. 3) Prepare Medical Interrogatories based upon personal injury as relates to patient prognosis and disability percent. 4) Interview Physician prior to the deposition and prepare him/her for the deposition. 5) Provide attorney with the taped interview for his/her review prior to the deposition.
Jan A. Granger
RN Litigation Specialist
Personal Injuries
Valley, AL 36854
(334) 745-7360
rayjanagranger@aol.com
http://www.rnlitigation.bizland.com/rnlitigation/

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Helen Heiskell, MSN, RN, Legal Nurse Consultant, Nurse Entrepreneur:"Professional Medical Record Review: Review and summarize medical records. Expert Witness Location. Assist with deposition and trial preparation. Attend IME/DME; Life Care Planner location; specialize in Worker's Compensation, Personal Injury and Medical Malpractice, Negligence claims, but have also reviewed other types of cases."
http://www.nursingentrepreneurs.com/heiskell

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Tonja S. Rice RN, BSN, LNC:"I am a Legal Nurse Consultant and I am based in Birmingham, Alabama. I have 18 years of nursing experience, 15 of which in cardiac intensive care (transplants, LVAD, aortic balloon pump, CABG's etc.) I accept cases from across the United States that include malpractice, Qui Tam, wrongful death and Medicare fraud to name a few."
1640 Brakewood Drive N.W.
Birmingham Alabama 35215
USA
Email: Tonja@LegalRegisteredNurse.com
Phone: (205) 854-5695
http://www.legalregisterednurse.com/

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Angela M Rowe, RN, LNC, GCM, Senior Care Solutions, Alabama Nursing Entrepreneurs:"Senior Care Solutions provides Geriatric Care Management Services to aging adults and their families in Central Alabama. Our goal is to help seniors and disabled individuals to obtain the assistance they need to maintain safety, dignity, and quality of life. Senior Care Solutions provides advocacy, evaluation, education, and support services to seniors in Alabama."
3049 Lansdowne Drive
Montgomery Alabama 36111
Phone number: 334-834-9483
Fax number: 214-279-6602
http://www.nursingentrepreneurs.com/rowe

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Faye H. Shaffer, RN, DSN, CLNC, Southern Health & Legal Consultants, Inc.:"Southern Health & Legal Consultants, Inc.(SHLC)is a nurse-owned business specializing in consultation to attorneys who litigate cases involving medical malpractice, personal injury, and workman's compensation. With over 30 years in nursing clinical practice and education, I can offer assistance in both the technical and professional aspects of the health care system."
Alabama Nurse Entrepreneurs, Medical, Legal Nurse Consultants, Professional Medical Record Review, Testifying Expert Witness Location
http://www.nursingexperts.com/shaffer/

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Turnipseed & Associates,LLC.:"Libby Turnipseed RN MSN LNCC CNLCP. Legal Nurse Consultant, Certified Medicare Set Aside Allocator, Certified Nurse Life Care Planner."
Libby Turnipseed
Alabama
256-442-5547
256-413-0878 fax
Lseed@comcast.net
http://www.healthgrades.com/health-professionals-directory/libby-turnipseed-crnp-0ccd7c35

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Central Alabama Legal Nurse Consultants, Inc.:"Central Alabama Legal Nurse Consultants, Inc. was started in 1994 to offer assistance to attorneys with medical cases. With experience in Medical Surgical Nursing, Critical Care Nursing, HMO Nursing, Workman's Compensation Case Management, and Home Health Nursing, we are qualified to assist you in any type of medical case that you might encounter."
Hheiskell@legal-nurse-consultant.com PMB 303 2021 N. Slappey Blvd. | Albany | GA | 31701-1028
(912) 889-0047

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Nursefriendly, Inc. A New Jersey Corporation.
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856-415-9617, (fax) 415-9618

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