Friday, January 14, 2011

Money Problems | 10 Signs Your Parent is Struggling Financially, Caring.com

Your parents assure you that their bank balance is in fine shape. But is it really true -- or are you worried they're actually just scraping by?

Even if your parents haven't shared the details of their financial situation, there can be tell-tale warning signs that they're feeling the need to cut back on their expenses. Home Instead Senior Care, an elder care provider, has compiled a list of signs that may indicate your parents are in need of financial help.

Here are the warning signs to look out for, according to Home Instead:

  1. Is your seniors' home too warm in the summer and too cold in the winter?
  2. Is the lawn not getting mowed and is the sidewalk not getting cleared in inclement weather?
  3. Are they complaining about not being able to afford medications?

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Thursday, January 13, 2011

Inactivity Is Harmful, Even With Trips to the Gym - NYTimes.com

Many of us sit in front of a computer for eight hours a day, and then go home and head for the couch to surf the Web or watch television, exchanging one seat and screen for another. Even if we try to squeeze in an hour at the gym, is it enough to counteract all that motionless sitting?

A mounting body of evidence suggests not.

Increasingly, research is focusing not on how much exercise people get, but how much of their time is spent in sedentary activity, and the harm that does.

The latest findings, published this week in The Journal of the American College of Cardiology, indicate that the amount of leisure time spent sitting in front of a screen can have such an overwhelming, seemingly irreparable impact on one’s health that physical activity doesn’t produce much benefit.

The study followed 4,512 middle-aged Scottish men for a little more than four years on average. It found that those who said they spent two or more leisure hours a day sitting in front of a screen were at double the risk of a heart attack or other cardiac event compared with those who watched less. Those who spent four or more hours of recreational time in front of a screen were 50 percent more likely to die of any cause. It didn’t matter whether the men were physically active for several hours a week — exercise didn’t mitigate the risk associated with the high amount of sedentary screen time.

Click on the nytimes.com link to read the full article.

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CMS 30-minute rule for drug administration needs revision, ISMP.org

In our June 17, 2010 newsletter, we covered a precarious topic best known as the “30-minute rule”—a requirement in the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation Interpretive Guidelines to administer scheduled medications within 30 minutes before or after the scheduled time (see pages 174-175 at: www.cms.gov/manuals/Downloads/som107ap_a_hospitals.pdf). In our July 2010 nursing newsletter, Nurse Advise-ERR, we asked frontline nurses who are most directly affected by the 30-minute rule to weigh in on the issue by completing a short survey. And WOW, did they ever! More than 17,500 nurses responded to our survey, providing more than 8,000 additional comments (see Table 1 on page 2 of the PDF version of the newsletter), making it very clear that the issue is of great significance to nurses.

Respondent profile and compliance rates
Almost half of the responding nurses work on medical/surgical units, and the other half work in critical care, telemetry, or specialty inpatient units. Most nurses feel that the 30-minute rule is unsafe, unrealistic, impractical, and virtually impossible to follow. Approximately three out of four respondents (70%) told us their organization enforces such a policy. Of these nurses, only five of every 100 (5%) were always able to comply with the policy, while more than half (59%) were infrequently or only sometimes compliant (see Graph 1 on page 6 of the PDF version of the newsletter). Why nurses find it difficult to comply with the 30-minute rule was expressed by many (see Table 2 on page 3 of the PDF version of the newsletter), including a nurse who sent a pragmatic yet eloquent account of a Day in the Life of a Nurse (see Sidebar that follows this article). 

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Nurses to Help Thousands of Smokers Butt Out During National Non-Smoking Week - Nursing Link

When nurses intervene, smokers quit. That’s the message the Registered Nurses’ Association of Ontario (RNAO) wants to spread when National Non-Smoking Week (January 16 – 22, 2011) gets underway next week.

“Smoking is one of the most important public health threats of our time. We know that 37,000 deaths a year in Canada are linked to tobacco use. Research shows that reaching out to people is one of the most important steps in determining a smoker’s willingness to quit,” explains Irmajean Bajnok, an RN and Director of RNAO’s Best Practice Guidelines (BPG) program in Toronto.

“Nurses who spend as little as three minutes having conversations with smokers about quitting can make a difference,” says Bajnok adding arming nurses with the best available evidence from the RNAO’s Smoking Cessation BPG is the key to reducing smoking rates.

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Saving Grace (Emergency Department Nurses)- LA Times Magazine

“I heard a guttural scream,” Rich says, “and a man was handing me his lifeless son.”

“How old?” I ask.

“Nine months. We worked on him for over an hour.”

Rich moves his chair, coughs. It’s freezing in the conference room. [Note: For privacy, nurses are mentioned only by first name.] The muffled din of the emergency room is audible through closed metal doors. It’s 7 a.m., and Rich’s 12-hour shift has just ended. “I flashed to something I heard once about how a casket doesn’t weigh very much—just enough to break a father’s heart,” he says, “and I lost it. I’m standing there, between beds one and two holding that dead baby, and I’m sobbing. I am in charge, and I’m crying.”

As an 11-year volunteer in Cedars-Sinai Medical Center’s emergency room, I’ve seen close up what ER nurses deal with. It takes rare emotional courage not to burn out when you know that every time those doors open—whether you are working triage in front, where a guy may stumble in with a heart attack, or in back, where paramedics may race in with a girl who has been knifed or shot—it’s bad news. Then there’s the physical strength required to survive 12-hour shifts with two half-hour breaks and 45 minutes for lunch. ER nurses never sit. But it’s the children—every ER nurse will tell you—who take the biggest toll

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Asthma, Direct Patient Care (Bedside Nursing),

ShareThis Buzz up!3 votes
Tips to Remember: Asthma & Allergy Medications, American Academy of Allergy, Asthma & Immunology:"More than 50 million people in the United States suffer from asthma and allergies. Fortunately, today there are many effective medications available to treat these conditions. The following information is intended to help asthma and allergy sufferers better understand the most commonly used types of medications."
American Academy of Allergy, Asthma & Immunology
555 East Wells Street
Suite 1100
Milwaukee, WI 53202-3823
Phone: (414) 272-6071
Patient Information and Physician Referral Line: (800) 822-2762
For all general questions, e-mail info@aaaai.org
http://www.aaaai.org/patients/publicedmat/tips/asthmaallergymedications.stm

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Tips to Remember: Childhood Asthma, American Academy of Allergy, Asthma & Immunology:"Asthma is the most common serious chronic disease of childhood, affecting nearly five million children in the United States. Characterized by coughing, chest tightness, shortness of breath and wheezing, asthma is the cause of almost three million physician visits and 200,000 hospitalizations each year. In infants and children, asthma may appear as cough, rapid or noisy breathing in and out, or chest congestion, without the other symptoms seen in adults."
American Academy of Allergy, Asthma & Immunology
555 East Wells Street
Suite 1100
Milwaukee, WI 53202-3823
Phone: (414) 272-6071
Patient Information and Physician Referral Line: (800) 822-2762
For all general questions, e-mail info@aaaai.org
http://www.aaaai.org/patients/publicedmat/tips/childhoodasthma.stm

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Treating Asthma With Bronchodilators , Beta 2-agonists, Cleveland Clinic Department of Patient Education and Health Information:"Beta 2-agonists - Short-acting inhaled forms include: Albuterol (Proventil® HFA, Ventolin® HFA, Accuneb®, ProAir®) Metaproterenol (Alupent®) Levalbuterol (Xoponex® HFA, Xoponex® nebulizer solution) Pirbuterol (Maxair®) Albuterol and ipatropium bromide combination (Combivent® metered dose inhaler; DuoNeb®) Short-acting beta 2-agonists are also called "quick acting" or "rescue" medicines because they relieve asthma symptoms very quickly by opening the airways. These inhalers are the best for treating sudden and severe or new asthma symptoms. They work within 20 minutes and last four to six hours. They are also the medicines to use 15 to 20 minutes before exercise to prevent exercise-induced asthma symptoms."
The Cleveland Clinic Department of Patient Education and Health Information
9500 Euclid Ave. NA31 Cleveland, OH 44195
216/444-3771 or 800/223-2273 ext.43771
healthl@ccf.org
http://www.clevelandclinic.org/health/health-info/docs/3500/3528.asp?index=11789

Category: Bronchodilators, Respiratory Drugs, Medications

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Allergy and Asthma FAQ:"The Allergy and Asthma FAQ is an informal gathering of the "net wisdom" on allergies and asthma. It includes links to various (Web and non-Web) sources of information. This started as the misc.kids Allergy and Asthma FAQ, so a certain amount of this information is geared towards parents, but there is plenty of information for adults, too. "
http://www.cs.unc.edu/~kupstas/FAQ.html

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alt.support.asthma FAQ:"Welcome to alt.support.asthma! This newsgroup provides a forum for the discussion of asthma, its symptoms, causes, and forms of treatment. Please note that postings to alt.support.asthma are intended to be for discussion purposes only and are in no way to be construed as medical advice. Asthma is a serious medical condition requiring direct supervision by a physician."
http://www.radix.net/~mwg/asthma-gen.html

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For Teens, Too Much Sugar Can Be A Heartbreaker : Shots - Health News Blog : NPR

Teenagers who guzzle a daily bottle of soda are probably not thinking much about their hearts as the sweet stuff runs down their throats.

Antonio Garcia re-stocks the beverages at The Corner Market in Washington, D.C., in 2010.
Enlarge Jacquelyn Martin/AP

Antonio Garcia re-stocks the beverages at The Corner Market in Washington, D.C., in 2010. Study author Jean Welsh says that sweetened beverages tend to be the biggest source of added sugar.

Antonio Garcia re-stocks the beverages at The Corner Market in Washington, D.C., in 2010.
Jacquelyn Martin/AP

Antonio Garcia re-stocks the beverages at The Corner Market in Washington, D.C., in 2010. Study author Jean Welsh says that sweetened beverages tend to be the biggest source of added sugar.

But a new study suggests they should be. Teens who consume lots of added sugar — usually found in sugar-sweetened beverages — risk heart problems later in life, researchers found.

This main problem is the sheer volume of sugar American teens consume: 28.3 teaspoons of added sugar a day on average. That makes up a whopping one-fifth of their daily calories, according to Jean Welsh, study author and post-doctoral fellow in pediatric nutrition at Emory University School of Medicine. It works out to an average of 476 calories a day.

 

Teens who consumed the highest percentage of their calories from added sugar had less of the "good" cholesterol compared with consumers who ate the least sugar. Another finding was that teens who consumed more added sugars also had higher levels of the "bad" cholesterol  and fats called triglycerides.

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Asthma On The Rise: 25 Million In The U.S. Affected : Shots - Health News Blog : NPR

If asthma sometimes seems to be everywhere, it's not exactly your imagination.

Federal health officials estimate nearly 1 in 12 Americans, or nearly 25 million people have the respiratory disorder. That works out to 8.2 percent of the population in 2009, the latest year covered by the research.

 

The results from the Centers for Disease Control and Prevention appear in this report.

The prevalence of asthma is up a little lately, from 7.7 percent in 2005.  How come? One reason is that doctors are looking for it more and are better at detecting it. The biggest increases in diagnosed asthma occurred in the '80s and '90s.

Asthma attacks, the severe breathing problems that can land someone in the hospital, affected 12.8 million people in the United States, or 4.2 percent of the population, in 2009. Attacks have held pretty steady for more than a decade.

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Wednesday, January 12, 2011

Nurse and Doctor, Neighbor and Friend By THERESA BROWN, R.N. - NYTimes.com

“Something there is that doesn’t love a wall,” begins Robert Frost’s poem “Mending Wall,” about two neighbors who meet to repair the gaps and holes in the stone wall separating their properties. They walk on either side of it, picking up and replacing fallen stones as they go.

Theresa BrownJeff Swensen for The New York Times Theresa Brown, R.N.

The poem came to mind one recent day on the oncology floor where I work. It’s a medical oncology floor, where we tend to medical issues that go along with cancer, like giving chemotherapy and dealing with complications of metastatic disease. But it turned out that one of my patients had a serious surgical problem.

Surgical oncology is several flights of stairs below us. Even if they were next door, though, I imagine we’d still be inhabiting different worlds. There’s “med onc” and “surg onc,” and never the twain shall meet.

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OrganizedWisdom Finds Free Experts Make for SEO Success - NYTimes.com

With Demand Media currently planning a high-profile IPO and issues being raised about the impact of “content farms” on search results, there is a lot of attention being paid to the question of content aggregation and its effect on the web. OrganizedWisdom Health, a health-resource service, now believes it’s better — and more profitable — to organize free content rather than pay for low-wage material.

The New York-based startup has spent most of the past four years building up an index of “wisdom cards:” topical health entries that were written by contributors for a small fee. At any given moment, OrganizedWisdom contracted with 100 writers, who covered a wide array of medical topics. But exactly one year ago, the company dropped the paid-content route and embraced a free expert model. So where does the content come from? The startup keeps track of some 5,000 doctors and health experts who use social media, and collects their contributions into wisdom cards.

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