Tuesday, March 1, 2011

Women living with HIV fight challenges through photography

A picture may be worth a thousand words, but for women living with human immunodeficiency virus (HIV), the virus that causes AIDS, a picture can help them deal with the challenges of living with the virus.

A University of Missouri researcher is completing a pilot project during which women living with HIV take photos to document their lives. The photos are used to engage women in critical discussions about their lives, identifying both social, mental, and physical challenges and possible solutions for the women. The photos will be presented at two special events. The first event will be held on March 3-6 in Columbia at the True/False Film Festival. The second event will be held on March 19 in St. Louis at the Regional Arts Commission to commemorate National Women and Girls HIV/AIDS Awareness Day.

"Women with HIV face more challenges than most intervention programs are designed to address," said Michelle Teti, assistant professor of health psychology in the MU School of Health Professions. "These women need to discuss more issues than merely how to have safe sex. Many live in poverty, with substandard housing and abusive partners. Helping women understand and address these issues is what this project is all about."

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Nursing Education Research Funding 'Frustratingly Low,' NLN Says on ADVANCE for Nurses

The level of funding for nursing education research remains frustratingly low, and new and expanded sources are urgently needed, says the National League for Nursing (NLN) in a new analysis of its own grant program for nursing education research published in the most recent edition of in NLN's Nursing Education Perspectives.

"The level of funding for nursing education research remains frustratingly low, and new and expanded sources are urgently needed," the author's say.

These are among the conclusions in "Advancing Nursing Education Science: An Analysis of the NLN's Grant Program, 2008-2010," the NLN's respected peer-reviewed research journal. While the NLN is among the few supporters of research in nursing education, authors noted, the commitment to scholarship is critical if the future nursing workforce is to be adequately prepared to safeguard patient care in a complex, dynamic health care environment.

The study, "Advancing Nursing Education Science: An Analysis of the NLN's Grant Program, 2008-2010,"  was co-authored by Joanne R. Duffy, PhD, RN, FAAN, a professor at Indiana University School of Nursing in Indianapolis and immediate past chair of the NLN's Nursing Education Research Advisory Council (NERAC), the panel that oversees and awards the grants; NERAC's current chair, Marilyn Frenn, PhD, RN, CNE, ANEF, an associate professor at Marquette University in Milwaukee; and Barbara Patterson, PhD, RN, a professor at Widner University School of Nursing in Chester, Pennsylvania who sits on NERAC.

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HHS Releases National Plan to Improve Health Literacy | HHS.gov

Today, the United States Department of Health and Human Services released The National Action Plan to Improve Health Literacy aimed at making health information and services easier to understand and use. The plan calls for improving the jargon-filled language, dense writing, and complex explanations that often fill patient handouts, medical forms, health web sites, and recommendations to the public.

According to the report, efforts to improve the health literacy skills of both the public and health professionals are needed to achieve a health literate society—a critical need as health reform generates more demand for consumer and patient information that is easy-to-understand and culturally and linguistically appropriate.

According to research from the U.S. Department of Education, only 12 percent of English-speaking adults in the United States have proficient health literacy skills. The overwhelming majority of adults have difficulty understanding and using everyday health information that comes from many sources, including the media, web sites, nutrition and medicine labels, and health professionals.

“Health literacy is needed to make health reform a reality,” said HHS Secretary Kathleen Sebelius. “Without health information that makes sense to them, people can’t access cost effective, safe, and high quality health services. But, HHS can’t do it alone,” she added. “We need payers and providers of health care services to communicate clearly and make the necessary changes to improve their communication with consumers, patients, and beneficiaries. Today’s plan is only the beginning of a long-term process with our many partners in all sectors that we hope will result in a society that encourages people to live longer, healthier lives.”

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Helping Patients Understand Their Medical Treatment - Kaiser Health News

An elderly woman sent home from the hospital develops a life-threatening infection because she doesn't understand the warning signs listed in the discharge instructions. A man flummoxed by an intake form in a doctor's office reflexively writes "no" to every question because he doesn't understand what is being asked. A young mother pours a drug that is supposed to be taken by mouth into her baby's ear, perforating the eardrum. And a man in his 70s preparing for his first colonoscopy uses a suppository as directed, but without first removing it from the foil packet.

Each of these examples provided by health-care workers or patient advocates illustrates one of the most pervasive and under-recognized problems in medicine: Americans' alarmingly low levels of health literacy — the ability to obtain, understand and use health information.

Translating Medical Jargon

Some technical terms and what they mean in plain English:

  • "myocardial infarction" (heart attack)
  • "hyperlipidemia" (high cholesterol)
  • "febrile" (feverish)

A 2006 study by the U.S. Department of Education found that 36 percent of adults have only basic or below-basic skills for dealing with health material. This means that 90 million Americans can understand discharge instructions written only at a fifth-grade level or lower. About 52 percent had intermediate skills: They could figure out what time a medication should be taken if the label says "take two hours after eating," while the remaining 12 percent were deemed proficient because they could search a complex document and find the information necessary to define a medical term.

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Monday, February 28, 2011

Nursing Stories, Nurse Poems, Bedside Tales, Inspirational Poems, Touching Stories

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Inspirational Quotes Every Nurse Should Read, NursingLink:"A good quote can lift you up when you're feeling blue. It can inspire you to reach your goals. It can even make you laugh out loud. NursingLink members shared some of their favorites and we'd like to share some of ours. As a nurse (or aspiring nurse!), you probably face obstacles every day – whether it's helping a patient overcome pain, studying for your boards, or facing off against a doctor."
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Category: Inspirational Poems, Touching Stories, http://www.inspirationalnursing.com

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20 Things I've Learned From Nursing by by Sally P. Karioth, RN, Ph.D:"1. When you're 92, you shouldn't have to beg for the salt shaker, even if you do have congestive heart failure. 2. Our profession has no room for bullies or whiners."
http://www.inspirationalnursing.com/20

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Rare Fractures Linked To Drugs For Weak Bones : NPR

The study found 716 atypical fractures among more than 200,000 Ontario women over 68. The researchers calculate the risk at one or two atypical fractures for every 1,000 women who took bisphosphonate drugs for more than five years.

An X-ray of Schneider's right femur (thighbone), which broke  suddenly as she was standing on a New York subway train.
Enlarge Courtesy of Dr. Jennifer Schneider

An X-ray of Schneider's right femur (thighbone), which broke suddenly as she was standing on a New York subway train.

An X-ray of Schneider's right femur (thighbone), which broke  suddenly as she was standing on a New York subway train.
Courtesy of Dr. Jennifer Schneider

An X-ray of Schneider's right femur (thighbone), which broke suddenly as she was standing on a New York subway train.

That's fairly rare, and considerably less than the risk of another potential side effect from these drugs, a condition called osteonecrosis of the jaw — the death of part of the jawbone, following a major dental procedure. Still, since tens of millions of women are taking bisphosphonates, the Ontario study suggests thousands of them may suffer devastating atypical fractures every year.

But here's the dilemma: Many women really need these drugs, because they really do work to prevent ordinary hip fractures caused by osteoporosis.

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Governors: Medicaid More A Budget Buster Than Ever : NPR

The federal government and the states have shared the cost of Medicaid, the health insurance program for some 60 million low-income Americans, since it was created in 1965.

They've shared something else almost that long — arguments about who should foot how much of the ever-escalating bill.

"Medicaid cost growth has been a problem for time immemorial," says Alan Weil, executive director of the National Academy for State Health Policy.

But this time, he says, things are different.

For one thing, "the program is bigger, so growth on a larger base is more real dollars that's harder to find."

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Skip Dessert? Christie and Huckabee on First Lady’s Side

In the dessert wars, at least, Chris Christie and Mike Huckabee side with Michelle Obama, not Sarah Palin.

Some conservatives, notably Ms. Palin, have mocked Mrs. Obama’s campaign against obesity, particularly in children. But on separate Sunday morning news programs, Mr. Christie, the New Jersey governor, and Mr. Huckabee, the former Arkansas governor — both Republicans — defended Mrs. Obama, and Mr. Christie put his answer in personal terms.

“I think it’s a really good goal to encourage kids to eat better,” Mr. Christie said on “Face the Nation,” on CBS. “You know, I’ve struggled with my weight for 30 years, and it’s a struggle. And if a kid can avoid that in his adult years or her adult years, more power to them, and I think the first lady’s speaking out well.”

Mrs. Obama has urged parents and food manufacturers to make healthier choices available to children, adding that she tells her daughters, “Dessert is not a right.” She has not called for government mandates on the issue.

Even so, Ms. Palin, the former Alaska governor and 2008 Republican vice-presidential candidate, has called Mrs. Obama’s efforts an example of “government thinking that they need to take over and make decisions for us.” In a December episode of “Sarah Palin’s Alaska,” on TLC, Ms. Palin searched her kitchen for the ingredients to make s’mores, saying it was “in honor of Michelle Obama, who said the other day we should not have dessert.”

Conservatives like Rush Limbaugh and Glenn Beck have taken similar shots at Mrs. Obama.

But appearing on “Fox News Sunday,” Mr. Huckabee, who once shed more than 100 pounds, said that in fact Mrs. Obama was calling attention to a serious problem, not calling for government intrusion.

Asked about the criticism of Mrs. Obama, Mr. Christie said, “I think it’s unnecessary,” and he made a point of saying that he did not want the government telling people what to eat.

“But I think Mrs. Obama being out there,” he said, “encouraging people in a positive way to eat well and to exercise and to be healthy, I don’t have a problem with that.”

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Looking Photos of Loved Ones Gives Relief from Pain | TopNews United States

According to the scientists at Stanford University, looking pictures of loved ones reduces pain.

Their study revealed that watching image of romantic partner dulls the activity in the pain-processing part of the brain, to a same degree as paracetamol or cocaine.

In this study, brains of love struck students were subjected to MRI scan as they were made to focus on their love partners while varying heat pains were given on their skin.

Neuroscientist Jarred Younger found that average pain got reduced by 36 to 44 percent and intense pain got reduced by 13 percent.

In a study published in the U. S. journal Public Library of Science, the post-doctoral scholar said, "The reduction of pain is associated with higher, cortical parts of the brain."

It was found that more primitive aspect of the brain block pain at a spinal level, quite similar to how opoid analgesics work.

Key site for love-induced analgesia is the nucleus accumbens, a key reward addition centre for opoids, and other drugs. This tells us that we do not need to depend on drugs to reduce pain.

Researchers at the University of California found that women showed significant reduction in pain experience while holding their partner’s hand.

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Medical News: AAN: Third Language a Charm in Warding Off Dementia - in Meeting Coverage, AAN from MedPage Today

Speak English? Parlez français? Habla español?

Those who can say yes, oui, or sí to all three questions are significantly more likely to avoid cognitive problems late in life than those who speak only two languages, according to Magali Perquin, PhD, of the Public Research Center for Health in Luxembourg, and colleagues.

Moreover, the effect appears to add up -- more languages equal a lower risk of cognitive impairment, Perquin and colleagues reported in a study to be presented at the American Academy of Neurology meeting in Honolulu in April.

Action Points  
  • Note that this study was to be published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.

  • Note that in this study multilingualism was protective against cognitive impairment in seniors, and the more languages spoken the better.
  • Point out that this study cannot determine causality.
  • "It appears speaking more than two languages has a protective effect on memory in seniors who practice foreign languages over their lifetime or at the time of the study," Perquin said in a statement.

    The findings, from a study of 230 people with an average age of 73, fit into the context of a growing body of literature that suggests a so-called "cognitive reserve" -- developed by intellectual activities -- protects against dementia.

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