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Wednesday, March 2, 2011

Opinion: Docs Need to Get with the Internet Program, KevinMD.com

If you woke up one day with an earache, you could call your doctor's office for help.
Or you could do what the majority of patients do today and Google what to do first. Type "earache" into your Web browser and the results can vary wildly. Search engines can return results saying that an earache can be from the common cold, needing nothing more than over-the-counter remedies. Or it could be a sign of a brain abscess, which requires emergency medical attention.

Getty Images

Only 7 percent of doctors e-mail their patients, let alone engage them on blogs, Twitter or Facebook.

A recent international health survey conducted by the London School of Economics found that only one in four checked the reliability of online health advice. When you consider that nearly two-thirds of patients are consulting the Internet for their medical symptom or condition, that's a lot of patients accepting what they read on the Internet at face value.
That can be dangerous. If a patient wanted to learn CPR, for instance, a typical Web search would lead to one of more than 50 such instructional videos on YouTube. But according to a recent study from the Medical College of Wisconsin, more than half of those showed improper technique; either the rate or depth of chest compressions was wrong. Worse, just a handful reflected the American Heart Association's 2010 resuscitation guidelines update, which now advocates "hands only" CPR, without mouth-to-mouth breathing.

via aolnews.com

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Sleep deprivation 'can cause strokes' | News | Nursing Times

Stroke or heart disease susceptibility is dependant on how much you sleep you get, a new study has suggested.

A Warwick Medical School study has discovered that prolonged sleep deprivation can have a seriously adverse effect on cardiac health.
The research team linked a lack of sleep to strokes, heart attacks and cardiovascular disorders which can often cause early death.
Professor Cappuccio and co-author Dr Michelle Miller examined evidence from more than 470,000 participants across eight countries, including Japan, the US, Sweden and the UK.
Professor Francesco Cappuccio said: “If you sleep less than six hours per night and have disturbed sleep you stand a 48% greater chance of developing or dying from heart disease and a 15% greater chance of developing or dying from a stroke.
“The trend for late nights and early mornings is actually a ticking time bomb for our health so you need to act now to reduce your risk of developing these life-threatening conditions.”
Dr Miller added chronic short sleep produces hormones and chemicals in the body, which increases the risk of developing heart disease and strokes, plus other conditions such as high blood pressure and cholesterol, diabetes and obesity.
Cappuccio F, et al. Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. European Heart Journal, Advance access.

via nursingtimes.net

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Choose Nursing VT :: Stories

Read stories about real Vermont nurses and their careers. The jobs these nurses have represent a small fraction of the choices available to nurses when picking a career.

Find out what inspired them to become a nurse, what kinds of responsibilities they have on the job and what they love most about being a nurse!

It's Like Going to Work in Your Pajamas
Bryan Lorber’s story
Livesaver Extraordinaire: From Firefighter to Charter Nurse
George Henry’s story
Preparing Patients for Surgery
Irene Bonin’s story
Making Health Care the Best It Can Be
Maureen’s story
Using Your Mind and Heart to Make a Difference
Jan Oliver’s story
Helping Patients Stay Heart Smart
Reg McCurdy’s story

via choosenursingvermont.org

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How patients and doctors can improve the primary care office visit

Consumer Reports recently released a survey of both patients and primary care doctors, regarding their perceptions of each other.
Some interesting findings, as summarized by the WSJ’s Health Blog:
On the issue of respect and appreciation, 70% of doctors said they were getting less of it from patients than when they started practicing. For patients, meantime, the more they reported being treated respectfully and listened to, the more satisfied they were with their physician.
Respect matters. Treating health professionals in a courteous manner definitely helps when receiving medical care. On the flip side, physicians also need to respect patents, as it positively impacts patient satisfaction. Both parties need to improve in this area.
Doctors said insurance paperwork topped their list of things that interfere with their ability to provide the best possible care. Financial pressure was No. 2.

via kevinmd.com

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Smart money tips for young doctors and medical students (Good tips for the rest of us)

The best financial roadmap for young doctors, medical workers, and other young professionals goes far beyond just paying off debts. Being smart about money begins with being smart about what you want out of life. What would you do if you weren’t limited by time or money? Do you want to start a nonprofit, travel around the world, or take a year-long work break to pursue a passion project? To generate ideas, brainstorm with family and friends.
Once you have those big goals in mind, it’s time to figure out a way to get there, which starts with a budget. Most people find that two-thirds of their after-tax income goes towards three big costs: Food, housing, and transportation. If possible, minimize that pricey trifecta by living in a smaller home, taking advantage of public transportation, and eating at home as much as possible. That will give the rest of your budget more freedom.
Your budget, which you can track easily on free websites such as mint.com or on a simple spreadsheet, will probably look something like this:
The basics: food, housing, and transportation: 50 percent
Debt payments: 5 to 10 percent, depending on the size of student loans
Savings: 25 percent, including retirement savings
Professional expenses, including professional association fees, publication subscriptions, and attending conferences: 5 percent or less
Household expenses, including services such as cleaning and general upkeep: About 5 percent
Entertainment: 5 percent or less

via kevinmd.com

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FRAX, Fracture Probability Tool

Welcome to FRAX^®

The FRAX^® tool has been developed by WHO to evaluate fracture risk of patients. It is based on individual patient models that integrate the risks associated with clinical risk factors as well as bone mineral density (BMD) at the femoral neck.

The FRAX^® models have been developed from studying population-based cohorts from Europe, North America, Asia and Australia. In their most sophisticated form, the FRAX^® tool is computer-driven and is available on this site. Several simplified paper versions, based on the number of risk factors are also available, and can be downloaded for office use.

The FRAX^® algorithms give the 10-year probability of fracture. The output is a 10-year probability of hip fracture and the 10-year probability of a major osteoporotic fracture (clinical spine, forearm, hip or shoulder fracture).

via sheffield.ac.uk

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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."

via eurekalert.org

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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.

via nursing.advanceweb.com

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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.”

via hhs.gov

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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.

via kaiserhealthnews.org

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Nursefriendly.com

Wednesday, March 2, 2011

Opinion: Docs Need to Get with the Internet Program, KevinMD.com

Sleep deprivation 'can cause strokes' | News | Nursing Times

Choose Nursing VT :: Stories

How patients and doctors can improve the primary care office visit

Smart money tips for young doctors and medical students (Good tips for the rest of us)

FRAX, Fracture Probability Tool

Welcome to FRAX^®

Tuesday, March 1, 2011

Women living with HIV fight challenges through photography

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

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

Helping Patients Understand Their Medical Treatment - Kaiser Health News

Translating Medical Jargon

Blog Archive

Contact Us

About Andrew Lopez, RN, Nursefriendly.com

Followers

Wednesday, March 2, 2011

Welcome to FRAX®

Tuesday, March 1, 2011

Translating Medical Jargon

Blog Archive

Contact Us

About Andrew Lopez, RN, Nursefriendly.com

Followers

Welcome to FRAX^®