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Friday, March 11, 2011

FDA takes over Johnson & Johnson's Tylenol plants - Mar. 10, 2011

The government is taking over three Tylenol plants following a blizzard of drug recalls and a Food and Drug Administration criminal investigation into safety issues at the factories.
The FDA and the Justice Department on Thursday took action against McNeil PPC and two of its executives -- its vice president of quality and its vice president of operations for over-the-counter products -- for failing to comply with federally-mandated manufacturing practice.

McNeil, a division of Johnson & Johnson (JNJ, Fortune 500), said it had agreed to put its plants -- one in Las Piedras, Puerto Rico, one in Fort Washington, Pa. and one in Lancaster, Pa., under FDA supervision.

The agreement, known as a "consent decree," is subject to approval by a federal judge in Pennsylvania.

via money.cnn.com

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Joseph Nowinski, Ph.D.: Rethinking Societal Attitudes About People Who Get Cancer

In her 1978 book, "Illness as Metaphor," Susan Sontag argued that societal myths and metaphors surrounding disease can kill. How? By instilling shame and guilt in the sick. Sontag was the first writer to point out the basically accusatory tone of the metaphors we use to describe illness and its causes, as well as the essence of its cure. Examples she cited included tuberculosis, which was once popularly thought of as an illness that afflicted only individuals with delicate temperaments. Because they were supposedly constitutionally weak, these individuals were prone to wasting away. Accordingly, the "cure" for tuberculosis involved "rest" -- a prolonged stay in a sanatorium.

Sontag applied the same reasoning to debunk what she thought were myths surrounding cancer: It is not a curse or punishment, she argued. Our personality does not make us more or less likely to get cancer, and its successful treatment is not essentially a matter of our outlook. We do not get cancer because we are angry, or because we are lacking in some spiritual quality. To quote Sontag, "Theories that diseases are caused by mental states and can be cured by will power are always an index of how much is not understood about a disease." That was true for tuberculosis in the 20th century, and it is true today for cancer. Despite that truth, some cancer patients -- and in particular those who have been diagnosed with metastatic breast cancer that has spread to other organs -- continue to experience what amounts to a societal stigma. Consider the following correspondence between me and Ellen, who has metastatic breast cancer:

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Stanton Peele: Why We Should Give Serious Thought to Wet Shelters for Homeless Alcoholics

On the one hand, young people shouldn't act addicted -- because it can become a lifelong habit. On the other, we shouldn't regard young people as lifetime addicts due to their current situations (think Drew Barrymore); this is a horrible mistake that is more likely to exacerbate and prolong their problems (cf. Lindsay Lohan).

At the other end of the life cycle, there are people not likely to quit drinking et al. any time soon.

And what do we do about them? We can harangue them to join AA, go to the Salvation Army, and straighten up and fly right.

But here's another way of dealing with "incorrigibles":

via huffingtonpost.com

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Prevalence and Correlates of Eating Disorders in Adolescents: Results From the National Comorbidity Survey Replication Adolescent Supplement, March 7, 2011, Swanson et al. 0 (2011): archgenpsychiatry.2011.22v1

Lifetime prevalence estimates of anorexia nervosa,bulimia nervosa, and binge-eating disorder were 0.3%, 0.9%,and 1.6%, respectively. Important differences were observedbetween eating disorder subtypes concerning sociodemographiccorrelates, psychiatric comorbidity, role impairment, and suicidality.Although the majority of adolescents with an eating disordersought some form of treatment, only a minority received treatmentspecifically for their eating or weight problems. Analyses of2 related subthreshold conditions suggest that these conditionsare often clinically significant.

via archpsyc.ama-assn.org

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Despite Tucson Shooting And Rising Needs, Mental Health Given Low Budget Priority

By Amy Biegelsen
The Center for Public Integrity

It's been two months now since Jared Lee Loughner opened fire outside a Tucson, Ariz. shopping center killing six people and wounding 14 more, and what's come to light since leaves more than a few troubling questions.

In the days following the shooting, it was revealed that authorities had barred Loughner from Pima Community College, where he attended classes, until he was certified as fit by a mental health professional. Loughner apparently never sought professional help, and the questions the community college had about Loughner's state of mind still resonate -- what was going on with this young man, and is there anything the local mental health infrastructure could have done to change the horrible outcome?

via huffingtonpost.com

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Safe Staffing Saves Lives - ANA's National Campaign to Solve the Nurse Staffing Crisis

Nurses everywhere rank staffing as their biggest problem. Research shows it is a problem – for patients: Insufficient nurse staffing is linked with poorer patient outcomes, lengthened hospital stays and increased chance of patient death.

ANA’s Solution to Staffing

ANA advocates solving the problem by requiring hospitals to set nurse staffing plans for each hospital unit based on changing conditions:

Patient acuity (severity of illness)

Patient numbers

Nurse skills and experience

Support staff

Technology

via safestaffingsaveslives.org.

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Thursday, March 10, 2011

6 Things Male Nurses Should Know to Survive - Nursing Link

How does a man survive in a woman’s world? Here are some down-and-dirty survival tips that every ‘male nurse’ needs to know in order to survive in the wilderness of women.

Learn the ways of the Venutians

Men are truly from Mars, and yes Women are from Venus. We live on two different worlds, but we do occupy the same solar system. We speak different languages (spoken and bodily language). Social habits are on opposite ends of the pole. And we of course can’t agree on much other than the fact we are different. But, I guarantee you can all find commonality -which is being a nurse.

Never, ever, ever under any circumstances be that ‘typical’ man

OK guys. We have all heard the stereotype stories. Learn to not be THAT guy while at work. Even if you are, or can be, don’t be that guy at work of all places. If you’re not sure look around you? Are you always left high and dry? Little to no teamwork from the team? Always eating your meals alone? (hmm.. You might need to re-evaluate). If all else fails, simply ask a Venutian, they love to tell it like it is.

Learn to love the color pink (oh.. and candles too)

I’m not sure why, it just is. Never question, just assimilate – it’s safer that way.

Emotions are not what they seem

Crying is a form of trickery. Just because someone smiles and laughs at your jokes, does not mean they like you. When you hear them whispering, be sure to never look them in the eye. On the playground, guys will punch you in the face if they don’t like you, or have a dispute. After the punch, and the dust settles respect is exchanged and then call it even. In the wilderness women will find a way to extend their torture and mayhem over months at a time, redirecting their havoc to everything that affects you and then never fully admit their angst. Be careful, be very careful.

Being invisible is a good thing

Hypothetically speaking of course. When you become invisible, you are no longer viewed as the ‘male nurse’ or the ‘guy’ they work with. Now you’re just a fellow co-worker, or colleague. Camouflage is your best defense.

Always put the toilet seat down!

In most cases you are usually one of the few men working that shift, so when the seat is left up, the blame game gets REAL easy. Oh yeah, and if you fail to even move the seat during your ‘visit’, you better leave things in the same condition you found them. (Do I really need to explain the dribble effect??) Don’t ever let an angry wet-bottomed women corner you – you will not survive.

Disclaimer: Yes, once again this is all in fun. Anyone who is a ‘male nurse’ or works with them can take some humor from this post. In the end we are all part of the same awesome team. Gender is never an issue, until you make it an issue. All in fun…

Next: The Role of Men in Nursing Today >>

More on ScrubsMag.com:

• In Myths & Misconceptions: Male Nurse Introductory Course 101
• In Mind & Mood: Gift Ideas for the Nurse
• In Nursing Blog: The Safest and Healthiest Ways to Vent at Work

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Fewer refills of the Pill, fewer pregnancies - Health - Pregnancy - msnbc.com

Letting women have a year's supply of birth control pills might help prevent more unwanted pregnancies, a new study suggests.

Right now, private and public insurance plans in the U.S. generally limit how many months' worth of birth control pills can be prescribed at once.

But researchers found that lower-income California women who got a year's supply of the Pill had fewer unplanned pregnancies than women who got only enough packages for one or three months at a time.

For every 1,000 women who participated in the study, 10 in the longer-supply group became pregnant within a year, compared to 30 of those who could only get prescriptions for shorter supplies.

via msnbc.msn.com

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What to Do During a Heart Attack | Heart Attack Information for Women

Heart Attack Action Plan

Call 9-1-1 for emergency medical care.

Did you know?

Women who call their own doctor before calling 9-1-1 take twice as long to get life-saving treatment.

Calling 9-1-1 is the best and fastest way to get to the hospital. When you notice heart attack symptoms, call 9-1-1 immediately (within five minutes at most). If you call 9-1-1, emergency medical personnel can begin life-saving treatment right away, even before you get to the hospital. Don't drive yourself or have someone drive you unless you have no other choice.
More about why 9-1-1 is the right call »

Heart attack patients who arrive by ambulance tend to be treated faster once they get to the hospital, and every minute counts.

If you try to drive yourself, you could get stuck in traffic or pass out and cause an accident.

Calling your own doctor before calling 9-1-1 only causes delays.

Common problems soon after a heart attack include arrhythmia (a problem with the heart's rhythm that can be caused by damage during a heart attack) and cardiac arrest (when the heart suddenly and unexpectedly stops beating). Emergency medical personnel have the equipment and training to deal with these problems and make sure you get to the hospital safely.

Talk to the 9-1-1 operator and follow their instructions.

Did you know?

The ambulance can find you whether you call 9-1-1 from a land line or your cell phone. If they're equally close, use the land line.

Try not to panic. Take long, deep breaths, stay calm, and speak slowly and clearly. The dispatcher will ask for your name, where you are, and what is wrong. Say: "I think I am having a heart attack." Stay on the line until you are sure the operator has all the information they need.

The 9-1-1 operator may tell you to chew and swallow an aspirin if you are not allergic and don't have any other medical reason not to take it. Never delay calling 9-1-1 to take an aspirin.

via womenshealth.gov

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NurseLine | Saint Luke's Health System, Kansas City, MO

NurseLine

Call 24 hours a day for physician referrals, appointments, class registration and health advice

Call Saint Luke's NurseLine at 816-932-6220 (or 800-932-6220 outside Kansas City) to find a Saint Luke's physician, make an appointment and more.

We offer personalized access, 24 hours a day, to referral specialists and registered nurses.

Call us:

When you need help finding a physician or specialist

When you need assistance finding a service at Saint Luke's Health System

When you'd like help registering for a Saint Luke's class

When your doctor's office is closed and you're not sure how to handle a non-emergency medical situation

When you need more information about a medication you're taking and your pharmacist is not available

When a family member is diagnosed with an illness and you have questions

Any time you have a health-related concern or question

Our nurses and referral specialists:

Help evaluate current symptoms and determine, if necessary, how quickly to access medical care.

Provide home care advice to ease your symptoms.

Answer your health care questions.

Provide customized physician referral, based on your requirements.

Make a physician appointment.

Register you for one of our many community education classes including fitness, nutrition, birth preparation and parenting.

Provide information about all of Saint Luke's Health System's facilities.

via saintlukeshealthsystem.org

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Friday, March 11, 2011

FDA takes over Johnson & Johnson's Tylenol plants - Mar. 10, 2011

Joseph Nowinski, Ph.D.: Rethinking Societal Attitudes About People Who Get Cancer

Stanton Peele: Why We Should Give Serious Thought to Wet Shelters for Homeless Alcoholics

Prevalence and Correlates of Eating Disorders in Adolescents: Results From the National Comorbidity Survey Replication Adolescent Supplement, March 7, 2011, Swanson et al. 0 (2011): archgenpsychiatry.2011.22v1

Despite Tucson Shooting And Rising Needs, Mental Health Given Low Budget Priority

Safe Staffing Saves Lives - ANA's National Campaign to Solve the Nurse Staffing Crisis

Thursday, March 10, 2011

6 Things Male Nurses Should Know to Survive - Nursing Link

Next: The Role of Men in Nursing Today >>

More on ScrubsMag.com:

Fewer refills of the Pill, fewer pregnancies - Health - Pregnancy - msnbc.com

What to Do During a Heart Attack | Heart Attack Information for Women

Heart Attack Action Plan

Call 9-1-1 for emergency medical care.

Did you know?

Talk to the 9-1-1 operator and follow their instructions.

Did you know?

NurseLine | Saint Luke's Health System, Kansas City, MO

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