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Thursday, April 28, 2011

New Jersey Collaborating Center for Nursing

The New Jersey Collaborating Center for Nursing is a primary source for data-based evidence to formulate reliable health policy that has a positive impact on nursing care, nursing education, and patient outcomes. The Center serves as a catalyst for the implementation of innovative practice and education models.
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Collaborating Nurses

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Nyack Hospital's Code H Spells Safety and Satisfaction | New Jersey Nursing News

Nyack Hospital, Nyack, N.Y., has launched a system where patients and their visitors can trigger levels of rapid response. Impetus for the innovation came after the well-publicized medical error that ended in the death of 18-month-old Josie King at Johns Hopkins in Baltimore, Md., and the resulting focus on patient and family involvement in acute care.

Although patients and families can use the system to alert staff about potential emergency situations, such as chest pain, it also offers the reassurance that help is nearby. This is in case patients experience delays in bedside care, pain medications, and more, according to Ginni Norton, RN, MS, Nursing Performance Improvement, Nyack Hospital, a member of the NewYork-Presbyterian Healthcare System.
A team approach
Nyack Hospital patients and their visitors can call 3-1-1-1, which goes directly to hospital operators. The operators have been trained to ask callers questions according to an algorithm. Callers who report something physiological, such as bleeding or chest pain, are be routed immediately to rapid response. The call can trigger a team, including the nurse manager from the patient's unit, house physician, respiratory therapist, critical care nurse, and pharmacist.

via news.nurse.com

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The Twitter Chat Schedule | Future Business, Robert Swanwick

Twitter chats are simply pre-organized times to tweet on pre-organized hashtags. They use applications like twebevent or TweetChat to corral just those tweets together and to auto-tag any new tweets with the right hashtag.

The Chat Schedule began as a quick solution so that no one person had to track and manage the information about all the Twitter Chats. There were only about 25 chats back then. It has since grown into a list of well over 100 that gets hundreds of hits a day and adds several chats a week.

Everyone from journalists to moms to finance people to Knowledge Management professionals are finding each other and banding together via Twitter chats. See more info about the Twitter Chat Experience

I fully expected that someone would write a little database driven web app that would replace the public Google Doc, but perhaps simpler is better in this case.

Thanks to all who run the chats, all who have posted information about chats, and all who tweet the link to the list so that more potential chatters can find one that’s right for them.

via swanthinks.wordpress.com

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Found #rnchat, #ivchat and lots of other healthcare related chats on Robert's list.

Andrew Lopez, RN

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Legislating Away Obesity? | Dr. Sharma's Obesity Notes

Today is the beginning of the 2nd National Obesity Summit hosted by the Canadian Obesity Network in partnership with the Canadian Association of Bariatric Physicians and Surgeons and the Coalition Poids here in Montreal.

Over the next five days, almost a 1000 researchers, clinicians, policy makers and other stakeholders from across Canada will be discussing the latest in obesity prevention and management.

Just in time for this meeting, the Canadian Medical Association Journal released an article by Mark Eisenberg and colleagues from Montreal’s McGill University on legislative approaches to tackling the obesity epidemic - a topic that will be broadly discussed and addressed at this Summit.

In their paper, the authors present a comprehensive look at the many legislative instruments that policy makers could potentially use to address the obesity problem at a population and individual level.

The paper looks at a wide range of legislative initiatives including taxation and bans of ‘obesogenic’ foods, changing the built environment to promote active transportation, introducing school and workplace programs, and addressing advertising to children - i.e. is the full complement of topics that are generally looked at in ‘policy’ discussions on this topic.

via drsharma.ca

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ALS Study Falls Short, But Use of Social Media Holds Promise - WSJ.com

A new clinical trial found that lithium didn't slow the progression of Lou Gehrig's disease, but the findings released Sunday also showed that the use of a social network to enroll patients and report and collect data may deliver dividends for future studies.

The study was based on data contributed by 596 patients with the disease, formally called amyotrophic lateral sclerosis or ALS. By showing that the drug didn't have any effect on progression of the condition, it contradicted a small study three years ago that suggested such a benefit was possible.

The new study, published online in the journal Nature Biotechnology, represents an early example of how social networking could play a role in clinical trials, an area of medical science with strict procedures that many would consider especially difficult to apply in the online world.

"The approach has tremendous potential,'' said Lee Hartwell, a Nobel Prize-winning scientist now at Arizona State University, and formerly president of the Fred Hutchinson Cancer Research Center. Standard clinical trials play a central role in the research enterprise of both of those institutions.

via online.wsj.com

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Wednesday, April 27, 2011

7 Things Your Doctor Might Not Explain You

Visiting a doctor periodically for a check-up and getting tested alone does not prevent you from illnesses or risks. You have to get your medical examiner to be open and honest with you about the risks that you are facing if you do not commit to the said lifestyle changes, if there is a need for doing so.

1. The Facts Behind 'Quit Smoking'

Any doctor is not going to be an alarmist and so the general advice would be to 'Quit smoking'. What he might not be telling you are the facts and the benefits behind quitting smoking. For instance, research has established that even a man who has been smoking for more than 20 years can reduce his risk of suffering a stroke hardly a year after quitting smoking. After a full year, your risk of suffering a heart attack will be equal to that of a non-smoker. It is up to you to decide if your health and your family’s happiness are as important to you as the 2.5 inches of nicotine rush or not.

2. The Truth Behind 'Exercise and Workout'

Typically whether you weigh the right amount for your age and height or not, your doctor is prone to advise you to 'Exercise and Work out'. If you are fit and exercise regularly, he is likely to ask you to keep it up. On the other hand, if you are overweight and do not exercise, he is going to insist that you start on an exercise regime immediately and keep pushing yourself just a little bit harder outside your comfort zone for best results. But what he might not tell you is that just three strenuous workouts a week are enough for you to show significant results in your overall health. But remember, not to exert yourself too much as it will have an adverse effect on your health.

via lifemojo.com

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Legal Immunity Set for Swine Flu Vaccine Makers |

Do You Know What’s in That Flu Shot?

Most seasonal flu vaccines contain dangerous levels of mercury in the form of thimerosal, a deadly preservative that is 50 times more toxic than regular mercury. Most of the swine flu vaccines will also contain thimerosal, although they will reportedly make a limited number of doses available that are thimerosal-free. If taken in high enough doses, thimerosal can result in long-term immune, sensory, neurological, motor, and behavioral dysfunctions. Disorders associated with mercury poisoning include:

Autism

Attention deficit disorder

Multiple sclerosis

Speech and language deficiencies

It can also predispose adults to neurological problems such as Alzheimer’s disease and dementia.

The Institute of Medicine has warned that infants, children, and pregnant women should not be injected with thimerosal, and yet the majority of flu shots contain 25 micrograms of it, and this year you and your children may be exposed to as many as FOUR flu shots in quick succession. Meanwhile, the EPA “safe” level of mercury is only 0.1 mcg/kg per day. But an overdose on thimerosal is not the only concern when it comes to flu vaccines. Other toxic substances found in various flu vaccines include:

Ethylene glycol (antifreeze)

Triton X100 (detergent)

Formaldehyde – a known cancer causing agent

Resin and gelatin – known to cause allergic reactions

Neomycin and streptomycin (antibiotics)

Phenol (carbolic acid)

Aluminum — a neurotoxin linked to Alzheimer’s disease

Polysorbate 80 (Tween8™) – which can cause severe allergic reactions, including anaphylaxis

via vaccinationcouncil.org

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Alzheimer's Caregivers Need Care Too - MSN Health - Aging Well

The growing number of people with Alzheimer's disease in the United States means that more people are becoming caregivers, a responsibility that health experts warn can pose risks to body and mind.
But caregivers can take various steps to protect their health, says Rebecca Axline, a clinical social worker at the Nantz National Alzheimer Center in Houston.
To keep stress in check, for instance, she emphasizes the need to find time and ways to reenergize, to keep meaningful things in your life and to remain social and participate in your favorite activities.
Axline also offered communication techniques that can help reduce caregivers' stress and frustration:
Always identify yourself and call the person you're caring for by name.
Talk slowly and clearly. Use short sentences and break down instructions into steps.

via health.msn.com

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ACP Calls for National Strategy on Healthcare for Immigrants

A South Carolina bill that would make it illegal to transport undocumented persons to a hospital and other legislative efforts to deny medical services to immigrants have prompted calls from the American College of Physicians (ACP) for a national policy to override such state rules.

"We need to have some way to make sure everybody gets healthcare," said Virginia Hood, MD, president of the ACP and an internist with Fletcher Allen Health Care in Burlington, VT. "There [are] all kinds of legislation and regulations coming out at the state level which could have an effect on the provision of healthcare for immigrants, and we think this isn't something that can be dealt with on a state-by-state basis. There needs to be a national strategy."

The South Carolina bill, she says, "would make it illegal to transport immigrants to a hospital anywhere."

Other legislation introduced in several other states, she says, would dictate that "before someone could be treated in an emergency room, or even after they're treated, immigration status should be documented or reported," she says. This inappropriately turns doctors and paramedics into immigration officials.

via healthleadersmedia.com

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Feds: NH hospital to pay $2.2 million settlement - Boston.com

Dartmouth-Hitchcock Medical Center will pay more than $2.2 million to settle charges it improperly billed various federal health programs, Vermont's top federal prosecutor said Tuesday.
Of the total, more than $80,000 will go to the state of Vermont, $61,000 to New Hampshire, $1.5 million to the federal government and more than $334,000 will go to Dr. Thomas Prendergast, the former Dartmouth-Hitchcock physician who blew the whistle on the improper billing.
Based in Lebanon, N.H., Dartmouth-Hitchcock is a major teaching hospital affiliated with the Dartmouth Medical School and has a big footprint in northern New England. It discharged more than 13,000 New Hampshire patients in 2010 and nearly 10,000 from Vermont.
Prendergast told authorities the hospital improperly billed federal programs including Medicare, Medicaid, Veterans Affairs and the military's Tricare health insurance system for services delivered by resident physicians in training who were unsupervised by more senior attending physicians.

via boston.com

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Thursday, April 28, 2011

New Jersey Collaborating Center for Nursing

Nyack Hospital's Code H Spells Safety and Satisfaction | New Jersey Nursing News

The Twitter Chat Schedule | Future Business, Robert Swanwick

Legislating Away Obesity? | Dr. Sharma's Obesity Notes

ALS Study Falls Short, But Use of Social Media Holds Promise - WSJ.com

Wednesday, April 27, 2011

7 Things Your Doctor Might Not Explain You

1. The Facts Behind 'Quit Smoking'

2. The Truth Behind 'Exercise and Workout'

Legal Immunity Set for Swine Flu Vaccine Makers |

Do You Know What’s in That Flu Shot?

Alzheimer's Caregivers Need Care Too - MSN Health - Aging Well

ACP Calls for National Strategy on Healthcare for Immigrants

Feds: NH hospital to pay $2.2 million settlement - Boston.com

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