Monday, February 28, 2011

Coffee, sex, smog can all trigger heart attack, study finds, USAToday

A major analysis of data on potential triggers for heart attacks finds that many of the substances and activities Americans indulge in every day — coffee, alcohol, sex, even breathing — can all help spur an attack.

Because so many people are exposed to dirty air, air pollution while stuck in traffic topped the list of potential heart attack triggers, with the researchers pegging 7.4% of heart attacks to roadway smog.

But coffee was also linked to 5% of attacks, booze to another 5%, and pot smoking to just under 1%, the European researchers found.

Among everyday activities, exerting yourself physically was linked to 6.2% of heart attacks, indulging in a heavy meal was estimated to trigger 2.7%, and sex was linked to 2.2%.

The researchers stressed that the risk for heart attack from any one of these factors to a particular person at any given time is extremely small. But spread out over the population, they can add up

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Fast response crucial in outbreaks of food-borne illness, study finds - USATODAY.com

Nearly three years after a nationwide salmonella outbreak that sickened about 1,500 people and claimed two lives, U.S. epidemiologists have learned that speed is of the essence in identifying sources of food contamination and preventing further infection.

    But speed requires resources that cost money and, as an editorial accompanying the paper in the Feb. 23 online issue of the
New England Journal of Medicine points out, funds may not be forthcoming.

Although the recently signed Food Safety Modernization Act could help the U.S. Food and Drug Administration respond better to outbreaks of food-borne illness, the reality is that Congress still needs to authorize the money, the editorial stated.

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Prevention.com - 28 Days to a Healthier Heart - Prevention

    Did you know that more than 41 million women in America have heart disease? And that more women than men will die from it? In fact, it’s the leading health problem that kills women (not cancer—a common myth).

    But the good news is that just five lifestyle guidelines—moderate alcohol, a healthy diet, daily exercise, normal body weight, and not smoking—can cut your heart attack risk by a whopping 92%, according to a Swedish study of more than 24,000 women. Incorporating just the first two into your routine cuts your risk by more than half.

    The 28 tips that follow are designed to help you get started. Try one a day for a month, and then stick with as many as you can for the long haul.

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Melissa Solomon, RN, Tennessee Nurses, Medical Surgical Nursing

ShareThis Buzz up!8 votes
The following form contents were entered on 23rd Oct, 2001

Last, First Name: Solomon, Melissa

License degrees: RN

E-Mail: melissasrn@nursefriendly.com

City: Morristown

State: Tennessee

What kind of nursing do you do? Medical/Surgical

How did you hear about the Nurse Friendly? from Andrew

What is your favorite search engine? no preference

What nursing-related topics have you looked for lately on the web? none

Website: n/a

Marital Status: married

Nationality: American

How many years have you been practicing as a nurse: 4

Professional organizations you belong to: none

Would you recommend the field?

Employment changes in career? none

If you lost your job tomorrow, how easily do you feel you find new employment? fairly easy

In how many years, would you like to retire? now! LOL

Have you started any type of retirement fund? no

What Certified Nurse or Patient Educational Materials Would You Like to See on the Internet? not sure

Where do you work? hospital

Do you feel having your own a malpractice insurance policy is necessary, why or why not? most definitely because no one else will cover your a** if anything happens:-)

Your most pressing concerns with the profession and healthcare: Poor patient care because of short staffing

Have you ever considered leaving the profession? If yes, what options have you explored? no

What attracted you to the field of Nursing? wanted to be a L&D nurse after my older children were born

Favorite TV show and musical artists: ER, many contemporary country artists

Favorite food: pasta

Personal or favorite Quote: What part of NO don't you understand?

Qualities you admire in your friends/loved ones: honesty, respect, loyalty, sense of humor

Pet Peeves: slow drivers in left lane

Major turn-offs: pushy telemarketers and salespeople

Hobbies and activities you enjoy outside of work: computer, walking, reading, family, shopping

Pets, favorite vacation spots: 1 cat, annual trip to Daytona Beach, Florida

Other areas of interest and expertise: trivia, business degree, women's health issues

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4nursinguniforms.com:"Choose from Top Nursing Uniform Companies. All sizes, styles and popular name brands available. Large selection of accessories as well: Accessories Blood Pressure Cuffs, Sphygnomanometers Nursing Tote Bags, Carry-Ons, Medical Bags Clinical, Medical Supplies, Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hosiery, Socks, Stockings Hats, Jackets, Jumpers Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie "
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Send comments and mail to Andrew Lopez, RN

Last updated by Andrew Lopez, RN on Friday, October 17, 2010

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856-415-9617, (fax) 415-9618

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Clinical Nursing Case Studies on: The Nurse Friendly

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See also: Legal Nurse Consultants, Clinical Charting and Documentation, Nurses Notes, Courtrooms, Disability, Elder Law, Expert Witnesses, Informed Consent, Medical Malpractice, Negligence, Nursing Practice Acts, Nursing Research, Personal Injury, Toxic Torts, Unemployment, Workers Compensation, Workplace Safety:

Editors Note: The urls to these cases are Permanent and Will Not Change. Feel free to link to any case you feel is helpful. We've been contacted by several schools who are using them as assignments for their nursing students, feel free to do the same. To host any of our cases on your website or reproduce them in your publications, please contact Andrew Lopez, RN.

Each case will be reviewed and supplemented with clinical and legal resources from the web. Legal Nurse Consultants and Nursing professionals are welcome to submit relevant articles. Please contact us if you'd like to reproduce our material. If you have related materials and would like us to link to or use them as resources, kindly contact us.

To subscribe and receive our cases as they are published
send a blank e-mail to clinicalnursingcases-subscribe@topica.com

Current Case:

Physician Dismisses Nursing Assessments, Question of Nursing Advocacy.
Rowe v. Sisters of Pallottine Missionary Society, 2001 WL 1585453 S.E.2e – WV
Summary: The patient was involved in a motorcycle accident in which his bike fell onto and injured his left leg. When the nurses assessing the patient could not detect a pulse in that leg, an ominous sign of circulatory failure. The physician when notified chose to dismiss this fact and discharge the patient. The patient would return soon after with worsening symptoms that would require emergency surgery. Should the nurses have initially pressed for further action, treatment?
http://www.nursefriendly.com/041013

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Legal Eagle Eye Newsletter for the Nursing Profession:"Legal Eagle Eye Newsletter for the Nursing Profession was started in 1992 and has been published monthly ever since. Originally it was called Legal Eagle Eye Newsletter for Nursing Management, then changed to Legal Eagle Eye Newsletter for the Nursing Profession. The readers of Legal Eagle Eye Newsletter for the Nursing Profession are busy professionals in clinical nursing, nursing management, healthcare quality assurance and healthcare risk management. The newsletter focuses on nurses' professional negligence, employment, discrimination and licensing issues."

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See also:
Legal Eagle Eye Newsletter for the Nursing Profession:"Legal Eagle Eye Newsletter for the Nursing Profession was started in 1992 and has been published monthly ever since. Originally it was called Legal Eagle Eye Newsletter for Nursing Management, then changed to Legal Eagle Eye Newsletter for the Nursing Profession. The readers of Legal Eagle Eye Newsletter for the Nursing Profession are busy professionals in clinical nursing, nursing management, healthcare quality assurance and healthcare risk management. The newsletter focuses on nurses' professional negligence, employment, discrimination and licensing issues."

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Using Case Study Methodology in Nursing Research by Donna M. Zucker:"The purpose of this paper is to illustrate a research method that may contribute a unique and valuable method of eliciting phenomena of interest to nursing. Case study method can be used as a creative alternative to traditional approaches to description, emphasizing the patient's perspective as central to the process. This manuscript will define case study method, and discuss various case study designs. Approaches and tactics from a variety of disciplines, and theoretical or philosophical perspectives are discussed with an emphasis on method and analysis. The bulk of the manuscript outlines the stages used in a case study of men with chronic coronary heart disease (CHD), as well as presenting a case study protocol. Implications for its usefulness in nursing research, practice, and theory generation are discussed."
http://www.nova.edu/ssss/QR/QR6-2/zucker.html

A Nursing Primer On The Law: Being Named In A Lawsuit, by Joe A. Flores, JD, FNP, MSN, CCRN, Malenursemagazine:"Being named in a lawsuit can be an extremely stressful event for any nurse. The litigation process can cause devastating damage to a nurse's self-concept and to the nurse's practice. In the past suing the hospital and the doctor were generally the usual manner to obtain relief for someone bringing a lawsuit. However, now more than ever, the new order in the health care arena has made the nurse an integral part of delivering care to patients. The nurse has been delegated more responsibility and is also more accountability for the actions of licensed and unlicensed staff. This role has provided for increased autonomy as well as increased accountability. To make matters more complicated, the nursing shortage and limited resources have been a factor in nurses being increasingly involved in medical malpractice lawsuits."
Jerry R Lucas, RN
MaleNurseMagazine.com
10510 South State Hwy 3
Deputy, IN 47230
Phone: 812-352-1293 cell: 812-701-9014
Jerry.RN@verizon.net
http://www.malenursemagazine.com/lawsuit.html

Nursing Malpractice: Protect Yourself. What to do when you’re the subject of a board of nursing complaint. American Journal of Nursing:"Q. I’ve just learned that a complaint against me has been filed with my state board of nursing. What should I expect? A. Complaints to a state board of nursing (BON) can be initiated by other health care providers, patients and their family members, and health care institutions. Once a complaint is lodged, an investigator—who may or may not be a nurse—is sent to the site to gather information about the incident. BON investigators can obtain and review medical records, drug logs, personnel records, and incident reports, as well as take depositions or call in potential witnesses for questioning. If the case concerns drug abuse or another matter pertaining to one’s physical fitness to practice, most states also have the right to ask you to have a physical examination conducted by your health care provider."
Lippincott, Williams and Wilkins toll-free at 1-800-627-0484
http://www.nursingworld.org/AJN/2001/dec/Wrights.htm

Nursing Malpractice: Implications for Clinical Practice and Nursing Education Janet Pitts Beckmann, Ph.D., R.N., Galen Press:"Protect yourself by reading this book! The increasing number of nursing malpractice cases is affecting clinical practice and nursing education. After describing a typical malpractice suit, the author details sixty actual cases, each categorized by the underlying cause of the malpractice, such as medication administration and equipment use. Also provides recommendations for reducing the occurrence of malpractice and improving nursing education."
Galen Press, Ltd.
P.O. Box 64400-WB Tucson, AZ 85728-4400 USA
Call toll-free: 1-800-442-5369 (1-800-4-GALEN-9) Fax: (520) 529-6459 Tel: (520) 577-8363 sales@galenpress.com
http://www.galenpress.com/00320.html

Nursing Malpractice by Patricia W. Iyer (Editor), Amazon.com:"A reference for attorneys and claims adjustors investigating a nursing malpractice claim. Covers the spectrum of the nursing process, from patient admittance to lawsuit, reveals typical ways in which nurses try to cover up their mistakes, and shows how nurses are caught in difficult positions between insurance company lawyers and hospital procedures. Details the defendant nurse's daily routine, whether as a surgical nurse or nurse-supervisor in a nursing home setting. Material is in sections on nursing practice and documentation; common areas of nursing liability, such as pediatric, emergency, critical care, and psychiatric nursing; and litigation of nursing malpractice claims. Specific topics include trial consulting, the role of the forensic economist in nursing malpractice actions, and today's health care environment. Includes a drug and chemical name index. Iyer is a legal nurse consultant and a medical surgical nurse expert witness.Book News, Inc.®, Portland, OR --This text refers to the Hardcover edition."
http://www.amazon.com/

Nursing Malpractice: What You Should Know, By Jennifer Larson, Nursezone.com:"If you think that the worst thing that could happen in a hospital is the accidental death or injury of a patient, you’re right. But sometimes sentinel events are followed by another dreaded event: a lawsuit. Do you know what you need to know to protect yourself from being sued for malpractice? Are you prepared in the event that you receive a letter from a patient’s attorney? Joe Flores, a nurse practitioner and practicing attorney, recommends that new nurses educate themselves as soon as they start their first nursing job. “I would strongly recommend that a nurse determine what the policies and procedures are at her individual facility and determine what type of preceptor program is in place,” said Flores, who works for a law firm in Corpus Christi, Texas."
NurseZone.com
12400 High Bluff Drive San Diego, CA 92130
Phone: (877) 585-5010 Fax: (866) 732-4535
E-mail: contact@NurseZone.com
http://www.nursezone.com/stories/SpotlightOnNurses.asp?articleID=9901

Nursing Malpractice Liability and Risk Management, By Charles C. Sharpe:"Students and professional nurses at any level of clinical practice will find this book to be a vital resource on the basic legal concepts and principles of malpractice, liability, and risk management, and their implications for the profession. The book also provides detailed strategies for dealing with these issues. The content is also highly relevant to practitioners in all other health care and legal disciplines that collaborate in the delivery of health care. Issues discussed include the expanding and evolving roles for professional nurses and the concomitant legal accountability and risk for liability, the increasing incidence of nurses named as defendants in malpractice lawsuits, anticipated changes in our health care delivery system, and breakthroughs in science and technology that will present new legal questions. The book also includes material on other important facets of today's nursing practice, including the growing phenomenon of tele-nursing, the essentials of malpractice insurance, and the legal significance of documentation and patients' medical records. It helps the reader identify the nurse at risk for a malpractice suit and the characteristics of the patient likely to sue. The appendices provide information on state laws concerned with access to medical records, a list of useful websites, a list of state boards of nursing, and a glossary of important terms."
http://www.goodreads.com/book/show/5673547-nursing-malpractice

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4nursinguniforms.com:"Choose from Top Nursing Uniform Companies. All sizes, styles and popular name brands available. Large selection of accessories as well: Accessories Blood Pressure Cuffs, Sphygnomanometers Nursing Tote Bags, Carry-Ons, Medical Bags Clinical, Medical Supplies, Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hosiery, Socks, Stockings Hats, Jackets, Jumpers Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie "
4nursinguniforms.com

Nurses' Station:"The idea for the Nurses' Station Catalog was conceived in 1989. After searching the marketplace in response to customer inquiries, it became obvious that there were no catalogs of this type serving the nursing profession. To be sure, there were several catalogs offering nurse's uniforms and a smattering of professional items. But there weren't any catalogs at the time offering a range of gifts, clothing, professional items, name badges, shoes and scrubs for nurses. It took two years of hard work to gather samples and put a together a catalog of the most unique and high-quality items for nurses."
Nurses Station P.O. Box 388 Centerbrook, CT 06409-03881
http://www.nursefriendly.com/station/

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Social Networking - Finding Good Healthcare Information on Social Networking sites

Social networking can help you learn plenty about all aspects of your health care, from prevention, through symptoms and diagnosis, treatment options and disease management.

Social networking is exactly what it sounds like: conversations with others on a casual or social basis. Offline (not on the web) it would be like having lunch with a group of friends, chatting in the coffee shop or even going to a party. Online, through the web, it's a way of carrying on conversations with people you know and people you don't know, but with whom you have mutual interests.

Whereas blogs, wikis and websites are one-way communications (they all talk TO you), social networking sites are for sharing in all directions.

If you've ever chatted through an instant message or participated in a forum or support board (like the one here at patient empowerment or at any of the About.com health websites), then you have already participated in social networking, perhaps without realizing it.

Now there are dozens of social networking websites, built simply to help people carry on conversations with each other. You've probably heard some of their names, MySpace, Facebook, Twitter, Plaxo, LinkedIn and many others.

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Andrew Lopez, RN
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856-415-9617, (fax) 415-9618

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Social Media - How to Use Social Media to Choose a Doctor

We patients have only a few tools at our disposal to choose the right doctor for us. Most of those tools provide very cut and dried basics like licensing, board certification, even malpractice.

It has always been difficult to gain a glimpse into a doctor's attitudes or personality without meeting that doctor and getting to know him or her. Friends might tell us a doctor is "nice" - but smart patients know that doesn't mean a doctor is competent.

Along comes social media - Facebook, Twitter, YouTube, LinkedIn and other programs online that allow us to connect with other people - including doctors. Social media allows us to learn more about a doctor's personality and attitudes, his or her approach to their work and more.

With a little detective work, picking up clues here and there, smart patients use social medial to help them research and choose their doctors.

Some might tell you that you can get this kind of information from doctors' ratings sites. But I'm not a fan. They are too restricted, and are too often populated only by disgruntled patients. So give social media a try, hopefully to find more balance.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
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http://www.nursingcasestudy.com
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http://www.nursingexperts.com

Sunday, February 27, 2011

Mouthwash for stinky feet?  10 surprising home cures - Health - Health care - More health news - msnbc.com

By Amanda Pressner
Prevention
updated 2/25/2011 8:03:22 AM ET 2011-02-25T13:03:22

When minor medical issues crop up (nosebleeds, insect stings, dandruff!), chances are your medicine cabinet already contains some effective—and surprising—fixes for what ails you. Here are 10 common household items that all do double duty, saving you a trip to the pharmacy—and cash in the process!

1. Antacid tablet
It's for: Heartburn

The effervescent type with sodium bicarbonate helps neutralize the acid that causes painful heartburn symptoms.

But try: Soothing insect bites

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"Antacid formulations such as Alka-Seltzer contain aspirin, an anesthetic that can help ease the sting and itch of insect bites," says Howard Sobel, MD, a clinical attending physician in dermatology and dermatologic surgery at Beth Israel Medical Center in New York City.

He recommends making a paste with a crushed Antacid tablet, a pinch of oatmeal (also a skin soother), and water and applying it to the skin. Results are immediate—and this DIY formula has a healing bonus that other anti-itch salves lack. "Calamine lotion contains zinc oxide, which can be drying to the skin," Sobel explains. "Effervescent Antacid tablets provide quicker relief from pain and itching—without the dehydrating side effects."

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Dying is final, but passing on lives forever

by Greg Smith, MD

It is hard to believe that those we love will die.

We can’t bear it. It’s too harsh, too complicated, too fraught with emotional baggage and unfinished business and things never said. It’s too final. Dead is dead, after all. From the moment of our birth, we are dying. Death can be painful, tragic, too soon, too quick, too slow, too easy, or too hard.

So we soften it up a bit.

She is dying, the doctors tell us.

She is passing on, we tell ourselves.

Dying implies finality and the end of the road. We cannot cheat death.

Passing on implies going through, transitioning, skirting the physics and the metaphysics involved and coming out on the other side, changed somehow, better, calmer, whole. Keeping company with the better angels of our nature while shedding the demons like a skin.

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856-415-9617, (fax) 415-9618

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7 Pains You Shouldn’t Ignore - Prevention.com


Pay Attention to Your Body’s Signals

The everyday aches and pains you’re used to could indicate a health emergency

Usually a headache is just a headache, and heartburn is nothing more than a sign that you rang the Taco Bell once too often. Except when they're not.

Pain is your body's way of telling you that something isn't quite right. More often than not, you have some idea of what's behind it. But when it comes on suddenly, lingers longer than usual, or just seems different, it calls for medical attention--and the sooner, the better. According to our experts, all of the following pain conditions should be considered red flags.

Get your copy of the List Maker's Get-Healthy Guide


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******************************************************

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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