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Clinical Accuracy Spoken Here
COPD: Exacerbations
For 2/3rd of all cases, the cause of an exacerbation is generally related to infections and noxious agents. Common symptoms include edema, mucous production and bronchoconstriction. Severity of disease requires varying treatment modalities. What percentages of all exacerbations are not reported due to non-medical interventions?

[Reference:COPD: Complications, Module B: COPD Exacerbations, Page 17] www.athenaforum.com

Therapy that helps to reduce joint destruction, Disease Modifying Anti-Rheumatic Drugs, must fulfill the criteria outlined by the American College of Rheumatology. The five parameters (ACR20) provide targeted improvements when patients are assessed of their disease activity measures. Pain, swollen joint count, and physical functions are three of the seven measures outlines. What are the other four?

[Reference: RA: Module B: Pharmacologics, Agents for Treatment, page 9]
Excellence in Case Mgmnt
Be Well Case Managers:
Resolve to keep your Resolutions – Three simple but significant steps to pursue include: 1) be committed with a statement of intent, a plan with timeline, and adding others who will offer support; 2) be prepared for setbacks – allows for reviews, revisions, and reaching the realistic goals; 3)track your progress – motivations and intermittent monitoring helps to stay on the course. http://www.womenshealth.gov/news/english/600330.htm
In the Headlines . . .
“January is National RADON Action Month”
Protect your Health. An ongoing national campaign by the U.S Environmental Protection Agency continues to take action against radon and the potential to do harm against our health. Ample information on identifying, detecting, preventing, and educating our families, our patients, and our communities is available. Check out the EPA Kid’s Page or Health Risks associated with exposure to radon.

Monday Memo Archive Did you miss an issue? Need to look up a reference in a past Monday Memo? All past issues are archived for your use.

“FDA MedWatch – Bisphosphonates”
The FDA’s Safety Information and Adverse Event Reporting program has issued a watch regarding the possible causes of severe and sometimes incapacitating bone, joint, and/or muscle pain patients may experience in taking this type of drug. Included in this category are: Actonel, Boniva, Fosamax and Zometa. Guidelines for health care professionals are available for further directions in corrective actions.

The look of confidence
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Connie Sunderhaus Connie Sunderhaus, RN-BC, CCM
Clinical Editor
Athena Forum


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