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Clinical Accuracy Spoken Here
Colorectal Cancer: Risk Factors
A routine screening for all adults starting at age 50 should be considered and utilized, when first-degree relatives with colorectal cancer are known. Other factors to consider include: the ability to identify high-risk groups, better survival of patients with early-stage lesions and the accuracy of screening tests. As an effective preventive step to identify those at risk for colorectal cancer, screening results can provide the direction of the treatment plan. What other risk factors should be considered in this assessment?
National Colorectal Cancer Awareness Month

[Reference:CRC: Pathophysiology, Module A: Screening Guidelines, Page 15] www.athenaforum.com

Rheumatoid Arthritis: Joint Damage
The loss of regulation of the inflammatory response in RA is characterized by a sustained recruitment of inflammatory cells and mediators. The sum result is expressed as a destruction of cartilage and bone. The CD4+ T cells stimulate the monocytes, macrophages and the synovial fibroblasts to secrete the cytokines. The T cells also facilitate the release of MMP, activate B cells and stimulate osteoclastogenesis. What happens when this takes place?

[Reference: RA: Pathophysiology, Module A: Pathophysiology of RA, page 10]]
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Excellence in Case Mgmnt
Case Manager:
You are the Best – pass it on!
Expand your nursing/social work networks
– this is beyond your family, friends, neighbors, co-workers. This could include people at community events, clubs, BBQ’s, potlucks, walking groups, gyms, and even you local political group at the civic center. New friendships, expanded communications, potentially new connections can open doors and expand your horizons both at the local level as well as at the state/national levels. Excitement awaits your next move.


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.

In the Headlines . . .
“Tap Water: Where Does It Come From and Is It Safe to Drink?”
Even though we don’t always think about it or even ponder on where we can find it, a special awareness needs to be brought to the forefront in understanding the question posed by officials at the CDC and other governmental agencies. We can not live without water and must rely on its’ availability, cleanliness, essential use for life. But that hasn’t always been the case. Pollution of every kind can be found in the water sources that hold our valuable resource. How are you keeping our waters clean? Do you know where your water comes from into your home, or workplace? Valuable features on the CDC’s website provide opportunities to listen to their podcast, check out what guidelines the EPA has established, as well as possible contaminants that could be in you or your patient’s water.
http://www.cdc.gov/Features/GroundWater/

“New Study Shows Colorectal Cancer Screening Rates Increasing Among U.S. Adults”
“While we are encouraged to see an increase in colorectal cancer screening rates, certain groups are still not getting screened as recommended” stated D.A. Joseph, MD, lead author and medical officer of the Division of Cancer Prevention and Control. CRC is the U.S. second leading cause of cancer deaths, resulting in more than 53,000 deaths, as noted in 2004. Significant findings in this study found that the percentage of adults who reported having had a home FOBT within one year before the survey declined from 22% in 2002 to 16% in 2006. Check out the other findings and what the CDC is doing today.
http://www.cdc.gov/od/oc/media/pressrel/2008/r080313.htm

The look of confidence
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HelpDesk

Connie Sunderhaus Connie Sunderhaus, RN-BC, CCM
Clinical Editor
Athena Forum

c.sunderhaus@cxjconsulting.net


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