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Clinical Accuracy Spoken Here
Asthma: Periodic Assessment and Monitoring
Inadequate asthma control can be reflected by signs and symptom patterns that each patient may experience if asthma is not well controlled. Each visit with their health care provider should note what particular symptoms they have experienced and any clinical signs asthma that could be managed with medications. Was the asthma better or worse? Were they awakened in the mornings or experienced symptoms while exercising are sample questions that should be posed to the patient. What is the recommended recall period that the NAEPP Expert Panel is expecting will be followed when taking detailed histories from your patients?

[Reference:Asthma: CM Role, Module D: Asthma Care, Page 14] www.athenaforum.com

Multiple Sclerosis: Genetic Factors
Risks in passing on the MS gene to the next generation continue to be difficult to substantiate since there are no genetic tests that can provide a definitive answer or direction. Risk estimates can vary greatly depending on the structure of a person’s family. The identical twin studies as well as epidemiologic surveys reflect varying chances of developing the disease. It is estimated that the average person in the U.S. has about a 1 in 750 chance in developing MS. What is the risk for a person who has a parent with MS?

[Reference: MS, Symptomatics, Module D: Management & Rehab in MS, page 16]
Excellence in Case Mgmnt
Case Manager – You are the Best. Pass it on!
Advance your degree
– it’s worth the effort to at least be informed. It opens new and often unexpected possibilities – a fresh start perhaps. Know your goals; research education programs carefully; plan early; be aware of costs; find your financing; consider part-time or distance education; set up your strong support system and be prepared for culture shock. Growth comes in your first step forward.

National Public Health Week

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 . . .
“Preventing Falls Among Older Adults”
Did you know that each year in the U.S. nearly 1/3rd of the older adults fall? At last count (in 2005), there were more than 15,800 people 65 years and older who died as a consequence to their fall. The costs are mounting each day as our population ages. Insightful Fact Sheets are available for your review and assessments including preventive activities, costs and number of hip fractures that occur as a result of a fall. Additionally, you can find posters, maps, and websites that provide applicable health information for you as well as for your patients/clients/families and health care providers. Concern and safety is key here.

“CMS releases final e-prescribing standards for Medicare prescription drug program”
Medicare Part D now has a final rule for paving the way for widespread adoption of the electronic prescribing in the medical community, as noted by CMS’s Secretary – Mike Leavitt. Cost effective with a more efficient way of dispensing prescription drugs can help reduce the number of adverse drug events that now number an estimated 530,000 a year for Medicare beneficiaries. The CMS website provides more details about the new ruling which goes into effect on April 1, 2009. A PDF form is available on their website as well.

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


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