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Clinical Accuracy Spoken Here
Asthma: Local Adverse Effects
Asthma medications, particularly the inhaled corticosteroids, can potentially cause problems that impact adherence to your patient’s asthma management and plan of care. Oral candidiasis, dysphonia and reflex cough are some of the adverse effects of both short term and long term asthma medications. What device can be used to minimize these reactions and discomforts?

[Reference:Asthma: Pharmacologics, Module A: Therapy, Page 17] www.athenaforum.com

Multiple Sclerosis: Precautions with Mitoxantrone
When Novantrone is prescribed for your patient with multiple sclerosis, attention to potentially negative interactions warrants regular assessments. Avoidance of liver vaccines, people with active infections and certain medications must be adhered to in order to prevent an infection in your patient. Reporting signs of infection to the doctor is paramount to keeping your patient well. What color is this particular infusion and is good for your patient to know?
[Reference: MS, Module C: Disease and Relapse Management, page 33]
Excellence in Case Mgmnt
A Time and Place – Yours and Mine
My list of activities and requests continues to grow but at the same time I have accomplished key items that truly needed to be done. I made sure they were well done and served as “classic” examples of my work. But…perhaps trying to hard to be “perfect” was taking up too much valuable time and energy that could have been spent on accomplishing other items on my list. Letting up on perfectionism is fine. You are getting things done. And that’s what counts.

National Men’s Health Week
In the Headlines . . .
“Real Men wear gowns!”
That is….patient…examination gown. That’s because real men know the facts. So says AHRQ in their direct appeal to men in our lives and our communities. Active participation with their physicians in caring for their bodies requires knowing the facts. Heart disease, high blood pressure and cigarette smoking have adverse effects on their health and well being. Watch the “Real Men” video at this website and encourage each other to take the next step.

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.

“NCQA Seeks Public Comments on Accreditation Plans for Wellness Program”
Evaluation of corporate health and wellness programs will be the focus of the National Committee for Quality Assurance in 2009. Specific areas to be evaluated will include examination of vendor’s methods of improving and maintaining good health, safeguarding individual health information, available health coaching and other quality items. The public is strongly encouraged to provide their comments on the proposed standards until June 30th 2008. Visit these sites for more information:

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


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