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Clinical Accuracy Spoken Here
COPD: Remodeling
It is critical to encourage your patient with chronic obstructive pulmonary disease to stop smoking because 80 to 90 percent of COPD is caused by cigarette smoking. Although stopping their smoking will not reverse the existing damage, it may help to prevent an advancement or acceleration of the damage already present. What causes the airway remodeling seen in COPD?

[Reference:Asthma: Pathophysiology, Module A: Companion Diseases, Page 26] www.athenaforum.com

Diabetes: Self-management - Nutrition
Using the Medical Nutrition Therapy (MNT) plan as a guideline for your patients, essential assessments need to be available in order to optimize their care. Blood pressure, medications, laboratory data and medical history are some of the components needed for the referral. Additional patient parameters are instrumental to individualizing the MNT plan. Besides anthropometric measures and diabetes history, what other assessments are needed?

[Reference: Diabetes, Module D: Standards of Medical Care, Page 5]
Excellence in Case Mgmnt
Case Management - Walk the Talk:
Have you ever pondered the statement: “The best things in life aren’t things,” (as quoted by Art Buchwald)? What comes to mind when looking at your work as a case manager and the values you provide for those you work with everyday? Stop for a moment, and think about how authentic you are in your professional walk. Your sincerity will make a difference in obtaining results and maintaining a relationship that is built on your ‘real deal.’
In the Headlines . . .
“Investigation of Outbreak of Infections Caused by Salmonella Saintpaul"
With over 1000 persons infected with the human Salmonella serotype Saintpaul, the CDC is stepping up their collaborative investigations in finding the food source for the widespread infections. Originally pointing to fresh tomatoes, the new data is also possibly linking illnesses to fresh serrano peppers and cilantro. A US map with noted number of outbreaks as well as recommendations from the FDA is available to aid you and your patients/families in staying well.

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“Message from Assistant Secretary for Aging Josefina G Carbonell”
Preparation is key in assuring that our own family and our communities are safe and secure as we face increased natural and man-made disasters around us. Emergencies of every type, resulting from fires, floods, tornadoes, hurricanes, and other disasters requires a readiness that has been put into place no matter the circumstances and settings. Ample information is available at the local, state and federal levels to aid in personal as well as community preparedness. Have you taken the time to read about this as well as taken action in preparing your own Emergency Readiness Plans? What about your parents and other elder relatives? Check out the AoA’s Three Step Approach as a template for your preparedness plan.

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


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