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Clinical Accuracy Spoken Here
Diabetes: Symptoms
The “poly’s” are well known symptoms of hyperglycemia – polyuria (frequent urination), polydipsia (increased thirst), and polyphagia (increased hunger). Other symptoms that are included in the list are: blurred vision, weight loss, nausea, vomiting, abdominal pain, weakness, lethargy and headache. Kussmail’s respiration produces a respiratory alkalosis in a partial, but not completely successful, attempt to correct the metabolic acidosis. These may mimic other diseases and conditions and warrants further investigation for the safety and well being of your patient.

[Reference:Diabetes, Therapies, Module A: Hyperglycemia, Page 23] www.athenaforum.com

CRC: Prognosis
There are three characteristics that form the basis for all staging systems developed for colorectal cancer disease. The prognosis of patients with colon cancer is clearly related to: 1) degree of penetration of the tumor through the bowel wall; 2) presence or absence of nodal involvement, and 3) presence or absence of distant metastases. Additionally, bowel obstruction or bowel perforations are indicators of poor prognosis as well as elevated pretreatment serum levels of CEA (carcinoembryonic antigen) indicates a negative prognostic significance.
[Reference: Colorectal Cancer, Module B: Symptoms & Management, page 10]
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Food Habits

Food facts are plenty when focused on specific food groups and your healthy eating habits. Eating smart means taking your time and enjoying your food. Decreasing your stress level while eating; incorporating a breakfast each day; and eating small, healthy meals throughout the day will help your metabolism keep going and help to ward off snack attacks.

National Colorectal Cancer Awareness Month
In the Headlines . . .
“Too Little Vitamin D May Mean More Colds and Flu”
Recent finds from a study conducted by the Harvard Medical School and Children’s Hospital Boston team, led by Dr. Adit Ginde, have noted that lower levels of vitamin D are associated with an increased risk for respiratory infections. Those with asthma and emphysema are at an increased risk for this association. Additionally, Vitamin D’s well-established role as a calcium builder and bone fortifier also has a protector role against both colon cancer and multiple sclerosis. Clinical trials using supplementation with vitamin D are planned to follow this study. Facts on this vitamin and others can be found at the National Institutes of Health’s Office of Dietary Supplements website.

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“Recovery Act: State Medicaid Funding Awarded”
With the passage of the American Recovery & Reinvestment Act on February 17th, funds are being released to help pay for health care for families hit hard by the economic crisis. The Health and Human Services Dept will be distributing more than $15 billion to help our most vulnerable citizens. Check out the U.S. map that shows the state distribution for these funds. The Budget Blueprint for 2010 outlining health care reform is also available for review. If you have any constructive thoughts and suggestions, the Office of Public Liaison – White House is interested in what you have to say. Take a moment and provide a voice of a concerned and informed case manager for our new administration. It could make a difference. Thank you.


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


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