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Clinical Accuracy Spoken Here
Cardiovascular Risk: Anatomy
A remarkable organ, the heart of the normal, healthy adult is about the size of an average clenched adult fist – shaped like an upside-down pear. The heart is comprised of four chambers (ventricles and atriums), coronary arteries, and major blood vessels for an efficient blood circulatory system. Working in tandem with the respiratory system of inhalation and exhalation, the human body receives oxygen-rich blood and rids itself of carbon dioxide, a waste product, through the lungs.

[Reference:CV Risk, Pathophysiology, Module A: A & P, Page 2] www.athenaforum.com

Rheumatoid Arthritis: Pharmacologic Interventions
Diseases modifying anti-rheumatic drugs (DMARD) are recommended for the majority of patients with RA within 3 months of their diagnosis since it can take up to 6 weeks to see the impact of the therapy. Patient education is paramount because of the possible side effects but also, if after three months of treatment with a DMARD, there has been no change or improvement of symptoms, then the American College of Rheumatology (ACR) recommends changing to another disease modifying anti-rheumatic drug or a combination of DMARDS.

[Reference: RA, Module D: Case Manager’s Role, page 14]
Excellence in Case Mgmnt
Workplace Loyalty
The concept of loyalty and its application to our relationships with our patients/clients, employers, and communities still applies even though we no longer see life-long employment and benefits that reflect the implicit agreements of our parents and grandparent’s generations working environments. The world we know today can no longer mirror the times of the past. However, our commitment to follow the concept of integrity, trustworthiness, and support still applies when working as a case manager and advocate for your patients and their families. We will look at some of the key factors that are shaping our shift in loyalty application in the weeks ahead.
In the Headlines . . .
“Deadly in Pink”
Big Tobacco companies are setting sights on women and girls for their recent advertising campaigns. ‘Purse packs’ and specific brands with that feminine touch are luring the female consumer in accepting a deadly decision. The incidence of cancer rates have been rising in women while the numbers for men has been decreasing. To see the latest facts, video, and the smoking cessation campaign, check out the American Lung Association website.

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“U.S. Diet Needs Heart-Felt Overhaul”
The American Heart Association released their position regarding the growing need to reverse the eating patterns in the United States and is encouraging every level of society to contribute strategies to make it easier for people to eat a heart-healthy diet. Multiple factors in our society influences what is eaten at every state of the life cycle including: individual tastes and behaviors, family eating patterns, and socioeconomic factors that limit food choices. Good eating habits should be found in all family settings, schools, workplaces and in our communities. The FDA has additional recommendations for healthy heart eating 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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