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Clinical Accuracy Spoken Here
Pain Management: Acute Pain
Neuropathic pain or nerve damage is burning, tingling, electrical or shooting. Somatic pain takes on the characteristics of aching, sharp, stabbing, or throbbing pain found when damage to the skin and body wall is happening. Visceral pain, the third category of acute pain, can be described as poorly localized, diffuse, vague and generalized aching. Conditions associated with neuropathic: diabetes, shingles, and MS. Somatic pain is associated with fractures, sprains and lacerations. Visceral pain can point to inflammation, ischemia and smooth muscle spasms.
[Reference:PM, Unique Characteristics, Module B: Acute Pain, Page 2] www.athenaforum.com

Women’s Health: Endocrinology changes
The physiologic result of hormonal communication and interplay between the hypothalamus, pituitary, ovary and four hormones is the menstrual cycle. A decline in ovarian steroid production results from the depletion of ovarian follicles. Other possible factors that influence the onset of menopause can include: parity, increased body mass index, smoking, familial factors, and depression. It is the actual drop in estradiol production that is associated with the symptoms of menopause.
[Reference: Women’s Health, Module A: Perimenopausal Years, page 5]
Excellence in Case Mgmnt
Workplace Loyalty –Daily Learning
Do we share in our learning? Have you attended a seminar, taken a course, or completed a special training that could be helpful for your cohorts and peers? Did you bring back information for them? While not everyone can attend at any given time, sharing your new found knowledge helps to pass on information applicable to your practices and duties. ‘Show and tell,’ or ‘showing the ropes,’ and even story telling allows the passage of history and shared knowledge to be exchanged, understood, and passed onto the next generations of case managers.

Foot Health Issues r/t Diabetes Awareness Month
In the Headlines . . .
“FDA REMINDER about Insulin Pens”
Sharing is NOT a good thing when it comes to using insulin pens, no matter the circumstances. The FDA has received disturbing information that thousands of patients in a number of hospitals have been using/sharing their insulin pens and cartridges. Hepatitis, viruses, HIV and other blood-borne pathogens may be transmitted when this is done. An appeal has been sent out to find these patients and test them as soon as possible. A few have already been tested for hepatitis C. What a shame. While it may have been a convenience, the risk of blood contamination in the pen reservoir or cartridge all the more makes it a requirement to follow the standards of practice as issued by the CDC, FDA and other professional organizations and societies. Check into this urgent alert and let’s make sure we keep our patients safe!

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“Get with the Guidelines SM”
The Joint Commission and American Heart Association have announced a new JC Certification to encourage exemplary care in Heart Failure. This certificate of distinction recognizes hospitals that are putting forth exceptional efforts in fostering better quality of care and outcomes in heart failure patients. This quality improvement program will empower healthcare provider teams to consistently treat heart and stroke patients according to the most up-to-date guidelines available. Read all about this new certification and available HF clinical tools that may help keep your patients well.


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


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