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Clinical Accuracy Spoken Here
Rheumatoid Arthritis: Joint Inflammation
Due to the lack of a simple blood test or the non-specificity of symptoms, a definitive diagnosis for RA can not be made for up to 40 % of patients in the early stages of the disease. Most often the onset of RA is characterized by the symmetrical inflammation of the small bones found in hands and feet. Beginning in the descending order of frequency are the metacarpophalangeal, proximal interphalangeal and metatarsopharlangeal joints, followed by the wrists, knees, elbows and the larger joints. In 10 % of patients, this does not hold through but rather they begin with symptoms in one large joint and progress to the others, without involving the spine.

[Reference:RA Pathophysiology, Module A: Diagnosis, Page 14] www.athenaforum.com

COPD: Risk Factors Reduced
The second key goal in COPD management, as stated in the GOLD standards, states: reduce risk factors. This includes Smoking cessation. It is recommended that are every clinical encounter with your patient, you should be asking-”Are you still smoking?” and “What are you doing to quit smoking?” By reducing this risk factor, your patient can increase their opportunity for improving the quality of life and reducing the progression of the disease. This is the single most effective and cost-effect intervention available.

[Reference: COPD, Module D: Case Manager’s Role, page 3]
Excellence in Case Mgmnt
Workplace Loyalty – Like a Kid
Having and remembering to have some fun in the healthcare environments we work in can be difficult but must be included to close the gap of differences between management and workers. While the seriousness of our work requires professionalism and appropriateness in work application, showing other dimensions of personalities can provide opportunities for lighthearted events and planned benefits for the good of the organization, as well as for each other.

National Healthy Kids day – 18th
In the Headlines . . .
“First National Healthcare Decisions Day”
This April 16th – is a special day set aside in promoting advanced care planning and health care decisions among all Americans. This grassroots initiative has generated a bounty of participants across the U.S. and hopes to spread the word among healthcare providers, aging service organizations, and other service organizations. Facts, tools, and listings of state participants are available to help you and your organization join the NHDD effort starting this week. Check it out and see what’s taking place in your home state.

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.

“CRC CEs now available on Athena Forum”
Athena Forum is pleased to announce that more than 100 continuing education hours have been approved for Certified Rehabilitation Counselors. To find out which courses offer the CRC certificates, simply click on any of the permanent course’s Welcome Page and then click on the “View CE Credits”. The pop-up map will indicate which organizations offer contact hours for that course.
Welcome! Thank you for joining Athena Forum, your world class online education and health care resource center.

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


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