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Clinical Accuracy Spoken Here
CV Risk: Blood Cholesterol
Our liver makes enough cholesterol, a waxy substance, for our body’s needs. There are two kinds – one good and one not so good if there is too much of it. HDL, high-density lipoprotein cholesterol, is considered good when at a higher level. LDL, low-density lipoprotein cholesterol, if found at high levels, can be considered bad and lead to atherosclerosis and strokes. A lipoprotein profile measures several different kinds of cholesterol as well as triglycerides, another blood fat found in the body.
[Reference:CV Risk, Module B: Stroke – CM Role, Page 18] www.athenaforum.com

Pain Management: Low Back Pain
Sixty-six percent of adults suffer with low back pain and 95% of those with LBP will have degenerative disk disease by age 50. There are two categories – acute [resolves within 6-12 weeks independent of interventions] and chronic [does not resolve within 12 weeks]. In the U.S., one of the most common pain-related causes for seeing a primary physician is low back pain. At the 1998 dollar, $26.8 BILLION dollars is the total incremental direct health care costs. With the high number of obese and inactive patients with prevalence of LBP, these numbers will certainly rise.
[Reference: PM, Mod D: Types of Chronic Pain, Statistics, page 2]
Excellence in Case Mgmnt
Workplace Loyalty – The Right Stuff
‘Do no harm’ is the well known mantra of health care and serves as a reminder that we must do what is right. Remembering and using key phrases like, “I don’t know,” “I messed up,” and “please help me” enables conscientiousness in setting a correct direction of care and avoids doing harm to those who are in our care. A sincere and trustworthy practice will be enhanced with truth and be a model for others to do the right thing.

National Nurses Week – May 6-12th
In the Headlines . . .
“New reference name for Swine flu”
The World Health Organization has changed their previously referred ‘swine flu’ to the correct category of this new type of virus - namely influenza A (H1N1). While the normal seasonal flu kills an average of 36,000 people in the U.S. during a typical flu season (and there are vaccines available for these viruses), this virus is unpredictable and has a serious pandemic potential. With time, the global scientific community will know if it will fizzle out or become more virulent/severe in the diseases it causes.

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“Influenza A [H1N1] Updates”
The CDC has activated its Emergency Operations Center to coordinate an investigation with health officials in Mexico, Canada and the WHO. Identified interventions for treating and preventing infection with this virus have been given and will be updated as additional information is received. Everyday actions are available to keep people healthy and to encourage everyone to try and avoid close contact with those who are sick. Additionally, their website provides information in Spanish, a podcast to watch, and specific steps to follow in states where specific cases have been identified. Stay tunes to their daily updates as this health alert advances.

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


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