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Clinical Accuracy Spoken Here
Diabetes: Protein Testing
A single A1C test provides an index of glycemic status over a 2-3 month period whereas Glycated Serum Protein (GSP) and the Glycated Serum Albumin (GSA) reflect shorter turnover rates. A single measurement of GSP provides an index of glycemic status over the preceding 1-2 weeks is most often used during pregnancy or after major changes in therapy to monitor response. A measurement of CSP should not be considered equivalent to the A1C test since it only indicates glycemic control over a short period of time. But when the A1C test can not be measured or may not be useful, the GSP assay may be of value for a treatment regimen.

[Reference:Diabetes, Module A: Therapies, Glycated Hemoglobin, Page 34] www.athenaforum.com

Multiple Sclerosis: Constipation
A stepwise process for reducing constipation begins with an assessment and search for possible causes. Side effects of medications (iatrogenic factors) or the presence of neurogenic bladder dysfunction are reviewed prior to moving on the basic natural fluid and dietary intake measures. Mechanical and medical interventions follow if answers are not found. Sufficient time should be allowed for each of the regimens before moving to the next step.

[Reference: MS, Module B: Symptomatics, Management & Rehab, page 19]
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Excellence in Case Mgmnt
Workplace Loyalty – Nurturing goes a long way
Loyalty can mean many things to all of us but when it comes down to its role in our work as case managers, remembering the key caring attitudes will help to make our journey smoother and our work more satisfying. Nurture yourself again with nourishment, food, and fuel which increases your energy and outlook of life. Take a walk, write in your journal, get out your crayons, pray, mediate, dance. If you don’t take care of your self, no one will! Our patients, their families and our communities will benefit from it as well. You will see!

National Women’s Check-up Day
In the Headlines . . .
“Cover It!”
The CDC/HHS social networking resources and information is available for you and your organizations to post for basic self-care with this novel influenza now circulating around the globe. Remembering the correct way to wash our hands and cover our noses when coughing or sneezing needs to be brought to everyone’s attention. Finding useful and easy-to-follow information and pictures help to make this a real and applicable action for all of us. Check out the buttons and get your website addresses today.
http://www.cdc.gov/socialmedia/h1n1/buttons.html


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.

“Occupation Health Issues”
Our heighten attention during these last few weeks have focused on a new type of virus and how we protect ourselves in our homes and communities at large. But having applicable information for the work place and how we interact with our patients/families has been somewhat limited. The National Institute for Occupational Safety and Health is coordinating with the CDC in addressing these and other issues related to the EMS, airline/travel and other support personnel who interact with the public. Newer issues regarding holding “swine flu parties” to build up one’s resistance for future exposure will be addressed as well. So stay tuned for Dr. Andrew T Pavia’s directions and guidance.
http://www.cdc.gov/niosh/topics/H1N1flu/

The look of confidence
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Confidence

HelpDesk

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

c.sunderhaus@cxjconsulting.net


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