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Clinical Accuracy Spoken Here
Asthma: Meds & Elderly
Did you know that underutilization of corticosteroids in the elderly is considered to be a significant factor in fatal or near-fatal exacerbations of asthma? The metabolic clearance of prednisolone is slower in elderly populations and results in a higher concentration of total and free prednisolone, but there is no data that indicates the elderly have an inherently increased risk of side effects from corticosteroids. Diseases and conditions that are common in our aging population may complicate any increases in frequency and severity of side effects associated with the use of oral corticosteroids.

[Reference:Asthma, Therapy in Asthma Care, Module C: Pharmacologics, Page 20] www.athenaforum.com

Rheumatoid Arthritis: Cardiac Complications
Approximately 40% of people with rheumatoid arthritis die of heart-related disease, but at a much younger average age than the general population. Premature atherosclerosis, dilated cardiomyopathy and valvular nodules are three of the specific cardiac manifestations of RA. Early diagnosis and treatment is essential for their survival and includes pharmaceutical and surgical interventions based on their specific complication.

[Reference: RA, Cardiac Manifestations, Module B: Complications, page 9]
Excellence in Case Mgmnt
Pause for a Moment
Angst, anxiety, and exhaustion can play havoc on our lives if we let them. Knowing that change abounds in every corner of our lives, we can look and move beyond these feelings by facilitating a step-wise transition. Understanding why change is necessary helps define the expected benefits and gains. Applying new skills learned in training bridges the unknown to the known, for both you and your patients. Be patient, demonstrate support, and commit to the myriad of changes coming our way.

Memorial Day – no Monday Memo will be published. Watch for our next edition: June 1st, 2009
In the Headlines . . .
“Community Guide”
The Guide to Community Prevention Services website has been redesigned for easy use and application in identifying policies, funding, research, or education useful in care plans and interventions. An array of topics ranging from alcohol to vaccines, are presented with evidence based recommendations that help to improve health and prevent disease for your patients/families in their communities. Complimentary key information is also available to aid your use of this resource.

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.

“Health Care Reform – Urgency & Determination”
It’s on everyone’s mind, besides the influenza scare, in one way or another. The Fed is now taking a new look at health industry reform. Comments invited:
“Health Care Reform – Urgency & Determination”

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


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