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Clinical Accuracy Spoken Here
Asthma: NAEPP guidelines
Essential factors that need to be monitored to ensure the effectiveness of pharmacotherapy in asthma care include patient adherence to the prescribed regimen, correct inhaler technique, and available use of quick-relief medications. Identifying the number of inhalers uses in the past month or any changes in dosage of prescribed medications and associated side effects will help to monitor your patients required needs and tolerance in their plan of care. Any problems in taking their medications should be evaluated and revised by their prescribing physician, if specific difficulties are encountered.
[Reference:Asthma, Pharmacotherapy, Module D: CM Role, Page 20] www.athenaforum.com

Diabetes: Criteria for Testing
Testing for diabetes should be considered in all person(s) at age 45 years or above, and if normal, should be repeated at 3-year intervals. If testing is done at an earlier age, criteria for diabetic testing in asymptomatic and undiagnosed persons who exhibit these risk factors: have a first-degree relative with diabetes, are obese (BMI > 25 kg/m2), and have hypertension (>140/90). Additional considerations could include these as well: habitual physical inactivity, members of a high-risk ethnic population, history of vascular disease or exhibit other clinical conditions associated with insulin resistance.

[Reference: Diabetes, Module A: Therapies, page 21]
Excellence in Case Mgmnt
Pause for a Moment
Small things can make tremendous differences. We have seen it. Any application of additional effort to whatever task or activity you or I undertake, will not only help us achieve our primary objective we are seeking, but also reap exponential rewards that are possible with the one extra degree of effort put forth. Example: eliminating one half hour of watching TV each day will allow us - 182.5 hours per year to use elsewhere for something more productive or useful for someone else. Think about it. What would you do with 4 ˝ weeks of available time?

Helen Keller Deaf-Blind Awareness Week
In the Headlines . . .
“Are you Taking (your) Medication as Prescribed?”
…A question that should be asked of all our patients. Increasingly, reports and surveys have noted that consumers are not following their doctors instructions for any number of reasons including side effects, inability to pay for them, or just having too many of them. Consequences with not taking the prescribed medications can be life threatening. The FDA has a Consumer Fact Sheet in PDF form that speaks to these issues and concerns. Provide or direct your patients to this user-friendly website.

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“N1H1 influenza now throughout the U.S”
The CDC updates their website every Friday with the latest numbers for the states, and territories around the mainland. International news (WHO) shows the global affect of the ‘swine flu’ that continues its course around the globe. Check the map for your state’s confirmed and probable cases, along with clinician/public guidance, testing, vaccine and their expected shared responsibility in keeping well. Pass this on in the various ways listed at the bottom of there webpage.

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


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