Surgery vs Medicine
Diverticulitis flare-ups that are frequent or antibiotics / rest of the colon are not enough to quiet the inflammation, surgical intervention has been advised to prevent serious complications. Recent medical management improvements, as noted in several studies, have benefited patients older than 60 years of age. For the younger patients (< 50), it may be appropriate to consider surgical interventions.
[Reference:GI Disorders, Module C: Diverticulitis, Page 24]
The American Geriatrics Society (AGS) has issued guidelines for management of pain in older people. The panel has also issued an admonition to clinicians that pain should not be regarded as an expected corollary of aging and that placebos are not to be given for pain. In FACT, the use of placebos in clinical practice is unethical. They are only to be used and justifiable in specific research designs with full patient consent.
[Reference: Pain Management, Module B: Acute Pain, Specific Populations, page 16]
|Awareness and Action
NCI – National Cancer Institute provides a comprehensive cancer database that includes Summaries, Expert boards, and Clinical Trial Registries. Cancer is complex but with their two (2) dictionaries, you can select this as one of your Favorites and find this valuable resource anytime.
http://www.cancer.gov/cancertopics/pdq/cancerdatabaseNational Patient Safety Awareness Week
Remember: Daylight Savings Time Begins – March 14
April 16th is a special day for future plans. While the tax man may have been paid off for another year, the life plan for and about health care decisions will continue, unless decisions are made. The National Healthcare Decision Day quality initiative is a way to learn about Advanced Directives and similar life/death decision-making documents. As one of the HEDIS measurements (NCQA/CMS) for Care of the Elderly, an advanced directive conversation or completed document fulfills this requirement. But this is applicable toward a wider demographic base than the elder population in the U.S. Check out the website for facts, resources, and activities that will help to raise the awareness and make a decision that matters.
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