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Clinical Accuracy Spoken Here
GI Disorders: 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] www.athenaforum.com

Pain Management: Placebos
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]
Excellence in Case Mgmnt
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.

National Patient Safety Awareness Week
Remember: Daylight Savings Time Begins – March 14
In the Headlines . . .
“Take Action”
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.

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.

“Travelers with Disabilities”
When was the last time you checked out the Transportation Security Administration website and their revised rules and regulations for all travelers including those with disabilities? TSA maintains the highest level of security, safety and equality for all. Special allowances for persons with disabilities and medical conditions at airport checkpoints are outlined for easy reference. Check out their video today.

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


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