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Clinical Accuracy Spoken Here
Behavioral Health: Screening
The U.S. Preventive Services Task Force recommends all primary care physicians routinely screen adult patients for depression. This applies to younger patients also. Two questions are to be asked for diagnosing minor depression: 1) over past two weeks – Have you felt down, depressed, or hopeless? 2) over past two weeks – Have you felt little interest or pleasure in doing things?

[Reference:Behavioral Health, Module A: Depression, Page 13] www.athenaforum.com

Multiple Sclerosis: Symptom Management
Fecal incontinence can be caused by three pathologic situations including: diminished rectal sensation, constipation, or sphincter dysfunction. Dietary irritants should be considered as a contributing factor and eliminated. Medications that reduce spasticity in striated muscle may also contribute to the problem. Dosing or scheduling adjustments may help to decrease involuntary bowel/fecal incontinence.

[Reference: MS, Module B: Symptomatics, Page 26]
Excellence in Case Mgmnt
Awareness and Action
Understand the Puzzle…cancer risks. NCI has an interactive site that shows and tells you about cancer risk factors and levels of contact with these risks. It even tests your knowledge of risk awareness. Learn about what and whom you can trust. How can you lower your own risk? http://understandingrisk.cancer.gov/

National Poison Prevention Week
In the Headlines . . .
“2010 CCMC Call for Nominations”
The Commission for Case Manager Certification is now accepting applications for voluntary service on its Board of Commissioners. The term for the new commissioner begins in June 2010. This opportunity is open for all case managers. This representative will work with the other commissioners and have opportunities to serve in a variety of CCMC committees and task groups. An online application is found on http://www.ccmcertification.org/ or contacting Danielle Gentile at 856-642-4404. Deadline: April 1, 2010.

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“Carbon Monoxide (CO) Poisoning”
When you changed your clocks back to Daylight Savings Time, did you remember to change your batteries in the fire alarms in your house as well as the CO detectors? Did you know that each level of your home or place of residence requires a CO detector? This would be a good time to make sure everything is functioning correctly and that you are properly disposing of your used batteries. CO poisoning can be produced by many different sources in both enclosed and partially enclosed spaces. Each year, more than 400 people die in the US from accidental CO poisoning. Check out the CDC’s website for more information and save a life today.

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


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