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Clinical Accuracy Spoken Here
Bipolar Disorder Often Not Recognized Bipolar disorder, while a type of depression, is not as prevalent as other forms of depressive disorders. BD is characterized by cycling mood changes. Sometimes the mood switches are dramatic and rapid, but most often they are gradual. When in the depressed cycle, an individual can have symptoms of a depressive disorder. When in the manic cycle, the individual may be overactive, talkative and have a great deal of energy. Mania often affects thinking, judgment, and social behavior in ways that cause serious problems and embarrassment. For example, the individual in a manic phase may feel elated, full of grand schemes that might range from unwise business decisions to romantic sprees. Mania, left untreated, may worsen to a psychotic state. Bipolar disorder is often not recognized as an illness, and people may suffer for years before it is properly diagnosed and treated.
Athena Forum, Behavioral Health: Module A www.athenaforum.com

Fatigue Most Troubling Symptom of MS Fatigue is the most common MS symptom–experienced by 75 to 95% of people with the disease. Approximately 50 to 60% of people with MS describe fatigue as one of their most troubling symptoms, regardless of their disease course or level of disability. Fatigue treatment strategies should include:
  • Management and elimination of any secondary causes of fatigue

  • Management of any conditions or symptoms that interfere with sleep

  • Management of any MS symptoms that may be producing additional fatigue.

  • Development of energy effectiveness strategies (activity modifications to reduce fatigue)

  • Pharmacologic management of chronic fatigue that remains after other factors have been addressed
Athena Forum, MS: Module B
Excellence in Case Mgmnt
Numerous Barriers to DCP

Today discharge planning (DCP) teams coordinate care across settings during care transition. Effective planning for discharge is challenged on many levels. Physicians are limiting their practice to a single setting. Hospitalists supervise patient care in the hospital but know nothing about the patient. Discharge planners transition patients to unfamiliar settings. Hospitals discharge patients to care settings where the patient’s physician does not practice and the patient’s prior medical records are unavailable. Electronic health record (EHR) systems are being developed at a rapid rate but many health delivery systems currently do not have them. Communicating regularly with all team members is imperative for an efficient discharge but nearly impossible to coordinate. Creativity and technology such as virtual rounds may be useful tools for today’s discharge planners.
Reference: Athena Forum, Discharge Planning, Module A
In the Headlines . . .
Walking Reduces Risk of Breast Cancer

Walking has long been considered beneficial. Physical activity is thought to confer health benefits including lowering risk of heart disease and stroke, maintenance of blood pressure, weight control, bone strengthening, improved insulin sensitivity, reduction of anxiety/ stress and perhaps even a reduced risk of cognitive decline. Dr. A. Heather Eliassen and her colleagues from Brigham and Women’s Hospital and Harvard Medical School analyzed data from the Nurses Health Study and found that women who walked briskly for an hour most days of the week were able to reduce their risk of breast cancer by 15 percent. Even women who were less active until menopause, but began walking around mid-life, lessened their risk by about 10 percent. Women engaged in other types of physical activity saw some decreases in breast cancer risk, but the reduced risk was not as robust according to the analysis.

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JSPH & Athena Forum – Partners in Chronic Care
Master’s Degree
in Chronic Care Management

Managing chronic illness is the key to true healthcare reform.

No matter what its appearance – diabetes, hypertension, arthritis, cardiovascular disease, asthma, cancer or COPD – chronic disease is the greatest contributor to the cost of healthcare in the United States.

The Jefferson School of Population Health’s online Master of Science in Chronic Care Management (MS-CCM) stresses chronic illness prevention and wellness, integrates evidence-based guidelines, includes behavioral health concerns, and appreciates cultural and individual variation.

The program prepares leaders to critically analyze, design, implement and evaluate systems to improve chronic illness prevention and care management across various health care settings and populations.

For more information about Jefferson’s MS-CCM program, click here. 215-503-5305

The look of confidence
  CM Excellence® Series: 
  » Principles of Case
  » Patient Advocacy
  » Utilization Management
  » Discharge Planning
  » Hospital Revenue Cycle

  Clinical Series: 
  » Asthma
  » Behavioral Health
  » Colorectal Cancer
  » COPD
  » CV Risk: Stroke & MI
  » Diabetes
  » EOL & Palliative
  » GI Disorders
  » Heart Failure
  » Multiple Sclerosis
  » Obesity Management
  » Pain Management
  » Rheumatoid Arthritis
  » Women’s Health



Cathy Wright Cathy Wright, BSN, RN
Clinical Editor
Athena Forum


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