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Clinical Accuracy Spoken Here
Substance Abuse Treatment Options

Group therapies are regarded by some psychiatrists as the preferred mode of psychotherapeutic treatment for substance-dependent patients. Cognitive therapy has been modified for the treatment of substance abuse. Motivational enhancement therapy, based on cognitive behavioral, client-centered, systems, and social-psychological persuasion techniques, has shown to have positive effects in eight of nine controlled studies. Operant behavioral therapy involves operant rewarding or punishing of patients for desirable or undesirable behaviors. Contingency management, cue exposure treatment and aversion therapy are other available options for the treatment of substance abuse.

Athena Forum, Behavioral Health: Module C www.athenaforum.com

New RA Classification System

In a joint effort, the American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR) have introduced a new 2010 classification system which redefines the current paradigm of RA by focusing on earlier stages of the disease. The goal is to refocus attention on the important need for:

  • Earlier diagnosis

  • Prompt institution of effective disease-suppressing therapy

  • Prevention or minimization of undesirable results from unchecked RA

Improvement in RA has now been defined and assessment of improvement standardized by the ACR.

Athena Forum, RA: Module B – Assessment and Complications
Excellence in Case Mgmnt
Advocacy – Skillful Assertiveness:

Care management is an ongoing process while the patient remains at an acute level of care. One skill the HCM must possess to be a successful patient advocate is to be assertive. Examples of active care management advocacy include real-time case management interventions that question services rendered. Orders for tests not related to the admitting diagnosis must be averted. The HCM needs to be involved across the continuum of care throughout the hospitalization, ensuring appropriate access and appropriate continued stay.

[Reference: Athena Forum, Patient Advocacy: Module A – Advocacy and Care Management] www.athenaforum.com

In the Headlines . . .
VA Cuts MRSA Rates 62%

A study in The New England Journal of Medicine found that the rate of MRSA infections in the intensive care units of 153 Veterans Affairs hospitals declined by 62%, while rates in other areas including surgical and rehabilitation units decreased by 45% after implementing a bundle that included screening all patients for MRSA and promoting hand washing among staff.

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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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