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Clinical Accuracy Spoken Here
Differentiating Crohn’s Disease from UC

Crohn's disease can occur anywhere along the digestive tract but is usually found in the ileocecal region. CD is an inflammatory bowel disease (IBD) with symptoms similar to ulcerative colitis (UC) and gastrointestinal infection. This can result in diagnostic difficulties. While UC causes inflammation and ulcers in the top layer of the large intestine lining, CD causes transmural penetration (all layers) of bowel tissue. Normal healthy bowel can be found interspersed between sections of diseased bowel.

Athena Forum, GI Disorders: Module B, Crohn’s Disease www.athenaforum.com

Perimenopause: A PH Concern

For decreased morbidity, and because of increased longevity, it is imperative to appreciate that "optimal treatment of perimenopause" will decrease or eliminate the physical and psychological changes that accompany the progressive loss of estrogen. Prior to 2002 a woman would not experience the menopausal transition. Her endocrinologic status would be in a steady-state by initiating low-dose oral contraceptives at age 35 and replacing these with hormone therapy (HT) at age 50, for life. Today, a woman has a life expectancy of approximately 85 years. Therefore, conditions associated with hypoestrogenism have become a contemporary Preventive Health concern.

Women’s Health: Menopause, Module A, Perimenopausal Years
Excellence in Case Mgmnt
HCM Advocacy Tools
As an HCM are you able to:
  • Identify and discuss inappropriate IV orders with the provider when a patient is able to take oral meds

  • Negotiate change from formulary to non-formulary medication use

  • Take corrective action when tests ordered do not support the patient's reason for admission

  • Suggest that a diagnostic test will not change the decision for discharge

  • Intervene before repeating tests that were previously returned as negative

If yes, you are truly a successful patient advocate.

[Reference: Athena Forum, Patient Advocacy and Care Standards, Module A, Advocacy and Care Management]
In the Headlines . . .
A-fib Costly, Deadly

A study published in the journal Circulation found the health care costs of treating Americans with atrial fibrillation totaled $26 billion per year (U.S. News & World Report | 5/3). Middle-aged women who had new-onset atrial fibrillation were about two times more likely to die prematurely compared with women who didn't develop the condition, according to data from the Women's Health Study published in the Journal of the American Medical Association. According to one cardiac specialist lives can be saved, evaluating risk is important, and risk, while low, is not the same for everyone. WebMD (5/24), USA TODAY (5/24)

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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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