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Clinical Accuracy Spoken Here
GI Disorders: Diverticulitis Progression Diverticulitis starts with the formation of small pouches in the lining of the colon. These are usually herniations of the mucosa and submucosa through the muscularis, occurring at the site of a nutrient artery. An overlap between inflammatory bowel disorders (IBD) and diverticulitis has long been recognized. It is currently suggested that diverticulitis is a chronic IBD. Because of the confusion and overlap in stages and symptoms, it is important to distinguish that:
  • Diverticulum form but do not perforate or rupture (Diverticulosis)

  • Diverticulum become inflamed, perforate or rupture (Diverticulitis)
GI disorders: Module C, Diverticulitis www.athenaforum.com

Women’s Health: Depression Physiology

In depressed patients, increased numbers of neurons secrete CRH in the hypothalamus. This leads to an increase in the secretion of ACTH by the pituitary, and finally to increased secretion of cortisol by the adrenal gland. The increased activity of the hypothalamic-pituitary-adrenal axis is the most consistent biological abnormality found in individuals with depression. Hypothalamic-pituitary-adrenal axis activity, as measured by cortisol release or pituitary testing, returns to normal in depressed people who are successfully treated, but not in those with residual symptoms following treatment.

Women’s Health: Menopause, Module B, Psychosocial Complications
Excellence in Case Mgmnt
DCP: Applicable ACMA Standards

It is important for case managers to adhere to the standards of care developed by the American Case Management Association (ACMA). The ACMA standards of practice describe the responsibilities of the HCM and establish HCM accountability. Standards provide direction for HCM practice, as well as a framework to evaluate this practice and are a necessary element for collaborative relationships to work efficiently and effectively. Two of ACMA’s standards, particularly applicable to patient-centered discharge planning involve communication and patient advocacy. Together they provide an excellent check-list for discharge or transitional care planning.

[Reference: Discharge Planning: Module A, Philosophy and Standards.]

In the Headlines . . .
Study: GYN Cancer linked to Higher ICU Infection Rate

The incidence of microbiological-confirmed hospital-acquired bloodstream infections in patients with gynecologic cancer was higher in those admitted to an intensive care unit than in those admitted to a clinical ward, according to a Brazilian study reported at the Interscience Conference on Antimicrobial Agents and Chemotherapy. Of the bloodstream infection cases identified, 63% were considered primary infections and 87% of those were linked to the use of vascular catheters. Of the numerous bacteria identified, 25% were Staphylococcus aureus and 15% were resistant to multiple drugs. HemOnc Today (9/21)

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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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