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:
GI disorders: Module C, Diverticulitis
- Diverticulum form but do not perforate or rupture (Diverticulosis)
- Diverticulum become inflamed, perforate or rupture (Diverticulitis)
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
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.]
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)
Memo Archive Did you miss an issue?
Need to look up a reference in a past Monday Memo? All past issues
are archived for your use.
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
CM Excellence® Series:
» Principles of Case
» Patient Advocacy
» Utilization Management
» Discharge Planning
» Hospital Revenue Cycle
» Behavioral Health
» Colorectal Cancer
» CV Risk: Stroke & MI
» EOL & Palliative
» GI Disorders
» Heart Failure
» Multiple Sclerosis
» Obesity Management
» Pain Management
» Rheumatoid Arthritis
» Women’s Health
You have received this e-mail because you are a subscriber
to Athena Forum. If you wish to be excluded from any future
Monday Memos, please send email to the registrar.
Please put the word unsubscribe in the subject line.