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Clinical Accuracy Spoken Here
Behavioral Health: Intentional Self-injury vs. Suicide

Intentional self-injury is more common than most people think. It affects females more than males. This behavior often starts in the early teens and may continue for many years. The frequency and severity of the injuries may vary. Areas of the body that are most often injured are the arms, front of the torso and legs. Many individuals who self-injure were abused as children. Self-injury may include cutting the skin or burning skin with a cigarette. It's often an attempt to get temporary relief from increasing emotional pain. The intent isn't suicide.

Behavioral Health: Module D, High Risk Behavior www.athenaforum.com

Heart Failure: LVS Evaluation Requirements

Appropriate selection of medications to reduce morbidity and mortality in HF requires the identification of patients with impaired LVS function. National guidelines advocate the evaluation of LVS function as the single most important diagnostic test in the management of all patients with HF. HF patients must have documentation in the hospital record that left ventricular systolic (LVS) function was evaluated before arrival, during hospitalization or is planned after discharge.

Heart Failure: Module D, Care Managers Role
Excellence in Case Mgmnt
Principles of CM: ACMA Scope of Services for the HCM:
• Advocacy & Education
• Clinical Care Coordination/Facilitation
(Continuity/Transition Management)
• Financial Management
• Performance & Outcomes Management
• Psychosocial Management
• Research & Practice Development
• Utilization Management
HCM is a collaborative practice model utilizing a process that facilitates care along a continuum through effective resource coordination.
[Reference: Principles of CM: Module A, Principles]
In the Headlines . . .
Priming with DNA Vaccine Makes Avian Flu Vaccine Work Better
The immune response to an H5N1 avian flu vaccine was greatly enhanced in healthy adults if they first received a priming DNA vaccine expressing a gene for a key H5N1 protein. Researchers from the National Institute of Allergy and Infectious Diseases report results from two Phase 1 clinical trials in the current issue of The Lancet Infectious Diseases. Most study volunteers who received the DNA vaccine 24 weeks before receiving a booster vaccine made from whole, inactivated H5N1 virus produced high levels of antibodies, the scientists found. [NIH News October 3, 2011]

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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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