Last week my mother died from complications of Alzheimer’s disease. Alzheimer’s is the 3rd leading cause of death in the United States because we haven’t funded the research like we have for heart disease or cancer. If you think you won’t get it because you don’t know of a family member that had it, you’re wrong. It’s not all about genetics. Just having a brain puts you at risk. If you plan to stick around until your Golden Years arrive, you’ve got about a one in two chance of having it.
Listen for 7 minutes while Dr. Samuel Cohen talks about why after 114 years we still don’t have a cure, or the ability to slow down its progress, but why he’s hopeful that we will:
Ideas for a Screenplay for 50!
Way to go nurses! We are in the top 10 out of 100 best jobs in the US. Nurse Practitioners are #2 and Registered Nurses are #9. Who is #1? Dentists! Who would’ve thought being a dentist was so great, especially when so many people can’t afford to go and health insurance doesn’t usually cover their services? Go figure.
Hooray for nurses.
The WordPress.com stats helper monkeys prepared a 2014 annual report for this blog.
Here’s an excerpt:
A San Francisco cable car holds 60 people. This blog was viewed about 1,500 times in 2014. If it were a cable car, it would take about 25 trips to carry that many people.
Click here to see the complete report.
Following a Script to Escape a Nightmare – NYTimes.com.
Prazosin, a blood pressure medication, is often used to stop nightmares for those suffering with PTSD. Image Rehearsal Therapy is a non-medication treatment for doing the same.
The prevalence of post-traumatic stress disorder PTSD in US combat soldiers: a head-to-head comparison of DSM-5 versus DSM-IV-TR symptom criteria with the PTSD checklist : The Lancet Psychiatry.
The conclusion taken from the study:
Our findings showed the PCL-5 to be equivalent to the validated PCL-S. However, the new PTSD symptom criteria do not seem to have greater clinical utility, and a high percentage of soldiers who met criteria by one definition did not meet the other criteria. Clinicians need to consider how to manage discordant outcomes, particularly for service members and veterans with PTSD who no longer meet criteria under DSM-5.
Funding for this study: US Army Military Operational Medicine Research Program (MOMRP), Fort Detrick, MD.
Press Announcements > FDA approves new hand-held auto-injector to reverse opioid overdose.
Evzio is the name of this product, the topic of an earlier post on NurseGrit this year.
Medicare to Start Paying Doctors Who Coordinate Needs of Chronically Ill Patients – NYTimes.com.
“This is time-consuming and challenging work,” said Dr. Matthew J. Press, an assistant professor of health care policy at Weill Cornell Medical College in New York. In a recent article in The New England Journal of Medicine, he described his experience coordinating care for a 70-year-old man with bile duct cancer in the liver.
Over 80 days, Dr. Press said, 10 doctors helped care for the man, who had five procedures and 11 office visits before a surgeon removed his tumor. Dr. Press, the patient’s primary care doctor, communicated 40 times with the other clinicians and 12 times with the patient or his wife.
This is a task that nurses have been doing for many years, under titles such as “RN Patient Advocate” and “RN Care Coordinator”, and being paid well to do so in the private sector. The new law also states that primary care providers of Medicare recipients be available 24/7 365.
With the tidal wave of baby boomers looming, chronic illnesses such as depression could break the back of the Medicare system, and possibly the Affordable Care Act, if medical care for these high-dollar illnesses isn’t ramped up. It will be interesting to see how this new legislation unfolds.