Opioid Overdose on the Rise

by admin on February 8, 2010

Ether, chloroform and morphine
Image by chrisjohnbeckett via Flickr

In both of my roles, as a nurse life care planner and nurse case manager, I have frequent exposure to individuals suffering from chronic pain, either as a result of a traumatic injury or due to disease progression and aging.  In reading this article, I had to wonder what other methods of pain management, outside of prescription painkillers, were being employed in these tragic cases.

In my practice I examine all of the issues involved in cause and treatment of the patient’s chronic pain Many times, a more holistic approach is the most effective and carries less risk of addiction and potential overdose.

Questions I ask in these cases include, but are not limited to: What effects acupuncture or other non-pharmacological treatments might have on relieving some of the pain? Would the patient benefit from psychotherapy to help with issues and depression surrounding his or her condition?  Has the person been trained in any breathing and relaxation or other biofeedback techniques?

These are just a few of the considerations that a nurse case manager might evaluate as alternatives.  These considerations should be evaluated and possibly included in the life care plan to help minimize use of potentially addictive medications and to ensure maximum quality of life for these patients.

What are some other alternatives for the management of chronic pain?  What has worked for you?

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Tracking Radiation Exposure in Patients

by admin on February 4, 2010

Radiation Area
Image by caddymob via Flickr
In an attempt to halt the increasing number of patients that are being over-exposed to radiation, doctors at the National Institutes of Health will begin tracking how much radiation a patient has been exposed to in their electronic records. Officials believe that if other doctors and institutes follow suit, researchers will be able to compare the cancer risk of patients with high vs. low radiation exposures. A study released last month said that patients may be exposed to four times more radiation from imaging machines than previously believed.  Liz Szabo, USA Today 01/31/2010
Read Article: USA Today
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Music to my Alzheimer’s Ears

by admin on February 4, 2010

iPod 5th Generation white.
Image via Wikipedia

Innovation and experimentation are techniques professionals use to find new cures and procedures to alleviate pain.  As we age we are prone to injuries and even a break down of our mental capacity.  Billions of dollars and hundreds of companies around the world continually try to find ways to meet these needs.   Though one technique has started to catch on throughout the country and is being used by assisted living facilities, nursing homes, and care managers for Dementia and Alzheimer’s patients, music therapy.

Geriatric caregivers have observed for decades that Alzheimer’s patients tend to remember and even show the ability to sing songs from memory long after they’ve stopped recognizing names and faces. Many hospitals and nursing homes use music as recreation, since it brings patients pleasure and calmness. But beyond the entertainment and soothing value, there’s growing evidence that listening to music can also help stimulate seemingly lost memories and even help restore some cognitive function.

Using familiar music, which can be chosen by a senior person’s family, can potentially help seniors reconnect their memories. Doctors believe that by engaging very basic mechanisms of emotions and listening, music is able to stimulate dormant areas of the brain that haven’t been accessible due to Dementia or Alzheimer’s.

The Institute for Music and Neurologic Function, a nonprofit organization founded at Beth Abraham in 1995 studies the effects of music on people.  They are trying to promote a program to provide MP3 players loaded with specific music play lists for seniors.  They believe this helps seniors relive old experiences that, in effect, help to stimulate their mind.  A study that was funded by the New York State Department of Health, in order to determine the effect of music on people with Dementia a few years back included 45 patients with mid- to late-stage Dementia by the Institute for Music and Neurologic Function.  This study found that participants who listened to an hour of personalized music three times a week for 10 months showed an increase of 50% on average in their cognitive functions.  One patient even recognized his wife for the first time in months.

The Institute for Music and Neurologic Function recommends the use of music from the 60’s that were popular.  This includes such artists as Bob Dylan, Frankie Valli & the Four Seasons, Jay & the Americans, The Beach Boys, and The Rolling Stones.

Unfortunately, due to the lack of money and manpower music therapy isn’t used widely with Alzheimer’s and Dementia patients.  Currently in the U.S. there are only about 5,000 certified music therapists, and fewer than 20% work with geriatric patients. This is one of the main reasons assisted living facilities and nursing’s homes need to step it up and help encourage the use of music therapy in their facilities.

A senior person’s family member or caregiver can create their own play lists on an Mp3 player for their senior loved one.  If you want to create your own music play list for a senior person, researching popular songs during their youth is a good start and can be done by accessing the website www.imnf.org.  Music therapy is an inexpensive and effective way to help stimulate a senior person’s mind with Dementia or Alzheimer’s.

*reprinted with permission from American Care Managers
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Patients who have a better understanding of their illnesses are likely to be healthier.

Technology such as social networking sites, e-mail, personal health records, home monitoring devices and patient portals have made communication between patient and doctor not only more convenient but also more meaningful.

Patients are able to do more independent research, making them better informed. They can compare costs, exchange information with other patients, and bring that knowledge back to their physicians. Technology even can allow physicians to monitor a patient’s health without a visit to the office, creating more time to see sicker patients.

This is from an article from the American Medical Association. Participatory technology includes email, personal health records, patient portals to allow access to records, social networking sites, home monitoring devices, and electronic medical records. The Joint Commission is encouraging patients to get more involved with their Speak Up! campaign which I highly recommend. Let’s all urge our patients to educate themselves about their diagnosis, their medications and the side effects, treatment plans and recommended diagnostic testing. We will all be better off for it.

Posted via web from vpmedical’s miniblog

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