How confident are clinicians to deliver pain self-management?
Over the past few weeks I’ve been talking about pain self management from many perspectives. It’s an important topic because most people living with pain will be self managing most of the time. Being able to confidently self manage leads to less disability, distress and lives that look like life, not some endless healthcare regime. A paper by Penlington et al., (2023) explored confidence beliefs of clinicians working in the UK in primary or community settings prior to a training programme that was then delivered to them. The sample included in the survey is therefore a subset of those who might be expected t...
Source: HealthSkills Weblog - November 12, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping Skills Coping strategies Pain conditions Research Science in practice Health healthcare pain management Therapeutic approaches Source Type: blogs

Bonus Features – November 12, 2023 – 93% of clinicians use RPM in cardiac care rehab, telehealth flexibilities remain in place until the end of 2024, plus 25 more stories
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practiti...
Source: EMR and HIPAA - November 12, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT 1upHealth Apollo ApolloMed Cedar Cognoa CPSI Deloitte Technology Fast 500™ emtelligent Freshpaint Healthcare IT Today Bonus Features HITRUST Certification Hona Innovaccer Inovalon Jim Hundemer Jim Sparks K Source Type: blogs

Fight Aging! Newsletter, November 13th 2023
This study investigated the correlation among muscle strength, working memory (WM), and cortical hemodynamics during the N-back task of memory performance, and further explored whether cortical hemodynamics during N-back task mediated the relationship between muscle strength and WM performance. We observed that muscle strength (particularly grip strength) predicted WM of older adults in this cross-sectional study, which validated our hypothesis and expanded on previous research findings. Studies demonstrated that grip strength predicted executive function decline in patients with mild cognitive impairment. Other cross-sect...
Source: Fight Aging! - November 12, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

The Immune System Mediates Some of the Benefits of Exercise
It is uncontroversial to point out that exercise is good for long-term health. It slows aging, reduces risk of age-related disease, reduces mortality. A mountain of evidence supports these assertions, both animal studies demonstrating causation, and any number of large human studies showing correlation. Exercise, like the practice of calorie restriction, produces sweeping changes in the operation of metabolism. Near everything is different, both in the short term following exercise, and over the long term when looking at differences between the biochemistry of a fit individual versus that a sedentary individual. This can m...
Source: Fight Aging! - November 10, 2023 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

My EF is 45%, I am unable to walk to the mall, but …
This a story from a middle aged IT professional who had recently suffered from a cardiac event. His concern is, he has an ejection fraction (EF) of 45%, finds difficult to walk to the nearby mall ,while his neighbour, also a heart patient, has only 32% EF , but goes for cycling and hiking ! He finds this very odd and totally unacceptable. .He desperately needed an answer from his cardiologist. How is this possible, doctor? I am sort of depressed for two reasons. You are saying, I had only a mild heart attack and recovered well with no significant blocks in the angiogram, but, I still find it difficult to do routine ...
Source: Dr.S.Venkatesan MD - November 8, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized eejection fraction ef% fallacies in ef% Source Type: blogs

Spotlighting SEPA for National STEM Day
The NIGMS Science Education Partnership Award (SEPA) program provides opportunities for pre-K-12 students from underserved communities to access STEM educational resources. SEPA grants support innovative, research-based, science education programs, furthering NIGMS’ mission to ensure a strong and diverse biomedical research workforce. SEPA projects generate resources that are mapped to state and national teaching standards for STEM and are rigorously evaluated for effectiveness; most are also available at no cost. These resources include mobile laboratories, interactive health exhibits in museums and science centers, edu...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - November 8, 2023 Category: Research Authors: Chrissa Chverchko Tags: STEM Education Research Roundup SEPA Training Source Type: blogs

The Ins and Outs of Healthcare Communication Platforms
Communication is the key to making anything work – including your organization. But when dealing with all of the many things that providers do and the highly important health information about patients, something as simple as selecting a communication platform becomes a very tricky situation. What’s the best way for providers to coordinate the many different areas and people they have to handle? How many communication platforms do you even need to accomplish the goals of your organization without making it overcomplicated? How do you maintain the security and privacy of your patient’s health information a...
Source: EMR and HIPAA - November 8, 2023 Category: Information Technology Authors: Grayson Miller Tags: C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops Security and Privacy Abhi Sharma Ali Davis Amit Phadnis Care Coordination Communication Pl Source Type: blogs

About That New Generation of Clinicians
By KIM BELLARD I saw a report last week – Clinician of the Future 2023 Education Edition, from Elsevier Health – that had some startling findings, and which didn’t seem to garner the kind of coverage I might have expected.  Aside from Elsevier’s press release and an article in The Hill, I didn’t see anything about it.  It’s worth a deeper look. The key finding is that, although 89% say they are devoted to improving patients’ lives, the majority are planning careers outside patient care.  Most intend to say in healthcare, mind you; they just don’t see themselves staying in direct patient...
Source: The Health Care Blog - November 7, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Medical Practice Clinician Training Kim Bellard Medical School Nurses Physicians Source Type: blogs

Joanna Strober, CEO, Midi Health
Women’s health in their mid-life has been very poorly treated. No one has been managing all of women’s health, and almost no one has been delivering hormone replacement therapy since a now debunked 2002 study. Midi is a new company with protocols for many conditions, and it has been training NPs to deliver the care (because no one has been training them!). CEO Joanna Strober explained how Midi is providing care in 14 states now and will be in all 50 next year, and how Midi is delivering virtual and comprehensive care to women–many of whom do not have access to any other type of regular care. They just rai...
Source: The Health Care Blog - November 6, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Tech Medical Practice Joanna Strober Matthew Holt Midi Health Women's Health Source Type: blogs

Do clinicians know how to help people develop pain self management?
In recent posts I’ve been discussing pain self management and why it’s not only necessary, but inevitable for people living with pain. Today I turn my gaze to health professionals, and the skills needed to support developing self management – because it’s not the same as ‘telling’, or ‘educating’, or even ‘advising’. Firstly, let’s check out what people with pain want in self management. Lim and colleagues (2019) conducted a systematic review examining studies identifying ‘health information needs’ of people with low back pain. I put that tit...
Source: HealthSkills Weblog - November 5, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping Skills Low back pain Professional topics Science in practice Clinical reasoning healthcare pain management self-management Therapeutic approaches Source Type: blogs

New Textbook Chapter on Pressure Injuries & Chronic Wounds
I am thrilled that my chapter entitled Pressure Injury and Chronic Wounds was just published in a major new reference work. The textbook is entitled Geriatric Medicine: A Person Centered Evidence Based Approach and is available on Springerlink. My chapter is illustrated by photos taken over years in practice, and illustrations that demonstrate pressure injury staging and aging skin. This chapter is part of a large multidisciplinary reference work with over 70 peer-reviewed chapters designed to present a comprehensive and state-of-the-art update that incorporates existing literature with clinical experience.  Geriatric med...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - November 5, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care Publications aging skin bedsore bedsores decubiti decubitus ulcer elder abuse end-of-life care eschar geriatrics gerontology Healthcar Source Type: blogs

Wide complex and apparent hyperacute T-waves. Does absence of change from previous ECG mean that it is not New?
By Magnus Nossen, edits by Grauer and SmithThe patient is a 70-something female with DMII, HTN and an extensive prior history of coronary artery disease and myocardial infarctions. She ' s had multiple PCI procedures. She also has sick sinus syndrome (SSS) and intermittent high grade AV block for which she had a dual chamber pacemaker implanted. On the day of presentation she complained of typical chest pain, and stated it feels like prior MI. Just from the medical hx and clinical presentation this patient is very likely to be having an MI. The question is, does she need to go urgently to the cath lab or can she wait....
Source: Dr. Smith's ECG Blog - November 5, 2023 Category: Cardiology Authors: Magnus Nossen Source Type: blogs

Emulating Alex Lifeson ’ s Rush guitar tone
Back in the day, I ran a series of Classic Chords for Lifeson, Hendrix, The Manics, Oasis, and many others. I attempted to emulate the various guitars of the artists highlighted so I could demo the chords more authentically. Anyway, with the advent of large language models, such as ChatGPT, there is now the option to utilise their training to find a better way to describe how to get a particular guitar tone. I asked ChatGPT to explain how I could emulate the guitar tone Alex Lifeson uses on one of my favourite Rush song’s Freewill, from their 1980 album Permanent Waves. That was the first tour on which I saw the band...
Source: David Bradley Sciencebase - Songs, Snaps, Science - November 4, 2023 Category: Science Authors: David Bradley Tags: Classic Chords Music Source Type: blogs

Weekly Roundup – November 4, 2023
Welcome to our Healthcare IT Today Weekly Roundup. Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. We hope this gives you a chance to catch up on anything you may have missed during the week. Helping Providers in Ontario Adopt AI and Improve EMRs. Colin Hung sat down with Rob Fox at OntarioMD about the organization’s work collaborating with vendors to give physicians a role in shaping EMR enhancements as well as helping physicians decide which AI innovations will work best for them. Read more… What Tools are Necessary for Handling...
Source: EMR and HIPAA - November 4, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Healthcare IT Today Weekly Roundup Source Type: blogs

See this " NSTEMI " go unrecognized for what it really is, how it progresses, and what happens
Written by Nathanael Franks MD, reviewed by Meyers, Smith, Grauer, etc.A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. This episode of chest pain began 3 hours ago and was persistent even at rest.Triage ECG at Time = 0: Smith: I am suspicious for posterior OMI due to ST depression in V2 and V3Baseline EKG (several months prior):Smith: Now I am even more suspicious of posterior OMI, as the baseline ECG has normal ST elevation in V2 and V3ECG Interpretation:The tri...
Source: Dr. Smith's ECG Blog - November 3, 2023 Category: Cardiology Authors: Pendell Source Type: blogs