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work in a fast-paced, professional environment
where your talent contributes to our competitive
edge, then Liberty Mutual has the opportunity for
you with an opening in Denver, CO. For more
information visit www.libertymutual.com.
September 17, 2007
September Vol. 8 Issue 14
Vol. Information for Denver’s Nursing & Health Care Professionals www.denvernursingstar.com
Locally Published, Owned and Operated Each Week by Metro Publishing LLC
New Children’s hospital features When You Lay
family-centered conveniences Down With Dogs
A stay in the hospital can be
frightening for kids, and they’re often By Elizabeth Bussey Sowdal, RN
comforted by only one thing: their
At The Children’s Hospital, the staff hen you lay down with dogs you are likely to
recognizes that families are our partners get fleas. That is what the police officer told my
in care, which is why they have little, sweet, precious baby Andy when he and a
incorporated family-style conveniences in group of boys ( boys that I formerly thought of
every aspect of the new hospital. as funny, sweet and nice but now see clearly as
At The Children’s Hospital, the the hooligans and future delinquents that they undoubtedly
philosophy of family-centered care means are) were caught smoking cigarettes across the street from the
family members can conveniently remain school recently.
with the child 24-hours-a-day, seven-days- Andy said that he was not smoking. Before I left work for
a-week. home, after Mike had called me to tell me about the Great
“Because parents know their children Smoke Out, I told my friend that Andy would say that he was
best, we’ve made the family an integral with the boys, but was not smoking. While I was at work I
part of our healthcare team,” said Kathleen could see very clearly that he would tell me that and that it
Reeves, MS, LPC, director of family would most likely be a lie. What I did not tell my friend was
services for The Children’s Hospital. that I would believe Andy to the depths of
“By making the hospital more family- my heart.
friendly, we’re making it easier for parents I always believe my
and siblings to be involved in the day- children. Even when it is L a u g h i n g
to-day medical, emotional and social needs painfully obvious that they with
of their child.” are lying. Even if they Elizabeth
“We’ve designed the Heart Institute immediately contradict
around this family-centered model. The themselves. I can’t help it.
Heart Institute services are almost entirely When I see their faces I
on the third floor, making it easy for believe them. I think that they
Janet Davis, RN, MSN, director of The Childr en’s Hospital
Davis RN, MSN, director
en’ families to provide care and support for are able to hypnotize me.
Hear t Institute, believes in ffamily-centered care.
Heart Institute, believ amily-centered care
amily-center their children,” said Janet Davis, RN, MSN, This is not the first
See Elizabeth , Page 2
See Family, Page 3
Exempla earns Gold Myocardial Infarction, Heart Failure, Hip Fracture, Joint
Replacement (hip), Joint Replacement (knee), Spinal Fusion,
Komen Denver Race for
and Primary Stroke Center. the Cure date
Seal of Approval ELMC is the first hospital in Colorado to receive these
certifications in six of the seven programs, and is the first in
the country to receive it for Hip Fracture. Exempla Lutheran
Medical Center is the second hospital in the country to receive
Disease-Specific Care Certification for Spinal Fusion.
The Joint Commission has hospital the Gold Seal of To earn this distinction, a disease management program
rewarded the high-quality care Approval. undergoes an extensive, unannounced, on-site evaluation by a Continued Education
in seven programs at Exempla ELMC has received team of Joint Commission reviewers every two years. The
Lutheran Medical Center Disease-Specific Care program is evaluated against Joint Commission standards through
(ELMC) by presenting the Certifications in Acute an assessment of a program’s processes, the program’s ability Pg. 4
to evaluate and improve care within its own
organization and interviews with patients and
My Point of View... Commentary by
“This certification means that Exempla Colleen Folsch, MSc, BSc
Lutheran Medical Center does the right things
and does them well,” says Jean E. Range, M.S.,
R.N., C.P.H.Q., executive director, Disease- Pg. 5
Specific Care Certification, Joint Commission.
“Lutheran’s Human Motion Institute would
Longmont, CO 805 not have achieved this recognition without the
Permit #16 collaborative efforts of both the staff & our A Decision About
PAID physicians,” says Diane Rossi, Lutherans Human
U.S. Postage Motion Institute Coordinator. “Physicians are
See Gold, Page 2 Pg. 6
Page 2 September 17, 2007 Denver’s Nursing Star
art of healing and the science of a very big responsibility to tell me the
Gold medicine throughout metro Denver.
Today, the 400-bed, community-
Elizabeth truth at all times.
Because I told them this, I can
Continued from Page 1
Continued from Pa based hospital offers a comprehensive Continued from Page 1
Continued from Pa often tell, intellectually, when they are
spectrum of specialized care, from birth lying because they look so awfully
such an integral part of our program to end-of-life. smoking incident. One time some years miserable. They look like you would
and we want to take a moment to Every patient can be assured of ago, I went upstairs to find the boys expect children to look when they have
thank them for all their hard work in receiving the highest standard of care. bedroom filled with cigarette smoke. not only been doing something they
helping us achieve a one-of-a-kind in Lutheran’s national accreditations Andy and the neighbor boy (the same shouldn’t have been, or have not been
musculoskeletal care in the State of include Level III Trauma, Level III neighbor boy he was with this time, doing something they should have
Colorado.” Neonatal, Chest Pain Centers of by the way) were standing side by been, but they also look like children
“We’re proud to receive this America, and is the region’s only Sleep side in the middle of the room, facing who are lying to their mother.
distinction,” says Chris Wright, Disorders Center. the door, their eyes huge and startled. Which works very nicely for me. I
Lutheran’s Heart and Neurovascular The hospital’s 2,500 employees, 800 "What are you doing in here?" I know, suddenly, that they are lying,
Center coordinator. physicians and 1,200 volunteers have asked rhetorically. but I do not let on that I know. They
“The surveyors saw first-hand our helped Lutheran earn numerous You know what they said just as I usually come around pretty quickly.
commitment, expert knowledge, passion recognitions, including being named knew what they were going to say Sometimes I remind myself of old
and pride that our teams show every one of the nation’s Top 100 Hospitals before they said it. Mr. Sanford in the TV show "Sanford
single day.” seven times. "Nothing." and Son." Remember how he would
The Joint Commission launched its Lutheran’s legacy of trusted care But as Andy said, "Nothing," he fake a heart attack when his son fussed
Disease-Specific Care Certification continues with the openings of Collier looked at the toy box. at him? Well, I don’t do anything nearly
program in 2002. It’s the first program Hospice Center and Lutheran Surgery "No way!" I exclaimed. so dramatic. But I can tear up pretty
of its kind in the country to certify Center in 2006, and Exempla Lutheran Andy nodded. I quickly opened the convincingly when I finally come to
disease management programs. Medical Center – Southwest in spring toy box and found the still smouldering the realization that I have been
Since 1905, Exempla Lutheran 2007. Exempla Lutheran Medical cigarette they had been sharing. But hoodwinked. And what can be worse
Medical Center has been advancing the Center…Leading by Example. do you know, that for just a split for even a half way decent child than
second, a nano-second, when Andy his mother’s tears?
said, "nothing," I kind of relaxed a So. Another milestone. My last
Komen Denver Race for little. I almost thought, ‘oh good.
Because for a moment there, I thought
you were smoking and trying to burn
child, my youngest, got caught doing
something bad. This tells me a few
the Cure date announced the house down.’
For one teensy bit of a second I
It is time to hope that he has
grown a little good sense along with
believed him, even though the room those great big feet.
was full of smoke and even though It is time to admit that he is not a
The Denver Metropolitan Affiliate with A Pink Tie Affair and additional they both looked guilty, were baby anymore.
of Susan G. Komen for the Cure, fund-raising efforts throughout the undoubtedly both guilty. It also means that he is just that
formerly known as the Susan G. Komen year, helped the Denver Affiliate raise But do not worry. I have much closer to growing all the way
Breast Cancer Foundation, has set millions of dollars to assist in the fight successfully defused a potentially up. Up and out. I hate that idea.
Sunday, October 7 as the date for the against breast cancer. dangerous situation. I told my children
fifteenth annual Komen Denver Race In April 2007, the Affiliate awarded straight out that I loved them so much
for the Cure. more than $3 million to fund 35 local and that I always believed everything
The 5K run/walk starts and finishes projects focusing on breast cancer they told me. Elizabeth Bussey Sowdal and Michael
Sowdal have been married 14 years and have
at Pepsi Center with an Awards/ education, screening, treatment and I told them that I had tried to six children together. She is a practicing RN
Survivors’ Tribute Ceremony and support. change this about myself, but that I and freelance writer. As well, Elizabeth directly
corporate sponsor Expo. Another $1 million was awarded had not been able to. I told them that credits Michael with her nursing career
Entry fees are $30 for adults, $20 to international and national breast because they knew that I would because she would not have made it through
for children 18 and under and adults cancer research through the Komen swallow any lie they fed me they had chemistry without him.
65 years old and older. Family packs Award and Research Grant Program.
for two adults and two children are Up to 75 percent of the money county service area. international organization with a
$90. Prices increase the day of the Race. raised (minus expenses) supports The Affiliate has also contributed network of more than 75,000 volunteers
Susan G. Komen Race for the Denver-area breast cancer programs, more than $6 million to research working through local Affiliates and
CureÒ? Series raises significant funds clinical trials, and life-saving services through Komen National over the past events like Komen Race for the Cure®
and awareness for the fight against for women of all backgrounds and ages. 13 years. to eradicate breast cancer as a life-
breast cancer, celebrates breast cancer The remaining 25 percent is In April 2007, the Affiliate awarded threatening disease.
survivorship and honors those who awarded to breast cancer research more than $3 million to fund 35 local A global leader in the fight against
have lost their battle with the disease. through Komen national. projects focusing on breast cancer breast cancer, Komen fulfills its mission
With funds raised by the Komen The Denver Affiliate was founded education, screening, treatment and through support of innovative breast
Race for the Cure Series, the Komen in 1994 to carry out the mission of the support. Another $1 million was cancer research grants, meritorious
organization with its Affiliate Network national organization on a local level. awarded to international and national awards and educational, scientific and
is able to fund breast cancer research As a grant-making organization, the breast cancer research through the community outreach programs around
grants, meritorious awards and Affiliate distributes the funds raised Komen Award and Research Grant the world.
community outreach programs. through special events such as the Program. Through fiscal year 2006, Komen,
Since its origination in Dallas, Komen Denver Race for the Cure and Seventy-five percent of the money together with its Affiliate Network,
Texas, in 1983, the Komen Race for the Pink Tie Affair™, as well as through raised (minus expenses) supports corporate partners and generous
the CureÒ? Series has grown from one the generosity of individual and Denver – area breast cancer programs, donors, has invested nearly $1 billion
local Race with 800 participants to a corporate donors, right back into the clinical trials, and life-saving services in breast cancer research, education,
national series of more than 100 Races community. for women of all backgrounds and ages. screening and treatment programs.
with over 1.4 million people expected Since 1994, the Affiliate has raised Susan G. Komen for the Cure, For more information about this
to participate in 2007. more than $23 million, and has awarded formerly known as the Susan G. Komen year’s Race, call 303-576-8705 or visit
The 2006 Denver Race, which $17 million to not-for-profit Breast Cancer Foundation, was www.komendenver.orgFor more
boasted 66,615 participants, is the organizations that provide breast health established in 1982 by Nancy Brinker information about breast health or
largest footrace in Colorado’s history, and breast cancer education, screening, to honor the memory of her sister, breast cancer, visit www.komen.org or
and the largest Komen Race for the treatment and treatment support Susan G. Komen, who died from breast call the Komen’s Toll Free Breast Care
Cure in the nation. services to uninsured and underinsured cancer at the age of 36. Helpline at 1.800 I’M AWARE
In 2006, the Denver Race, together individuals living in the Affiliate’s 12- Today, the organization is an (1.800.462.9273).
Denver’s Nursing Star September 17, 2007 Page 3
surgery area are designed for kids to
Family relax before going into surgery.
A Creative Play Center acts as
Pets encouraged to
Continued from Pa
Continued from Page 1 a daycare center for siblings of patients
in the hospital.
participate in race
Published A unique Teen Media Center The Denver Metropolitan Affiliate
by Metro Publishing, L.L.C. has been designed just for teens. of Susan G. Komen for the Cure,
director of The Children’s Hospital A convenient parking garage is formerly known as the Susan G.
Publisher Heart Institute. dedicated to patients, families and Komen Breast Cancer Foundation, is
Steven R. Eldridge “ I n visitors. encouraging pet lovers and owners to
email@example.com addition, A participate in its inaugural K-9s for
we practice “So much of a family’s fears can family health the Cure event and dog walk on
Editor Saturday, October 6 at City Park in
be reduced not just by the level lempowers rthe i b r a y
Denver, the day prior to the 15th Annual
firstname.lastname@example.org of care provided, but also by the f a m i l y w i t h Komen Denver Race for the Cure.
w h i c h In order to honor and celebrate
News Consultant means as environment,” said Tracy Price- i n f o r m a t i o n both survivorship and co-survivorship,
Dr. Linda Mundorff (Rener) MPH, MSN, ND, RN, NC often as
possible, Johnson, MBA, family-centered ao v eudt o h e i’ r
K-9s for the Cure was born. For $35,
registrants will receive a bandana for
W riter s
patients care consultant for The illness. their pet and a K-9s for the Cure T-
receive care Children’s Hospital. “So much shirt for themselves. This program is
Douglas Walter limited to individual registrants
Sid Goldwell from the of a family’s
same nurses fears can be only. As an added bonus for
Sarah Sangosti participating in our inaugural event,
James Coburn throughout reduced not
their stay.” just by the level of care provided, but registrants will be automatically
Elissa Crocker registered for Sunday’s Race for the
Mike Lee Here are some of the family- also by the environment,” said Tracy Cure and will receive that event T-
Lea Terry friendly features found in our new Price-Johnson, MBA, family-centered shirt as well.
email@example.com hospital: care consultant for The Children’s K-9s for the Cure will be held on
Private rooms with sleeper chairs Hospital. the north side of 17th and Steele Streets
Boar d of Commentar y
Board can accommodate up to two overnight “If it feels like a healing in City Park. In addition to the walk,
Martha Collar guests, as well as private bathrooms environment that welcomes the entire the event includes pet first aid/disaster
Eileen Doherty with a shower. family, each family member will be plan demonstrations, entertainment, a
Mary Jo Fay, RN, MS Family lounges and hospitality less anxious and experience less stress. product expo area, and treats for the
Colleen Folsch areas feature additional sleep rooms, This enables them to support the four-legged participants.
Virginia Gillispie washers and dryers and a kitchenette. patient that much better.” To register or for more
Vicki Jenkins For more information on The information, visit
A “room service” menu features
Angela Lash, RN, CM www.komendenver.org and click on
Dr. Linda Mundorff (Rener) RN, MPH, MSN, ND ample meal and snack choices. Children’s Hospital, visit the K-9s logo.
Carol Shenold, RN, CIC Playrooms in the outpatient www.thechildrenshospital.org.
Sherry L. Ray, CPCC
Deresa Claybrook, MS, RHIT of mesothelioma, a terminal form of
Vicki Mayfield, M.Ed., RN, LMFT Clinical trial to test cancer that develops primarily in the
lining of the lungs and the abdomen.
Classified Ad v er tising
effectiveness of Vorinostat Research into malignant mesothelioma
has shown that mesothelioma generally
occurs at least fifteen years after the
John G. Smith
A phase III clinical trial is mesothelioma research study must have
underway, in Maryland, at the National a histologically or cytologically initial exposure to asbestos.
firstname.lastname@example.org Asbestos can cause mesothelioma
Institutes of Health Clinical Center, to confirmed diagnosis of pleural
determine how effective vorinostat is mesothelioma, which may be of the even when the exposure occurs for a
Ad Ser vices Mana g er at treating patients with pleural epithelial, sarcomatoid or mixed sub- short duration. Asbestos fibers are
Lisa Ngo malignant mesothelioma. type. All patients must also have microscopic and exposure can occur
email@example.com without a worker even knowing it.
Research is underway specifically previously gone through 1 or 2
about Vorinostat, also known as standard systemic mesothelioma Mesothelioma occurs not only in people
Accounts Coordinator suberoylanilide hydroxamic acid, is treatments that included pemetrexed working directly with asbestos products
Gaye Hannan, LPN marketed under the brand name disodium and either cisplatin or but also in bystanders and family
firstname.lastname@example.org Zolinza. carboplatin. Researches on behalf of members exposed to asbestos dust.
This mesothelioma clinical trial will the mesothelioma clinical trial hope for Attorneys at LPK have prosecuted
try to ascertain the level of toxicity as some positive results and low side mesothelioma lawsuits in New York
Denver's Nursing Star is published throughout and New Jersey for more than twenty-
the Denver metro area. With more than 10,000 well as any side effects that are effects in the trial study of Vorinostat.
occasioned in patients who have been For more information on this five years. LPK has offices in New
weekly e-publication readers and more nearly
19,000 online each week, Denver's Nursing Star prescribed Vorinostat (Zolinza) and to clinical trial for mesothelioma please York and New Jersey and directly
is the largest health care publication in Colorado. compare these results against those of visit National Cancer Institute’s represents victims of asbestos-related
patients who have been administered webpage. diseases, including mesothelioma, in
a placebo. Asbestos is the only known cause both states.
Opinions expressed in columns and letters to The title for this ongoing project
the editor are not necessarily the opinions of
employees, ownership of this newspaper or the is “A Phase III, Randomized, Double-
pub lishing compan y. Blind, Placebo-Controlled Trial of Oral
Suberoylanilide Hydroxamic Acid (L-
Check It Out!
In Lo ving Memor y of 001079038) in Patients With Advanced
our brother and friend Malignant Pleural Mesothelioma To respond to the message board
Randall (Randy) I. Eldridge Previously Treated With Systemic submissions on our website, go to
Chemotherapy“ Raffit Hassan, MD, is
the protocol chair for this study. www.denvernursingstar.com.
Phone (720) 283-2209 The expected enrollment for the
Fax (720) 283-2198 mesothelioma clinical trial study is 660 To add a topic for debate or comment, send
mesothelioma patients. us an email at email@example.com.
All patients in this malignant
Page 4 September 17, 2007 Denver’s Nursing Star
participants): $100.00 2004 ENPC practices in the handling, storing ment, spinal immobilization, and Hospital reserves the right to
September textbook: $40.00 and feeding of mothers’ own milk in
the NICU. Nursing: The Children’s
resuscitation of the trauma
victim. 19 Continuing Education
cancel this course in the event of
an unforeseen circumstance, or if
Hospital is an approved Contract hours are awarded by the minimum acceptable registra-
09/26/07 – 09/27/07 provider of continuing nursing the Emergency Nurses Associa- tion is not attained 2 weeks prior
Emergency Nursing education by the Colorado Nurses tion for course completion, to the course, with a full refund
Sept. 28, 2007 12th
Pediatric Course (ENPC) Association, an accredited approver regardless of performance on the of the registration fee. Contact:
Annual Regional Allied
by the American Nurses written exam and skills stations. Starlight Wagner at 303-861-
Session 1 Time: 7:30AM to Credentialing Center’s Commission Full registration fee will be 6336. You may also email at:
5:00PM Location: The Children’s on Accreditation. This educational refunded only if written cancella- firstname.lastname@example.org.
Denver, CO Contact: Professional
Hospital Vestal Education Center, offering for 7.4 nursing contact tion is received within 7 days Cost: TCH Staff and ENA
Education, National Jewish
6th Floor hours is provided by The Children’s prior to the course. The textbook Members: $175.00 Non-TCH
Medical and Research Center Tel:
Location Directions: At The Hospital (Thursday evening 1 fee is non-refundable. No refund Staff: $190.00 Audit Fee (Non-
(303) 398-1000 E-mail:
Children’s Hospital main campus, contact hour; Friday - 6.4 contact will be given for non-attendance, RN or Non-testing participants):
take the Health Center elevators hours). Other: A certificate of although you may send a $100.00 2000 TNCC textbook:
ProEd National Jewish Medical
from the parking garage on the attendance will be provided for all substitute. The Children’s $40.00.
and Research Center is an
North side of the hospital up to other participants. Registration
approved provider of continuing
the 6th floor. Session 2 Time: questions? Please call Education
nursing education by the
Services at (303) 861-6123.
7:30AM to 5:00PM Location: The
Children’s Hospital Vestal
Education Center, 6th Floor
Location Directions: At The
California Board of Registered
Nursing, Provider Number CEP
12724. This program is approved
for 8.0 Nursing Contact Hours.
Children’s Hospital main campus,
Ultrasonic Guided PICC
take the Health Center elevators
from the parking garage on the October Insertion Utilizing the Continued Education Listings in Denver’s Nursing
North side of the hospital up to Sonosite iLook System Star Online Edition and E-Publication are FREE.
the 6th floor. The Emergency NEW! Please fax this form to announce your continuing
Nursing Pediatric Course (ENPC), Please contact us for additional
a course designed by the 10/11/07 & 10/12/07 30th information at (303) 680-2243.
education course to our readers. FAX: 720-283-
Emergency Nurses Association, Annual Registration and payment must
teaches a core level knowledge L. Joseph Butterfield be received at least one-week in 2198 or email your CEs to
and psychomotor skills associated Perinatal Conference - advance of seminar dates. Class
with the delivery of pediatric Perinatal Care: 2007 size is limited so register early. email@example.com. If you have any
nursing care to trauma and Updates and Controversies Learn to place PICC catheters
questions, you may contact us at 720-283-2209.
critically ill patients. Students will with the Sonosite iLook Ultra-
be required to test out of 2 As we celebrate the 30th annual sound! Course objectives:
psychomotor skills stations and
complete a multiple choice written
perinatal conference, much
progress has been made in the care
Discuss advantages of ultrasonic
guided PICC insertion; Review
Hours: Indicate Credit Hours/Credit
exam. Upon successful of high-risk pregnant women, sick concepts of ultrasound; Review ________
completion of the course, newborns and their families. Still, we A&P of upper arm; Discuss the
certification is awarded by the have more work to do. This features of the Sonosite iLook;
Emergency Nurses Association conference will provide a forum for Demonstrate visualization of
veins and arteries; Practice
and is valid for four years. perinatal health care professionals
Participants are required to have that will enhance and broaden procedure utilizing “Peter PICCs.”
read the ENPC 2004 course knowledge of current and future Prerequisite - Should be profi-
manual prior to the course. You perinatal practice. Issues to be cient in the MST (Modified ________Registered Nurse
must have the 2004 course addressed include aspects related Seldinger Insertion Technique.)
manual for the entire duration of to antenatal, intrapartum and For more information, visit
the course. The course neonatal care. This conference is www.cassuttconsulting.com. ________Licensed Practical Nurse
population is primarily nurses; intended for RNs and other
however other health care maternal/child health providers
providers can audit the course for practicing in a variety of settings Trauma Nursing Core ________Nurse Anesthetist
a small fee. Upon completion of throughout Colorado, Wyoming, Course (TNCC)
the course participants will be Nebraska and the msurrounding
able to: * Demonstrate knowledge region. Upon completion of this The Trauma Nursing Core ________Physician’s Assistant
of pathophysiology as a focus for conference, participants should Curriculum (TNCC), a course
the signs and symptoms of injury be able to: Examine barriers to designed by the Emergency
for pediatric patient. * lactation for mothers who choose Nurses Association, teaches a
Demonstrate appropriate not to provide milk and discuss the core level knowledge and
psychomotor skills related to the Rush Mothers’ Milk Club (Thursday psychomotor skills associated
care of a ill or injured pediatric evening presentation). Identify with the delivery of nursing care
patient including airway necessary components for an to trauma and critically ill ________Administrator: Resident Care
management, spinal optimal intrauterine environment. patients. Students will be
immobilization, and resuscitation Review current evidence-based required to test out of 3 psycho-
of the pediatric patient. 19 practices for prenatal diagnoses. motor skills stations and com- ________OTHER (please explain)
Continuing Education Contract Recall events and interventions over plete a multiple choice written
Hours are awarded by the the past three exam. Upon successful comple- ________________________________________
Emergency Nurses Association decades that have humanized tion of the course, certification is
for course completion, regardless neonatal care and the newborn awarded by the Emergency Admission:________________________________
of performance on the written environment. State recent practice Nurses Association and is valid
exam and skills stations. Payment updates from the AAP Fetus and for four years. Upon completion
and Registration Contact: Ann Newborn Committee. Explore infant of this course, participants Date:________________________________________
Crepin at 303-861-6336. You may and maternal risk factors should be able to: * Demonstrate
also email at: contributing to common clinical knowledge of pathophysiology as
firstname.lastname@example.org Cost: lactation problems and useful a focus for the signs and symp-
TCH Staff &amp;amp;amp; research technologies, including toms of injury. * Demonstrate
ENA Members: $175.00 test-weights, creamatocrit appropriate psychomotor skills
Non-TCH Staff: $190.00 Audit Fee measures, nipple shields and more. related to the care of the trauma
(Non-RN or Non-testing Discuss the evidence for best patient including airway manage-
Denver’s Nursing Star September 17, 2007 Page 5
OPINION further ill health for patients. Pain, patients.
When the Heart Fails... dyspnea and altered mental status are
common problems associated with heart
The focus of the inpatient unit is
primarily on aggressive treatment of
failure is coronary heart disease, however failure and without the support of trained symptoms and takes hospice services to
My Point of View... a number of other diseases such as palliative care staff, patients often end a new dimension in Oklahoma by
Commentary by Colleen Folsch, MSc, BSc cardiomyopathy, valvular disease and up returning to the emergency room with providing multidisciplinary care and
congenital heart disease can also result exacerbation of symptoms which could utilizing the latest research in pain and
in heart failure. Heart failure results in be more effectively controlled under the symptom control. Patients and their
When considering debilitating symptoms such as care of hospice. families are often reluctant to use opiates,
palliative care, the breathlessness, extreme fatigue and The goal of hospice is to afford dignity however Odyssey House provides the
large section of lethargy, as well as signs of air hunger and quality of life in the face of terminal education and support necessary in order
O k l a h o m a ’ s and fluid retention. The majority of illness, however many patients are not to assist patients in making informed
population living patients with chronic heart failure use a aware that hospice care is an option, decisions about their care. Morphine can
with congestive combination of diuretic therapy, ACE nor are they aware that hospice focuses be extremely beneficial in aiding
heart failure inhibitor and beta blocker medications, on aggressively treating and controlling respiration and reducing anxiety for
(CHF) cannot be however there are a large number of the symptoms that are causing pain and patients in congestive heart failure.
overlooked. CHF patients for whom these therapy options discomfort. It is therefore imperative that The ever increasing number of
has a major have been exhausted and whose condition the healthcare community at large patients living with chronic heart failure
impact on the is likely to deteriorate rapidly. recognize when chronic conditions are in Oklahoma necessitates a forward
Colleen Folsch MSc, BSc lives of patients In the past there may have been some no longer appropriate for curative care thinking approach in order to explore
and their families reluctance on the part of health care and provide education and support to options when treatment is no longer
and the debilitating symptoms associated professionals to discuss death with patients patients about the value that palliative successful. Odyssey House is proving to
with end stage heart failure warrant and families affected by heart failure when care can bring to their lives. be a valuable link in the treatment chain
medical professionals looking more closely treatment is no longer successful. Odyssey HealthCare’s inpatient unit, for cardiac patients and offers the hope
at the benefits of palliative care for these However, palliative care is increasingly Odyssey House, Oklahoma’s only acute of comfort and dignity to its patients
patients. being seen as a treatment option which care hospice inpatient facility, recognizes and their families.
Heart failure can be described as the can afford patients improved quality of the multitude of problems that may arise
inability of the heart to support the life by offering aggressive symptom for patients with end stage cardiac failure.
physiologic requirements of the body and control, psychological support and Pulmonary edema, skin breakdown and
carries a greatly increased mortality risk ultimately a peaceful and dignified death. worsening renal function may cause
for patients. The incidence of heart failure According to Ward (2002) immense distress to patients and their
is rising as the population is ages and communication with patients suffering families. The use of oxygen, positioning, Colleen Folsch, BSN, RN, is a columnist,
the demand for acute and palliative care from heart failure is generally perceived assistance with daily living activities, who holds a Masters Degree in Psychology
for cardiac patients is increasing. Heart to be inadequate. Without adequate frank meticulous skin care, appropriate and works for Odyssey House and St.
failure is a complex syndrome that can discussion about the debilitating symptoms medication for pain and respiratory Anthonys Hospital’s Critical Care Unit. She
result from a structural or functional which may arise as a result of cardiac distress and a calming environment originates from Egypt and has an extensive
disorder that impairs the hearts ability to failure that is unresponsive to treatment, contribute greatly to reducing the anxiety background in HIV/AIDS care and counseling
pump effectively. The major cause of heart depression and anxiety may well lead to and discomfort experienced by these in London, England.
some phone answering tips that will Deresa Claybrook, MS, RHIT has over
Phone Etiquette and Privacy ensure that callers know they're dealing
with a winning business.
25 years in the health care industry. She is
the president of Positive Resource, which
1) Answer all incoming phone calls specializes in Human Resource Management
someone else and I had to repeat my before the third ring. and Health Information Management with a
On the Record... information to her twice. She proceeded 2) When you answer the phone, be special emphasis on transitioning the health
Commentary by Deresa Claybrook, MS, to inform the other individuals that her warm and enthusiastic. Your voice at the care community to the Electronic Health
RHIT shift was almost over and she wanted end of the telephone line is sometimes Record (EHR).
to accompany them. After confirming the only impression of your practice a
her social plans, she gave me a date and caller will get.
time for the next available appointment. 3) When answering the phone,
I reminded her that I had been there welcome callers courteously and identify
before and, regardless of my insistence, yourself and your office/department.
Calling to that I had never been to the facility 4) Enunciate clearly, keep your voice
schedule an before. She proceeded to talk to someone volume moderate, and speak slowly and
appointment for a again, told them to hang on and that she clearly when answering the phone.
test at a hospital would get to it later. She reminded me 5) Control your language when Oklahoma’s Nursing Times
is not a pleasant again of my appointment time. I told her answering the phone.
task and the same
can hold true for
thank you and hung up. 6) Train your voice and vocabulary
I thought to myself about how to be positive when phone answering,
Board of Commentary
Der esa Claybr ook, MS, appointment. unprofessional she was. I also wondered even on a "down" day. Vicki L. Mayfield, M.Ed., RN, LMFT
who was within ear shot of my personal 7) Take telephone messages completely Martha Collar
RHIT The medical information because she repeated my social and accurately, as well as make sure the Eileen Doherty
reasons behind security number out loud. That particular message gets to the intended recipient. Mary Jo Fay, RN, MS
making the call to begin with would phone conversation has really made me 8) Answer all your calls back within Colleen Folsch
probably make almost anyone feel more aware of my personal health one business day. Virginia Gillispie, RN, ND
uncomfortable. information and how it is being used. I 9) Always ask the caller if it's all Vickie Jenkins
Let me share an incident with you now catch myself watching how others right to put him/her on hold when Sherry L. Ray, CPCC
that will make you think twice to what handle the front office in a medical practice answering the phone, and don't leave Linda Mundorff(Rener), RN, MPH, MSN, NDc
Carol Shenold, RN, CIC
could be happening on the other end of and on the phone. people on hold. Provide callers on hold
Elizabeth Sowdal, RN
the phone. I made a call to a local hospital Just the other day, I was sitting in a with progress reports every 30 to 45 Deresa Claybrook, MS, RHIT
to schedule a test. The person that physician’s waiting room and I overheard seconds. Licia McCurdy, LPN
answered the phone did not acknowledge a full conversation about a man and his 10) Don't use a speaker phone unless
herself or her department and then asked medical condition. What has happened to absolutely necessary. Angela Lash, RN, CM
me what I needed. I told her that I wanted the Health Insurance Portability 11. Finish all conversations internally
to make an appointment. After she Accountability Act? I stumbled across an before answering the next call. Opinions expressed in columns and letters
requested it, I gave her both my name article with the title, Communicating to 12. Be aware of how personal health to the editor are not necessarily the
and social security number. Patients about HIPAA Privacy: Have We information is being used and who might opinions of employees, ownership of this
While talking to me on the phone, Achieved Compliance or Complacency? That be within ear shot. It is okay to close newspaper or the publishing company.
she was continuously speaking with article really struck home. So, here are the glass door at the receptionist area.
Page 6 September 17, 2007 Denver’s Nursing Star
money or a home. investigation as appropriate. For more
A Decision About Power Any individual who commits a
Class 5 felony can be subject to a
information, call 303-333-3482.
to report their actions to the court or minimum of one year in jail and a
Legislative News any other regulatory body, allowing $1000 fine to a maximum of three years
Commentary by Eileen Doherty, M.S. for the opportunity for abuse. in jail and a $100,000 fine.
Some at-risk individuals who give Individuals who commit a Class 3
an agent a durable power of attorney felony can be subject to a minimum of Eileen Doherty, MS is the Executive
find themselves the subject of abuse. four years in jail and a $2000 fine to a Director of Senior Answers and Services
The agent may use the available funds maximum of twelve years in jail and a and the Colorado Gerontological Society,
and property for his or her own benefit. $750,000 dollar fine. 3006 East Colfax, Denver CO 80206. She
Everyday older Oftentimes bankers, family members, Individuals who suspect an agent has more than 30 years of experience in
adults are asked neighbors and other professionals who (power of attorney) of committing a education and training, clinical practice,
or make a work with at-risk individuals report theft against an at-risk child or adult research, and public policy in gerontology.
decision to give that funds are not being used by the are encouraged to report it to the local You may reach her at 303-333-3482 or
someone they agent for the benefit of the at-risk police who will conduct an Doherty001@att.net.
trust a “power individual, but rather for the benefit
of attorney”. A of the agent.
Eileen Doher ty, MS power of As of July 1, 2007, the Colorado
Ex ecuti v e Dir ector of a t t o r n e y f o r
Senior Ans w er s and f i n a n c i a l
State Legislature created a new
classification of theft for agents who
FDA approves Evista to
Ser vices and the purposes allows steal from an at-risk individual, be it
Color ado Gerontological the agent or the
a child or an adult. The new law is
meant to offer more protections to at-
reduce evasive breast cancer
individual to risk individuals whose agents “take the The U.S. Food and Drug Administration today approved Evista (raloxifene
make decisions and/or to follow the money or property for their own hydrochloride) for reducing the risk of invasive breast cancer in
instructions given by the individual. benefit.” postmenopausal women with osteoporosis and in postmenopausal women
A power of attorney is a legal The law is very specific in that if at high risk for invasive breast cancer.
document which allows an individual an agent “uses, disposes, or takes title Evista is only the second drug approved to reduce the risk of breast
to name an agent to act on his or her to, or other assumes control of a thing cancer. Evista is commonly referred to as a selective estrogen receptor
behalf. Many individuals give the agent of value” when acting in a position of modulator (SERM). In reducing the risk of invasive breast cancer, SERMs
a “durable power of attorney,” which trust, whether or not in the presence may act by blocking estrogen receptors in the breast.
enables an agent to continue to act on of the victim, the agent commits a “Today’s action provides an important new option for women at
the individual’s behalf even if the Class 5 felony if the value is less than heightened risk of breast cancer,” said Steven Galson, M.D., M.P.H., director,
individual is incapacitated and cannot $500 or a Class 3 felony if the value is FDA’s Center for Drug Evaluation and Research.
give directions. more than $500. “Because Evista can cause serious side effects, the benefits and risks of
A power of attorney is a legal tool Current law provides that theft taking Evista should be carefully evaluated for each individual woman.
that can be used to open and close from an at-risk adult or juvenile by Women should talk with their health care provider about whether the
bank accounts, to sell real estate, to means other than the use of force, drug is right for them.”
pay bills and other obligations, to threat, or intimidation is a Class 4 On July 24, 2007, FDA’s Oncology Drugs Advisory Committee
purchase and/or sell stocks and bonds, felony without regard to the value of recommended approval of Evista for reducing the risk of invasive breast
and conduct the financial affairs of the item taken. cancer in postmenopausal women with osteoporosis and in women at high
the at-risk individual. Under Colorado law a person risk for breast cancer.
Most agents who are entrusted with commits theft when he or she In 1997, FDA approved Evista for the prevention of osteoporosis in
a power of attorney spend the funds knowingly obtains or exercises control postmenopausal women and, in 1999, for the treatment of postmenopausal
for the benefit of the at-risk individual. over anything of value of another women with osteoporosis. Breast cancer is the second leading cause of
As with all situations, most agents without authorization, or by threat or cancer death in American women and accounts for 26 percent of all
follow the wishes of the older adult deception. cancers among women.
and exercise great caution in carrying For theft to occur, the agent must An estimated 178,480 new cases of invasive breast cancer are expected
out their fiduciary responsibilities. intentionally or knowingly take to occur among women in the United States during 2007. Invasive breast
At present, an agent acting on a something from an at-risk individual cancer develops when abnormal cells spread into the surrounding breast
power of attorney is not supervised. with the intent to deprive the at-risk tissue.
Furthermore, agents are not required individual of the property, such as Three clinical trials in 15,234 postmenopausal women comparing Evista
to placebo (no drug) demonstrated that Evista reduces the risk of invasive
breast cancer by 44 to 71 percent. A fourth clinical trial in 19,747
Write for DNS postmenopausal women at high risk for developing breast cancer compared
Evista to tamoxifen.
Denver’s Nursing Star is designed to share news and information between In this trial, the risk of developing invasive breast cancer was similar
nursing and healthcare professionals. Experiences and items of personal growth for the two treatments. The clinical trials were conducted over the last 10
are very important features years.
This publication seeks writing submissions from RNs and LPNs, as well as
other professionals on informative and timely topics. Personal experiences are Evista can cause serious side effects including blood clots in the legs
preferred with an emphasis on useful information that will instruct readers or and lungs, and death due to stroke. Women with current or prior blood
may be used in their practices. clots in the legs, lungs, or eyes should not take Evista. Other potential side
Please follow these guidelines when submitting stories: effects include hot flashes, leg cramps, swelling of the legs and feet, flu-
• Submissions must be no more than two to three pages long, typewritten, double- like symptoms, joint pain, and sweating.
spaced on 8.5 by 11 inch paper. Evista should not be taken by premenopausal women and women who
• When possible, please submit a photograph of the author and/or photograph are or may become pregnant because it may cause harm to the unborn
representing the event. baby. In addition, Evista should not be taken with cholestyramine (a drug
• Please include name, address and telephone number (work and home), fax used to lower cholesterol levels) or estrogens. The benefits and risks of
number, and email address, when possible. taking Evista should be carefully weighed in each individual woman.
• An honorarium of $25 may be paid upon publication. Evista does not completely prevent breast cancer. Breast examinations
• All material will be reviewed by the editor of Denver’s Nursing Star and may be
edited for clarity or length. and mammograms should be done before starting Evista and regularly
• Submit material to the attention of the Editor, Denver’s Nursing Star, via fax to thereafter. The product is manufactured by Eli Lilly and Company,
720-283-2198 or by email email@example.com. Indianapolis, Ind. For more information, visit: http://www.hhs.gov/
For answers to questions regarding submissions, please call 720-283-2209. breastcancer.
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