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Fibromyalgia Emerging Palliative Treatment Options for Fibromyalgia: part 2

17, Jun 2010

POTENTIAL BENEFITS OF ANTIDEPRESSANT THERAPY Fibromyalgia is a chronic condition for which no cure currently exists. The first approach to treatment is the use of palliative nonpharmacological therapy. Various approaches include massage therapy, hypnotherapy, behavioral therapy, acupuncture, and aerobic exercises (e.g., swimming) that do not place added stress on affected areas. These therapeutic modalities offer [...]

Fibromyalgia Emerging Palliative Treatment Options for Fibromyalgia

16, Jun 2010

INTRODUCTION Fibromyalgia is a chronic condition that affects about 2% of the U.S. population. Most patients are women. The initial presentation of this painful condition occurs between approximately 30 and 40 years of age, but the distribution is variable between the age of onset and diagnosis because most patients tend to cope with the pain [...]

Pressure Ulcers: What to Think When Giving Zinc

15, Jun 2010

INTRODUCTION Pressure ulcers are common in older adults, especially those confined to a bed or a wheelchair. After these wounds have formed, they become difficult to treat. Good nutrition is vital for healing. Vitamins A, B, C, and E and the minerals copper, selenium, and zinc all appear to play a major role in facilitating [...]

Short Takes: DIAGNOSIS

14, Jun 2010

Clinical manifestations of IDA are often vague and nonspecific. Symptoms may include fatigue, weakness, shortness of breath, and headache.The common “gold standard” for the diagnosis of iron deficiency in clinical practice involves the invasive act of obtaining a staining of a bone marrow aspirate. In lieu of obtaining a bone marrow sample, appropriate interpretation of [...]

Short Takes

13, Jun 2010

INTRODUCTION Iron-deficiency anemia (IDA) is a relatively commonplace medical problem that health care practitioners encounter in both ambulatory and inpatient settings. Causes can include increased iron demands, impaired gastrointestinal (GI) absorption, blood loss, and poor nutritional intake. Because of the mineral’s abundance in many foods, inadequate dietary intake is rarely the sole contributor to a [...]

Generating Germane Geriatrics

5, Jun 2010

In a sense, almost every issue of P&T contains a geriatrics theme. Heart disease, cancer, diabetes, Alzheimer’s disease (AD), and many of the other disease states that we report on each month affect the elderly to a greater extent than the rest of the population, which, as we know, is growing rapidly. Despite the seemingly [...]

Shared Eye Drop Bottles

4, Jun 2010

Problem: Although the use of multiple eye medications is required when patients undergo cataract surgery, medical facilities receive little or no reimbursement for these drugs from prospective payment systems or other insurers that consider these medications to be outpatient prescriptions. As a result, some facilities have adopted the practice of having patients share eye drop [...]

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