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We used conditional logistical regression models to estimate odds ratios and 95% CIs.RESULTS:There were 237 667 index admissions with AIS and diabetes during the study period. These results, if confirmed in other studies, emphasize the importance of avoiding hypoglycemic events in patients with diabetes.
especially for those with cardiovascular comorbidities such as diabetes and those with previous stroke events. This is important information for nurses to understand and share with their patients as a risk reduction strategy. As the AQI increases, there is more risk. It is important to take steps to decrease exposure to PM2.5,
In this week's post, we take a deep dive into the latest study showing that red meat intake is associated with type 2 diabetes…one that caused quite a stir in the media. More meat, more diabetes? Could red meat intake be causing diabetes? Physiologically Speaking is a reader-supported publication. Read more
Background and Issue:Type 2 diabetes (DM2) and cardiovascular (CV) disease pose significant risks for ischemic stroke, with a heightened impact on marginalized and under-resourced communities. A diabetic educator or advanced practice nurse was consulted for patients with stroke and elevated A1c.
Thomas University, a BA from Concordia University, and an AS in Nursing from Normandale Community College. Diabetes Care, Mardil Medical, and Catheter Robotics. Handke has a proven track record of developing and executing market access strategies for numerous novel therapies, successfully navigating complex reimbursement landscapes.
Peripheral artery disease (PAD) continues to increase in prevalence worldwide due to risk factors such as advanced age, diabetes mellitus, and obesity. The team should also include wound nurses, nutritionists, occupational therapists, orthotists, pharmacists, physical therapists, prosthetists, and social workers.
The program involves telephone visits with a stroke-specialized nurse within 1 week after discharge and 3 months post-discharge. Patients were also provided with the stroke nurses direct contact information to help navigate the healthcare system. The control group included patients not enrolled in the program. vs 69.3%, p=0.04).
The course and certification are appropriate for providers at any stage of clinical experience including physicians, physician assistants, nurse practitioners, registered nurses, pharmacists, diabetologists and dietitians looking to take a deeper dive into cardiometabolic health. to hold the CCHP credential.
With bonus hyperlinks to NICE’s guidelines on hypertension in chronic kidney disease and type I diabetes and type II diabetes and on and on. I think nurses have it worse than doctors. Nurses have no such freedoms. In addition, there are links to formal risk assessment in cardiovascular disease.
Treatment of risk factors such as diabetes and cigarette smoking can benefit patients with PAD. Treatment of risk factors such as diabetes and cigarette smoking can benefit patients with PAD. Patients should have adequate blood pressure and lipid control to decrease clinical manifestations and symptoms of PAD.
Background:The STRACK project aims to improve post-stroke patient management and the transition from acute to primary care thanks to improvements in patient pathways and monitoring cardiovascular risk factors: heart failure, diabetes, atrial fibrillation, dyslipidemia and hypertension.
She was started on a prednisone taper and cyclophosphamide and discharged to a skilled nursing facility with follow up with vascular neurology and neuroimmunology planned.ConclusionABRA is a complication seen in cerebral amyloid angiopathy and is a rare cause of CNS vasculitis.
to skilled-nursing facility, and 4.2% vs. 30.8%, p=0.001), and higher rates of diabetes (33.3% Among patients with 1-year SI, 33.3% were initially discharged home, 33.3% to rehab, 16.7% to long-term acute care (LTAC), 12.5% SI patients had higher comorbidity burden (vs non-isolation group; 95.8% vs 12.8%, p=0.040).
This 57 yo diabetic male presented with generalized fatigue, myalgias, and arthralgias , mild subjective fever and chills, and nausea. This 42 yo diabetic male presented with cough and foot pain. Preservation of R-wave may mean and initial Q-wave followed by an R-wave (this is called a QR-wave.
David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (Ret) @DidlakeDW Expert contribution by Dr Robert Herman @RobertHermanMD @PowerfulMedical (Chief Medical Officer) An adult male called 911 for new-onset epigastric burning. Fire/EMS crews found him clammy and uncomfortable. Breath sounds were clear in all lung fields.
Diabetes and weight-loss drug tirzepatide (Mounjaro, Zepbound) was listed as a contributing factor in the death of a 58-year-old nurse from Scotland who died of. (MedPage Today) -- Note that some links may require registration or subscription.
It’s a multidisciplinary approach involving nurses, doctors, physiotherapists, dieticians, psychologists and many others. JACC Volume 79, Issue 17 , 3 May 2022, Pages 1690-1700 9 Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes. Cardiac Rehabilitation. This is a program that starts the day of your heart attack.
There are significant data that show that if you have obesity, you have a high risk of developing coronary heart disease, heart failure, type 2 diabetes (T2D) or risk factors such as hypertension and dyslipidemia. [1] I think we live in a very exciting time right now for those who work in diabetes and cardiovascular disease.
Risk factors for PAD include smoking; having Type 1 or Type 2 diabetes, high blood pressure, high cholesterol, chronic kidney disease, atherosclerosis in other parts of the body (such as coronary artery disease); and being age 75 years or older. and Global Data From the American Heart Association.
Reasons for not prescibing or discontinuing were: CKD 6, severe aortic stenosis 5, asthma 3, symptomatic bradycardia 5, hypotension 3, type1 diabetes 2, syncope 1, Raynauds 1, patient choice 8 and 6 patients died before all appropriate medications could be initiated. In 10 cases no clinical reason could be identified.It
Discharge disposition of subacute nursing facility (SNF) represents 36.1% Fewer females and white individuals had a 90‐day readmission (53.5% female and 83.1% white in 90‐day population compared to 54.9% in study population). of the readmission population compared to 27.8% of the study population and 40.2% of the readmission cohort.
24.2%, p < 0.001), diabetes mellitus (39.7% Despite these outcomes, CM‐HF patients were less likely to have a non‐favorable discharge to both a skilled nursing facility (43.8% Compared to matched cohorts, CM‐HF patients were more likely to be younger (age <80: 22.4% 27.3%, p < 0.001), male (61.8%
Finally she saw a cardiologist who confirmed that she did indeed have heart failure and needed to start some medications as soon as possible and he would arrange for a heart failure nurse to see her. How can you possibly build rapport and trust if you never see the same doctors/ nurses more than once?
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. This is important because we must rely on the ECG to further elucidate the story when the patient cannot.
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGBlog An adult female called 911 for chest discomfort and difficulty breathing. EMS found her acutely ill, mottled, dry mucous membranes, modestly hypotensive, and lethargic.
These include hypertensive disorders of pregnancy, early or premature menopause, gestational diabetes, polycystic ovarian syndrome, autoimmune or other inflammatory diseases, and breast cancer therapies. 3,4 Importantly, women have numerous sex-specific risk factors in addition to non-sex-specific ones.
There were GPs who simply refused to visit elderly residents in nursing homes. On my patch this was all GPs and all nursing homes. Those with heart disease and diabetes will not be treated. I worked with doctors who strode around the wards in positive pressure protective gear. The level of worry and anxiety will be massive.
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