Delirium a not uncommon side effect of being hospitalized
Delirium, which is marked by vivid hallucinations, delusions and an inability to focus, affects some 7 million hospitalized each year in the United States. Among those 65 and older, it can often be misdiagnosed as dementia. “Delirium is very underrecognized and underdiagnosed,” geriatrician Sharon Inouye of Harvard Medical School told Kaiser Health News.
Family caregivers shouldering more medical responsibility
As the number of elderly Americans with chronic conditions increases, family caregivers are handling medical tasks once done only in hospitals, nursing homes or by home-care professionals, Stateline reports. Some states have passed legislation requiring hospitals to train caregivers in providing medical needs.
Kids with ADHD may benefit from fidgeting
A new study finds that children with attention deficit hyperactivity disorder focus much better when they’re allowed to fidget. “Hyperactivity appears to be a mechanism for cognitive self-regulation,” Julie Schweitzer, a professor of psychiatry and behavioral sciences at the MIND Institute at the University of California, Davis, told The New York Times.
Cancer doctors to include cost in comparing medical treatments
The American Society of Clinical Oncology has announced a new way for doctors and patients to evaluate different treatments, one that not only includes a medicine’s effectiveness and side effects, but its cost as well. It will take some time to collect the data and make the comparisons accessible on computers and mobile phones, The New York Times reports.
Ebola: What clinicians need to know
Infection control and triage
Using proper infection control measures is crucial for preventing transmission of infectious diseases. Serious communicable diseases such as MERS and Ebola virus disease are making headlines, and flu season is looming. It’s crucial that appropriate infection control precautions are taken on a daily basis for every patient.
To protect your health care workers and patients from infectious diseases in health care settings:
- Review and ensure implementation of proper infection control procedures during all stages of the patient encounter;
- Review triage protocols for early identification to trigger appropriate infection control response; and,
- Take extra steps specifically for Ebola.
Resources for physicians
- Complete infection control guidance from the CDC
- A health care provider preparedness checklist for Ebola
- Department of Health’s key messages for providers regarding Ebola
- Department of Health’s guidance for safe handling of human remains of Ebola patients in the U.S.
Resources for patients
- Department of Health Ebola overview for patients
- Department of Health Ebola fact sheet (available in English, Spanish, Chinese, Korean, Russian, Somali, Ukrainian and Vietnamese)
- Patient resources for your practice on Ebola from the CDC
- CDC travel advisory
- Ebola facts (color pdf poster) from U.S. Department of Health & Human Services
News and other resources
- Medscape’s Ebola resource center
- Washington State Department of Health’s Ebola virus disease information for public health and health care providers
- American Medical Association’s Ebola resource center
- Washington State Hospital Association’s Ebola resources for hospitals and the public
- Washington State Nurses Association’s Ebola resources for registered nurses
News on Ebola
Increasing regulation and awareness around the causes and effects of sports-related concussions is leading to greater safety among young athletes. Physicians Leah G. Concannon and Stanley A. Herring of the Seattle Sports Concussion Program explore the latest developments in youth concussion management in their Bulletin article PreventableTragedies. Click here to download the article.
Check out the latest addition to our Practice Resources: tips for how to make appropriate use of social media from the Washington State Department of Health, Federation of State Medical Boards and more.
The open enrollment period for health coverage under the Washington State Healthplanfinder is Nov. 15, 2014 to Feb. 15, 2015. Individuals may qualify for special enrollment periods outside of the open enrollment dates, depending on their circumstances. For those who qualify for Medicaid/Apple Health, enrollment is ongoing. Or if your life situation changes, you may be able to enroll in a subsidized plan.
What’s new this enrollment season? Many things, but here are two you should know about:
- Coverage renewals: Individuals who enrolled in a plan last year will need to renew their coverage during open enrollment. There are new options available this enrollment season and everyone — even those whose coverage was automatically renewed — is encouraged to review their plan and not just assume the one they had last year remains the most affordable one for them.
- Opportunity for small businesses to get coverage: King County small businesses will now be able to purchase coverage for their employees through Healthplanfinder. (Previously, only individuals in King County could purchase coverage.) The Washington Health Benefit Exchange offers information for employers.
King County’s website on health coverage has information on enrollment events in the county, how to get assistance with enrollment, and a Q&A about the new enrollment and renewal process. It will be updated regularly throughout the enrollment season. To find out more about how and where to enroll, consult Public Health – Seattle & King County’s enrollment event calendar.
More information can be found at Washington Health Benefit Exchange.
Visit our Education and Events page to learn more about:
- Upcoming Continuing Medical Education opportunities throughout the Seattle-King County region; and
- Free access to Heal-WA, an online medical library featuring tool kits, calculators, dictionaries, electronic textbooks, and journals.
- Viewpoints: Bush’s Health Law Profits; Calif. Leads On Vaccination; Burgess’ Medicare Crusade
- State Highlights: L.A. OKs Pact To Boost Nursing Home Inspections; Mass. AG Focuses On Barriers To Mental Health Care
- California’s Vaccine Measure Signed Into Law By Gov. Jerry Brown
- FDA Considering New Restrictions On Liquid Nicotine Products
- California Bill Banning Most Vaccine Exemptions Signed into Law (FREE)
- Your NEJM Group Today: Resident Participation in Surgery, Intracerebral Hemorrhage Guidelines, Connecticut Primary Care Opportunities (FREE)
- IOM Recommends 8 Strategies to Improve Cardiac Arrest Survival (FREE)
- Citrus Fruit Consumption Associated with Increased Melanoma Risk (FREE)