Preventing Medical Errors

With the increasing complexities of the health systems today it may be easier for some medical errors to occur. This may worry some people and rightly so. Unexpected and unwanted results may happen and may be caused by a medical or computer error. Planned medical care procedures may not go exactly as planned. Errors can and will occur anywhere in the health care system and can do with medication, treatments, identity, or as simple as being given the wrong meal. One of the leading causes of death and injury is medical errors with at least as many as 50,000 people dying in American hospitals each year. With more people dying from medical error than car crashes or AIDS; this is a problem that deserves everyones attention.

Medical error refers to overwrought doctors or nurses who accidentally do something lethal when dealing with a patient. This could be an excessive dosage of drugs, or accidentally snipping a blood vessel required to live. Believe it or not, there have been many cases of patients having the wrong leg or arm operated on, which has led to the practice of writing NOT THIS LEG or NOT THIS ARM on the limb that does not need an operation.

Of course while doctors and government agencies work towards a safer and more effective healthcare system there are things that you can do to help. Form a partnership with your healthcare providers. Get to know them and let them get to know you. Become as involved with your own healthcare as you expect the physician handling your case to be. Take part in all decisions relating to your health care. Better results are achieved when you can communicate openly with your doctor to clear up misunderstandings and relay your wishes. Making sure that you receive the proper care is also your responsibility, so dont let a little embarrassment get in the way of good accurate medical care. A little embarrassment is worth it when it comes to you or your loved ones health and the care that you receive. This kind of good communication can save your life.

The U.S. Agency for Healthcare Research and Quality recommend that if you are a patient in a hospital you should speak up for yourself if you notice something that you dont understand. Know your medications, what they are for, when to take them, and how to take them and bring a list of them with you to the visit. Understand what is expected to occur, how, where, and when. Making sure someone knows what your name is and repeat information to all that you feel needs to know about your visit. Dont just assume that everyone involved in your care knows what is going on with you. Find out what your tests results are and dont assume that just because you dont hear anything that everything is ok. Dont get forgotten in the hospital. If you have a private physician then make sure that doctor is the one in charge of your care to reduce identity errors.

So if you need the services of a medical professional or are admitted to a hospital, or having to visit outpatient clinic, emergency rooms, please take the time to make it known that you mean business when it comes to your health. Make sure that you build a partnership with your medical professionals as they are the ones that will be caring for you in possibly your most vulnerable moments. Teamwork in this area is the key to reducing some of the medical errors that occur in hospitals today. That team includes you, your doctor, healthcare staff, nurses, and clerical worker. Just be patient with the crew as they are trying their best to keep you alive. While being patient, also be cautious. Eventually you will figure out the best combination so as to be the perfect patient.

Obsessive Compulsive Disorder in Adolescents

Obsessive compulsive disorder or OCD starts from adolescence onwards. OCD is feeling of strong obsessions and compulsions which result in intense discomfort and affects daily functioning. Obsessions are thoughts which are persistent and recurrent. They even include unwanted images and impulses which lead to distress and anxiety. These feelings and thoughts are usually irrational or unrealistic. Compulsions are repetitive rituals or behavior such as checking something again & again, or mental acts such as counting. These obsessions & compulsions cause intense distress and anxiety and can interfere with the daily activities, relationships, social activities and academic functioning. The person with OCD thinks that he has no control over his actions. OCDs are relapsing and chronic illness.

The thoughts change as the adolescent grows. Younger children suffering from OCD often have thoughts of harm befalling on them and their family such as thief getting into the house through an unlocked door. This will make the children to recheck the door and windows again and again fearing that they might have left the door unlocked accidentally. Teenagers suffering from OCD fear that they might get fall sick due to germs, contaminated food and AIDS. The adolescent develops certain rituals, such as washing hands innumerable times, in order to get over the fear. These rituals help them to think that they have overcome the problem for the time being and give them temporary relief. If they do not perform these rituals, they become more and more anxious.

OCD is a sign of brain circuitrys unusual functioning and it involves the striatum part of the brain. The brain activity patterns of such people differ from normal people and people with other mental disorders. Researchers have concluded that OCD is usually a family problem and is a disorder of the brain. Streptococcal bacterial infection can create or worsen the condition of OCD. Adolescents with no family history of OCD can also develop it. Most of the adolescents feel embarrassed to talk about their OCDs. They think that people will label them as crazy and this will make them feel ashamed. This will make it difficult for the parents to talk to their children about their OCD, in order to solve them. Parents need to develop good communication skills for this purpose. Parents support is also very important to the adolescent. Cooperation is extremely important along with treatment, because if the problem is not treated the adolescent will grow into a disturbed adult.

Most of the adolescents with OCD can receive effective treatment. The treatment can include psychotherapy and intake of medications such as fluoxetine, clomipramine, fluvoxamine, paroxetine, sertraline and other serotonin reuptake inhibitors. When OCD is caused due to streptococcal infection, the adolescent can be administered with antibiotics to kill the bacterium which is causing it. Exposure and response prevention behavioral therapy is very useful in solving OCD. In this therapy, the adolescent is wontedly exposed to his/her fears which give him/her obsessive thought. After that he/she is trained to avoid these thoughts and the rituals which he/she carries out to tackle the anxiety.

An adolescent having OCD can also have depression, substance abuse, attention deficit hyperactivity disorder, eating disorders, and other types of anxiety disorders. When a person with OCD and other mental illness, is treated, OCD becomes more difficult to treat and even diagnose.

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Stages of Alzheimer’s

Medical science has determined a lot of things through the years. It has discovered various diseases and its causes. Unfortunately, there are still a lot of unknowns. Doctors are unable to determine the cause of cancer, the cure for AIDS and even something that called Alzheimer’s disease.

Alzheimer’s is considered to be a disorder that will affect one’s mental and physical state. It normally happens to people 65 years of age and above that can affect anyone regardless of sex.

There are seven known stages for this type of disorder and it only gets worse as time goes by.

In the first stage, the individual and those around will not notice anything wrong. The person may forget a thing or two, which everyone experiences so there is no cause for alarm yet.

During the second stage, the person may already feel something wrong as this memory lapses happen more frequently. Again, there is no need yet to be alarmed because people tend to forget things due to aging.

The third stage is the time when someone can be suspected of having this disease. The person will falter at work or be unable to accomplish some simple tasks and people will take notice of these changes.

In the fourth stage, the individual can no longer handle certain activities and will require the assistance of those around to accomplish it.

The fifth stage is what doctors describe to be moderate Alzheimer’s disease. The individual will not only forget other people but also be unable to recall certain facts about oneself. There will also be periods of disorientation.

In the sixth stage better known as moderately severe Alzheimer’s, there will already mood swings. The patient may be happy and in the next minute appear hostile to those around. There will also be fecal and urinary incontinence just like a baby who is not yet toilet trained.

The seventh and final stage is called severe Alzheimer’s. The individual will not be able to speak much and do anything anymore. The patient will probably just stare into space so there will be times that those around will have to carry and force feed to be able to stay alive.

Alzheimer’s disease happens gradually. The only thing people can do is slow down the process before it gets to the succeeding stage by using drugs and giving proper care to the patient.

As the patient’s condition gets worse, the person is no longer treated as a human being by merely as a subject with the disorder. This shouldn’t be the case given that the individual at point in life accomplished a lot of things and never wanted this to happen in the end.

There are more than four million people in the United States that are diagnosed with this disorder. This number will definitely grow in the years to come as more and more Americans will reach the retirement age.

Those who have family members who are suffering from this disease should learn about the various stages to be able to understand what the patient is going through to give the proper help.

There are books and other information on the web as well as support groups since this disease affects not only the patient but also those who have to live with it.

Arthritis and Chronic Joint Symptoms

Arthritis and Chronic Joint Symptoms
Margie Garrison – “The Arthritis Lady”

From the Centers for Disease Control

Are you female, Caucasian, have a lesser education, and
overweight? Then you run the greatest risk of either arthritis
or chronic joint symptoms. Check out the latest statistics from
the Centers for Disease Control (CDC)

These statistics left me stunned. Just for openers:

Arthritis and chronic joint symptoms affect nearly 70 million
Americans, or about one of every three adults, making it one of
the most prevalent diseases in the United States. As the
population ages, this number will increase dramatically.

Arthritis is the leading cause of disability in the United
States. Double that of heart trouble. Triple that of respiratory
trouble. Five times that of diabetes. Over six times more than
that of stroke!

Nationally, medical care for arthritis cost nearly $22 billion
in 1995 (latest figures).

Total costs, including medical care and loss of productivity,
exceeded $82 billion in 1995.

Who has arthritis?

As the CDC reports: “The prevalence of arthritis is high for
all demographic groups, but especially higher among women, older
persons, and those with less education.”

What’s being done?

The CDC reports that in 1998, the “first ever” plan to address
arthritis using a public health approach was released. This plan
was developed by the CDC, the Arthritis Foundation, and the
Association of State and Territorial Health Officials, with
input from over 90 organizations. The plan recommended actions
in “Three major areas for individuals and groups interested in
reducing the impact of arthritis.”

Surveillance, Epidemiology, and Prevention Research

Communication and Education

Programs, Policies, and Systems

For some reason, this evokes a scene in my mind from the TV
show “Star Trek Voyager” where the holographic Doctor is helping
one of his patients recover from a leg joint injury. The crewman
is in great pain, while the Doctor dispassionately tells the
patient to “live with the pain and do the exercises”. The
crewman, exasperated at this attitude, complains to the Doctor
that he was programmed not to hurt his patients. The holographic
Doctor quickly replies “I was programmed to do no harm. However,
I can inflict as much pain as I wish.”

In the daily media, we are bombarded with stories about AIDS,
SARS (Severe Acute Respiratory Syndrome), Heart Disease, and
even the latest outbreak of the West Nile Virus. Yet, you hardly
ever hear anything about the greatest threat to our quality of
life … Arthritis!

Let me repeat the findings of the CDC (Centers for Disease
Control).

“Arthritis and chronic joint symptoms affect nearly 70 million
Americans, or about one of every three adults, making it one of
the most prevalent diseases in the United States. As the
population ages, this number will increase dramatically.”

One in Three

God forbid you are a Caucasian woman, with little education,
and are 30 lbs or more overweight (obese).

What can be done?

The CDC recommends: “We can do the effective things that are
not being done enough. Research shows that physical activity
decreases pain, improves function and delays disability. In
addition, research studies suggest that maintaining an ideal
body weight and avoiding joint injuries reduces the risk of
developing arthritis and may decrease disease progression.
Obtaining an early diagnosis so that appropriate management,
including self-management, can be initiated may improve the
quality of life for persons with arthritis. Early diagnosis and
appropriate management of arthritis, including … self-help
courses, weight control, and physical activity can help people
with arthritis function better, stay productive, and lower
health care costs.”

Has your Doctor ever told you to just keep doing your
exercises, keep dieting and keep your weight down, and keep
taking your medications and just try to live with the pain?

What else is your Doctor going to say? Are we crazy? Could it
be that if your Doctor said anything else it would mean
committing financial suicide?

I know most doctors are hard-working and doing their best and
in many cases are achieving astonishing things.

However, the pressure to use drugs and more drugs is
overwhelming. It is not their fault! It is ours!! We go to them
for a magic bullet and expect them to heal us… and with not
having to make any lifestyle changes. Is this fair to the
doctors? Of course not!


I Cured My Arthritis You Can Too”

Best of Health,

Margie Garrison – The Arthritis Lady”

C
ureYourArthritis.com

About the author:
I am Margie – “The Arthritis Lady”, author of “I Cured My
Arthritis You Can Too”.

I also publish and distribute a free weekly health newsletter,
“Amazing Secrets To Fantastic Health””, that you can subscribe
to by sending an email to:
[email protected]

I have dedicated my life to helping you, help yourself enjoy a
Healthier and Happier Lifestyle.

Best of Health, Margie – “The Arthritis Lady&#