<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%>Newsletter FEB 05
ONLINE CONTINUING ED CHRONICLE -
ASTHMA & ASTHMA CASE MANAGEMENT


Online Continuing Ed 4 Case Managers, Rehab Counselors, Rehab Nurses, Managed Care Nurses, Social Workers & Life Care Planners

FEBRUARY 2005 - 6 CE Hours - CCM and CRC APPROVED -
NL0205 (SELECT
Course Listings, New Courses)

2005 UPCOMING ISSUES
All issues will offer
Continuing Ed credit
including Pre-Approved
CCM & CRC Credit

This Issue - Asthma

MAR - CHF
APR - COPD
MAY - Hypertension
JUN - Cancer
JUL - HIV
AUG - Diabetes
SEP - Obesity
OCT - Substance Abuse
NOV -PVD & Wound Mgmt
DEC - Dementia & Alzheimers

NL0205 - ASTHMA & ASTHMA CASE MANAGEMENT
6 CE hours approved for Nurses, CCM, CRC, CRRN, COHN, CPUR, CPUM, CLCP, CMC and more - Only $36
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(Select Course Listings, then Topic: Newsletters)

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ASTHMA and
ASTHMA CASE MANAGEMENT

Included in this issue:

  A. Most Costly Conditions
  B. Introduction

  • Basic Facts
  • Myths
  • Economic burden of
  • Definitions
  • Trends in Morbidity / Mortality

  C. Pathophsyiology
  D. Diagnosis
  E. Treatment
  F. Complications
  G. Asthma Case Management
  H. Specific Populations and Specific Conditions

A. MOST COSTLY CONDITIONS

BASIC FACTS

Although lung disorders, including asthma, ranked fifth for expenses in 1997, it was the health problem that affected the largest number of people in the United States that year, with 41 million sufferers spending $29 billion.
http://www.hbns.org/news/heart03-13-03.cfm

Study Shows That 5 Of The Most Expensive Medical Conditions Account For Nearly One-Third of Health Spending Growth Between 1987 and 2000


B. OVERVIEW

CE Required Article #1
Frequently Asked Questions About Asthma

CE Required Article #2
National Heart, Lung & Blood Institute: What Is Asthma?

Facts and Stats

Adult Asthma: An interview with a Mayo Clinic specialist

eMedicine: Comprehensive Medical Introduction to Asthma - 2004

Economic Burden of Asthma in the U.S.

  • Alternative names
  • Definition
  • Causes, incidence, and risk factors
  • Prevention
  • Symptoms
  • Signs and tests
  • Treatment
  • Support groups
  • Expectations (prognosis)
  • Complications
  • Calling your health care provider

DEFINITIONS

MYTHS

Destroying the Myths

Asthma Myths

C. PATHOPHSYSIOLOGY
Required Article #3
Asthma Pathophysiology

Asthma Overview - Pathophysiology

Asthma - Pathophysiology and Diagnosis

New Perspective on the Pathophysiology of Asthma
transbronchial biopsies reveal a great influx of inflammatory cells into the alveolar region of asthmatics …a steroid aerosol of extra-fine particles (MMAD ~1.1 um) penetrates the peripheral lung more efficiently than does a traditional aerosol (3.5 -4.0 um).

D. DIAGNOSIS

Lung Association - Asthma Diagnosis

Symptoms of Asthma

E. TREATMENT

Asthma Management: Guidelines for the Primary Care Physician

Asthma severity: How does it affect treatment?

Asthma Treatments and Medications

Treatment Options

Medications

Treating Asthma with Bronchodilators

New treatment options:

FDA Approves First Biologic for Allergy-Related Asthma

Asthma Medications

Alternative Therapy for Asthma - Cleveland Clinic

Buying a Nebulizer Compressor

Do written action plans improve patient outcomes in asthma? An evidence-based analysis – Original Research

Asthma Therapeutics: New treatment options and emerging drug discovery targets.
The only new class of drug developed in the last 30 years are anti-leukotrienes, which are far less effective than inhaled corticosteroids. New bronchodilators have been difficult to develop as new drugs are less effective than b2-agonists and have more side effects. Mediator antagonists have proved disappointing as so many mediators are involved in asthma. A number of emerging targets are however especially promising including IL-13, TACE inhibitors, IL-10, dissociated steroids, PDE4, IgE and vaccine therapies.”

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REVIEW PAST ISSUES

  • School absenteeism
  • Home confinement
  • Hospitalization
  • Respiratory fatigue
  • Side effects of the medication used
  • Death
  • Status asthmaticus - repeated bouts of asthma attacks without respite.

Links to information about the possible complications of asthma

CE Required Article #7
Promotion of Self-Management of Asthma Utilizing the Health Buddy Device and a Case Management Approach

Case Management Evolves – Asthma Case Management

Asthma Case Management Form

Adult Asthma Case Management

Case management of asthma for family practice patients: a pilot study / Abstract

MANAGED CARE ISSUES

Asthma Case Management: Health Plan Implications

Asthma Population Management: Development and Validation of a Practical 3-Level Risk Stratification Scheme

Large Employers Now Use DM to Cut Their Costs

The implications of these findings are that disease management programs or other interventions aimed at controlling costs and improving quality of care must be comprehensive in nature, taking into account the significant amount of comorbidities in this population. Interventions focused solely on asthma management will likely not have a substantial impact on total health care expenditures.”

Disease Management in Medicaid Population - 2004

Asthma Case Management Programs
EXAMPLES:
1. Asthma Case Management Program – Example 1
2. Case Management Program – Example 2
3. Pediatric Asthma Case Management Program
4. Staying Healthy with Asthma – Blue Cross/Blue Shield Texas
5. Asthma Healthy Outlook Program – Disease Management Programs

H. SPECIFIC POPULATIONS and
SPECIFIC CONDITIONS

Asthma & Older People

Black, Latino Children with Asthma Receive Lesser Standard Of Care than White Counterparts Who Didn’t Get Consistent Care
News Release -
Harvard Medical School Office of Public Affairs

Specific Conditions --

ADVISORS
Toni Cesta, PhD, RN, FAAN
Director Case Management
St. Vincents Catholic Med'l Centers NY
Elaine Cohen, EdD, RN, FAAN
Dir Case Management and
Assoc Professor
Univ Colorado Health Sciences Center
Tim Field, PhD,
Author, Consultant, Educator and Vocational Expert
CMSA's 2004
Case Manager of the Year

Major Melanie Prince, RN, CCM
Julie Smart, Ph.D, CRC, NCC, LPC, ABDA, CCFC
Professor & Director
Rehab Counselor Education Program
Utah State University
Peggy Rossi, BSN, MPA, CCM, CPUR
Director of Utilization and Case Mgmt
Catholic Healthcare West
California
Vivian Campagna, RN, CCM
Director Case Management
St. Clare's Hospital & Health Center,
New York, NY
Toni Cesta, PhD, RN, FAAN
Director Case Management
St. Vincents Catholic Med'l Centers NY
Elaine Cohen, EdD, RN, FAAN
Dir Case Management and
Assoc Professor
Univ Colorado Health Sciences Center
Tim Field, PhD,
Author, Consultant, Educator and Vocational Expert
CMSA's 2004
Case Manager of the Year

Major Melanie Prince, RN, CCM
Julie Smart, Ph.D, CRC, NCC, LPC, ABDA, CCFC
Professor & Director
Rehab Counselor Education Program
Utah State University
Peggy Rossi, BSN, MPA, CCM, CPUR
Director of Utilization and Case Mgmt
Catholic Healthcare West
California
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