Nurse David

A Nursing, Population Health & Lifestyle Blog

Category: Nursing & Pop Health (Page 3 of 3)

Update Your Contact Info

There are times I need to talk to a patient that is not in the office. I pull up their profile. The first contact number gets dialed. “I’m sorry, but the person you have called does not have a voice mail that has been set up yet.”

Hmmm…

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Honesty In Non-Compliance

Honesty is the best policy. Or is it? In medicine, it is.

A challenge I frequently encounter is a patient that consciously (or unconsciously) withholds information from me. There could be a number of reasons this happens, but I will the patient, “I don’t care what the reason is, just tell me what’s going on.”

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Exercise, Diabetes (Type 2) & Low Blood Sugar

Today’s message: Increasing physical activity (aka exercise) will increase sugar used by muscles and lower the body’s resistance to insulin. The result is lower blood sugar.

Why is this important? Managing diabetes effectively is about being aware of the balancing act between blood sugar levels and diabetic medications. An unforeseen risk for diabetics increasing physical activity is hypoglycemia (low blood sugar). This is potentially life threatening.

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Healthy Soft Drink Alternatives

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I am guilty of a few vices, one being Coca Cola. I am not proud that I drink it more than I should, but it has caused me to seek out alternatives. Nothing replaces the taste of Coca Cola, but perhaps I could replace the fizz. My goal is to lose some belly fat and feel sexy again. Here is how. 

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PSA: Get There, Stay There

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Happy 4th of July!

Nurse David here with a PSA. I am officially launching my own Get There, Stay There holiday safety campaign. Rochester weather has smiled upon us and it looks like we will get a glorious day for festivities. Let’s make sure we all remain happy and safe out on the road.

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Repotting My African Violet

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This year for Nurse’s Week I was given the choice between chocolate and an African Violet. I did not anticipate the possibility of ending up with chocolate and luckily received the last violet!

Another thing I did not anticipate was just how well I would take care of it. It was time for a new pot. Off to Aman’s Farm & Market, I went for a new pot and supplies.

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“We Don’t Know What You Do…”

This line, frequently uttered by a physician, is a bit of a running gag my bosses would rather me not mention. In New York state Patient Centered Medical Home (PCMH) is still relatively new.

When the role of clinical care manager was conceived, it did not come with a definitive list of responsibilities, rather an outline of what the position was meant to accomplish.

That role is evolving monthly and that can confuse patients and other members of the health care team that want to understand the best way to utilize a nurse clinical care manager.

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Improving Gastroesophageal Reflux Disease (GERD) Through Diet & Lifestyle

Per AboutGERD.org, “Proper treatment of gastroesophageal reflux disease (GERD) always begins with a visit to a healthcare professional to obtain an accurate diagnosis. It is important to recognize that chronic reflux does not get better on its own. Over-the-counter remedies may provide short-term symptom relief, but can mask an underlying disease if used long-term.

Let’s outline some ways GERD can be managed with diet along with treatment from your doctor.

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Patient Centered Medical Home (PCMH)

Before I attempt to explain population health, It is a good idea to explain the Patient Centered Medical Home (PCMH) framework around it. Simply put, PCMH is a model in which primary care is organized and delivered. It is an active evolution of the primary care physician (PCP) practice. Below are the five main components to PCMH.

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Hi, I’m Nurse David

Nurse David here. I have decided to move on from my previous blog, There is Another Way to Live.

Although one of the major themes here will be alternative mindsets, TIAWTL was meant to be a collaborative effort that after almost a year didn’t come to fruition.

Through, Nurse David, I will chronicle my adventure into population heath nursing and all the other interests I have to balance work and life. In no particular order, some of those interests are flower gardening, soccer, music/concerts, shoes, and deviating from any societal norm that doesn’t lead to personal fulfillment.

-Nurse David

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