• The 2011 Clinical Impact Symposium Cardio-Pulmonary Rehabilitation Across the Continuum, held December 6-8 in Louisville, Ky., offered some great information on providing patients the highest level of care.

    Cardio-Pulmonary Clinical Impact Symposium “The clinical guidelines for long-term care and rehabilitation have evolved gradually and changed considerably over the last several years,” he says. “Skilled nursing facilities have sometimes lagged behind. Dr. Pandya provided some easy-to-follow instructions and tools that will help those facilities to better manage their patients with diabetes.”

    Sean Muldoon, M.D., Chief Medical Officer and Senior Vice President, Hospital Division, Kindred Healthcare, says that the “hazards of immobility that lead to polymyoneuropathy” theme was a common one during several of the sessions. “This validates the Kindred model of integrated restorative services, which will lead staff to update these findings with renewed determination into hospital care models,” he says.

     

    Daniel Forman, MD, FACC, FAHADaniel Forman, MD, FACC, FAHA

     

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  • Your Most Important 30 Minutes Today

    By Ryan Squire

    We found this video on YouTube and thought that it did a great job summing up one of the most important themes of the 2011 Clinical Impact Symposium on Cardio-Pulmonary Rehabilitation across the Continuum. We would like you to share what you do in the most important 30 minutes you take for yourself today; you never know, you may inspire another reader with a unique way you stay active. Just add your thoughts in the comments.

    23 1/2 hours, What is the single best thing we can do for our health?

    http://www.youtube.com/watch?feature=player_embedded&v=aUaInS6HIGo#!

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  • Taking Care of Yourself, the Healthcare Provider

    By Ryan Squire

    Kara and Chris started off by comparing the importance of taking care of yourself as a healthcare provider to putting your oxygen mask on first before helping someone.

    "Someday Isle" is the idea that we put off doing things that are better for us until someday, and in the meantime we are comfortable with the idea that someday we will do those things.

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  • Cardiodiabesity

    By Ryan Squire

    CardiodiabesityVisceral adipose tissue or VAT fat was the target of Sharon Himmelstein's opening remarks, and for good reason: VAT fat releases chemicals that enter the liver and lead to diabetes and cardiovascular disease. Himmelstein explained that the amount of VAT is an indicator for diabetes.

    The leading reasons for the spike in VAT in the world population is the change in eating habits over the last few decades. Convenience, advertising, erratic eating, and over eating have lead to VAT levels to shoot up.

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  • Cindy Cassel, PhD, RD, LDCindy Cassel, PhD, RD, LD

    The prevalence and pathopshiology of congestive heart failure is 25% of patients with heart disease. Evidence based dietetics practices approved by the American Dietetics Association (ADA) have been developed to guide the medical nutrition therapy for patients with heart failure.

    Cindy Cassel educated the audience on how the ADA uses workgroups to develop disease specific guidelines, which recommend what should be done in terms of nutrition and then how it should be delivered. In addition, the ADA has developed a guideline rating system that helps guide the dietician and patient on the strength of the guideline based on evidence base.

    The ADA recommends that the treatment of heart failure symptoms should be based on a comprehensive nutrition assessment to maximize adequate intake and control for the symptoms of disease. In general the nutrition assessment of a heart failure patient should focus on protein needs (should be higher to save muscle) and energy needs.

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