Monday, November 28, 2011

Seeking NP Stories

I am posting this for a colleague who plans on writing a book about nurse practitioners.  


Seeking nurse practitioners of all specialties to submit stories about the experience of being a nurse practitioner. The NP may live in any geographic area.

This may include stories about the role of NPs, patients, circumstances or the health care system.

Selected NPs will be confidentially interviewed and audiotaped if agree to be part of the project.

Please contact mga11@caa.columbia.edu

Thursday, November 10, 2011

Nurse Practitioner Evidence

The latest nurse practitioner study conducted at Loyola found that "...the nurse practitioner reduced ED visits by improving the continuity of care and troubleshooting problems for patients."

These are the type of studies that need to be done. I am sick of the studies pitting nurse practitioners against physicians. The "us" versus "them" mentality is old, tired, and doesn't even belong in today's argument. The time has come to move past this and figure out a way to make the most out of available resources while ensuring that each profession practices to the extent of their education, training, and scope. Do we really need another study to show that NP practice is just as good or better than physicians or do NPs make more referrals or would NPs order more tests to arrive at a diagnosis? Please, this rhetoric is insulting to the entire US health care system.

In my opinion, nurse practitioners are not interchangeable with physician practice. We are different yet have many overlapping qualities. I have heard the argument that NPs practice medicine. Again, there are overlapping qualities but we are not analogous. How could we be when we are educated in varying models and practice settings for different lengths of time? We all deserve to be caring for the right patient at the right time and in the right setting. There are critical care NPs that do things that I cannot and I may be able to better care for a primary care patient in my setting. 

As states realize that NPs can be part of the solution to the provider shortage and reduce practice barriers, I believe we will see increasing pressure concerning NP practice. NPs have a 40+ year history of providing culturally competent, evidence-based, cost-effective and high quality care. If someone wants to waste valuable resources researching this (again), then the turf battles will continue. However, my colleagues and I, as well as the many other stakeholders, would love to see more evidence proving how NPs increase the quality of care and reduce costs in this wasteful health care system of today.

Monday, November 7, 2011

Guest Post: Keeping Your Brain Fit After 65: 5 Important Memory-Boosting Ingredients Found in Common Foods

Eat your fish, it’s good for your brain.” This is what every mother said to get the kids to finish their meal. As we age, there are many physiologic mechanisms that occur making memory a thing of the past. While remembering something your wife said thirty years ago is still there, what the heck did you do with your car keys? Here are five tasty ways to encourage memory after age 65, or before. 

1. Vitamin B12


Cyanocobalamin (B12) is an essential coenzyme required in many bodily activities. It is necessary to make the heme part of hemoglobin and it is also an integral part of nerve repair. A deficiency leads to pernicious anemia. Subclinical vitamin B12 deficiency can cause pain, electric shock feelings, sleep disturbance, depression, fatigue and memory loss. 


Your body needs a chemical called intrinsic factor to absorb B12 in the gut. Production of B12 declines with age, so foods containing B12 are essential to provide optimal absorption. B12 is found in meat, fish and dairy. Because of the fat issue in red meat, and calories in milk, fish is a great source of B12. See, mom was right!

2. Phytofoods


Many studies have demonstrated that one of the biggest effects in post-menopausal women is a decline in memory. Many men experience a decrease in testosterone production called the male climacteric. Estrogen and testosterone are in the same metabolic loop: one can be converted into the other depending on sex genes. Foods containing phytoestrogens are beneficial to both men and women providing hormonal stimulation that increases visual special memory. Ever wonder why rabbits eat clover? It is very high in phytoestrogens. Foods high in these beneficial nutrients are: soy beans, oats, barley, lentils, yams, rice, apples, carrots, pomegranates, wheat germ, ginseng, bourbon, beer, and fennel.

3. Phenol and Phytoalixin


Phenol and phytoalixin’s are chemicals that certain plants release in response to stress or damage. In humans they have been found to do many positive things. One significant positive effect is a neuroprotective action. It has been shown to decrease the plague formation associated with Alzheimer’s disease and improve other degenerative neurological conditions. They also have anti-aging properties. Several studies have suggested marked improvement in memory in test subjects supplemented with these chemicals. They are found in the skins of red grapes, blueberries, and other fruits. Unfortunately, red wine does not contain a large amount of these protective substances. 

4. Quercetin

Quercetin is a naturally occurring compound that is found in many plants. A flavonoid, it works directly on neurons and increases synaptic conduction resulting in faster and better connections in the brain. Common foods containing high levels of this substance are onions, fruits, vegetables, leaves, and grains. Onions have long been used in India as a folk remedy to treat memory loss. 

5. Omega Three Fatty Acids

Omega 3 fatty acids have been touted as a treatment for high cholesterol, metabolic syndrome, and a variety of other age related processes. Omega 3 fatty acids have a significant effect on brain function, specifically memory and mood. Foods containing this are fatty fish like salmon, (Mom’s still right), the oils from nuts, olive oil, beans, and squash.


There are other ways to improve cognitive function like getting off the couch and using your mind. Practice may not make it perfect, but it helps. All the training and mental effort can’t help a brain that is missing essential chemicals required to provide memory. Give your brain the building blocks it needs and maybe you’ll find your keys more easily!

Author Bio: 
John writes for Assisted Living Today, a leading source of information on a range of topics related to elderly living and retirement care and facilities, such as memory care.