Thursday, September 6, 2012

Remedies For Hot Flashes - For When You Just Cannot Stand the Heat Anymore

Is menopause something to be cured, as if it were a disease? Probably not. What most women want is a little relief from some of the most of the more aggravating symptoms. Menopause normally happens after a woman's 45 birthday, but, technically, it can happen after a woman has not had a period for 12 consecutive months, assuming there are no other reasons for the cessation. Most women report that the symptoms they find the most annoying are night sweats and hot flashes, PMS-like symptoms, mood swings and insomnia. Over the last few years, hormone replacement therapy has gone under some strict scrutiny, terrifying women that giving in to their desire for a cure for hot flashes will potentially cause them breast or uterine cancer later. While most are not ready to grit their teeth through what might invariable be five years of symptoms, many would like to find some remedies for hot flashes that will provide them some relief.

Hormone replacement therapy, once thought to be the potential fountain of youth, underwent intense fire in 2002, as many in the medical field were now considering the damning consequences. HRT was being linked to everything from breast cancer to blood clots. Women who held fast to their HRT were told to expect repercussions later for their vanity. As Colette Bouchez (2007) stated in her article, HRT, Revisiting the Hormone Decision, "The moment the estrogen hit the fan, women began rejecting hormone use in droves." As with every drug decision, we are now realizing that benefits and drawbacks need to be weighed, as do other factors, like lifestyle and risk factors.

Menopause happens because a woman's body begins to produce less and less estrogen. There are, however, other sources for estrogen then simply tablets. Some research has been done into plant estrogens called phytosterols (figs, soy, corn, legumes, among others). There are also many herbs that naturally raise a woman's level of estrogen. Anise, black cohosh, fennel, fenugreek and red clover all have estrogenic properties. In fact, a German study investigated the use of back cohosh in a drug for hormone replacement. It was found that this drug alone helped a woman manage her hormones, without any other hormone replacement therapy, although "success was not instant" but rather given over time (Castleman, M., 1991). Given that a woman's menopausal symptoms, though individual, tend to last at least three and more so five years, this might be a viable option. Menopause relief research is still going strong.

Remedies For Hot Flashes - For When You Just Cannot Stand the Heat Anymore

What is particularly important to note, however, is that the presence of estrogen alone is not optimal. High levels of estrogen by themselves have been linked to breast and uterine cancer. Progesterone acts counter to this and lessens the risk. Thus, simply raising one's level of estrogen is contraindicated and women should speak with a physician before undergoing their own course of treatment.

There are various other remedies for hot flashes and "natural" menopause treatments, including acupuncture, massage, reflexology and natural progesterone cream. Many things that will alleviate symptoms are rather simple. Skin becomes drier; nails become a little more brittle. A good vitamin and rich lotion will certainly help. Exercise and good nutrition never hurt either. Ultimately, this is not your mother's menopause and options exist where few did previously. What needs to exist is good communication between doctor and patient to discuss options other than pills.

Remedies For Hot Flashes - For When You Just Cannot Stand the Heat Anymore
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If you are burning up with your hot flashes and want to try a natural solution then take advantage of manufacturers offering free trials of natural hormone therapy products. You can try it at no risk and if you feel like it hasn't worked then at least you have not spent a ton of money. For more information on a popular free trial offer click here [http://menopauserelief-freetrial.info/]

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Sunday, September 2, 2012

The Bedside Lawyer

Today's hospital administrator faces a number of challenges including rising costs, labor shortages, increased regulatory requirements and the potential for costly, credibility damaging lawsuits. We live in a litigious time. Disputes are played out in the court system and in the realm of health care, lawsuits can take millions of dollars and years before they are concluded. It is in the best interest of hospitals to do all that is possible to mitigate the risk of litigation. Every hospital will face litigation but there are ways to reduce the opportunity and /or reduce the damages if sued. While in no way a comprehensive list, the following guidelines can help.


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Risk management must be facility wide. All Hospitals have Risk Management Departments but risk management cannot be confined to a department to be truly effective. It is not enough to satisfy the requirements of the various governing bodies during times of accreditation. An effective risk management program is embedded into the culture of the hospital. Every employee at every level is in effect a risk manager. Risk management is sometimes viewed as a necessary evil. Hospitals must move beyond doing what is required to adopting a risk adverse culture. This requires active involvement of staff at all levels, continuous monitoring and communication.

Internal Service. Employees that do not feel valued by the organization will not invest in its policies. Studies have shown that employee satisfaction leads to greater productivity and loyalty. Hospitals must make everyone feel like part of the team, physicians, nurses, clerical, every person that works in the hospital must feel like an integral part of the healthcare team. In no other environment is teamwork a life and death matter. More importantly, happy employees treat patients well. Patients that have a positive hospital experience even in the event of a problem are more willing to resolve the dispute without litigation. It is human nature to not wage a hostile battle with someone who has treated you well. Treat your staff well and make them feel valued and patients will receive better care and you will lower your risk of litigation.

The Bedside Lawyer

Doctor-Patient Relationship. There is a great deal of evidence to support the importance of the impact of the doctor-patient relationship on litigation. This relationship is a significant determinant of the physician's claims experience (Hickson et al., 1997; Levinson et al., 1997; Pontes and Pontes, 1997; Beckman et al., 1994) Hickson et al. found that "high-malpractice" physicians were also likely to be "high-complaint" physicians; meaning in a survey of physicians in one teaching hospital they had the most patient complaints on file. Complaints fell into categories of communication, care and treatment, humaneness, access, environment, and billing. Physicians who have a bad rapport with their patients had a higher incidence of every other type of complaint listed. In other words, patients were more likely to report adverse outcomes or diagnosis problems when the physician was considered rude or communicated poorly.

Quality management. Quality programs must be more than the program du jour. Just as risk management must be embedded in the hospital culture, there must be a bottom up commitment to quality procedures. Quality when viewed through the lens of "must do" policies and procedures becomes devalued as "one more management program." However, an organization that involves everyone in the quest for quality and the pride that accompanies providing an excellent product or service will be far more effective.

Infection Control. In the United States more than 1.7 million people will get a drug resistant infection from a hospital. More people die from hospital infections than AIDS and breast cancer combined. Hospital acquired infections is a well documented problem and disturbingly most can be prevented through the implementation of rigorous sanitary and bacterial testing procedures. Infection control needs to be vigorously monitored and should be a vital piece of the overall risk management strategy.

Any risk mitigation strategy will require an organized, rigorous surveillance and management to be effective. Physicians, and hospital staff all play a part in risk management activities but hospital management must make decisions and provide sufficient resources for risk management activities. Staff and physicians should have an active voice in policy and risk events need to be clearly communicated to all. As risk is identified there also needs to be a clear mechanism for correcting or eliminating the risk. The absence of problem-resolution mechanisms in hospitals is a major cause of poor quality and unnecessary risk.

Managing risk will not only reduce the potential for litigation but will provide hospitals with a clear competitive advantage. A hospital that adopts a risk adverse culture will provide better patient care and that translates to success in the highly competitive marketplace of healthcare.

References:
Hickson, GB, JW Pichert, Federspiel, Clayton (1997), "Development of an Early
Identification and Response Model of Malpractice Prevention", Law and
Contemporary Problems, 60/1-2, pp. 7-29

The Bedside Lawyer

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