Medical

1. A 75-year-old man with no comorbidity receives a first influenza vaccine. According to this study by Voordouw and colleagues, his risk for hospitalization for pneumonia during the influenza season vs not receiving influenza vaccine is best described by which of the following HRs?

Answer: 0.3
In this longitudinal cohort study of adults older than 65 years, first influenza vaccination in those without comorbidity was associated with a 71% reduction in hospitalization for pneumonia during the influenza season, but no association was seen for influenza revaccination.

2. A 69-year-old woman with chronic bronchitis receives revaccination for influenza. According to this study by Voordouw and colleagues, her risk for LRTI during the influenza season is best described as:

Answer: Unchanged
In this study by Voordouw and colleagues, influenza vaccination and revaccination in patients older than 65 years with comorbidity is not linked with risk reduction in LRTI. Influenza vaccination did not protect against LRTI in persons with comorbidity or chronic respiratory disease during the influenza season or for the entire follow-up period.

CDC - Influenza (Flu) | Interim CDC-NIH Recommendation for Raising the ...

http://www.cdc.gov/nchstp/od/nchstp.html (HIV, STD, TB Prevention...)

http://www.cdc.gov/search.do?action=search&queryText=STD+treatment (STDs)

http://www.cdc.gov/std/treatment/default.htm ( STD Tx)

http://www.fbi.gov/contact/fo/fo.htm (Reporting crimes like --Gun Shot Wound/ Sexual Assault/ Road Traffic Accident...)

http://www.aafp.org/afp/20050915/practice.html (Influenza/ 2005...)************; http://www.cdc.gov/flu/professionals/flugallery/index.htm

http://pandemicflu.gov/ *******************************

http://www.dph.state.ct.us/bch/Family%20Health/strategicplan_may_05.pdf (Confidential Health Care Policies for Adolescents/ State of Connecticut);

http://www.who.int/reproductive-health/publications/cah_docs/cah_02_14.pdf (WHO/ Adolescent Health)

http://vaccineinformation.org/; http://www.immunize.org/nslt.d/n18/coord18.htm (Coordinators); http://immunizationinfo.org/; http://immunize.org/ (immunization record cards); http://vaers.hhs.gov/

http://www.cdc.gov/nip/

http://hhs.gov/disasters/ (Disaster Preparedness/ Eartquakes--Tornados--Hurricanes--Bioterrorism--Heat & Cold Waves.../ PTSD & Anxieties); http://www.bt.cdc.gov/; http://www.acponline.org/ (Bioterrorism); http://www.cidrap.umn.edu/cidrap/ (ID/ News)

http://www.who.int/globalatlas/ (Communicable Diseases, including Rabies)

http://health.msn.com/womenshealth/slideshow.aspx?cp-documentid=100170347&imageindex=13 ( Breast Cancer awareness)

http://www.iamat.org/ (Medical Assistance to travelers); http://travel.state.gov/

http://ahrq.gov/clinic/pocketgd.htm (Guide to Clinical Preventive Sources)

http://www.cdc.gov/ncidod/EID/vol5no2/schmitt.htm#table (Bacterial Toxins).

http://www.cdc.gov/ncidod/diseases/hepatitis/a/fact.htm (hepatitis).

http://www.cdc.gov/ncidod/dhqp/gl_isolation_ptII.html (Guidelines for Isolation Precautions in Hospitals)

http://www.edcp.org/html/reprtabl.html (Reportable Diseases/ Lab List)

Local Health Departments in the USA (Reprt first here; they will report to CDC).

http://www.naccho.org/ (Develop standards for LHD).

http://www.aegis.com/pubs/CDC_Fact_Sheets/1993/CDC93155.html (AIDS)

http://www.cdc.gov/nchstp/tb/pubs/PDA_TBGuidelines/PDA_treatment_guidelines.htm (TB Tx Guidelines)

http://www.cdc.gov/nip/publications/vis/default.htm (VIS--Vaccination Information Statements).

http://www.medscape.com/viewarticle/525529 (Varicella Igb & Vaccination)

http://www.medscape.com/viewarticle/525529

National HIV consultation ctr: Tel# 1-800-933-3413

http://osha.gov/ ---*****

http://www.bt.cdc.gov/chemical/mmg.asp --Medical Management Guidelines for Chemical Agents

http://wwwn.cdc.gov/travel/yellowBookCh2-PostTravel.aspx ( IP of Febrile Syndromes in Returned Travelers)

http://wwwn.cdc.gov/travel/default.aspx http://www.astmh.org/ http://istm.org/ ***

CDC - Influenza (Flu) | Q & A: Influenza Antiviral Medications ******

http://www.who.int/csr/disease/dengue/en/

http://www.who.int/topics/chagas_disease/en/

Seven of the 13 neglected tropical diseases are caused by worms (elephantiasis, guinea worm, hookworm, river blindness, roundworm, schistosomiasis, and whipworm),

3 are protozoal (African sleeping sickness, Chagas disease, and leishmaniasis) and

the rest are bacterial (Buruli ulcer, leprosy, and trachoma).

Trachoma is the leading cause of preventable blindness in the world,⁵elephantiasis is the second-leading cause of permanent disabilityin the world (by causing disfigurement of legs and genitalia),⁶and hookworm causes severe anemia and is consequently one ofthe most important maternal-child problems.^{1, 7}

http://www.who.int/wormcontrol/newsletter/PPC8_eng.pdf

http://cmejama-archives.ama-assn.org/cgi/content/full/jama;299/16/1937?node_id=amacme_course;jama299/16/1937 ( A. Lumbricoides, H.Worm, T.Trichura)

http://www.medscape.com/viewarticle/573590 ( Filariasis)

http://en.wikipedia.org/wiki/Malaria

Prevention

http://www.fpnotebook.com/PRE.htm ( PREVENTION) *****************************

http://www.cdc.gov/vaccines/scheduler/catchup.htm ( Catch-Up Vac)***

http://cdc.gov/vaccines/pubs/acip-list.htm ( Adult Vaccines, 2008) ;

http://www.ama-assn.org/ama/pub/category/1826.html (Adult Vaccines)

http://wwwn.cdc.gov/travel/yellowbookch1-genrecvaccination.aspx#619 ( Travel...)***

http://wwwn.cdc.gov/travel/yellowbookch2-Healthkit.aspx ( Travel Health Kit)***

http://www.medscape.com/viewarticle/580060 ( Allergy Testing to vaccines)

http://www.consultantlive.com/display/article/10162/1165243?pageNumber=1 ( adult Immunizations)

http://www.chop.edu/consumer/jsp/microsite/microsite.jsp?id=75918 ****

http://www.medscape.com/viewarticle/550514 ( 2007/ Vaccine Changes)***

http://immunize.org/standingorders/

http://immunize.org/laws/ http://cdc.gov/vaccines/programs/vfc/

http://www.vnh.org/PreventionPractice/ch30.html

http://cdc.gov/vaccines/vac-gen/6mishome.htm (some common misconceptions about vaccines)

http://www.preventchildhoodinfluenza.org/

http://www.vaccineinformation.org/video/index.asp

http://www.immunize.org/shop/

http://www.immunize.org/concerns/

http://www.immunize.org/standingorders/

http://immunize.org/resources/

http://immunize.org/new/

http://immunize.org/newreleases/

http://www2a.cdc.gov/vaccines/ed/shtoolkit/ (Vaccine storage & handling kit)

http://www.cdc.gov/vaccines/vac-gen/shortages/default.htm (Vaccine shortages & delays)

http://www.immunize.org/printmaterials/

http://www.immunize.org/catg.d/p2020.pdf (How to administer IM injections)

http://immunize.org/catg.d/p3085.pdf (Dose, route, site, needle-size)

http://immunize.org/catg.d/p3039.pdf (Vaccine- refrigerator temperatures)

http://aapredbook.aappublications.org/news/vaccstatus.shtml

http://www.medscape.com/viewarticle/586101?src=mpnews&spon=34&uac=74821FZ

http://www.fda.gov/cber/label/rotarixLB.pdf

http://immunize.org/catg.d/p3082a.pdf (Management of vaccine reactions—child/ teens); http://immunize.org/catg.d/p3082.pdf (adults)

http://immunize.org/catg.d/p4060.pdf (Screening Questionnaire--child/ teens); http://immunize.org/catg.d/p4065.pdf (adults)

http://immunize.org/catg.d/p2022.pdf (Vaccine Administration Record--child/ teens); http://immunize.org/catg.d/p2023.pdf (adults)

http://www.immunize.org/printmaterials/translations.asp

http://www.medscape.com/viewarticle/581327 ( Anthrax Vac--0, 1, 6 Mo-- IM)

http://www.medscape.com/viewarticle/547119 ( 2 doses of influenza vaccine). **********

http://www.medscape.com/viewarticle/577777 ( Influenza Vaccine)

http://www.medscape.com/viewarticle/574478 ( Meningococcal Vaccine)

http://www.medicinenet.com/immunizations/article.htm ( Td)

http://209.85.165.104/search?q=cache:uWuEc7UT8XUJ:www.schoolhealthservicesny.com/uploads/Tdap%2520Questions%2520and%2520Answers%252010-07.pdf+difference+between+DPT+and+Tdap+vaccines&hl=en&ct=clnk&cd=7&gl=us ( Tdap)

http://en.wikipedia.org/wiki/Pneumococcal_polysaccharide_vaccine ( PPV, PCV)

http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-mening.pdf ( MPSV4, MCV4)

http://archpedi.ama-assn.org/cgi/content/abstract/163/5/469 (Order of Vaccinations).

http://archpedi.ama-assn.org/cgi/content/abstract/163/5/473 (Vaccination in Adoptees)

http://archpedi.ama-assn.org/cgi/content/full/163/5/496 (DaPT Vaccine)

http://www.alcoholscreening.org/

http://www.vh.org/navigation/vh/topics/adult_patient_preventing_disease_and_staying_healthy.html

msn--clinical screening

http://preventiveservices.ahrq.gov/ *********

http://www.cdc.gov/nip/recs/contraindications.htm#Check ( Vaccine CI) ************************************************

http://www.cdc.gov/nip/recs/adult-schedule.htm ( Adult Schedule)*****************

http://www.medscape.com/viewprogram/6330 ( Vaccine Preventable Illnesses).**************

Vaccines: Spec-Grps/Preteens and Adolescents HOME page ( Preteens)

http://www.immunizationinfo.org/; http://www.immunize.org/iztech/index.htm; https://www.immunize.org/adultizcards/index.htm;

http://www.immunize.org/news.d/immques.htm ( immunization Questions)/ Tel # 800.232.4636; http://www.immunize.org/catg.d/free.htm ( Pt & Staff Materials); http://www.immunize.org/standingorders/ *** http://immunize.org/VIS/ ( VIS) http://vaccineinformation.org/ http://nfid.org/

IMMUNIZATION SCHEDULES -- NEW!
0-6 Years [PDF] | 7-18 Years [PDF]
2009 Catch-Up Schedule [PDF]

image001.jpg (8.6 KB), image002.gif (1.6 KB), Iowa Immu...pdf (40.4 KB), Provision...pdf (35.8 KB), Prevnar c...pdf (25.6 KB), Certifica...pdf (15.0 KB), Certifica...pdf (41.8 KB), Final Cha...pdf (274.3 KB)

http://cme.medscape.com/viewarticle/588154 (rotavirus vaccine)

http://www.hopkinsmedicine.org/heic/ID/influenza/facts.html (Amantadine/ Rimantadine--Influenza A ?)

http://www.rxlist.com/flumadine-drug.htm ; http://www.rxlist.com/symmetrel-drug.htm

Tool M5-11: Influenza Antiviral Medications Page 1 of 2 ...

http://www.hopkinsmedicine.org/heic/ID/influenza/facts.html#Neura (Oseltamivir--Influenza B)

http://www.cdc.gov/flu/weekly/weeklyarchives2007-2008/weekly05.htm (Zanamavir for Influenza A; above 7 yrs of age)

Antiviral therapy: Respiratory infections, chornic hepatitis

http://immunize.org/nt/ http://immunize.org/va/ http://immunize.org/vw/ http://immunize.org/express/ http://www.hepprograms.org/hepexpress/

http://immunize.org/shop/ http://immunize.org/newreleases/ http://immunize.org/vaccinenews/ http://immunize.org/catg.d/p4060.pdf

http://cispimmunize.org/ http://www.immunize.org/askexperts/

http://www.cdc.gov/travel/***;

http://www.flufacts.com/********************* , + Medsite cme

http://www.medscape.com/viewarticle/546610 ---Prevent Shingles

http://www.medscape.com/viewarticle/572568 ( Pn. Vc-7)

http://healthinfotranslations.com/

http://preventiveservices.ahrq.gov/***

http://ctfphc.org/

http://www.medscape.com/viewarticle/542444***( Lenght & Width of needles for infant vaccinations)

https://www.vaccineshoppe.com/

http://www.utmb.edu/pmr/

http://www.cdc.gov/nchstp/od/nchstp.html (National Center for HIV, STD and TB Prevention).

http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat3.part.1 (Screening); http://www.ahrq.gov/clinic/prevnew.htm

http://www.phppo.cdc.gov/cdcRecommends/AdvSearchV.asp (Prevention Guidelines).

http://odphp.osophs.dhhs.gov/

http://www.healthatoz.com/healthatoz/Atoz/dc/caz/canc/brca/breastexam.jsp (Breast Self Exam)

http://www.aafp.org/PreBuilt/RCPS_August2005.pdf (Screening)*******************

http://preventiveservices.ahrq.gov/

http://www.fda.gov/cber/vaers/vaers.htm (Vaccine adverse effects reporting system).

http://www.lifelinescreening.com/disease_stroke.asp?src=WGGL-108 (Screening / Find a local area).

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WG6-4SGCYD5-7&_user=4420034&_coverDate=05%2F31%2F2008&_rdoc=7&_fmt=high&_orig=browse&_srch=doc-info(%23toc%236814%232008%23998909997.8998%23689363%23FLA%23display%23Volume)&_cdi=6814&_sort=d&_docanchor=&_ct=9&_acct=C000063005&_version=1&_urlVersion=0&_userid=4420034&md5=e12e27fab5586c3b8e5fb57378c3d2ae ( Screening for Cx Ca)

Behavior Health

http://www.wth.org/body.cfm?id=292 (West Tennessee).

http://www.tamho.org/directory.htm (TN Association of Mental Health Organizations).

http://www.mentalhealth.samhsa.gov/links/default2.asp?ID=Faith+and+Spirituality&Topic=Faith+and+Spirituality (Mental Health Links).

http://www.mentalhealth.samhsa.gov/databases/ (Mental Health Services Locator).

http://www.mentalhealth.samhsa.gov/databases/kdata.aspx?state=TN&Submit1=Go (National Mental Health Information Center).

http://www.mentalhealth.samhsa.gov/publications/allpubs/stateresourceguides/Tennessee01.asp (State Resource Guide).

http://www.medscape.com/viewarticle/579747 ( Addicts--Reward Dependent personality traits)

Teenage Consent

http://www.hcmc.org/depts/documents/ConsentConfidBr.pdf

http://en.wikipedia.org/wiki/Teenage_pregnancy

Substance Abuse Treatment/ Facilities/ Referring them to the Mental Health Centers--Drug Counselors---Social Workers--Alcohol& Narcotic Anonymous

http://www.drug-rehabs.com/ (Drug-Rehabs)**********

http://drug-rehabs-info.blogspot.com/ ****

http://dasis3.samhsa.gov/ ( SA-- Tx Programs) ; http://ncadi.samhsa.gov/

http://drugabuse.gov/drugpages/methamphetamine.html

http://ncadistore.samhsa.gov/catalog/pubseries.aspx *** http://hazelden.org/

http://www.medscape.com/viewarticle/576977 ( Buprenorphine/ Methadone)

http://www.ama-assn.org/amednews/2008/12/29/prca1229.htm (IPV-Victims of Abuse)

http://jama.ama-assn.org/cgi/content/full/301/2/183 (Drug Abuse & Addiction in the Criminal Justice System).

http://cme.medscape.com/viewarticle/587047 (Nicotine Gum)

http://cme.medscape.com/viewarticle/587814 (Alc Abuse)

http://www.jfponline.com/pdf%2f5709%2f5709JFP_Clinicalinq2.pdf ( Tools to detect SAD)

http://www.nida.nih.gov/infofacts/methamphetamine.html ( Matrix Model Therapy for Methamphetamine use)

http://cmeja-archives.ama-assn.org/cgi/quiz/amacme_quiz;jama_300_3_314?node_id=amacme_course;jama300/3/314 ( Methadone/ Buprenorphine/ Naltrexone)

http://www.dancesafe.org/ ****Club Drugs

http://timesofindia.indiatimes.com/Health--Science/Alcohol-causes-1-in-25-deaths-Study/articleshow/4710622.cms (Alc: 1: 25 deaths)

http://www.medscape.com/viewarticle/553260 ( Drug testing of Teens in Schools & Colleges)

http://www.dancesafe.org/documents/druginfo/index.php

http://www.drugfree.org/Portal/Drug_Guide/ ( Drug-Guide)***********

http://www.asam.org/publ/detoxification.htm (Tx of Drug Withdrawal) *******************************

http://www.medscape.com/viewarticle/549706 ( Tx of Opioid addiction ---with---Buprenorphine vs. Methadone).********

http://www.mentalhealth.samhsa.gov/databases/facility-search.aspx?state=TN&fullname=Tennessee ( Mental Hlth services locator).

http://www.drugabuse.gov/PODAT/PODATIndex.html (******Guidelines/ Drug Abuse Tx); http://www.whitehousedrugpolicy.gov/(****)

http://www.samhsa.gov/***********

http://www.hindustantimes.com/news/181_1712525,0008.htm (Heroin/ cocaine)

http://www.guideline.gov/summary/summary.aspx?view_id=1&doc_id=9117***

http://www.guideline.gov/summary/summary.aspx?view_id=1&doc_id=8806 Long term TX with opiods in......Chronic non-cancer PAIN

http://www.arizonacert.org/methadone-card.pdf (Wallet Card/ Methadone)

http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=3169 ******Detoxification Tx

http://drugfreesport.com/who-we-are.html (Banned supplements & substances in Sports)

http://findtreatment.samhsa.gov/ufds/quicksearch?p_state=Tennessee

http://www.4drugrehab.com/state-TN.html (Tennessee/ includes Family Counseling Services).

http://www.people.memphis.edu/~toads/treatment.html (Tx Centers in TN).

http://www.recoverycenter.info/drug_information_home.html (Referral Services)

http://www.ipl.org/div/subject/browse/hea02.00.00/ (Library); http://www.clubdrugs.org/

http://www.asam.org/publ/withdrawal.htm (Pharmacological Management of Alcohol WD); http://www.ahcpr.gov/clinic/epcsums/alcosumm.htm (Tx of Alcohol Dependence).

http://www.ncadd.org/ (Pt Education); http://www.nida.nih.gov/

http://www.niaaa.nih.gov/ (Alcoholism Institute).

http://streetdrugs.org/topten.htm ( Top 10 Drugs of Abuse)

http://dasis3.samhsa.gov/ ( SA & Mental Health Centers Locator)

http://www.kci.org/meth_info/links.htm

http://www.emedicine.com/EMERG/topic20.htm; http://www.emedicinehealth.com/articles/15636-6.asp (Narcotic Abuse Tx/ For information on Narcotics Anonymous meetings in your area, call 818- 773-9999);

http://www.emedicinehealth.com/articles/11412-1.asp (Alcohol Addiction); http://www.emedicinehealth.com/articles/11412-6.asp (Tx)

http://www.emedicinehealth.com/collections/CO1600.asp (Drugs of Abuse/ 'emedicine.com')

http://www.emedicinehealth.com/collections/SU303.asp (Mental Health & Behavior)

http://www.cocaine-addiction.co.uk/index.php?cat=1 (News...Europe)

http://ncadi.samhsa.gov/ (Substances of Abuse).

http://www.nida.nih.gov/

http://health.state.mn.us/divs/eh/meth/ ( Methamphetamine)

http://aakp.org/ (Kidney Care).

SAMHSA National Helpline

National, toll-free referral service for locating drug and alcohol abuse treatment programs that is operated by SAMHSA’s Center for Substance Abuse Treatment.

Call:
(800) 662-HELP (4357) (English and Español)
(800) 487-4889 (TDD)
Additional Treatment Resources
Buprenorphine Physician Locator by State
http://buprenorphine.samhsa.gov/bwns_locator/index.html
Methadone Treatment Centers by State
http://dpt.samhsa.gov/choosestate.asp

Disability Associated Resources

Newsletters / Annual Conference - American Board of Disability ...;

http://www.ama-assn.org/amednews/2008/12/22/hlca1222.htm (Prevent Falls)

http://www.icdi.wvu.edu/others.htm (Disability Links);

http://www.medscape.com/viewarticle/576238 ( Methods of Disability Evaluation)

http://www.redcross.org/services/disaster/beprepared/mobileprogs.html

(Ability Self-Assessment Questionnaire).

http://www.cil-mt.org/information.html (TN);

http://www.disabledonline.com/medical.php (Medical Equipment);

http://www.icdi.wvu.edu/others.htm#suppliers

( Adjustable Beds, Mobility Scooters, Wheelchairs, Walking Frames...);

http://www.ariesms.com/index.htm (Medical Euipment/ California);

http://www.1st-at-wheelchairs.com/medical-equipment.html (Wheelchair Lifts);

http://themedicaldirectory.com/supplies.htm (*************);

http://www.medicaltravel.org/scooter/scootersales.htm (Medicare Equipment);

http://www.americanwheelchairs.com/wheelchairs.shtml (Will 'bill' Medicare);

http://www.medicalproductsdirect.com/showerchairs.html (Shower Chairs/ Transfer Benches...);

http://www.oxygenplusmedical.com/ (Oxygen Suppliers);

http://www.disabledonline.com/textversion/medical.php

http://aramis.stanford.edu/downloads/HAQ%20Instructions.pdf (HAQ/ Disability Assessment Tool)

http://www.professionalparentcare.com/medicare_page.htm (Medicare Parts A & B Services)****

http://www.todayican.com/ebook/14.htm (Federal Grants for the Disabled);

http://www.disabilityinfo.gov/digov-public/public/DisplayPage.do%3fparentFolderId=500

(Federal Government's Online related Resources).

http://www.ipl.org/div/subject/browse/hea10.00.00/ (Library)

http://www.abledata.com/ (Access for Disabled Persons).

http://ed-labo.com/eng/ed/iief.html (IIEF/ Sexual Dysfunction)

http://www.cche.net/usersguides/life.asp (HRQL Questionnaire...)

http://www.bncnyc.com/pages/7/index.htm (MH, NP, ST)

http://www2.boisestate.edu/disabilityservices/documentation.htm

Pain Management/ Rhuematology/ Cancer

http://www.paincare.org/pain_management/index.html (Pain Management);

http://www.fpnotebook.com/RHECh14.htm ( Chronic Pain Management)****

http://www.icsi.org/pain__chronic__assessment_and_management_of_14399/pain__chronic__assessment_and_management_of__guideline_.html ( Chronic Pain Management)***

http://www.fpnotebook.com/RHE.htm ( Rhuematology) ******

http://www.arthritis.org/drug-chart.php (Drug Chart/ Pain Meds)

http://www.aafp.org/afp/20090615/1059.html (Pharmacological pearls for EOL care)

http://jama.ama-assn.org/cgi/content/full/302/1/19 (Pain Guideline for older patients)

http://www.aafp.org/afp/20090615/editorials.html (Symptom Management at the end-of-life)

PainEDU.org { SOAPP } ; Forms and Contracts for Managing Chronic Pain ; http://www.medscape.com/viewarticle/584508 (Primary Care Management of -Malignant Pain)

American College of Physicians Issues Safety Guidelines for Prescribing Methadone

http://www.aafp.org/afp/20081115/1155.html (Chronic Non-Malignant Pain in Primary Care); http://www.aafp.org/afp/20081115/1173.html (Fatigue)

http://www.aafp.org/afp/20081115/editorials.html (Treating Opioid dependency & Chronic Pain); http://www.aafp.org/afp/20081115/1164ph.html (Chr. Pain)

http://www.aafp.org/afp/20081101/practice.html (Palliative Care at the end of life)

http://www.hospicepatients.org/clinicalpracticeguidelines1994.html (Tx of CA Pain--Adults; Child)

http://www.hospicepatients.org/clinicalpracticeguidelines1994.html#t6 (Pain—CA—Tables)

http://www.jfponline.com/Pages.asp?AID=7004&issue=December%202008&UID=42445 (Chr Pain Management)

http://www.rxlist.com/narcan-drug.htm ( Naloxone)

http://www.jfponline.com/ccp_article.asp?id=6610 ( Chr. Pain/ Alzheimer's Disease in Elderly)

http://www.painknowledge.org/newsletter/np/newsltrfiles/FINAL%20NIPC%20Newsletter.pdf

http://medicaleconomics.modernmedicine.com/memag/Medical+Malpractice%3A+Risk+Management/Treating-pain-without-fear/ArticleStandard/Article/detail/525980

http://www.familypracticenews.com/article/S0300-7073(08)70609-1/fulltext ( Geriatric Pain)

http://cmejama-archives.ama-assn.org/cgi/content/full/jama;299/12/1457?node_id=amacme_course;jama299/12/1457 ( Ac Pain Crisis Tx)*****

http://www.familypracticenews.com/article/S0300-7073(08)70410-9/fulltext ( Break-Through Pain)

http://www.medscape.com/viewarticle/581299 ( CA Pain--TD Buprenorphine)

http://jama.ama-assn.org/cgi/content/full/299/15/1818 ( Palliative Care for Pts with H& N--CA)

http://www.pain.com/sections/professional/cme_article/lawful_prescribing.pdf****

http://www.pain.com/sections/categories_of_pain/breakthrough/***

http://www.pain.com/sections/professional/cme_slide_presentations/aps2007/ ***

http://cmejama-archives.ama-assn.org/cgi/quiz/amacme_quiz;jama_299_12_1457?node_id=amacme_course;jama299/12/1457

http://www.fpnotebook.com/HEM230.htm ( Cancer Pain Management) *****************

http://www.fpnotebook.com/HEMCh2.htm ( Cancer) ******

Manifestations and Management of Chronic Insomnia in Adults

http://www.fpronline.com/Article.cfm?ID=385 ( Pain Management in the Elderly)

Improving Pharmaceutical Care of the Elderly Patient with GERD

Combination Opioid Therapy: Strategies for the Treatment of Moderate to Moderate-Severe Pain

Slowing Disease Progression: Practical Management of Dementia in Primary Care – Part 1: Early Screening and Diagnosis

Slowing Disease Progression: Practical Management of Dementia in Primary Care – Part 2: Treatment of Alzheimer’s Disease: Clinical Considerations

http://www.fpronline.com/Article.cfm?ID=237 ( COPD)

http://www.fpronline.com/Article.cfm?ID=239 ( UTI)

http://www.painknowledge.org/slidelibrary/SlideLauncher.aspx **************SLIDES

http://netce.com/coursecontent.php?courseid=340#INTRODUCTION *********************************************************

http://webmm.ahrq.gov/case.aspx?caseID=132 ********OPIOID ERRORS/ EQUIANALGESIC DOSES

http://www.medscape.com/viewarticle/547122

http://www.drugwarfacts.org/painmana.htm

http://fsmb.org/pdf/2002_grpol_opioid_addiction_treatment.pdf (Federal Regulations)********

http://www.ipl.org/div/subject/browse/hea50.00.00/ (Library)

http://www.uhn.ca/programs/anesthesia_regional/index.asp (Regional Anesthesia & Pain Management).

http://www.medscape.com/viewprogram/6377 ( Acute POST-OPERATIVE------- Pain Management).

http://www.medscape.com/viewprogram/6079 (End-Of-Life Pain Management)

http://cmepain.com

http://ahcpub.com/products_and_services/?prid=397&spcid=0,14&mtyid=10&cetid=0,1&pdr=0&clntr=0&clntru=/clinical_trials/?clu=397&mtid=12 (Managing Pain & End-of-Life issues)

http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=7257&nbr=4319 (Pain Management in the Peri-Operative Setting)

http://www.fpronline.com/Article.cfm?ID=265 ( Scrotal P)

http://www.suboxonerehab.com/buprenorphine_family_treatment.html

(Opioids are addictive narcotics in the same family as opium and heroin. This includes many prescription pain medications, such as Codeine, ... )***

http://www.fpronline.com/Article.cfm?ID=213 ( Chr. pelvic Pain)

http://www.jfponline.com/pages.asp?id=4791 ( DPN Pain)

http://www.painknowledge.org/physiciantools/ (Physician Tools for Pain Management)

http://www.painknowledge.org/newsletter/np/newsltrfiles/b166_newsletter_4%20REVISED.pdf (Pain Management in the Elderly)

http://cmejama-archives.ama-assn.org/cgi/quiz/amacme_quiz;jama_296_24_2959?node_id=amacme_course;jama296/24/2959 ( End-of-Life Care for Homeless Patients) ************

The Model Policy for the Use of Controlled Substances for theTreatment of Pain,⁶⁷ adopted by the house of delegates of theFederation of State Medical Boards of the United States in 2004,was designed to provide state medical boards with informationregarding the appropriate management of pain in compliance withstate and federal laws and regulations. It defines inappropriatetreatment as including "non-treatment, undertreatment, overtreatment,and the continued use of ineffective treatments."⁶⁷ Twenty-fourstate medical boards have adopted all or part of the guidelinesfor their own policies.⁶⁸ The Model Policy identifies the components of effective management: a complete medical history, including information on the nature of pain, current and prior treatment, coexisting disease, effect on physical and psychological function, history of substance use and medical indications for use of controlled substance; written treatment plan, including objectives, further evaluations planned, and other modalities used; informed consent and agreement for the treatment, including risks and benefits of use of controlled substances, designation of one clinician to prescribe, and written agreement if the patient has a history of substance use; and periodic review of progress toward goals, including information on improved or diminished function.They also recommend consultation with substance use and psychiatricexperts, as needed.⁶⁷

Social Work 'Services'- for needy Patients

http://www.homewatchcaregivers.com/wherewecare.html (Home Care Givers)

http://www.newlifestyles.com/sitemap/tennessee_home_health_care_tn_state_flex03.htm

http://www.homeinstead.com/coinfo.asp

http://www.newlifestyles.com/resources/state_licensing/TN.aspx

http://www.asha.org/contacts.htm; http://www.asha.org/default.htm (Speech & Language Therapists)

http://www.medicare.gov/HHCompare/Home.asp?version=default&browser=IE%7C6%7CWinXP&language=English&defaultstatus=0&pagelist=Home&CookiesEnabledStatus=True (Compare HH Agencies).

http://www.os.dhhs.gov/ (U.S. Dept of Health & Human Services).

http://www.wth.net/body.cfm?id=139 (Occupational & Physical therapists/ Psychologists, Counselors/ West Tennessee Health Care); Neuropsychologists for memory problems.....

http://www.wfp.org/aboutwfp/introduction/index.asp?section=1&sub_section=1 (U.N./ World Food Program).

http://nlpco.org/ (Life Coach Training).

http://www2.state.tn.us/health/LocalDepts/index.html (Local Health Departments/ Reportable Diseases...Labs...)*******

http://www2.state.tn.us/health/HCF/Facilities_Listings/facilities.htm (Licensed Health Facilities)*********

Tennessee Health Resources******** .... ? some Home Health services do provide speech therapists eg. s/p-- stroke.

http://www.ocfs.state.ny.us/main/cps/ (Child protective Services).

http://www.maternity-insurance.net/ (Pregnancy Insurance/ WIC-Medicaid-Local Funding Org).

http://www.hud.gov/local/tn/homeless/shelters.cfm (Emergency Housing/ Homelessness)

http://www.artistshelpingchildren.org/shelters.html

http://apps.grassroots.org/shelter_links/45_Tennessee.shtml

Health Insurance/ Govt. Medical Assistance; Prescription Drug Coverage

http://www.diabetes.org/advocacy-and-legalresources/healthcare/healthinsurance/medicare.jsp (Medicare)

http://www.cms.hhs.gov/medlearn/default.asp?

http://www.diabetes.org/advocacy-and-legalresources/healthcare/healthinsurance/medicaid.jsp (Medicaid)

http://kff.org/medicaid/7392.cfm

http://www.govbenefits.gov/govbenefits/benefits/browse.jhtml

http://secureyourhealthcare.org/allies.html (*********************)

http://www.medicare.gov/(***); http://www2.epocrates.com/resources/medicare-partd/ (Medicare Part D).

http://www.cms.hhs.gov/medicaid/(***)

http://www.hhs.gov/ (Social Welfare/ Food Stamps...)---U.S Dept of Health & Human Services.

http://www.socialsecurity.gov/ (includes DISABILITY benefits); http://www.4-disability-insurance-quotes.com/default.asp?sendroicid=29a18f2d-2f4f-43e4-9022-fd5996d4b81c&sendroikwd=disability+insurance (Disability Insurance Quotes).

http://www.long-term-care-insurance-planners.com/request.html (Long Term Care Insurance).

http://www.allsupinc.com/landing_pages/landing_page_chronicpain.aspx?SessionCode=1043 ( Testing/ Qualification for Disability Income)

http://www.cms.hhs.gov/default.asp? ************

http://benefitscheckup.org/ (Before signing up for prescription benefits)

http://www.medicarerights.org/rxchart_states.html (State Prescription Drug Assistance Programs); http://www.medicarerights.org/rxchart1.html (National Prescription Drug Assistance Programs); http://www.medicarerights.org/rxchart2.html (Treatment Discount Cards); http://www.medicarerights.org/rxchart4.html (Internet Discount Pharmacies); http://www.medicarerights.org/rxchart5.html (Prescription Drug Coverage Comparison Websites); http://www.rxlist.com/; http://freemedicinefoundation.com/; http://badvocate.com/ (Tennessee); http://needymeds.com/ (*************); https://www.pparx.org/Intro.php (*************); http://ssa.gov/prescriptionhelp/

Transportation

http://ctaa.org/ntrc/medical/ (Non-Emergency Medical Transportation).

Medicare, Medicaid, State-Run 'Worker's Compensation & Rehab' Programs, 'Home & Community -based' Health Services,

Senior Nutrition & Medical Programs, Veteran's Programs for persons with Disabilities.

http://www.seniors.org/

Lifeline Services

http://www.redcross.org/services/hss/lifeline/ (Alarms/ from American Red Cross); http://www.redcross.org/services/hss/lifeline/lifeinfo.html (States where services are offered);

http://www.toxicology.mc.vanderbilt.edu/Poison (Lifeline/ Poisons-Toxicology).

http://www.methodisthealth.org/service.asp?id=allLif&fid=MedicalServices (Alarms/ Memphis/ Tennessee); http://suicidehotlines.com/tennessee.html; http://www.lifeline-counseling.org/index.html; http://www.state.tn.us/tra/teleassist.htm; http://www.lifelinepilots.org/aboutus.htm

http://www.advocatehealth.com/system/services/lifeline/ (Ordering Lifeline products); http://www.lifelinemed.com/default.aspx (AEDs/Lifeline Medical Services, Inc.).

http://www.lifelineambulance.org/services.html (LA/ California).

http://unitedlifeline.com/ (Alarms/ NY); http://www.conwayregional.org/body.cfm?id=34&oTopID=10

http://www.lifelinesys.com/ (Alarms/ Framingham--MA)

http://www.lifelinebloodserv.org/ (Blood Supply Services/ West Tennessee)

http://www.alsvents.com/ (Kentucky/ Rehabilitative Respiratory Programs--Work with Medicaid)

http://www.air-lifeline.com/services.html (Air-Ambulance Services); http://www.tdot.state.tn.us/aeronautics_division/Lifeline%20Pilots.htm; http://www.lifelinepilots.org/aboutus.htm; http://www.airaasi.com/Company.html.

http://www.bayardhouse.org/ (Delaware/ Pregnant Teens & Young Women).

http://www.lifelinedivorceservices.com/ (Illinois).

http://www.da.state.ks.us/ps/subject/healthquest/lifeline.htm ( Dept of Administration/ Kansas/ for personal problems, family conflicts, or job-related stresses/ Drug and alcohol issues /Child care and elder care concerns).

http://da.state.ks.us/ps/subject/healthquest/newservices.htm ( Weight Management)

http://www.cancerlifeline.org/ (Washington State/ Cancer Lifeline)

http://www.calling-plans.com/fcc/lifeline.html (Low-Cost Telephone).

http://www.vistacare.com/hospice/tools/answer.php (Hospice Care)**********

http://www.tennessee.gov/humanserv/adpro.htm (Adult Protective Services).

Council on Aging/ Services Offered ; Alzheimer's Disease

http://www.eldercare.gov/Eldercare/Public/Home.asp (Welcome to the Eldercare Locator, a public service of the U.S. Administration on Aging. The Eldercare Locator connects older Americans and their caregivers with sources of information on senior services. The service links those who need assistance with state and local area agencies on aging and community-based organizations that serve older adults and their caregivers).

http://cmejama-archives.ama-assn.org/cgi/content/full/jama;297/1/77?node_id=amacme_course;jama297/1/77 ( assessment of FALLS in the elderly)***

http://www.fpnotebook.com/GER.htm **********( Geriatric Medicine) **********Among older adults, memory complaints are reported by as manyas 56%.

http://www.medscape.com/viewarticle/582207 ( Scales for measuring AD)

http://cmejama-archives.ama-assn.org/cgi/quiz/amacme_quiz;jama_300_13_1566?node_id=amacme_course;jama300/13/1566 : Even complaints without objectively demonstrable memory impairment may predict a mildly increased risk for later dementia. This subjective memory impairment (SMI) may also reflect thepresence of depression, neuroticism, anxiety, fatigue, stress,chronic pain, disordered sleep, substance abuse, untoward effectsof prescription medications, and/or other medical conditions.

MCI patients are divided into4 subgroups: amnestic single domain, amnestic multiple domain,nonamnestic single domain, and nonamnestic multiple domain.

Table 1

Table. Clinical Features of Age-Related Cognitive Decline, Subjective Memory Impairment, Mild Cognitive Impairment (MCI), and Dementia

AMNews: Aug. 4, 2008. Assessing self-neglect in older patients******

http://jama.ama-assn.org/cgi/content/full/300/9/1104 ( Fitness for Older Adults)

http://www.ama-assn.org/amednews/2009/05/04/hlsa0504.htm (Accommodating aging/ Checklist)***********

http://nihseniorhealth.gov/

http://www.caregiver.org/caregiver/jsp/home.jsp (FCA-Family Care Giver Alliance).

http://netce.com/coursecontent.php?courseid=312#BEGIN ( Alzheimer's Disease/ DD....) ***********************************

http://www.medscape.com/viewarticle/549894#question ( Diagnosis of AD) ********************************************

http://www.jfponline.com/Pages.asp?AID=5717&issue=December%202007&UID= ( Chr. Constipation in the Elderly)

http://www.councilonaging-midtn.org/subchapter_listing.asp?cid=8&sid=146 (TN)

http://www.councilonaging-midtn.org/contact.html (TN)

http://www.askseniorsolutions.org/stayactive/otherresources.htm (Staying Active)

http://www.medicare.gov/; http://www.cms.hhs.gov/( Medicaid); http://www.ssa.gov/( Social Security);   http://www.va.gov/ (Veteran's Administration);

http://www.alz.org/ (Alzheimer's-- Health Professionals & Care Givers).

http://www.totalcaredrugs.com/support.php?action=links (Drugs).

http://www.carepathways.com/mission.cfm ( CarePathways.com offers support to help families identify their older loved one's needs and care requirements in order to make sound decisions about the best senior housing and care.).

http://www.eldernet.com/ ( A seniors' guide to health, housing, legal, financial, retirement, lifestyles, news and entertainment information on the World Wide Web).

http://www.myziva.net/ (To Compare different Nursing Homes for the Elderly).

http://www.eldercarelink.com/consumerApp1.aspx?imageField2.x=48&imageField2.y=17 (Elder Care Services)

http://www.river2u.com/elder/assisted_living.htm (Senior Living--NH, Assisted Living, Senior Apartments, Retirement Communities).

http://www.seniors.org/ (includes Transportation services)

http://www.writeseniors.com/ (Interconnecting seniors from around the World).

Meals on Wheels - Official(***************);    http://www.mealcall.org/ (USA, Canada).

http://www.homewatchcaregivers.com/wherewecare.html (Home Care Givers/ USA).

http://www.ipl.org/div/subject/browse/hea26.00.00/ (Geriatrics)

http://www.elderlawanswers.com/content/FirmProfile.asp?FirmID=310&AddressID=144 (Living Wills, Durable Power of Attorneys/ USA)

http://www.ltcq.net/?224 (Long Term Care/ Quote)

http://hospicefoundation.org/;    http://hospicecare.com/;   http://www.caringinfo.org/i4a/pages/index.cfm?pageid=1

http://www.hospice-america.org/ (Hospice News)***

http://www.floridamedicaidlawyer.com/index.cfm?medicaid=1 (Medicaid Q & A, for NH placement...)

http://agingwithdignity.org/ (Resources/ Services)

http://abanet.org/aging/kit/home.html (American Bar Association/ Books/ Wills).

http://www.putitinwriting.org/putitinwriting/index.jsp (Advance Directives Wallet Card/ Brochures for Families/ Q & A)*****, http://www.medicaldirective.org/current/description.asp# (Form)*****

http://compassionandchoices.org/ (Care of the Elderly/ All information, including End-Of-Life Issues and Hospice Care/ Physicians/ All States in USA)*********

http://nihseniorhealth.gov/ (NIH)

http://agingwithdignity.org/            http://nhpco.org/templates/1/homepage.cfm

http://aakp.org/     http://donatelife.net/

http://www.attorneygeneral.state.tn.us/

1-800-MEDICARE

http://aoa.gov/     http://www.seniordrivers.org/home/

http://longtermcarelink.net/guide/

http://aaltci.org/

Palliative Care

http://www.eperc.mcw.edu/FastFactPDF/Concept%20124.pdf (Palliative Prognostic Score)

http://www.hospicepatients.org/karnofsky.html

http://www.palliative.org/PC/ClinicalInfo/AssessmentTools/esas.pdf ( ESAS)

http://www.palliative.org/PC/ClinicalInfo/AssessmentTools/AssessmentToolsIDX.html

http://www.capc.org/tools-for-palliative-care-programs/clinical-tools/pain-symptom-assessment/memorial-symptom-scale.pdf ( MSAS)

http://cmejama-archives.ama-assn.org/cgi/quiz/amacme_quiz;jama_301_6_651?node_id=amacme_course;jama301/6/651 (Hospice care)

http://www.hartfordign.org/publications/trythis/issue13_cam.pdf http://www.hartfordign.org/publications/trythis/issue13.pdf ( CAM)

http://positiveaging.org/provider/pdfs/delirium_mdas.pdf ( MDAS)

Medications. As patients approach death, reassess the need for each medication and minimize the number of drugs that the patient is taking. Continue only those medications needed to manage symptoms such as pain, breathlessness, excess secretions, and terminal delirium and to reduce the risk of seizures. Choose the least invasive route of administration: the buccal mucosa or oral routes first, the transcutaneous route if appropriate, the subcutaneous or intravenous routes only if necessary, and the intramuscular route almost never. Rectal administration can also be considered, especially if the oral route is not possible. http://cme.medscape.com/viewprogram/5808 ( The last hrs of dying/ A practical approach to Physicians).

http://en.wikipedia.org/wiki/McGill_Pain_Questionnaire

Numerical Rating Scale 0-5 Numerical Rating Scale 0-10 Numerical ...

http://helpher.org/health-professionals/diagnosis-assessment/rhodes-index.php