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In this section, feature-length articles bring you up close to common and rare clinical areas. With a focus on disease states, workers' compensation, disease management, long-term care and more, these resources will broaden your clinical base and enhance your delivery of care. Begin with the topical articles below, or start by exploring the five clinical categories to the left.
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Workers' Compensation
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Written by Colleen McMurray, RN, BSN, MBA
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Wednesday, 01 September 2010 20:38 |
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 In today’s economy, many employers are doing more with less and struggling to stay competitive. That includes more actively managing their rising medical costs and focusing on the health and productivity of their workforce. At the same time, employees are worried about maintaining their benefits and the security of their jobs. Employees feeling vulnerable to job loss may conceal a medical condition from their employer if that condition makes it difficult to complete their job tasks. Inadvertently, such concealment can create a “perfect storm,” potentially exacerbating the employee’s medical condition and possibly leading to a work-related injury or a disability absence the employee was trying to avoid.
Supporting Employer and Employee Needs
While not all disabilities can be predicted or averted, employers who focus accommodation efforts solely on employees who are returning to work after a disability are missing a key opportunity to have a positive impact on reducing disability and maintaining a productive workforce. That opportunity is through a “stay-at-work” program. Stay-at-work programs can help employees avoid missed time and help employers retain productive members of their business.
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Long-Term Care
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Written by Rhonda L. Randall, DO and Sue Bulger, BSN, MA
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Wednesday, 01 September 2010 20:25 |
 Normal Pressure Hydrocephalus Is Oft-Mischaracterized
The term hydrocephalus comes from the Greek words “hydro” meaning water and “cephalus” meaning head, leading the condition to be referred to by laypersons as “water on the brain.” However, the primary characteristic of normal pressure hydrocephalus (NPH) is chronic and excessive accumulation of cerebro-spinal fluid (CSF) in the ventricles of the brain.
Epidemiology
The classic triad of gait difficulties, urinary incontinence, and mental decline that are the hallmark of NPH was first described by Adams and Hakim in 1965. There are no definitive statistics for the prevalence of NPH in the United States. Some experts estimate that up to 750,000 Americans may have NPH. NPH may be the cause for up to 5 percent of dementia diagnoses. Population-based studies have estimated the prevalence of NPH to be about 0.5 percent in those over 65 years old, with an incidence of about 5.5 patients per 100,000 people per year.
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Disease Management
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Written by Richard Scott
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Wednesday, 01 September 2010 20:22 |
 Clay Walker Muses on MS and His Steadfast Commitment to Treatment
Since the mid-1990s, Clay Walker has achieved an incredible amount of success as a country music artist. His songs have run to the top of the Billboard charts on six separate occasions. In all, he’s sung and songcrafted his way onto the Billboard singles chart 31 times during a stretch that has garnered four platinum albums and two others that hit gold. His latest album, She Won’t Be Lonely Long, released this past June, is off to a strong start, having hit number five on the top country album charts.
Through all of Walker’s commercial success over the past decade and a half, he has had to manage a disease that hit him suddenly in 1996 as he was fresh off of establishing a name for himself, a disease that affects hundreds of thousands of Americans. The country music star has multiple sclerosis. Like many others who were diagnosed during the dark days of the decade past, when the neurological disease was on few providers’ radar screens, Walker had his share of trouble acquiring a legitimate diagnosis.
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