Dr Farzanna Haffizulla, M.D. [0.08] For Mission Critical Health I’m doctor Farzanna Haffizulla,
The prevention of surgical site infections is a priority for both healthcare management and insurance companies but the patient can play an important role in this effort to decrease surgical site infections.
Dr John P Kimball, M.D. [0.23] Surgical site infections have been getting more and more attention in both the literature and the lay press, as part of that patients are becoming more aware but also it has become a focus of interest of all surgeons and hospitals.
Donna Lockamy, R.N. [0.37] At the North Carolina Specialty Hospital our focus is on orthopedic cases. The reason we decided to provide chlorhexidine to the patients to take home is we wanted to give them the added advantage of having a prep prior to arriving here.
Dr John P Kimball, M.D. [0.57] Over 1.1 Million hip and knee Arthoplasties are done in the United States every year, at Triangle Orthopaedic Associates we do over 1,500 hip and knee replacements every year and over 24,000 orthopeadic surgery procedures every year. We’ve been using the IHI bundle for about a year and thus far the results have been very positive. Because the bundle is so easy to understand for patients there haven’t been nearly as many questions as we have typically gotten regarding the preoperative cleansing process to decrease bioburden and that has resulted in increased patient compliance and increased patient satisfaction.
[1:35] Conversation between admissions officer and patient
Dr John P Kimball, M.D. [1:35] Incorporating the bundle has been very easy, it didn’t involve and infrastructure changes, in fact it seemed to streamline our preoperative process. We try to engage the patient at every step of the pre-operative process, that includes both in person, verbally as well as written instructions and using digital media.
Donna Lockamy, R.N. [1:58] One of the factors in patient engagement is that it needs to be easy for both the patient and the practitioner. The reason the engagement is so effective is because we have multiple steps. One of the steps we use is calling the patient before surgery to make sure they are using their clorhexidine scrub. The doctor also calls the patient to answer any questions they might have and we also send a text and an email to remind the patient to be sure to follow the instructions before they come in.
Dr John P Kimball, M.D. [2:32] One of the main factors in Surgical site infections is the patient’s own bacteria that colonize their skin and by using chlorhexidine soap and alcohol we can decrease the rate of infection very efficiently. So by incorporating the bundle we have had improvement in every phase of the surgical process from making it a more efficient and compliant process to ultimately having better outcomes in the form of decreases surgical site infection rates.
Donna Lockamy, R.N. [3:06] As the Infection Preventionist, I’ve been working in this for twenty years, and I can tell you, we have learned a lot, there has been a lot of new technology we’ve implemented but really truly the thing that makes this program successful is the interaction and communication we have with our patients and the efforts they put in and we put in to limit infections.
Dr Farzanna Haffizulla, M.D. [3:32] “Healthcare providers will all agree on the efficacy of CHG as a preoperative topical antiseptic but Healthcare systems looking to improve SSI prevention with preop CHG bathing need to understand CHG bathing will only be an effective strategy if compliance is high and patients are engaged.”
VO “More details about Preventing SSIs and Preoperative Bathing can be found in the June 2013 edition of The American Journal of Orthopedics.
Farzanna Haffizulla, M.D. [0.09] Many people look at pressure ulcers as a quality of care indicator, but leading wound care experts agree that not all pressure ulcers are avoidable. There are many contributing factors that impact the development of pressure ulcer such as obesity, nutrition, hydration, mobility, continence, repositioning, shear and pressure to name a few.
According to the National Pressure Ulcer Advisory Panel an estimated 2.5 million patients in U.S. acute care facilities are treated for pressure ulcers. Today nearly 60,000 US hospital patients die each year due to hospital acquired pressure ulcer complications.
Most facilities are focused on ulcer prevention through pressure redistribution and reducing shear. One advancement that is showing promise is a newly engineered mattress with a gliding layer that helps reduce the shear and friction on the patient’s skin. This single mattress consists of 2 layers of high-density Castellated foam with a gliding layer between the two mattresses. This gliding property allows the two mattress layers to move independently as the bed articulates up and down while the foam optimizes pressure reduction. The mattress also incorporates additional safety features such as high-density foam sides that support the patient’s ingress and egress.
Both healthcare administration and patients need to insist on implementing proven pressure ulcer prevention technologies, protocols and strategies.
For more information about shear and support surface standard initiative please visit NPUAP.org
Mission Critical Health, Healthcare Associated Infections and the Antimicrobial Properties of Copper
Dr. Farzanna Haffizulla, M. D. [0.08] For Mission Critical Health I’m doctor Farzanna Haffizulla,
In the U.S. HAIs still claim the lives of more than 100,000 people each year.
But a recent study has presented a simple solution to achieving a 58% reduction in the number of HAIs. According to a recent multi-site study published in both the Journal of Clinical Microbiology and the journal of Infection Control and Hospital Epidemiology, Copper has been proven to reduce the microbial burden of frequently touched hospital surfaces.
The study measured the microbial burden associated with six commonly touched items such as bed rails, overbed tables, intravenous poles, nurse call device, data input device and arms of the visitor’s chair within patient rooms before replacing them with copper. Each of the three study sites cleaned all objects and surfaces at least once per day using a US EPA registered hospital grade disinfectant upon patient discharge.
During this 43 Month study, samples from 9,522 objects were recovered in 1,587 rooms. Prior to changing the common touched objects to copper, the average microbial burden found for the six objects was 28 times higher than levels commonly accepted as benign.
Based on the microbial burden measured for each of the copper surfaces sampled over the intervention period, the combined MRSA and VRE burdens were 96.8% lower on copper surfaces than on comparable plastic, wood, metal, and painted surfaces and were 98.8% lower on bed rails.
For more details about these studies please review the following publications:
Journal of Clinical Microbiology Sustained Reduction of Microbial Burden on Common Hospital Surfaces through Introduction of Copper
Infection Control and Hospital Epidemiology
Mission Critical Health, The Impact of Diet on Chronic Illness
Dr. Farzanna Haffizulla, MD, FACP [0:09] For Mission Critical Health I’m doctor Farzanna Haffizulla.
We all know it’s important to maintain a healthy diet and lifestyle. But did you know that a healthful
eating plan can treat and sometimes even prevent chronic diseases?
The most effective and affordable method of preventing chronic disease starts with optimal nutrition.
For those already suffering with a chronic disease, proper diet and nutrition should be a vital component
within your health care program. Doctors agree that nutrition‐focused interventions are one of the first
treatments that individuals should receive to improve conditions such as diabetes, heart disease,
hypertension and some types of cancer.
Unfortunately most people struggle with developing proper eating habits. In fact, a study in the Journal of the American Medical Association shows, one in four men do not change their eating habits even after
a heart attack, stroke or other major cardiac event. Making a lifestyle change is not easy but there is help.
Registered dietitian nutritionists are the food and nutrition experts, who can translate the science of
nutrition into practical solutions for healthy living. RDNs use their nutrition expertise to help individuals
make positive and personalized lifestyle changes. Ask your doctor if a referral for medical nutrition
therapy provided by a registered dietitian nutritionist is right for you.
Learn how an RDN can help you meet your health goals by visiting Eat Right dot org
For Mission Critical Health I’m doctor Farzanna Haffizulla, Mental health conditions are more common than you think. And they are nothing to fear. According to the National Institute of Mental Health, about 1-in-5 American adults suffer from a treatable mental health condition. But too many Americans go without treatment.
The Department of Health and Human Services believes one reason is that too many people don’t know the state of their mental health and don’t ask for help when they need it. To help prevent mental illness, the department recommends regular mental health screening.
Each of us lives somewhere on what Mental Health America calls a “Personal Wellness Cycle”. Throughout our lives, we move from wellness and prevention, to early identification of a problem, treatment, to recovery and back again to wellness. This cycle is true for our mental health as well as our physical health.
So it’s important to ask for a mental health evaluation as part of your regular check-ups with your primary care physician. If your doctor does not provide mental health evaluations, Mental Health America’s Screening Center can. At MHA Screening dot ORG you can take short mental health surveys that will provide you with valuable information to share with your healthcare professional, and help keep you well. Each survey is anonymous and takes only 2 to 3 minutes to complete. Learn more by visiting www.MHAScreening.org
For Mission Critical Health I’m doctor Farzanna Haffizulla,
Mental health conditions are common. In fact, America has the highest rates of mental illness among all of the industrialized nations. But mental health conditions are also extremely treatable. The vast majority of people get better with treatment and lead full and productive lives.
If you, a close friend or a loved one has shown signs or symptoms of a mental health condition, it is important to seek help.
If you are unsure where to go for help, talk to someone you trust. Start with your primary care doctor or nurse, and then look for someone with special experience in mental health, such as a counselor, social worker, or religious advisor to help guide you or your family members to the right kind of help.
There are many different types of mental illnesses, so there is No Single treatment that works best for everyone. But the good news is that there are many treatment options available, and everyone can find one that works best for them.
Remember, you are not alone, 1 in 5 people have a mental health issue, so don’t be afraid to get help.
For help with finding a mental health organization in your local area visit Mental Health America’s Affiliate Finder at www dot mental health america dot net. Here you can find the people who can connect you with the help and support you need.
For Mission Critical Health I’m doctor Farzanna Haffizulla,
Some people think only those with mental illnesses have to pay attention to their mental health. But the truth is that everyone needs to protect their mental health as part of their overall health. Good mental health strengthens your ability to cope with everyday stress and helps get you through all of life’s challenges.
Your overall physical health also affects your mental health. So take these simple steps to live well
- Get 20-30 minutes of exercise three times a week. It can improve your mood, reduce stress and increase blood flow to the brain.
- Go outside every day. Being in nature can reduce stress levels and offer other health benefits.
- Eat healthy. This will boost your energy, lower your risk of certain diseases, and may help reduce the symptoms of depression.
- Stay connected with family & friends. Make sure you have people with whom you can talk, laugh, or share your troubles.
- Get your sleep. Approximately 30 million Americans don’t get the 7 to 9 hours they need each night.
- Remember to take care of your spirit as well as your body. Make sure that you get regular check-ups and Talk to your doctor about your mental health. Start today by taking a free, anonymous, online mental health survey at www.MHAscreening.org.
For Mission Critical Health I’m doctor Farzanna Haffizulla,
According to the Centers for Disease Control and Prevention, Untreated mental health and substance abuse disorders lead to more deaths than traffic accidents, HIV/AIDS, and breast cancer combined.
Serious mental illnesses affect 6 percent of our population. If you or someone you love have a serious mental illness it is vital that you seek help. And when your Doctor has you on a treatment plan it is equally important to stick with it.
Approximately 80% of people with depressive disorders improve significantly with treatment and recovery support.
But you need to Keep your follow-up appointments with your mental health professional. These visits assure that the treatments are working and allow you to address any difficulties you may be experiencing as part of the treatment plan.
And remember – do not stop taking medications for mental health without consulting your doctor. You may be at risk for a relapse of your condition or serious side effects if you stop taking your medications.
Finally, don’t be afraid to ask family and friends for help and encouragement. Having support is important to staying on a path to recovery.
Support groups can also be a great way to stay motivated and connect with others dealing with similar mental health conditions. Find your local MHA affiliate at www.MentalHealthAmerica.net to learn about support groups in your area.
Mission Critical Health, US Dietary Guidelines on Alcohol Consumption
Dr Haffizulla: For Mission Critical Health I’m your host doctor Farzanna Haffizulla,
According to the Centers for Disease Control and Prevention most healthcare providers don’t talk to their patients about alcohol consumption. Alcohol screening and counseling can be an effective health service for patients that drink too much, but it is often under utilized.
The U.S. Dietary Guidelines recommendation for alcohol consumption is: if alcohol is consumed, it should be consumed in moderation.
But what is the definition of Moderation?
Moderate alcohol consumption is defined as up to 1 drink per day for women and up to 2 drinks per day for men and only by adults of legal drinking age.
But what is the definition of One drink?
The Dietary Guidelines define one drink as 12 fluid ounces of regular beer (5% alcohol), 5 fluid ounces of wine (12% alcohol) or 1.5 fluid ounces of 80 proof (40% alcohol) distilled spirits. Each of these drink standards contain the same amount of alcohol, 0.6 fluid ounces, and each has the same effect on the body.
Healthcare professionals can play an important role in educating patients about moderate drinking. Knowing the definition of moderation and how much alcohol is contained in these standard sized portion of beer, wine or distilled spirits can help adults understand and practice moderation. For those adults who choose to drink, they should do so in moderation and responsibly at all times.
For more details about the US Dietary Guidelines please visit: health dot gov / dietaryguidelines
Mission Critical Health, Social Distancing During Flu Season
For Mission Critical Health I’m your host doctor Farzanna Haffizulla, according to the Centers for Disease Control and Prevention, seasonal flu affects 31.4 Million people, 200,000 are hospitalized and between 3,000 and 49,000 people die from influenza each year. Adults ages 18-64 account for almost 60% of flu hospitalizations. So how can YOU prepare for Flu season?
The US Department of Health and Human Services recommends preparing for the Flu season with a flu vaccination, practicing proper hand hygiene frequently throughout the day, use email and mobile phones to communicate instead of face-to-face contact and Limiting exposure by avoiding close contacts with people showing flu like symptoms. This is known as social distancing and it is an important protective behavior to limit the risks of exposures from droplet, aerosol transmissions from sneezing and coughing, or contaminated surface transmission during flu season.
There are new tools available to help you avoid influenza affected areas. A new mobile phone app creates a “weather map” of sickness in your local area. The Sickweather app acts like a Doppler radar, scanning social media sites for real-time indicators of sickness. The app plots individual reports of illness onto a live map of your local area. This disease tracking capability allows you to receive notifications and stay informed of local outbreaks and avoid areas with reported influenza activity.
Remember to get your flu shot, wash your hands frequently and reduce exposure by avoiding contact with others with the Flu.
For more details about Seasonal Flu please visit:
Flu dot gov and
Cdc dot gov forward slash… flu
Mission Critical Health, Adverse Effects of Marijuana Use
For Mission Critical Health, I’m doctor Farzanna Haffizulla. In the last decade, medical marijuana in America has become legal in 23 states and more states are seeing referendums to legalize recreational use as well.
Within the last 20 years, anecdotal cases have been published on the use of medical marijuana. But patients and recreational marijuana users need to also be aware of the Adverse Health Effects of Marijuana use. According to The New England Journal of Medicine, marijuana use has been associated with Substantial adverse effects.
Effects of short-term Marijuana use include: Impaired short-term memory, making it difficult to learn and to retain information.
Impaired motor coordination can interfere with driving skills and increases fatal motor-vehicle accidents. In high doses, users can experience paranoia, psychosis and schizophrenia.
The Effects of long-term or heavy Marijuana use at all stages of pregnancy is associated with problem behaviors, lower cognitive ability, higher rates of attentional and mood disorders.
Altered brain development and Cognitive impairment, with lower IQ among those who were frequent users during adolescence* Resulting in Poor educational outcome, with increased likelihood of dropping out of school*, increased risk of anxiety, depression, Diminished life satisfaction and achievement.
Marijuana use has also been associated with vascular conditions that increase the risks of myocardial infarction and stroke during marijuana intoxication.
Symptoms of chronic bronchitis and Addiction
As policy shifts toward legalization of marijuana, it is reasonable to conclude that its use will also increase and so will the number of persons with negative health consequences from marijuana use.
For more details on the Adverse Health Effects of Marijuana Use please review the following research publications: