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Clinical Focus

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.



Straining the System
Workers' Compensation
Written by ADAM PENNELL, PT, DPT   
Tuesday, 23 June 2009 06:11

WORK-RELATED INJURIES ARE PUTTING A STRAIN ON THE WORKERS’ COMPENSATION SYSTEM. LEARN ABOUT THE PREVENTION AND TREATMENT OF COMMON INJURIES.

The number of nonfatal workplace injuries and illnesses clocked in at a staggering 4 million cases in 2007, according to an October news release from the U.S. Department of Labor. Factoring in results from the National Safety Council, which found an average cost per injury exceeding $29,000 — an amount that is increasing every year — it is easy to appreciate the economic impact this has on national business. The 2008 Liberty Mutual Workplace Safety Index identified the 10 most disabling workplace injuries over the course of 2006. These 10 injuries accounted for almost 90 percent of the direct expense from workplace injuries during that year. This article explores the list with detailed information about causation, prognosis and treatment.

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The Aging Family
Behavioral Health
Written by CATHY CRESS, MSW   
Tuesday, 23 June 2009 06:06

Behavioral Health Across the Continuum of the Over-50 Divide

Few care managers have studied the continuum of care across the aging family. Gerontologists see the aging continuum as essentially half of our lives. Aging starts around 50, and these days it is not uncommon for people to live to be 100 or more. In a growing number of cases, half of our lifespan is spent growing old.

Yet individuals do not grow old in a vacuum. Family members age with them, effectually creating the continuum of the aging family. The less aged of this aging family is often referred to as the “young old,” which today includes the much-analyzed baby boomers but can range up to those as old as 85. This group is generally healthy yet tasked with care for the second group — the “old old,” or the frail elderly.

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PTSD: Trauma That Does Not Abate
Behavioral Health
Thursday, 30 April 2009 18:41

Coming to Grips with Post-Traumatic Stress Disorder

A nurse manager was shot leaving work by an employee who she recently terminated for repeated absences and multiple warnings for subpar performance. She recovered physically, but over the course of months the patient found herself unable to move forward in her life for fear that the man would come back despite knowing that he was in jail. She visits her doctor in hope of finding out why she is irritable with her family, afraid to go back to a job she loved, fearful to go out of the house and tired of reliving the incident day and night.

This scenario describes a patient who is experiencing post-traumatic stress disorder, or PTSD, as it is commonly called. PTSD typically follows a terrifying ordeal that involved physical harm or the threat of physical harm. The condition was first brought to the public’s attention in relation to war veterans who brought the horrors and tragedy of war home with them in their embattled minds. In studying the disorder, health care professionals have learned that anyone is at risk for PTSD who experiences a traumatic event or witnesses a traumatic event. As such, the condition is not relegated to war. It has been associated, for instance, with stays in intensive care units.

 

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