Monday, March 10, 2025

Nurses give extra TLC to the babies in the Neonatal Intensive-Care Unit at Deaconess Hospital.

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Nurses in the NICU show the Sleep Sack Swaddle that is given to each baby born in the nursery at Deaconess Hospital.

by Vickie Jenkins

The Birth Center at Deaconess hospital features eighteen elegantly appointed single-room maternity suites that allow mothers to share the birth experience with family in a beautiful, home-like atmosphere by staying in the same room for labor, delivery, recovery and postpartum care.  Nine-bed level-II NICU provides excellent care for babies who need additional medical attention. The NICU is staffed by registered nurses and board-certified neonatologists.  One-on-one nurse to patient ratio throughout the entire labor and delivery process.
Deaconess Hospital in Oklahoma City is known for their outstanding doctors and nurses. Picture: From L-R: Tanya Bogan, RN,  Yvonne Silberman RNC-OB,  Jonna Criscuoli, RN and Supervisor Trisha Brown, RNC-OB show the Sleep Sack Swaddle that each newborn receives at Deaconess.  The Sleep Sack is a Safe Sleep Initiative that was introduced February 14, 2014.
Here are some Safe Sleep Swaddle Tips to ensure a safe sleep for your baby. Always place baby to sleep on his or her back at naptime and night time.  Use a crib that meets current safety standards with a firm mattress that fits snugly and is covered with only a tight-fitting crib sheet.  Remove all blankets, comforters and toys from your baby’s sleep area (this includes loose blankets, bumpers, pillows and positioners).  The American Academy of Pediatrics suggests using a wearable blanket instead of loose blankets to keep your baby warm.  Offer a pacifier when putting baby to sleep. If breastfeeding, introduce pacifier after one month or after breastfeeding has been established.  Breastfeed, if possible, but when finished, put your baby back to sleep in his or her separate safe sleep area alongside your bed.  Room share, but don’t bed share.  Bed sharing can put a child at risk of suffocation.  Never  put your baby to sleep on any soft surface (adult beds, sofas, chairs, water beds, quilts, sheep skins etc.)  Never dress your baby too warmly for sleep.  Never allow anyone to smoke around your baby.  Deaconess Hospital is proud of their new Hugs and Kisses Security System as of January 2015.  The Hugs system offers the reliability that you and your staff can depend on every day to keep your infants safe.  The Hugs tag attaches in seconds and is automatically enrolled in the software.  Protection can start right in the delivery room.  The Hugs system requires no manual checks of infant tags or other devices to make sure they’re working. The Hugs system software -continually monitors the status of all devices, and will generate an alarm if something goes wrong.  There is an automatic mother/infant matching.  With the Kisses® option, the Hugs system automatically confirms that the right baby is with the right mother. There are no buttons to push and no numbers to match.
Deaconess Hospital offers Certified Lactation Consultants that round on all post-partum and NICU mothers.  Here you will find Neonatologists and Neonatal Nurse Practitioners on call 24/7 for high risk deliveries.

 

Travel/Entertainment: Artist Harold Stevenson honored at Oklahoma’s Fred Jones Junior Museum of Art

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ddd001.drk-conArtist Harold Stevenson  honored at Oklahoma’s Fred Jones Junior Museum of Art

Photography and Text by Terry “Travels with Terry” Zinn  t4z@aol.com

 

Idabel, Oklahoma native artist Harold Stevenson was recently reunited with friends and a selection of his artwork dating back to 1953 at the University of Oklahoma’s Fred Jones Junior Museum of Art. “The Nature of Man: Paintings and Drawings by Harold Stevenson,” will be on exhibit through May 2015, and was generously donated to the Museum by childhood friend and art collector, Ross Dugan.
The museum has previous works of Stevenson in its collection including his monumental series, “The Great Society” of a hundred larger than life portraits of his neighbors, friends and acquaintances generated in Idabel, Oklahoma in 1966.  Besides being in many private collections, Stevenson works are in the collection of the Oklahoma City Museum of Art and the Museum of Modern Art in New York City.
As descried in the gallery brochure, “The Nature of Man, explores Harold Stevenson’s investigation of masculinity from his early career in 1960’s to more recent works from the 1990’s. The male body in Stevenson’s works represents variously an expression of eroticism or memory of a reference to art history…. he produced naturalistic yet simplified depiction of the human body, frequently using a monumental scale and unconventional or unusual perspectives.”  This style was rejected by the critics of the 1950s who were more interested in non-objective abstraction.  But Harold’s creative artistic lust would not be quelled and his prolific painting continued to great heights.
A self-taught artist, at an early age in Idabel, Oklahoma, he moved away from his home’s kitchen table and set up his own gallery/studio in a second story of a main street Idabel building.  From then on, his art took him to the University of Oklahoma, on to Paris, with homes there, in Key West, Wainscott Long Island, Long Island City and a cabin in the woods in Idabel.  This energetic octogenarian now lives in an apartment in his beloved Idabel.
It was a fitting honor to have Stevenson and his childhood friend and benefactor Ross Dugan at the intimate gallery event, where his longtime friend Mary Jane Rutherford and the Fred Jones Junior Museum of Art Interim Director Dr. Mark White, commemorate this reunion and celebrate of Stevenson’s approaching 86th birthday.
It is not often that an artist and his friends have the opportunity to celebrate the man and his art near the end of a career, as does the Fred Jones Junior Museum of Art with this exhibition.  The museum is open to the public free of charge and as always presents and celebrates an eclectic exhibition of fine art.  Harold Stevenson is as original as his art, and the Nature of Man exhibition could be called the Nature of Harold, as it depicts his personality as well as artistic expression.

Authors Note:  I first met Harold at an impromptu Luncheon in Oklahoma City in 1995, hosted by Dr.  Duane Moore.   From this first meeting I knew I was in the presence of a celebrity with an extraordinary talent of telling tales of his worldly experiences with such notables as Andy Warhol and Peggy Guggenheim, among others.  His love of a luncheon ~ or anytime ~ martini reintroduced me to that cocktail of elegance and joy, resulting in my own photographic interpretation of the Martini through my worldwide travels.  www.martinitravels.com    Since 1995 I have visited Harold in New York, Dallas and of course Idabel, documenting his life and creativity in photographs and recorded interviews.
For Fred Jones Junior Museum of Art, times and more information visit, http://www.ou.edu/fjjma.html

Nurse helps train Oklahoma docs

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Pam Spanbauer, RN, serves on the Physician Manpower & Training Commission.

by Mike Lee Staff Writer

Pam Spanbauer, RN, BSN, MEd, may be retired from her nursing practice but her impact on healthcare in Oklahoma will be felt for generations to come.
As the governor’s appointee to the Physician Manpower & Training Commission, Spanbauer is the only nurse on the board that helps ensure healthcare for thousands of rural Oklahomans.
Now the board chair, Spanbauer helps make sure that small communities in Oklahoma get the competent and professional physicians they so desperately need.
Spanbauer also currently serves as the vice president of the Oklahoma Nurses Association.
The commission is a task-force established in the 1970s.
“They have funding to help fund physicians in training to go out into the rural areas in Oklahoma,” Spanbauer said. “In Oklahoma we have so much rural area. In these farming communities the last thing they can do is take a day and drive to the city to get healthcare and drive back.
“It’s really important especially with the fact we don’t have many hospitals in the rural area.”
Spanbauer was raised in a small town in North Carolina. She had a single doctor growing up who took care of her entire family.
“If we had to have gone to the city we probably wouldn’t have gotten healthcare,” said Spanbauer, whose family lived 50 miles from the nearest hospital. “I’ve always had that small-town respect.”
She says the reality is that most doctors are going into specialty practices. Those who head to family medicine will stick closer to more populated areas.
The commission will cover a significant portion of a doctor’s tuition for a commitment to be the physician in a rural area.
“Many of the physicians actually wind up staying in that area after their commitment is done,” Spanbauer said. “If it weren’t for that a lot of doctors wouldn’t even know there are these opportunities and how great healthcare can be in a small community.”
Spanbauer and the commission review each applicant and decide the best place to match each doctor. Communities routinely send in requests for physicians to cover their population.
The mission of the Physician Manpower Training Commission is to enhance medical care in rural and underserved areas of the state by administering residency, internship and scholarship incentive programs that encourage medical and nursing personnel to practice in rural and underserved areas. Further, PMTC is to upgrade the availability of health care services by increasing the number of practicing physicians, nurses and physician assistants in rural and underserved areas of Oklahoma.
Subsequently the Oklahoma Legislature has added the responsibility of a Physician Placement Program, Nursing Student Assistance Program, the FP Resident Rural Program, the Physician Community Match Program and the Physician Assistant Scholarship Program. Spanbauer says the commission is guided in all the programs by a sense of stewardship which requires that maximum effort, both individual and organizational, be utilized to increase the number of practicing physicians, nurses and physician assistants in Oklahoma and, particularly, in rural and underserved areas of the state.
“I’ve always had a strong desire to give back in some way which is why I love being retired,” Spanbauer said. “I loved what I did when I was working but now it’s like I can give back. When I was working I didn’t have as much time.”
During her career, Spanbauer served as an EMT and drove an ambulance for Children’s Hospital. She also helped start the MediFlight program and later spent nearly her entire nursing career at Mercy.
“I had an opportunity at that time to see how spread out everything in Oklahoma is,” she said. “We would drive to pick up a baby and see how some of those hospitals barely had enough to get by. They didn’t have all the equipment we had in the city to take care of these premature babies.
“I’ve always been very passionate about wanting everybody to be able to have access to care. It’s a fact that people don’t.”
Spanbauer says the commission is charged with five high-priority goals:
1. Work to improve the balance of physician manpower distribution in the State of Oklahoma, both by type of practice and by geographic location;
2. Aid accredited physician training facilities in the establishment of additional primary medical care and family practice internship and residency training programs by sharing in the cost of these programs;
3. Assist Oklahoma communities in selecting and financing qualified medical and osteopathic interns/residents to participate in the Physician Community Match Program;
4. Assist Oklahoma communities, in any manner possible, in contacting medical and osteopathic students, interns and residents, or other physicians (inside and outside Oklahoma) who might wish to practice in Oklahoma;
5. Work with Oklahoma communities and the leadership of Oklahoma’s nurse training institutions to provide nurses for underserved areas of the state.
“It gets back to what medicine is all about and that’s the relationship the doctor has with the patient and the community,” Spanbauer said.
And that’s how Spanbauer makes a difference for future generations to come.

INTEGRIS Southwest Medical Center Names Dialysis Unit After Longtime Physician

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Anthony W. Czerwinski, M.D.

The dialysis unit at INTEGRIS Southwest Medical Center is named in honor of a longtime member of the hospital’s medical staff. The unit was dedicated in memory of Anthony W. Czerwinski, M.D., on Feb. 10. That date was specifically chosen because it would have been his 81st birthday.
The Anthony W. Czerwinski, M.D., Dialysis Unit, as it is now called, is a fitting tribute to a man who committed his life to medicine.
Czerwinski was born Feb. 10, 1934. He began practicing internal medicine and nephrology at INTEGRIS Southwest Medical Center in August 1982. He would remain with the hospital for 32 years. He was still practicing medicine at the time of his passing last November.
Czerwinski, who was lovingly known as “Dr. C,” served as the hospital’s chief of staff for seven years. He held many leadership roles throughout his tenure, serving on the board of directors from 1995 to 2005, as chairman of the medicine department from 2002 to 2007, and on the medical executive committee from 1987 to1993 and then again from 2002 to 2007.
Czerwinski touched many lives and his presence is greatly missed, but his memory will live on forever in the hearts of everyone who knew and loved him.

Women’s New Retirement Realities

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By Donna M. Phelan

Although it is improving, there is an economic cost to being a woman that reverberates into retirement. It results from multiple long-term socio-economic conditions.
The first is that women have consistently earned less than men, and real wages have stagnated.  Currently women earn about one-fourth less than men.  The disparities are even greater for black women, who earn about 30 percent less and Hispanic women, who earn about 40 percent less (census.gov). The Center for American Progress calculates that over a forty-year career life, that difference may add up to $300,000 for lower earners, $431,000 for average earners and $723,000 for higher earners.
Women are also less likely than men to start their careers in, or get promoted to management positions.  A March 2010 Catalyst article in the Harvard Business Review reports that “women continue to lag men at every single career stage, right from their first professional jobs.”  Women comprise only 5 percent of CEOs of the Fortune 500 companies.  A 2014 Grant Thornton International Business Report survey, featured in the March 6, 2014 issue of Forbes, found that the number of women in senior management has “stagnated” at 24 percent since 2007. This means that most women miss out on the majority of lucrative executive benefits that may help secure their retirement.
An August 14, 2013 article in the Wall Street Journal, quoted an Aon Hewitt study, which said that the 401(k) gender gap is even bigger than the gender pay gap. The study showed that the average man’s 401(k) savings was $100,000 dollars.  The average woman’s 401(k) retirement saving’s was $59,300 dollars– a full 40 percent less.
Women are more likely to leave the workforce for childcare and eldercare.  This redirects their resources of time, money and energy away from retirement saving.  It also hinders career progress.  Studies by Claudia Goldin of Harvard show that when women reenter the workforce, they permanently lag behind in pay and promotions.
Women who leave the workforce for caregiving also incur consequences for Social Security. Women receive about one-fourth less than men in Social Security benefits, $13,236 versus $17,004. Nearly 30 percent of women over age 65 rely on Social Security for virtually all of their income, a rate that increases with age. The percent of women older than 65 living below the poverty level of $11,670 was 11 percent versus 6.6 percent for men, and 18.9 percent versus 11.9 percent for those living alone.  Women who turn on Social Security early for financial reasons permanently lock in a lower lifetime benefit in what may be their only pension.
Women also tend to work in industries that don’t offer retirement plans, so they miss the opportunity for wealth building through an employer match. With women’s average income hovering around $38,345, it is difficult to see how women would have any discretionary income left over for retirement saving.
Marital status is also a factor. Married women fare best, divorced and widowed women next best. Never-married single women incur the most cautious outlook for retirement.
The longevity gap between men and women is narrowing, but women still outlive men, and end up living out their later years alone.  Greater longevity is accompanied by larger risk of diminished purchasing power due to inflation.
The many socioeconomic issues facing women and retirement raise concern. What if the old method of trying to save enough for retirement doesn’t work for women?
New strategies are needed if women are going to thrive in retirement. Women should consider working longer in their careers, and part-time in retirement.  Women should also consider non-traditional residence sharing – renting out empty bedrooms, getting a roommate, and downsizing.  With the savings from reduced housing expenses, women could make financial investments in income-producing vehicles. Women could also turn their hobbies – for which they already have the skills, tools and materials – into profitable home-based businesses.
Women need to understand the role they play in their own retirement and take responsibility. They need to become financially literate and realize they will need income for life.  Women need to create stackable income streams to empower their retirement security and meet their monthly spending needs.
Women should also start talking to other women about retirement planning.  What are their friends doing to prepare for retirement? What if they got together once a month over coffee to start a conversation about women and retirement? They might discover that they have ideas, talents and resources to share with other women, which might enhance the retirement planning experience and success of a larger scope of women.
Donna M. Phelan has spent more than 18 years at some of Wall Street’s largest and most prestigious investment firms. She holds an MBA in finance from the University of Connecticut, and provides personal financial advice to clients coast to coast. The author of “Women, Money and Prosperity: A Sister’s Perspective on How to Retire Well,” (www.donnamphelan.com), she has lectured at conferences nationwide on a broad range of financial topics and has published numerous articles on investments, retirement and financial planning. Phelan was formerly president of the American Association of Individual Investors (AAII) Connecticut state chapter and was active in the Financial Women’s Association (FWA) in New York.

Mercy Ranks 122 on Forbes List of Top American Employers

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Mercy Ranks 122 on Forbes List of Top American Employers

Mercy ranks 122 on Forbes’ inaugural “America’s Best Employers” list.
The list of 500 employers spans 25 industries in the U.S. Forbes partnered with Statista.com in asking more than 20,000 American workers one question: on a scale of 1 to 10, how likely would you be to recommend your employer to someone else?
Mercy, one of only 25 in the health care category, is in good company; Mayo Clinic ranks 74th overall, followed closely by Kaiser Permanente at 81. Google leads the list, with Facebook coming in at 15 and Apple at 55.
“It’s truly an amazing time to be with Mercy,” said Lynn Britton, president and CEO of Mercy, the fifth largest Catholic health care system in the U.S. “Earlier this spring, we fulfilled a promise to thousands of co-workers in Joplin with a newly rebuilt hospital. Later this year, Mercy will open the world’s first virtual care center, powered by hundreds of the nation’s best telehealth professionals.”

Greg Schwem: Presidential candidates, will you accept this rose?

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Presidential candidates, will you accept this rose?

President Obama may no longer be a candidate for public office, but you’d never know it judging by the recent White House schedule.
Yes, it’s tradition to trade zingers with other politicians, as Obama did at the recent Gridiron Club banquet in Washington. But, prior to that, perhaps in an effort to refine his comedic timing, the Commander in Chief popped up on “Jimmy Kimmel Live!” to participate in “Mean Tweets,” the talk show host’s popular segment where celebrities stare at their (hopefully secure) cell phones and read insulting, condescending comments composed by Twitter users. The funniest? “A 30-rack of Coors Light is now $23 at Sun Stop. Thanks Obama.”
As the lines of politics and entertainment become even more blurred, one can only wonder what the 2016 crops of presidential hopefuls will resort to as they campaign for the nation’s highest office. Seeing how easy it was for Kimmel to insert Obama into a wacky segment, it seems only a matter of time before other popular shows enter the fray. Oh heck, let’s just abandon our nation’s tried-and-true electoral process right now and choose a president using components from television’s highest rated reality shows.
We’ll begin in Iowa, a state still trying to explain what a “caucus” is and why its winners usually flame out faster than Paris Hilton’s movie career. Just ask Tom Harkin (winner 1992) and Richard Gephardt (1988). In 2016, the caucus will be renamed the Iowa Rose Ceremony; the top five vote getters from each party accept flowers in a Cedar Rapids barn while losing candidates weep, roll their eyes and make condescending comments about the winners, the state of Iowa and the entire political process before driving away on tractors, signaling their withdrawals from the race.
Remaining candidates are immediately whisked to a remote island and divided into two tribes … BUT WITH A TWIST! Each tribe contains members of both parties in an effort to see how they will work together. Tempers flare when Hillary Clinton and Rand Paul can’t agree on how to build a fire. Dr. Ben Carson withdraws from the competition, fearing that spending 40 days on an island could make him gay.
Once a single member from each party is crowned champion, the two select running mates. Potential vice presidents stand on a dimly lit stage and are given 90 seconds to state why they should be chosen. The presidential candidates sit in high-backed chairs listening to, but not seeing, the speeches. If they hear an intriguing idea, or even a well formed sentence or two, they push a large red button. Their chair swivels around and they come face to face with possible holders of the nation’s second highest office.
Network news anchors are given election night off. There are no exit polls, vote tallies nor predictions that it will all come down to Florida. Instead, both candidates sit on opposite sides of Maury Povich. At precisely midnight, Povich turns to the losing candidate and boldly exclaims, “You are NOT the president!”
The newly elected free world leader immediately flies to Los Angeles to compete on “Dancing with the Stars.” Meanwhile, all other candidates assemble in front of a live studio audience for C-SPAN’s highest rated show:
“After the Election: Losers Tell All.”
(c) 2015 GREG SCHWEM. DISTRIBUTED BY TRIBUNE CONTENT AGENCY, LLC

 

Savvy Senior: Social Security Offers Lump Sum Payouts to Retirees

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Dear Savvy Senior, I’ve heard that Social Security offers a lump-sum payment to retirees who need some extra cash. I have not yet started drawing my benefits and would like to investigate this option. What can you tell me? Almost Retired

 

Dear Almost,
There are actually two different kinds of Social Security claiming strategies that can provide retirees a big lump-sum benefit, but you need to be past full retirement age to be eligible, and there are financial drawbacks you need to be aware of too.
First, let’s review the basics. Remember that while workers can begin drawing their Social Security retirement benefits anytime between ages 62 and 70, full retirement age is currently 66 for those born between 1943 and 1954, but it rises in two-month increments to 67 for those born in 1960 and later. You can find your full retirement age at ssa.gov/pubs/ageincrease.htm.
At full retirement age, you are entitled to 100 percent of your benefits. If you claim earlier you’ll receive less, while if you delay you’ll get more – roughly 8 percent more for each year until age 70.
Lump Sum Options
If you are past full retirement age, and have not yet filed for your benefits, the Social Security Administration offers a retroactive lump-sum payment that’s worth six months of benefits.
Here’s how it works. Let’s say you were planning to delay taking your Social Security benefits past age 66, but you changed your mind at 66 and six months. You could then claim a lump-sum payment equal to those six months of benefits. So, for instance, if your full retirement age benefit were $2,000, you would be entitled to a $12,000 lump sum payment.
If you decided at age 66 and four months that you wanted to file retroactively, you’d get only four months’ worth of benefits in your lump sum, because SSA rules prohibit you from claiming benefits that pre-date your full retirement age.
Another option that provides even more cash is the “file and suspend” strategy. Again, this option is only available to people on (or after) full retirement age.
Here’s how this strategy works. Let’s say you’re 66, and you decide to delay your benefits. You could file for your benefit and then immediately suspend it. This gives you the ability to collect a lump sum going back to the date you filed. So if you need money at age 69 for example, and your full retirement age benefit was $2,000, you could get a three-year lump sum of $72,000.
Drawbacks
The big downside to these strategies is that once you accept a lump-sum payment, you’ll lose all the delayed retirement credits you’ve accrued, and your future monthly retirement benefit will be reduced to reflect the amount you already received.
Here’s an example of how this works. Let’s say that you are entitled to a $2,480 monthly benefit at age 69. By taking a three-year lump sum payment, your future benefits will shrink back to $2,000 per month, which is what you would have received at your full retirement age. This also affects your future survivor benefit to your spouse or other eligible family members after you die.
You also need to consider Uncle Sam. Depending on your income, Social Security benefits may be taxable, and a lump-sum payment could boost the amount of benefits that are taxed. To help you calculate this, see IRS Publication 915 “Social Security and Equivalent Railroad Retirement Benefits” at irs.gov/pub/irs-pdf/p915.pdf, or call 800-829-3676 and ask them to mail you a copy.
One other caveat: If you’re married and you “file and suspend” your Social Security benefit, you cannot file a “restricted application” too, which gives you the ability to collect spousal benefits while delaying your own retirement benefit past full retirement age.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

INTEGRIS Marks 20th Anniversary of OKC Bombing

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The INTEGRIS James L. Hall, Jr. Center for Mind, Body and Spirit and the Oklahoma City National Memorial & Museum are hosting a private reception and presentation in remembrance of the 20th Anniversary of the Oklahoma City bombing.
With the recent expansion of the Memorial, guests will enjoy private tours, wine, hors d’oeuvres and music followed by a presentation from the Center’s Murali Krishna, M.D.  Krishna, president and chief operating officer of INTEGRIS Mental Health and president and co-founder of the James L. Hall, Jr. Center for Mind, Body and Spirit, was on the front lines that day and days that followed. “I have seen it with my own eyes,” recalls Krishna. “Oklahomans are the kindest people on earth. I have seen acts of kindness, acts of compassion – nowhere could top it. I have seen Oklahoma City rise to vibrancy following the acts of terror on April 19, 1995.”
In honor and service of the Oklahoma Standard, Krishna will share his insights and recognize our city for the resilience and growth it has demonstrated during the last 20 years.
The event will take place Thursday, April 23 from 5:30 to 7:30 p.m. at the Oklahoma City National Memorial & Museum, 620 N. Harvey in Oklahoma City.
Ticket cost is $50.00 per person, $500.00 per sponsorship. Victims, family members, survivors and rescue workers are invited to Krishna’s presentation free of charge. Reservations are required. For more information, please contact the INTEGRIS James L. Hall Jr. Center for Mind, Body and Spirit at 405-713-9950.

Adults who Struggle to Follow Heart Medication Regimens Should Focus on Behavior Change

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Unlike some conditions, heart failure must be managed by patients taking prescriptions for the rest of their lives. Individuals who do not take their heart medication as prescribed have increased risks of mortality and hospitalization and higher health care costs. Numerous interventions have been designed to increase patients’ adherence to medications; yet, no research has determined what intervention techniques are most effective. Now, a University of Missouri researcher found that interventions to encourage patients to take their medications as prescribed were most effective when focused on changing the behavior of patients rather than the behavior of health care providers.
“Previous research has shown that 50 percent of patients who take medications long term do not take them as prescribed,” said Todd Ruppar, assistant professor in the MU Sinclair School of Nursing. “This study helps identify aspects of different interventions that contribute to better patient outcomes so that more effective interventions can be developed.”
Ruppar and his colleagues compared characteristics of 29 medication adherence interventions for individuals who were not taking their heart medication as prescribed. The researchers found that interventions directed at health care providers or education-based interventions that focused on teaching individuals about their medications were less effective than interventions that focused on changing the behavior of patients.
“These findings reinforce the need for health care professionals to maintain a patient-centered focus when developing strategies to improve heart failure medication adherence,” Ruppar said. “Medication adherence has to be a team effort. Many different reasons exist to explain why individuals are not taking their medications as prescribed; health providers must consider all of these reasons.”
Health providers also must improve their skills for addressing non-adherence to medications with their patients, Ruppar said.
“Heart disease is a consistent top-killer in the U.S. and medication is essential to managing individuals’ conditions and controlling their risks for problems such as heart attacks, strokes and kidney disease,” Ruppar said. “Medication adherence is essential to reducing the risks associated with this disease.”
Ruppar says individuals who skip medication doses, take more or less than what is prescribed, or stop taking their medications too soon experience the side effects and costs of their medications without receiving the health benefits.
Ruppar suggests individuals who struggle to take their medications consistently should try associating taking their medication with an already established routine such as brushing their teeth. Ruppar says seven-day pill organizers can also help patients ensure that they have taken their medications for the day.
The study, “Medication adherence interventions for heart failure patients: A meta-analysis,” was published in the European Journal of Cardiovascular Nursing.

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