Its Easy to Get In But Harder to Get Out Post Hospital Syndrome or PHS

Bad for your health?

When the Disease Management Care Blog was told by the intern, the hospital social worker, the VP for Medical Affairs or the family that an inpatient "was ready for discharge," it had a favorite test to see if it was really true.  The DMCB would walk into its patients room and ask her to do what she had easily done before she was admitted to the hospital: swing your legs out of bed, stand up and walk across the room.

The DMCB was impressed by how often elderly patients were unable to perform that simple but telling task.

Of course, the best approach was to not let the patient become that debilitated in the first place.  Thats the point of Harlan Krumholzs article on "Post-Hospital Syndrome" that was recently published in the January 10 New England Journal.

In it, Dr. Krumholz shares an important secret: being in the hospital can result in starvation, sleep deprivation, muscular deconditioning, confusion and myriad poly-pharmacy side effects.  In fact, its probably those issues, not the original medical problem that led to the hospitalization, that account for much of the infamous 20% 30-day readmission rate for Medicare beneficiaries.

Dr. Krumholz recommends that hospitals be more attentive to assuring better nutrition, provide a less noisy environment, promote early activity and keep the use of sedative, pain and hypnotic (i.e., sleeping pill) drugs to a minimum. The DMCB seconds that motion and suggests that many of its more savvy colleagues think of this as discharge planning that begins the minute the patient is admitted to the hospital.

And when patients are ready to go home, its not a matter of continuing outpatient treatment for the initial diagnosis.  These patients need comprehensive assessment and planning.  While the author doesnt come out and say it, the DMCB will: these patients need nurse-led care planning and management that addresses the full spectrum of needs that are too often ignored by hospital personnel in the rush to collect on the DRG and minimize length of stay.

Last but not least, the DMCB recommends adoption of the term "post-hospital syndrome" and wonders if it may not deserve the "PHS" acronym.

Anyone who has ever witnessed a previously well person be unable to stand up and walk will know exactly what it means.

6 Fatty Foods But Low In Cholesterol

Often poorly labeled fatty food by some people. Besides can accumulate in the body can also lead to the risk of heart disease and stroke. However, not all types of high-fat foods containing cholesterol.A diet consultant named Munisha Bhanot, recommends six types of fatty foods to lose weight.



1. Red wine 
Red wine or type of wine contains antioxidants in red. Can help prevent the risk of cancer. The content of saponin in it, useful for lowering bad cholesterol (LDL). But consumption also must be addressed. The American Heart Association recommends, to limit the consumption of two glasses of red wine (for men) and one drink (for women) per day
. 
2. Cooking oil 
If you do not want to increase cholesterol does not mean you can not enjoy fried. Sesame oil, olive oil, canola oil or mustard oil can be a choice. Good quality oil is also found in avocados, nuts, sunflower seeds, flax seeds and refined oil.
  
3. Monounsaturated fats
 Foods containing monounsaturated fats such as olive, almond and apukat, are known to lower blood fats. Also lowers the risk of heart disease. Monounsaturated fat in avocado is widely available (71%), almonds (70%), canola oil (59%), olive oil (75%). 

4. Polyunsaturated fats 
Foods containing polyunsaturated fats are healthy. All types of food can lower blood cholesterol levels and increase good cholesterol (HDL). Widely available in pumpkin seeds, sunflower seeds, corn, mayonnaise, soybean oil, and pistachio. 

5. Oil plants 
Oils derived from plants are also well consumed daily. This oil contains good cholesterol (HDL) levels, to lower LDL. Plant oils that are sold in the market is the sesame oil and olive oil. 

6. Fat meat
Fat in meat can also help lower cholesterol. Even so, total consumption should also be restricted. Buy meat that is cut thinly and avoid fat contained in the skin such as chicken skin. Avoid processed by frying.

Way to be Able to Eat a Lot But Do Not Make Fat

Most of you who are dieting to lose weight definitely felt bored and stressed due to many restrictions in matters of eating. Want to stay slim without the headache? The way to try food combining diet.Those who undergo diet food combining complain less discomfort such dieters in general. Thats because food combining is a diet that not only pay attention to the food intake of the nutritional value but also something more substantial.Food combining body seeking to address and properly absorb the nutrients that exist in one element of food. How to combine with other elements? When is the right time to eat? That is one of the art of food combining diet. 
Thats why actors FC was able to eat until full, but without causing discomfort or lead to obesity.

. Food combining familiar with solid-match suitable or not suitable for every element of foods. Details are as follows:

1. Protein (animal) and vegetables: mismatched 
2. Protein (animal) and carbohydrates: not ideal 
3. Vegetables and carbohydrates: harmonious and normal. 
If seen from the above, that have been carried most of the people are eating protein along with carbohydrates. For example, fried chicken and rice or potatoes. And eating is not ideal. Supposedly if you want to eat fried chicken, eat the vegetables.

Why is protein and carbohydrates become ideal if put together? Carbohydrates amylase enzymes needed to be digested and absorbed by the body. While animal protein pepsin enzyme needed to digest. These two enzin not compact. Enzyme amylase will stop when pepsin is produced.
 
Not only in terms of not only compact the enzyme that makes the protein into forbidden to be consumed with carbohydrates. From the introduction of substances can also lead to nerve problems in the body. Thats because protein triggers the production of norepinephrine. This substance makes the body becomes more alert. While carbohydrates causes the body to produce serotonin, so feel comfortable and relaxed.Imagine if taken together, make our bodies chaotic system. Consumption of steak and potatoes does create a sense of comfort, but only for a moment when consuming food.

Therefore, consumption is matched protein (animal) and vegetables. Two combination achieved blood makes PH neutral. Ideally vegetables eaten in the form of fresh (raw). Various enzymes live in fresh vegetables will go and immediately utilized the body to neutralize the weight of animal protein. Surely the amount of fresh vegetables you eat as much protein should be consumed. Do not consume vegetables are often just as decoration.

Diabetes Drugs Safe to Use But

Diabetes Drugs Safe to Use, But ....

When patients with diabetes have set meals and doing enough exercise, but blood sugar is still not under control, it would require the help of drugs to increase insulin secretion or reduce insulin resistance.

There are a variety of diabetes medications, either oral or injection. At oral medication usually begins with a relatively small dose and then increased gradually if necessary.

As with other drugs that are not free from side effects, as well as for diabetes medication. These side effects can occur if the drug is given too much or individual reaction. Some recent studies even indicate a link between diabetes drug to increased risk of cancer.

"All drugs have side effects. Therefore, after the drug was released, there is the so-called post surveillance," said Dr. Ronald Hukom Sp.PD-KHOM, internal medicine physicians who are also experts in the cancer field when asked for his opinion on the use of diabetes medications that can trigger cancer.

Ronald says, post surveillance is defined as supervision of medication that has been widely circulated and approved by the competent authority, to be seen how far the side effects that may result from the drug in the long term. In Indonesia, surveillance is conducted in a rigorous and documented by the Food and Drug Supervisory Agency (BPOM).

Ronald rate, people do not have to worry related to the findings that suggest the risk of the use of diabetes medications such as metformin, insulin and sulfonylureas on the development of pancreatic cancer. Because according to him, as long as can keep the dose and handled by an expert, the drug would not be harmful.

"Drugs are good for diabetes drugs metformin and cheap. Proof is not an attractive drug regulatory authorities and refer to this dangerous drug," said the doctor who practiced daily in Dharmais Cancer Hospital Jakarta.

Even though there are side effects, but if the risk is much smaller than the benefits it does not need to worry about.

"No need to worry about being watched and used along with the correct dose,"

he added.

Ronald also recommended that any physician providing information to patients about drug side effects that may result if used in a long time. This is so that patients can also use it with reasonable limits.

"If you are still worried, consult your doctor who gave drugs. Because the side effects of drugs on each person is different," he explained.

According to Ronald, each drug has harmful side effects if in its consumer does not follow procedures. He took the example of the use of chemotherapy drugs. Chemotherapy drugs can be categorized as a dangerous drug because it can cause cancer.

"That is, after several years of chemotherapy drugs a person can get cancer. But with the proper dose and appropriate, it will not harm," he said.

Meanwhile, Dr. Rianto Setiabudy, SpFK (K), Professor of the Department of Pharmacology and Therapeutics, Faculty of Medicine, University of Indonesia said, bardasarkan existing literature, he never found any data showing that the use of diabetes drugs trigger dangerous side effects.

"We have here the POM. If something is harmful to society, POM must act," he said.

But according to Riyanto, these drugs may still be dangerous if taken alone in its use (self medicine) - without consulting your doctor.

"Its not my intention to send someone to the doctor. But diabetes drugs that includes prescription drugs. If used without supervision it can be dangerous," he said

He also called for the public to avoid the habit of treating the disease itself. "If a mild disease may not be anything. But if such as diabetes, hypertension and heart, they should see a doctor," added Riyanto.