Extendicare nursing home chain to pay $38M over care

http://goo.gl/YgbnoM

The federal government accused the company of substandard care, between 2007 and 2013, in 33 nursing homes in eight states: Ohio, Pennsylvania, Wisconsin, Indiana, Kentucky, Michigan, Minnesota and Washington.

Extendicare has locations through out Michigan, including three in the Lansing area - Tendercare West in Delta Townhip, Capital Area Health & Rehabilitation in Lansing and Okemos Health & Rehabilitation.


Threat to Aging in Place: When Alcohol Replaces Purpose

http://goo.gl/nWKMEd

A tweet from Joseph Coughlin caught my attention his morning: Boomers reaching older age? 2.8 M older adults in the US meet criteria for alcohol abuse and this number is expected to reach 5.7 M by 2020. My first thought was how tragic this is on so many levels; my second thought was, this is what happens when alcohol replaces purpose. Let’s unpack this…

Tragic Part

These numbers are most likely under-reported, my guess is they are much larger. Alcohol abuse is really suicide on the installment plan. The problem is ETOH doesn’t kill you acutely (unless you’re in an MVA)–it chips away a little bit at a time until there is an accumulative effect.

Here are a few of the accumulative effects:


Artist’s words immortalized on memorial for wounded vets

http://goo.gl/ERSwKp

On Sunday, Naranjo was one of more than 3,000 people, including many veterans, who attended the dedication ceremony of the American Veterans Disabled for Life Memorial, a monument of granite and glass with a five-point-star-shaped fountain (representing five branches of the military) that was erected close to the U.S. Capitol in Washington, D.C.

One wall of the monument features 18 quotes from veterans. Among them is this thought from Naranjo: “When you’re young, you’re invincible. You’re immortal. I thought I’d come back. Perhaps I wouldn’t, there was that thought, too, but I had this feeling that I would come back. Underneath that feeling, there was another, that maybe I wouldn’t be quite the same, but I felt I’d make it back.”


High Rates of Suicide, Depression Linked to Farmer Use of Pesticides

http://goo.gl/c3K4ys

“These chemicals that farmers use, look what they do to an insect. It ruins their nervous system,” Peters said. “What is it doing to the farmer?”

Farming is a stressful job – uncontrollable weather, physical demands and economic woes intertwine with a personal responsibility for land that often is passed down through generations. But experts say that some of the chemicals used to control pests may make matters worse by changing farmers’ brain chemistry.

Recent research has linked long-term use of pesticides to higher rates of depression and suicide. Evidence also suggests that pesticide poisoning – a heavy dose in a short amount of time – doubles the risk of depression.


Head Injury May Cause Mental Illness

Mild brain injuries are common, but often undetected. They complicate recovery, but do not alter the necessity of a personal recovery strategy with social support......

http://goo.gl/MhgNgK

They discovered that in addition to cognitive symptoms caused by structural damage to the brain (such as delirium), these people were subsequently more likely than the general population to develop several psychiatric illnesses. Risk increased by 65 percent for schizophrenia and 59 percent for depression. Risk was highest in the first year postinjury but remained significantly elevated throughout the next 15 years. After the team controlled for several potential confounders, such as accident proneness and a family history of psychiatric problems, they found the strongest injury-related predictor for later onset of schizophrenia, depression and bipolar disorder was a head trauma experienced between the ages of 11 and 15.

Welcome to PainExhibit.org

http://painexhibit.org/en/

Thank you for visiting the PAIN Exhibit. The PAIN Exhibit is an online educational, visual arts exhibit from artists with chronic pain with their art expressing some facet of the pain experience. The mission is to educate healthcare providers and the public about chronic pain through art, and to give voice to the many who suffer in silence.


Opioid Painkiller Prescribing

Check out the infographic. Michigan is in the top 10 for prescriptions of opioids....
http://goo.gl/4DCzyd

Health issues that cause people pain don't vary much from place to place—not enough to explain why, in 2012, health care providers in the highest-prescribing state wrote almost 3 times as many opioid painkiller prescriptions per person as those in the lowest prescribing state in the US. Or why there are twice as many painkiller prescriptions per person in the US as in Canada. Data suggest that where health care providers practice influences how they prescribe. Higher prescribing of painkillers is associated with more overdose deaths. More can be done at every level to prevent overprescribing while ensuring patients' access to safe, effective pain treatment. Changes at the state level show particular promise.


New study in Biological Psychiatry reports how transcranial magnetic stimulation treatment works to treat depression

http://goo.gl/XH9ce3

While that day is a long way off, transcranial magnetic stimulation (TMS) of the left dorsolateral prefrontal cortex does treat symptoms of depression in humans by placing a relatively small device on a person's scalp and stimulating brain circuits. However, relatively little is known about how, exactly, TMS produces these beneficial effects.

Some studies have suggested that TMS may modulate atypical interactions between two large-scale neuronal networks, the frontoparietal central executive network (CEN) and the medial prefrontal-medial parietal default mode network (DMN). These two functional networks play important roles in emotion regulation and cognition.

In order to advance our understanding of the underlying antidepressant mechanisms of TMS, Drs. Conor Liston, Marc Dubin, and their colleagues conducted a longitudinal study to test this hypothesis.

The researchers used functional magnetic resonance imaging in 17 currently depressed patients to measure connectivity in the CEN and DMN networks both before and after a 25-day course of TMS. They also compared the connectivity in the depressed patients with a group of 35 healthy volunteers.

TMS normalized depression-related hyperconnectivity between the subgenual cingulate and medial prefrontal areas of the DMN, but did not alter connectivity in the CEN.


Doctors' Group Issues Painkiller Guidelines

http://goo.gl/chL3fL

The drugs can cause serious side effects, overdose, addiction and death. Research shows that 50 percent of patients who took opioids for at least three months are still on them five years later, according to the academy.

Studies find that while opioids may provide short-term pain relief, there is no proof that they maintain pain relief or improve patients' ability to function over long periods of time without a serious risk of overdose, dependence or addiction, the statement says.

"More than 100,000 people have died from prescription opioid use since policies changed in the late 1990s to allow much more liberal long-term use," Dr. Gary Franklin, of the University of Washington in Seattle, said in an academy news release.

"There have been more deaths from prescription opioids in the most vulnerable young to middle-aged groups than from firearms and car accidents," he added. "Doctors, states, institutions and patients need to work together to stop this epidemic."