Category: Brandpoint Health

2023-11-30T17:01:00

(BPT) – In the company of loved ones, the holidays transform into a meaningful celebration marked by decadent foods, delightful presents and joyous gatherings. As a pet parent, you want to share in this joy with your feline family members. This means enjoying the holiday season with your pets but also keeping them safe and comfortable so all can be merry.

Extra house guests, new foods and even innocent-looking ribbons decorating presents can be tempting to cats. The best way to keep your feline happy and healthy this holiday season is to take a proactive approach and follow these tips.

1. Understand litterbox habits

Your cat’s litterbox habits provide important insight into their overall wellness, including if they got into some holiday fun they shouldn’t have. However, inspecting a litterbox is not a cheery chore. Fortunately, this is the golden age of pet tech, and keeping an eye on your cat’s litterbox habits is now as simple as opening an app.

Solutions like the Petivity™ Smart Litterbox System help pet parents better understand their cat’s health by monitoring litterbox habits. Developed by a team of Purina behaviorists, veterinarians and data scientists, the system’s artificial intelligence is able to learn each cat’s unique litterbox patterns and identify subtle changes that can have big implications. Even small fluctuations in weight, frequency in litterbox visits and the types of elimination can be early signs of health concerns.

Like with all good, smart tech, setup is simple. Monitors are placed under a litterbox to track each cat’s data and habits. Then, if anything requires the owner’s attention, an alert is sent automatically to their phone. It’s a slick process, good to have all year round, and provides excellent insights during the hectic winter holidays.

2. Be mindful while being merry

The holidays are a prime time to pique a cat’s curiosity. From decadent scents and festive foods to sparkling ribbons and jingling bells — there’s a lot to attract their attention. While sharing the holidays with your feline is fun, it’s important to be cautious.

Some potential toxic temptations, like chocolate, are already well known. But some sneakier ones also pop up this time of year. For example, lilies, amaryllis and poinsettias are popular cut flowers in festive decor, but they are toxic to cats who can be tempted to chew on them.

When possible, keep food and plants up high or away where cats can’t reach them. If a cat does eat something and you don’t see it, the litterbox monitoring system can help detect any changes and alert them to you. Then you can determine next steps to keep your feline feeling well and have important information to share if a call to the veterinarian is in order.

Another healthy step pet parents can take during the holidays is to monitor stress. If you’re hosting a holiday event, consider a quiet room where cats can always retreat away from guests. This gives them a safe space to use as needed so they can rest, relax and recharge.

Keep in mind, stress alone from holiday gatherings can potentially cause digestive issues for cats. If the duration and frequency of litterbox visits change, it’s a solid sign that kitty could use some calm. In addition to quiet spaces, some love from their favorite human — you — is often welcome during the hectic holiday season.

3. Gift proactive cat health

Remember, the best holiday gift you can give your cat or the cat lover in your life is the chance to be proactive about their health. Leverage smart tech, like the Petivity™ Smart Litterbox System, to monitor your cat’s litterbox habits. Also, make sure to schedule your annual checkup for the new year to keep your veterinarian in the loop about your pet’s health.

2023-11-30T14:39:00

(BPT) – Sponsored by Alkermes, Inc.

By Pam, mother of a 31-year-old son living with schizophrenia

This sponsored story you are about to read may not be representative of all people living with schizophrenia. The opinions expressed here are those of Pam, a mother of a person living with schizophrenia, and are not a substitute for medical advice or judgement. Individual results may vary. Always talk to your doctor.

November is Caregiver Awareness Month and I’ve been reflecting on my role as a caregiver to my adult son. Of course, most mothers are caregivers; even when our children reach adulthood, we still care, we still want the best for them, and we still offer guidance when we can. In that way, my role is no different than that of millions of mothers around the world.

However, my caregiver role evolved when my son, now 31, was diagnosed with schizophrenia in 2013. I think most parents expect challenges—rebellious teenage years, disagreements about schoolwork, curfews, and dating. But few expect a diagnosis of schizophrenia, a chronic brain disorder that affects about 1.1% of the US population with symptoms that may include, but are not limited to, delusions, hallucinations, disorganized speech, trouble with thinking, and lack of motivation.^1,2

Like everything else about parenthood, helping a child with schizophrenia came with a learning curve, and we’ve had easier days and hard days. So, I wanted to share some of the lessons, tools, and realizations that have helped our family along the way.

5 Lessons I’ve Learned in My Role as a Caregiver

1) It’s not personal. My son has a diagnosis, which is different than saying he is his diagnosis. I had to learn that the things he says and does are a result of his mental health condition, not who he is. Sometimes, he’s just having a bad day or a bad moment. Realizing that his behaviors are not aimed at me and that I don’t need to take them personally helps me choose compassion over frustration.

2) Take care of your own needs. I seek support regularly. I make time for things I enjoy, such as a massage, a manicure, or shopping for a cute pair of shoes. I go for a walk every day. I also find it important to set boundaries—with my job, my family, and myself. You give more or less of yourself to the parts of your life that need you and serve you, day by day.

3) Seek out information. Do research to help support loved ones through the journey. Meet other caregivers. It seems like when families face diagnoses in other disease states, we know what to do next. However, sometimes with a mental health diagnosis, we may not know how to proceed or where to turn for help. I believe as caregivers we may consider approaching mental and physical illnesses similarly, by asking questions, learning as much as possible, and taking action in partnership with healthcare providers.

4) Caregiving is a team sport. My son, his doctors, nurses, and I are in this together. I go to learning sessions from the National Alliance of Mental Illness. I write down everything at doctor visits. I can look back at notes from when he was first diagnosed and see some of the details I noted through our journey. I talk to his nurses about what symptoms I’m observing and what our treatment goals are, because they may see him during visits, but I’m with him all the time.

5) Find what works for you and your family. My son and I have learned together what works for us. From me helping with his meal prep, to him taking responsibility for chores around the house, to working through the good and bad days together. Every family is going to be different. It’s all a continual learning process.

And we’ve worked closely with his healthcare providers to find a treatment that’s working to help reduce his symptoms. For him, it is ARISTADA^® (aripiprazole lauroxil), a prescription medicine given by injection into the muscle (intramuscular) by a healthcare professional and used to treat schizophrenia in adults.³ It is not known if ARISTADA is safe and effective in children under 18 years of age.³ This medication is available in five dosing regimens, including monthly (441 mg, 662 mg, 882 mg), every 6 weeks (882 mg), and every 2 months (1064 mg).³

Here is some important safety information about ARISTADA: ARISTADA may cause serious side effects, including an increased risk of death in elderly people with dementia-related psychosis.³ ARISTADA increases the risk of death in elderly people who have lost touch with reality (psychosis) due to confusion and memory loss (dementia).³ ARISTADA is not for the treatment of people with dementia-related psychosis.³ The most common side effects of ARISTADA include restlessness or feeling like you need to move (akathisia). These are not all of the side effects associated with ARISTADA.³ For additional Important Safety Information, please continue reading below.

Overall, I’ve learned to approach each moment with compassion and support. Schizophrenia is not something my son or I can control. As caregivers, we can help, but we can’t “fix” it. Through all the hills and valleys, I’ve learned not to give my energy to everything; I devote my energy to myself, my family, and my son.

This is intended as informational only and not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical and/or mental health condition.

Please read the Important Safety Information for ARISTADA INITIO^® (aripiprazole lauroxil) and ARISTADA below.

INDICATION and IMPORTANT SAFETY INFORMATION for ARISTADA INITIO^® (aripiprazole lauroxil) and ARISTADA^® (aripiprazole lauroxil) extended-release injectable suspension, for intramuscular use

INDICATION

ARISTADA INITIO is a prescription medicine given as a one-time injection and is used in combination with oral aripiprazole to start ARISTADA treatment, or re-start ARISTADA treatment after a missed dose, when ARISTADA is used for the treatment of schizophrenia in adults.

ARISTADA is a prescription medicine given by injection by a healthcare professional and used to treat schizophrenia in adults.

It is not known if ARISTADA INITIO and/or ARISTADA are safe and effective in children under 18 years of age.

IMPORTANT SAFETY INFORMATION

Elderly people with dementia-related psychosis are at increased risk of death when treated with antipsychotic medicines including ARISTADA INITIO and ARISTADA. ARISTADA INITIO and ARISTADA are not for the treatment of people who have lost touch with reality (psychosis) due to confusion and memory loss (dementia).

Contraindication: Do not receive ARISTADA INITIO or ARISTADA if you are allergic to aripiprazole or any of the ingredients in ARISTADA. Allergic reactions to aripiprazole have ranged from rash, hives and itching to anaphylaxis, which may include difficulty breathing, tightness in the chest, and swelling of the mouth, face, lips, or tongue.

ARISTADA INITIO and/or ARISTADA may cause serious side effects including:

• Cerebrovascular problems (including stroke) in elderly people with dementia-related psychosis that can lead to death.
• Neuroleptic malignant syndrome (NMS), a serious condition that can lead to death. Call your healthcare provider or go to the nearest hospital emergency room right away if you have some or all of the following signs and symptoms of NMS:
• high fever
• stiff muscles
• confusion
• sweating
• changes in pulse, heart rate, and blood pressure

• Uncontrolled body movements (tardive dyskinesia). ARISTADA INITIO and ARISTADA may cause movements that you cannot control in your face, tongue, or other body parts. Tardive dyskinesia may not go away, even if you stop receiving ARISTADA. Tardive dyskinesia may also start after you stop receiving ARISTADA.
• Problems with your metabolism such as:
• High blood sugar (hyperglycemia). Increases in blood sugar can happen in some people who receive ARISTADA INITIO and/or ARISTADA. Extremely high blood sugar can lead to coma or death. If you have diabetes or risk factors for diabetes (such as being overweight or a family history of diabetes), your healthcare provider should check your blood sugar before you receive ARISTADA INITIO and/or ARISTADA and during your treatment with ARISTADA.
• Call your healthcare provider if you have any of these symptoms of high blood sugar:
• feel very thirsty
• need to urinate more than usual
• feel very hungry
• feel weak or tired
• feel sick to your stomach
• feel confused, or your breath smells fruity
• Increased fat levels (cholesterol and triglycerides) in your blood
• Weight gain. You and your healthcare provider should check your weight regularly.
• Unusual and uncontrollable (compulsive) urges. Some people taking aripiprazole have had strong unusual urges such as gambling that cannot be controlled (compulsive gambling). Other compulsive urges include sexual urges, shopping, and eating or binge eating. If you or your family members notice that you are having unusual strong urges, talk to your healthcare provider.
• Decreased blood pressure (orthostatic hypotension). You may feel lightheaded or faint when you rise too quickly from a sitting or lying position.
• Falls. ARISTADA INITIO and ARISTADA may make you sleepy or dizzy when standing which may make you at risk for falls and related injuries
• Low white blood cell count
• Seizures (convulsions)
• Problems controlling your body temperature. Avoid becoming too hot or dehydrated. Do not exercise too much. In hot weather, stay inside in a cool place if possible. Stay out of the sun. Do not wear too much clothing or heavy clothing. Drink plenty of water.
• Difficulty swallowing

The most common side effects of ARISTADA INITIO and ARISTADA include restlessness or feeling like you need to move (akathisia). These are not all the possible side effects of ARISTADA INITIO and ARISTADA. You should tell your HCP about any side-effects you have.

Do not drive, operate hazardous machinery, or do other dangerous activities until you know how ARISTADA INITIO and ARISTADA affect you. ARISTADA INITIO and ARISTADA may affect your judgment, thinking or motor skills.

Before receiving ARISTADA INITIO and ARISTADA tell your healthcare provider about all of your medical conditions, including if you:

• have not taken Abilify^®, Abilify Maintena^®, or any aripiprazole product before
• have or had heart problems or a stroke
• have diabetes or high blood sugar or a family history of diabetes or high blood sugar. Your healthcare provider should check your blood sugar before you receive ARISTADA INITIO and/or ARISTADA or during your treatment with ARISTADA
• have or had low or high blood pressure
• have or had seizures (convulsions)
• have or had a low white blood cell count
• have problems that may affect you receiving an injection in your buttocks or your arm
• are pregnant or plan to become pregnant. It is not known if ARISTADA INITIO and/or ARISTADA will harm your unborn baby. If you become pregnant while taking ARISTADA INITIO and/or ARISTADA, talk to your healthcare provider about registering with the National Pregnancy Registry for Atypical Antipsychotics. You can register by calling 1-866-961-2388, or visit http://womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/
• are breastfeeding or plan to breastfeed. ARISTADA INITIO and/or ARISTADA can pass into your breast milk. It is not known if it may harm your baby. Talk to your healthcare provider about the best way to feed your baby if you receive ARISTADA INITIO and/or ARISTADA.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. ARISTADA INITIO and ARISTADA and other medicines may affect each other causing possible serious side effects. Do not start or stop any medicines after you receive ARISTADA INITIO and ARISTADA without talking to your healthcare provider first.

If you have any questions about your health or medicines, talk to your healthcare provider. You are encouraged to report all side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see full Prescribing Information for ARISTADA INITIO and ARISTADA, including Boxed Warning, and Medication Guides for ARISTADA INITIO and ARISTADA.

References:

¹ Cloutier M, Aigbogun MS, Guerin A, et al. The economic burden of schizophrenia in the United States in 2013. J Clin Psychiatry. 2016;77(6):764-771.

² What is schizophrenia? American Psychiatric Association. Accessed October 1, 2023. https://www.psychiatry.org/patients-families/schizophrenia/what-is-schizophrenia

³ ARISTADA. Prescribing Information. Alkermes, Inc.; 2021.

ALKERMES^® is a registered trademark of Alkermes, Inc. and ARISTADA^® and ARISTADA INITIO^® are registered trademarks of Alkermes Pharma Ireland Limited, used by Alkermes, Inc., under license.

Abilify^® and Abilify Maintena^® are registered trademarks of Otsuka Pharmaceutical Co. Ltd.

©2023. Alkermes, Inc. All rights reserved. ARI-005129

2023-11-29T13:01:00

(BPT) – Novavax, a global company advancing vaccines with its Matrix-M™ adjuvant, joined forces with HealthyWomen and actor, mother and business owner Nicole Ari Parker to launch Choose to Protect™, a campaign to educate the public about the importance of COVID vaccination and the different types of COVID vaccines.

Novavax, in partnership with HealthyWomen, commissioned a survey, conducted by The Harris Poll, among 1,005 vaccinated U.S. adults aged 45+ who play a key role in household healthcare decisions to better understand perceptions about and attitudes toward COVID vaccines. While COVID vaccine fatigue has been widely reported¹, surveyed adults aged 45+ still recognized the value of vaccines.² In addition, 85% of respondents said it’s important to have a range of options for themselves and their family for COVID vaccines.²

For more information, visit www.ChoosetoProtect.com.

2023-11-29T02:01:00

(BPT) – No one wants to lose their job. Not only does it impact your income, but losing your job often means losing access to your health insurance.

Maintaining medical, dental and vision insurance is critical for your health and well-being. If your employer-provided health insurance also includes coverage for your family, it’s doubly important to find out how to continue to access your health insurance coverage. Check out these five tips to help you along your health insurance journey post-job loss.

1. Talk with an expert

Insurance terminology and options are complex and can be confusing. That’s why it’s important to find an insurance expert or adviser who can guide you through the process. They’ll be able to look at your specific situation and provide guidance on the most cost-effective solution for your medical, dental and vision insurance needs.

2. Sign up for COBRA extended insurance coverage

You may be able to sign up for COBRA (Consolidated Omnibus Budget Reconciliation Act) extended insurance coverage after you lose your job so you can maintain your current health insurance plan. It will allow you to keep the same coverage provided by your former employer for up to 18 months.

A drawback to COBRA is that the premiums tend to be higher than what you paid during your employment. However, it is a great option and a safety net during your transition. The window for enrollment is typically 60 days, so don’t put off signing up for COBRA so you can continue to access your essential coverage.

3. Hit the marketplace

If you can’t afford COBRA or your former employer didn’t offer health insurance, it’s time to hit the Health Insurance Marketplace. As you shop, you’ll find many comprehensive health insurance plans that typically also include dental and vision options. Depending on your situation, you may be eligible for a subsidized plan with reduced premium costs. Take your time, compare plans and talk with an expert to find a plan that fits your needs and finances.

4. Apply for Medicaid or Medicare

Your job loss may significantly reduce your income. If that’s the case, Medicaid may be a free or low-cost health insurance option for you and your family. Eligibility varies from state to state, so make sure to look at your state’s criteria to see if you qualify.

If you’re over 65, have qualifying disabilities or are currently receiving dialysis, you’re likely eligible for Medicare. This federal health insurance offers a few plan options. However, some don’t include dental and vision insurance, so you may need to purchase additional coverage.

5. Find standalone dental and vision insurance options

In cases where your health insurance options don’t offer dental and vision insurance, it’s a good idea to research and purchase standalone insurance for these needs. For example, a standalone option for vision care is VSP Vision Insurance, which provides a variety of vision insurance options to help complete your coverage.

VSP doesn’t have open enrollment or waiting periods, so you can purchase a vision insurance plan anytime after your job loss. VSP has the largest doctor network, so you can easily find an eye doctor near you and set up an eye exam. To find ways to save on your next eye exam with VSP vision insurance, visit VSP vision insurance.

Job loss can be challenging, but it doesn’t mean you have to go without essential health insurance coverage. Using these five tips, you’ll be able to navigate the unknown to protect your health and the health of your loved ones.

2023-11-27T08:15:00

(BPT) – Alexandra, a resilient single woman of color, defied societal norms and faced family stigma when she decided to seek fertility assistance through CCRM Fertility to have her first child. Confronted with the deeply ingrained misconception that “Black women don’t ask for fertility help,” she courageously chose to navigate a path that many in her family and community viewed with skepticism. Not only was she challenging the taboos surrounding fertility assistance, but she was also doing so as a single woman — a decision that carried its own set of stigmas. Recognizing that discussions about infertility are often swept under the rug in the Black community, Alexandra resolved to shatter the silence.

She publicly shared her experience by launching a vlog series titled “Single Mother by Choice,” empowering others to seek the help they need without shame. Today, she is the proud mother of a beautiful daughter named Sloan and is joyfully awaiting the arrival of her second child.

We’re setting the record straight by debunking seven common myths about Black fertility. Our mission is not only to enlighten but also to eliminate the stigma that often prevents individuals from seeking necessary care and support. Let’s work together to build a more informed and empowered community.

1. Black People Don’t Use Fertility Treatments

Contrary to popular belief, Black individuals and couples do make use of fertility treatments such as IVF and IUI. The myth that they don’t only serves to perpetuate harmful stigmas, inhibiting timely and effective medical consultations. Dispelling this misconception is essential to fostering a culture of equitable healthcare access.

2. IVF and IUI Use Race-Specific Treatments

IVF and IUI are medical procedures designed to assist with fertility issues, and they are universally applicable regardless of race or ethnicity. While individual treatment plans might be tailored based on a person’s specific medical history, needs, or circumstances, there’s no inherent design of these treatments that is specific to one race over another.

However, it’s essential to note that there may be health disparities in access, quality of care, or outcomes based on race due to systemic issues in healthcare, but this is separate from the inherent design or efficacy of the treatments themselves.

3. Infertility is a Sign of Weakness or Punishment

The notion that infertility could be a personal failing, or a form of divine retribution, does nothing but add emotional anguish to an already difficult process. Infertility is a medical issue that requires professional attention, not moral judgment.

4. Adopting Traditional Practices Overrules the Need for IVF/IUI

Traditional or herbal remedies, while valued in some communities, are not scientifically proven replacements for medically endorsed treatments like IVF or IUI. This myth can deter people from seeking effective, evidence-based solutions.

5. IVF and IUI Are Only for Married Couples

Marital status is irrelevant when it comes to the efficacy of fertility treatments. The stereotype that these options are only for married couples limits access for a variety of family structures, including single individuals and unmarried couples.

6. IVF and IUI Are Too Expensive for Black Families

While it’s true that IVF and IUI can be costly, the notion that they are categorically unaffordable for Black families perpetuates a harmful stereotype. Financial assistance, insurance coverage, and sliding scale fees can make these treatments more accessible. This myth discourages individuals from even exploring these options and perpetuates healthcare disparities.

7. You’re Guaranteed a Baby with IVF or IUI

While these treatments do increase the chances of conception, there’s no absolute guarantee of success. Unrealistic expectations can lead to emotional and financial setbacks, which is why it’s important to have a balanced understanding of potential outcomes.

Together, we have the power to break down the lingering stigmas and misconceptions surrounding Black fertility. At CCRM Fertility, we’re committed to providing not only the best physical care but also the emotional and psychological support you need on your fertility journey. We strive for equality and inclusivity, ensuring that everyone who walks into our clinics feels welcome and empowered. Our goal is for you to leave armed with accurate information and enveloped in a sense of positivity, as we guide you through every step toward achieving your family-building dreams.

2023-11-22T10:01:00

(BPT) – The holidays are here and it’s time to celebrate! No matter how you mark the winter holidays, chances are you’ll be purchasing gifts, cooking and decking the halls with friends and family.

When making your list and checking it twice, make sure to put safety at the very top of the page. Nothing ruins the holiday spirit like an accident or injury. As part of its Holiday Safety Campaign, the U.S. Consumer Product Safety Commission (CPSC) offers four important tips to help you and your loved ones stay safe this season.

1. Online products: Review product descriptions and check for recalls

E-commerce retailing has grown year-over-year during the holidays. However, not all retailers are created equal. When purchasing products online this holiday season, keep these tips in mind.

When buying online, you could be purchasing from the manufacturer, a retailer or a third-party seller. If you have a problem with a product or want to return or exchange it, where you purchased the product matters. Remember to look for “sold by” information when purchasing from an online marketplace.

Don’t skim product descriptions. Always read to the bottom of the listing or check drop-down menus for additional safety information. This is especially important when shopping for kids. Also, read customer reviews to see other consumers’ product experiences.

If you’re purchasing second-hand products from an online marketplace, check to see whether products have been recalled before you buy by going to CPSC.gov/Recalls.

Also, always buy from reputable dealers, and if the price seems too good to be true, this can be a sign that the product is not authentic or original and may be unsafe.

2. Toys: Think of safety testing and gear

There’s nothing quite as special as a child’s reaction to opening a gift. To keep the season jolly for kids of all ages, look for a certification mark on the manufacturer’s label from an independent testing organization. This ensures that the item has been tested for safety. Also be sure to follow age guidance and other safety information on the toy and product packaging. Choose toys that match each child’s interests and abilities, and consider the ages of other children in the household who may have access to the toy.

If you are purchasing a bike or other riding toy, purchase safety gear like helmets to accompany the gift. If purchasing for your own child or family member, ensure that they use them every time they ride.

After opening gifts, immediately discard plastic wrappings or other toy packaging. These can become dangerous playthings if not disposed of quickly.

3. When cooking holiday meals, don’t take your eyes off the turkey!

Everyone loves gathering with loved ones to share a delicious holiday dinner. To keep your holiday feasts safe and fire-free, never leave cooking food unattended on the stove or in the oven. The holidays are the most common time for cooking-related fires. If you’re frying a turkey, only fry it outside and away from your home or other flammable materials. Never use turkey fryers in an enclosed area like the garage or on the porch.

4. When holiday decorating, consider flame risks

It wouldn’t feel like the holidays without festive decorations! To keep holiday decorating merry, bright and safe, consider the fire risks in your home.

If you purchase a live tree, make sure it has plenty of water. Dry trees can go up in flames quickly from a malfunctioning string light. Look for the “Fire Resistant” label when buying an artificial tree.

Also, never leave candles unattended. Place burning candles in sight, away from flammable items, and blow or snuff them out before leaving the room. Whenever possible, use flameless candles for your holiday displays.

When hanging lights, never string together more than three sets of incandescent lights and never overload electrical outlets.

Follow these steps to help keep you and your loved ones safe so you can fully enjoy the spirit of the season. Visit CPSC’s Holiday Safety Information Center for more holiday safety tips and CPSC.gov for year-round safety information.

2023-11-22T09:01:00

(BPT) – During the month of November, we honor our nation’s veterans for their hard work and dedication to protect everyone’s freedoms. It’s also an important time to recognize their freedom and desire to live a high quality of life after their service is complete. To do this, veterans need access to the health care they have earned.

Veterans deserve safe and cost-effective health services

Ongoing health care provider shortages, coupled with an increasing number of veterans seeking care with new authorizations in the Promise to Address Comprehensive Toxics (PACT) Act, mean that wait times for procedures have increased. Some procedures may even require travel for veterans in rural areas who don’t have access to necessary anesthesia and pain management services at local U.S. Department of Veterans Affairs (VA) facilities.

To address these, the VA is developing National Standards of Practice for many providers working in the VA that will ensure safety and access to care for veterans. This includes using clinical and scientific data to develop standards for Certified Registered Nurse Anesthetists, also called CRNAs. Unfortunately, the American Society of Anesthesiologists (ASA) and the American Medical Association (AMA) want to restrict CRNAs from providing direct care to patients. These organizations believe that anesthesia services can only be safely provided when a physician anesthesiologist is monitoring the case, often along with four to five other cases and often from outside the hospital.

However, the VA has stated that CRNAs provide safe and effective care, comparable to a physician anesthesiologist. Multiple independent studies have proven the safety of CRNA-only provided care. Patient satisfaction scores at some CRNA-only VA facilities are higher than average for VA facilities across the country, according to VA patient satisfaction data. In fact, a CRNA-only facility in Iowa was recently ranked among the top 25 in the nation.

“As we celebrate our veterans, the American Association of Nurse Anesthesiology (AANA) calls on our anesthesia colleagues to work to ensure timely access to care for our veterans. We do not serve our veterans by maintaining models of care that no longer meet the needs of the VA,” said Dru Riddle, PhD, DNP, CRNA, FAAN, AANA President and director of Clinical Education at Texas Christian University School of Nurse Anesthesia in Fort Worth, Texas.

Who are CRNAs?

CRNAs are board-certified advanced practice registered nurses who administer anesthesia and related care to patients autonomously, and they are often the sole anesthesia providers delivering care to the military, rural and medically-underserved populations. Their advanced education and clinical expertise have proven time and again to be instrumental in delivering quality health care to patients.

CRNAs have the ability to work autonomously in the Army, Navy and Air Force, and are the predominant provider of anesthesia on forward surgical teams and in combat support hospitals. Yet, CRNAs who care for wounded soldiers on battlefields are not allowed the same autonomy when they safely and cost-effectively provide quality anesthesia care to veterans here at home.

“As a CRNA who has served as both the Anesthesia Element Team Lead over both physician anesthesiologists and CRNAs in the largest in-country medical facility in Afghanistan, and also as the sole anesthesia provider at a Special Forces Forward Operating Base, I know first-hand that unrivaled anesthesia care is provided by CRNAs without duplicative and unnecessary supervision,” said AANA President-elect Jan Setnor, MSN, CRNA, Col. (Ret) USAFR, NC, a retired colonel of the United States Air Force Reserve with 26 years of honorable service as a flight nurse, a CRNA, and a senior staff member for the Air Force Surgeon General.

For more information and to voice your opinion on the importance of access to CRNAs for veterans, visit AnesthesiaFacts.com.

2023-11-22T11:31:01

(BPT) – By Dr. Peter Sebeny

In today’s pop culture, the term “pandemic” is synonymous with COVID-19. However, over the course of human history, some of the deadliest pandemics have been caused by the influenza (flu) virus.¹

Since then, the scientific community has pursued groundbreaking advancements in improving protection against the flu.¹ We know more about influenza viruses than ever before and have developed the capacity to design, manufacture and distribute vaccines and antiviral drugs.¹ However, flu shot public health guidance has been overshadowed in recent years with increased public health messaging around COVID-19 and more recently, RSV. The flu has become an afterthought for many people, and this upcoming 2023-2024 flu season may present a severe threat as the U.S. could face a resurgence of flu.²

Understanding the flu and its complications

“The flu” has been a common name for decades, so many people may downplay the potential threats hiding in plain sight, like a wolf in sheep’s clothing – but the flu is more serious than people may think.³ The flu can lead to or worsen potentially life-threatening flu-related complications, including pneumonia, heart attack, stroke, and hospitalization, especially in older adults.^3,4

Receiving a flu shot each year can help protect yourself from flu and its complications.^5,6 Flu vaccination has also been shown to help reduce the risk of getting sick with flu and help reduce the risk of having a serious flu outcome, like requiring a stay in the hospital or even being admitted to the intensive care unit (ICU).⁷

A seasonal flu vaccination is especially important for older adults who are at an increased risk for serious flu-related complications.⁸

Improving flu protection for older adults

Anyone can get the flu, but certain groups – including people who are pregnant, have certain chronic health conditions or are age 65 and older – are at an increased risk of flu-related complications.⁸

During most flu seasons, older adults bear the greatest burden of severe flu. The Centers for Disease Control and Prevention (CDC) estimates between 70-85% of seasonal flu-related deaths and 50-70% of seasonal flu-related hospitalizations since 2010 have occurred among people 65 years and older.⁹

In 2022, the CDC’s Advisory Committee on Immunization Practices (ACIP) granted preferential recommendation for the use of Fluzone High-Dose^® Quadrivalent (Influenza Vaccine), Flublok^® Quadrivalent (Influenza Vaccine) and an adjuvanted flu vaccine for adults age 65 years and older. The recommendation was reaffirmed in 2023.^10,11

Sanofi’s two higher-dose influenza vaccines, Fluzone High-Dose Quadrivalent and Flublok Quadrivalent, have shown better flu protection than standard-dose flu shots in older adults.^12,13

Flublok Quadrivalent and Fluzone High-Dose Quadrivalent are indicated for immunization against disease caused by influenza A and B strains contained in the vaccine. Flublok Quadrivalent is given to people 18 years of age and older. Fluzone High-Dose Quadrivalent is given to people 65 years of age and older.

Fluzone High-Dose Quadrivalent (Influenza Vaccine) has been licensed for use in adults 65 years of age and older and has demonstrated superior efficacy in a randomized controlled trial versus a standard-dose Fluzone^® (Influenza Vaccine) for the prevention of laboratory-confirmed influenza illness.

Study Design: Based on a clinical trial of ~32,000 adults 65+ conducted during 2 flu seasons, 2011-2012 and 2012-2013, where an influenza case was laboratory tested.

Compared with Fluzone, the most common side effects were slightly more frequent and included pain and redness where you got the shot, muscle ache, and headache.

Flublok Quadrivalent (Influenza Vaccine) has been licensed for use in adults 18 years of age and older and has proven to be 30% more effective than a Fluarix® Quadrivalent (Influenza Vaccine) in preventing flu in adults 50+.

Study Design: Randomized, controlled clinical trial of ~9,000 adults 50+ conducted during 2014-2015 flu (or influenza) season.

In adults 50 years of age and older, the most common side effects were pain and/or tenderness at the injection site, headache, and tiredness.

This vulnerable population may require better protection that a standard-dose vaccine may not provide.^9,10,11

Making a plan to get your flu shot

Fortunately, the global public health landscape has come a long way since 1919 and we are more prepared than ever to help prevent illness, hospitalization and death from flu. To help protect our communities from another dangerous flu pandemic, the CDC recommends people age six months and older get a yearly flu vaccine with rare exception.⁵ Many local health departments and clinics offer low cost or free flu vaccinations, and most health insurance plans cover recommended vaccines at little to no cost.¹⁴

Visit SanofiFluShots.com to find the Sanofi flu shot provider nearest you and learn more about your flu vaccine options. Older adults, particularly those with one or more chronic health conditions, should speak to their healthcare provider about Sanofi flu vaccine options that may be right for them, which may include Sanofi’s Fluzone^® High-Dose Quadrivalent (Influenza Vaccine) or Flublok^® Quadrivalent (Influenza Vaccine).^6,9,12,13

Sanofi flu vaccines are available at Walgreens, Kroger, Albertsons and Walmart nationwide. Schedule an appointment and/or drop into your local store’s pharmacy to request yours today.

What are FLUBLOK® QUADRIVALENT (INFLUENZA VACCINE) and FLUZONE® HIGH-DOSE QUADRIVALENT (INFLUENZA VACCINE)?

Flublok Quadrivalent and Fluzone High-Dose Quadrivalent are indicated for immunization against disease caused by influenza A and B strains contained in the vaccine. Flublok Quadrivalent is given to people 18 years of age and older. Fluzone High-Dose Quadrivalent is given to people 65 years of age and older.

IMPORTANT SAFETY INFORMATION

Flublok Quadrivalent and Fluzone High-Dose Quadrivalent should not be given to anyone who has had a severe allergic reaction (anaphylaxis) to any component of the vaccine (including egg protein for Fluzone High-Dose Quadrivalent). In addition, Fluzone High-Dose Quadrivalent should not be given to anyone who has had a severe allergic reaction after previous dose of any influenza vaccine.

Tell your health care provider if you have ever had Guillain-Barré syndrome (severe muscle weakness) after a previous influenza vaccination.

If Flublok Quadrivalent and Fluzone High-Dose Quadrivalent are given to people with a compromised immune system, including those receiving therapies that suppress the immune system, the immune response may be lower than expected.

Vaccination with Flublok Quadrivalent and Fluzone High-Dose Quadrivalent may not protect all people who receive the vaccine.

For Flublok Quadrivalent, in adults 18 through 49 years of age, the most common side effects were tenderness, and/or pain where you got the shot; headache, tiredness, muscle aches, and joint pain. In adults 50 years of age and older the most common side effects were tenderness, and/or pain where you got the shot; headache, and tiredness.

For Fluzone High-Dose Quadrivalent, in adults 65 years of age and older, the most common side effects were pain, redness, and/or swelling where you got the shot; muscle aches, headache, and general discomfort.

For Flublok Quadrivalent and Fluzone High-Dose Quadrivalent, other side effects may occur.

For more information, talk to your health care professional and refer to the full Prescribing Information for Flublok Quadrivalent or Fluzone High-Dose Quadrivalent. Also, please see complete Patient Information for Fluzone High-Dose Quadrivalent.

References

1. Institute of Medicine (US) Forum on Microbial Threats; Knobler SL, Mack A, Mahmoud A, et al., editors. The Threat of Pandemic Influenza: Are We Ready? Workshop Summary. Washington (DC): National Academies Press (US); 2005. 1, The Story of Influenza. Available from: https://www.ncbi.nlm.nih.gov/books/NBK22148/
2. Centers for Disease Control and Prevention. Key Facts About Influenza (Flu). Available at: https://www.cdc.gov/flu/about/keyfacts.htm. Accessed September 2023.
3. Centers for Disease Control and Prevention. Who Needs a Flu Vaccine. Available at: https://www.cdc.gov/flu/prevent/vaccinations.htm. Accessed September 2023.
4. Center for Disease Control and Prevention. Flu Symptoms & Complications. https://www.cdc.gov/flu/symptoms/symptoms.htm. Accessed October 2023.
5. Dunkle, Lisa, Izikson, Ruvim, et al. Efficacy of Recombinant Influenza Vaccine in Adults 50 Years of Age or Older. N Engl J Med 2017. 376:2427-2436. Accessed October 2023.
6. Centers for Disease Control and Prevention. People at Higher Risk of Flu Complications. Available at: https://www.cdc.gov/flu/highrisk/index.htm. Accessed September 2023.
7. Centers for Disease Control and Prevention. Flu & People 65 Years and Older. Available at: https://cdc.gov/flu/highrisk/65over.htm. Accessed September 2023.
8. Centers for Disease Control and Prevention. Recommendations of the Advisory Committee on Immunization Practices — United States, 2023–24 Influenza Season. Available at: https://www.cdc.gov/mmwr/volumes/72/rr/rr7202a1.htm?s_cid=rr7202a1_w Accessed September 2023.
9. Centers for Disease Control and Prevention. ACIP Flu Meeting Update: Flu Vaccines Worked Better than Reported & ACIP Recommends Specific Vaccines for Seniors. Available at: https://www.cdc.gov/flu/spotlights/2021-2022/specific-vaccines-seniors.htm. Accessed September 2023.
10. Fluzone High Dose Quadrivalent [Prescribing Information]. Swiftwater, PA: Sanofi. Accessed September 2023.
11. Flublok Quadrivalent [Prescribing Information]. Swiftwater, PA: Sanofi. Accessed September 2023.
12. National Foundation for Infectious Diseases. Flu and Older Adults. Available at: https://www.nfid.org/infectious-diseases/flu-and-older-adults/
13. Dhanasekaran, V., Sullivan, S., Edwards, K.M. et al. Human seasonal influenza under COVID-19 and the potential consequences of influenza lineage elimination. Nat Commun 13, 1721 (2022). https://doi.org/10.1038/s41467-022-29402-5. Accessed July 2023.
14. U.S. Department of Health and Human Services. Immunization. Getting Vaccinated. Hot to Pay. Available at: https://www.hhs.gov/immunization/get-vaccinated/pay/index.html. Accessed September 2023.

MAT-US-2309132-v1.0-10/2023

2023-11-20T14:33:00

(BPT) – Holiday shopping and gift-giving can often be challenging, but even more so when shopping for a person living with dementia. There are more than 6 million Americans living with Alzheimer’s disease. Depending on the stage of disease, some well-intentioned gifts may no longer be appropriate or practical for the person.

For the holiday season, the Alzheimer’s Association has released its 2023 Holiday Gift Guide, offering gift ideas for individuals living in the early, middle and late stages of Alzheimer’s disease. The guide also includes gift suggestions aimed at keeping those living with dementia engaged and involved in everyday tasks, as well as gift ideas for the 11 million family members and friends across the country serving as unpaid caregivers for these individuals.

5 gifts for people living with Alzheimer’s – in the early stages

• Sticky notes or an erasable white board to list reminders or the day’s activities.
• Baskets or trays that can be labeled within cabinets or drawers.
• Gift cards for ride-sharing services or a favorite activity (golf, movie, restaurant) allowing the person to remain active.
• GPS trackers (bracelets, watches, small trackers) or enrollment in a safe return program to keep the person safe.
• A “memory” calendar featuring family photos — write in special family occasions such as birthdays and anniversaries.

5 gifts for people living with Alzheimer’s – in the middle-to-late stages

• Music playlists that include the person’s favorite artists or songs.
• Comfortable, loose-fitting clothing that is easy to put on, remove and wash, such as sweat suits, slip-on blouses/shirts, non-slip socks, Velcro shoes, wrinkle-free nightgowns, nightshirts or a fluffy bathrobe.
• Framed photographs or a photo collage created specifically for your loved one. Insert the names of the people in the photos to help with identification.
• Soothing gifts that can help with anxiety like a handheld massage ball or a soft blanket.
• Adaptive dining equipment such as no-spill cups, plate guards and silverware with specifically designed handles that enables greater independence during meals.

5 gifts to help with everyday tasks and keep the person living with Alzheimer’s engaged:

• A memory phone that can store pictures with the names and contact information of family and friends.
• Nightlights that activate automatically when it gets dark.
• A digital clock with large type to indicate date and time.
• An outing to a movie, play or concert, sporting event, museum or possibly an organized holiday shopping trip with friends and family.
• Engage your loved one in making homemade gifts for the family, painting ornaments, decorating stockings, table setting, scrapbooking or other activity gifts.

5 gifts for dementia caregivers

• The most important gift you can give a dementia caregiver is the gift of time. In fact, just a 20-minute break each day can help lower a caregiver’s stress and help avoid burnout.
• Self-made coupons for cleaning the house, cooking a meal, mowing the lawn or shoveling the driveway.
• Gift cards and certificates for restaurants or meal delivery, laundry/dry cleaning services, lawn care services, computer/technology support, maid services, and personal pampering services such as massages and pedicures.
• Books – in addition to giving novels on the caregiver’s “must read” list, there are a number of books on caregiving and maintaining self-health.
• Self-care items such as a bundle of personal care items (moisturizers, bath bombs and soaks, foot creams, scrubs, soaps).

For more tips on how families affected by Alzheimer’s and other dementias can safely enjoy time with family and friends during the holidays, visit the Alzheimer’s Association website. The Alzheimer’s Association provides information, programs and services at no charge to help families facing Alzheimer’s disease or another dementia. For additional information, visit alz.org or call the free 24-hour Helpline at 800.272.3900.

2023-11-20T10:15:00

(BPT) – Approximately 1 in 100 people are believed to be living with hidradenitis suppurativa (HS), a chronic, often painful inflammatory skin condition that can become more severe over time, if not treated.^1,2 Because HS may be a result of your immune system malfunctioning, it can be hard to pin down a diagnosis.^3,4

Those living with HS commonly have recurring, painful bumps or boil-like nodules, mainly in areas of the body where skin meets skin.² These lumps can become sores or abscesses that may leak, carry odor and leave scars.^1,2 Despite these symptoms, there are a number of reasons why people don’t get the help they need, such as embarrassment and shame, misdiagnosis and difficulty getting to the right healthcare provider.^5,6

“HS is one of the most devastating dermatological conditions, and there’s a high unmet need for patients in terms of accelerating diagnosis and expanding treatment options,” says dermatologist Vivian Shi, M.D., FAAD, Associate Professor in the Department of Dermatology at the University of Arkansas for Medical Sciences (UAMS).^7,8

Shame & Embarrassment Stand in the Way

People with HS are often too embarrassed to talk about their symptoms. Dr. Shi shared, “Many patients believe they caused their HS through lifestyle choices, but HS can occur due to genetic, hormonal, or environmental factors. The simple truth is HS can affect anyone.”^3,4

HS is not contagious but has been reported to run in families.^1,4 Dr. Shi highlights, “I’ve heard people express guilt of potentially passing HS on to their children or shame that they can’t maintain employment due to HS.”^1,9

HS is Commonly Misdiagnosed

Several conditions resemble the symptoms of HS, making diagnosis difficult.⁴ For example, acne can resemble HS, but HS differs in the appearance of active lesions and location.^2,4,10 HS generally appears in more intimate areas, such as under the breasts, in the armpit, or in the groin, whereas acne typically shows up on the face, chest and back and does not form sinus tracts or draining tunnels.^2,10,11

Due to the intimate location of symptoms, sexually transmitted infections (STIs) are also a common misdiagnosis that can cause feelings of shame.^2,4 “Some STIs have common symptoms to HS, including inflammation and pus, so it’s important to speak to your healthcare provider and rule this out,” said Dr. Shi.

Identifying the Right Healthcare Provider Can Be Tricky

On average, it may take people up to 10 years and seeing up to 10 doctors for their HS symptoms before getting a correct diagnosis.^6,8 However, Dr. Shi noted she’s seen even longer delays, especially in rural or low socioeconomic urban areas: “I have encountered people who have gone a significant amount of their adult life without a diagnosis or who have had surgery on nodules and haven’t ever heard the term ‘HS.’”¹²

Dermatologists like Dr. Shi regularly diagnose and treat chronic skin conditions like HS.³ “Patients often visit a primary physician or urgent care with symptoms, but recent studies have shown that some primary care and OB/GYN providers reported feeling less confident in diagnosing and treating HS.^13,14,15 It is critical for patients to self-advocate, track symptoms and seek a dermatology specialist for advanced care and maintenance treatment,” added Dr. Shi.

Navigating the Treatment Path

Once HS is diagnosed, treatment should be customized based on the individual’s medical history, needs and preferences.¹⁶ Dr. Shi highlights that managing HS requires a holistic approach, saying, “You have to understand the whole body and all the treatment resources available and consider using these in combination. I like to think of treating HS like playing a football game; you wouldn’t rely on just the quarterback — you need the whole team.”

Common treatments for HS include lifestyle modification, hormonal modulation, antibiotics, surgery and biologics.³ A new biologic treatment option, recently approved by the FDA for adults with moderate to severe HS, is Cosentyx^® (secukinumab).¹⁷ Cosentyx is thought to treat HS from within by inhibiting interleukin-17A (IL-17A), a protein believed to play a role in the inflammation leading to HS symptoms.^17,18

Although it can be challenging to get an accurate diagnosis and care for HS, support is available. Online resources and HS advocacy communities are great places to get information and connect with people living with the same condition. And most importantly, find a doctor who can help navigate HS and provide appropriate care.

To learn more about Cosentyx as a potential treatment option for HS, visit Cosentyx.com.

INDICATION

COSENTYX^® (secukinumab) is a prescription medicine used to treat adults with moderate to severe hidradenitis suppurativa (HS).

IMPORTANT SAFETY INFORMATION

Do not use COSENTYX if you have had a severe allergic reaction to secukinumab or any of the other ingredients in COSENTYX. See the Medication Guide for a complete list of ingredients.

What is the most important information I should know about COSENTYX?

COSENTYX is a medicine that affects your immune system. COSENTYX may increase your risk of having serious side effects such as:

Infections

COSENTYX may lower the ability of your immune system to fight infections and may increase your risk of infections. Some people have died from these infections.

• Your doctor should check you for tuberculosis (TB) before starting treatment with COSENTYX.
• If your doctor feels that you are at risk for TB, you may be treated with medicine for TB before you begin treatment with COSENTYX and during treatment with COSENTYX.
• Your doctor should watch you closely for signs and symptoms of TB during treatment with COSENTYX. Do not use COSENTYX if you have an active TB infection.

Before starting COSENTYX, tell your doctor if you:

• are being treated for an infection
• have an infection that does not go away or that keeps coming back
• have TB or have been in close contact with someone with TB
• think you have an infection or have symptoms of an infection such as: fevers, sweats, or chills; muscle aches; cough; shortness of breath; blood in your phlegm; weight loss; warm, red, or painful skin or sores on your body; diarrhea or stomach pain; burning when you urinate or urinate more often than normal.

After starting COSENTYX, call your doctor right away if you have any signs of infection listed above. Do not use COSENTYX if you have any signs of infection unless you are instructed to by your doctor.

What are the possible side effects of COSENTYX?

COSENTYX may cause serious side effects, including:

Serious allergic reactions

Serious allergic reactions can occur. Get emergency medical help right away if you get any of the following symptoms: feeling faint; swelling of your face, eyelids, lips, mouth, tongue, or throat; trouble breathing or throat tightness; chest tightness; skin rash or hives (red, itchy bumps).

If you have a severe allergic reaction, do not give another injection of COSENTYX.

Inflammatory bowel disease

New cases of inflammatory bowel disease or “flare-ups” can happen with COSENTYX, and can sometimes be serious. If you have inflammatory bowel disease (ulcerative colitis or Crohn’s disease), tell your doctor if you have worsening disease symptoms during treatment with COSENTYX or develop new symptoms of stomach pain or diarrhea.

Severe skin reactions that look like eczema can happen during treatment with COSENTYX from days to months after your first dose and can sometimes lead to hospitalization. Your doctor may temporarily stop treatment with COSENTYX if you develop severe skin reactions. Tell your doctor if you have any of the following signs or symptoms: redness or rash; itching; small bumps or patches; your skin is dry or feels like leather; blisters on the hands or feet that ooze or become crusty or skin peeling.

The most common side effects of COSENTYX include: cold symptoms, diarrhea, and upper respiratory tract infections.

These are not all of the possible side effects of COSENTYX. Call your doctor for medical advice about side effects.

Before using COSENTYX, tell your doctor if you:

• have any of the conditions or symptoms listed above for infections.
• have inflammatory bowel disease (Crohn’s disease or ulcerative colitis).
• are allergic to latex. The needle cap on the COSENTYX Sensoready^® pen, and 150 mg/mL and 75 mg/0.5 mL prefilled syringes contains latex.
• have recently received or are scheduled to receive an immunization (vaccine). People who take COSENTYX should not receive live vaccines. Children should be brought up to date with all vaccines before starting COSENTYX.
• have any other medical conditions and all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Keep a list of your medicines to show your healthcare provider and pharmacist when you get a new medicine.
• are pregnant or plan to become pregnant. It is not known if COSENTYX can harm your unborn baby. You and your doctor should decide if you will use COSENTYX.
• are breastfeeding or plan to breastfeed. It is not known if COSENTYX passes into your breast milk.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see full Prescribing Information, including Medication Guide.