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J.Adderton BSN, MSN

Experienced nurse specializing in clinical leadership, staff development and nursing education.

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J.Adderton has 27 years experience as a BSN, MSN.

J. Adderton MSN has over 20 years experience in clinical leadership, staff development, project management and nursing education.  As project manager, she developed and implemented a nurse clinical mentor program for home health, as well as, leadership training boot camps and content development for on-line nursing education. Her years of experience provide the expertise needed to write on a variety of topics, however, promoting student success is a favorite topic.  When Jane moved from a large city to a small "one-light" town, she saw first hand the health challenges faced in rural communities.  This motivated her to earn a master's in Rural Nurse Case Management to better understand the needs of her community.  She is married, an empty nester and a classic car enthusiast.

J.Adderton's Latest Activity

  1. The COVID-19 pandemic has caused a ripple effect that touches all aspects of our lives. We worry about our health and the health of those we love and grief the days we could spend with each other without social distancing. Many are having to deal with the loss of income and financial hardships. Recently, researchers at the Cleveland Clinic conducted a study to answer the question, “Is psychological, social, and economic stress associated with COVID-19 related to the incidence of stress cardiomyopathy?” It may not be a surprise that study researchers did find an increase in the condition over recent months. Takotsubo Cardiomyopathy Takotsubo cardiomyopathy, also known as stress cardiomyopathy and broken heart syndrome, is a weakening of the left ventricle. The condition is triggered by severe emotional or physical distress, such as a sudden loss, receiving bad news, or sudden illness/surgery. A person usually presents with chest pain and shortness of breath, however, diagnostic tests don’t find any evidence of acute coronary artery obstruction. Other symptoms may include irregular heartbeat, low blood pressure, fainting, and cardiogenic shock. Most people recover from Takotsubo cardiomyopathy without long-term heart damage and the condition rarely leads to death. This type of cardiomyopathy is usually treated with heart medications to decrease blood pressure and slow heart rate. If indicated, medications may also be used to help with stress management. About the Study The researchers used a retrospective cohort study design* and analyzed the EMRs of 258 patients presenting with symptoms of acute coronary syndrome (ACS). Symptoms of ACS include (but not limited to) ST-segment elevation myocardial infarction, non ST-segment elevation myocardial infarction and unstable angina. The 258 patients presented to Cleveland Clinic Main Campus and Cleveland Clinic Akron General with symptoms of acute coronary syndrome between March 1, 2020 to April 30, 2020. The study group was compared to four control groups of ACS patients treated prior to the pandemic. *All of the patients in the study group tested negative for COVID-19. Diagnostic Criteria The international Takotsubo syndrome diagnostic criteria 2014 was used to diagnose stress cardiomyopathy. The criteria used include: Transient left ventricular dysfunction presented as: Apical ballooning Midventricular, basal or focal wall motion anomalies An emotional, physical or combined trigger that precedes the disease onset (but is not required for diagnosis) Neurological triggers, as well as pheochromocytoma, may be a trigger New ECG abnormalities ST-segment elevation ST-segment depression T-wave inversion QTc prolongation Moderate increase in cardiac biomarkers Significant elevation of brain natriuretic peptide No evidence of myocarditis Significant coronary artery disease may coexist 12 lead ECG, coronary arteriography and echocardiogram findings were interpreted and reported by Cleveland Clinic cardiologists. Study Results The researchers found a significantly higher number of patients (7.8%) diagnosed with stress cardiomyopathy during the COVID-19 pandemic compared to the pre-pandemic incidence of 1.7%. They also found patients diagnosed with stress cardiomyopathy during the pandemic had a longer length of stay compared to patients diagnosed prior to the pandemic. Mortality rates between the groups were not significantly different. Discussion Research has long supported the link between stress cardiomyopathy and elevated levels of stress and anxiety. The study researchers report the increase in stress cardiomyopathy during the pandemic is likely due to psychological, social and economic distress and not the actual COVID-19 virus. This is supported by negative COVID test results for all patients diagnosed with stress cardiomyopathy in the study group. Study Limitations The study only includes patients from 2 hospitals, limiting the representing population to Northeast Ohio. Further research is needed to study any regional difference in COVID-19 and stress cardiomyopathy. The COVID test used, RT-PCR, is also limited in sensitivity and could have resulted in false negatives within the study group. What are your thoughts about the research findings? Have you noticed an increase in broken heart syndrome in your area of practice? References Incidence of Stress Cardiomyopathy During the Coronavirus Disease 2019 Pandemic JAMA Network Open
  2. Where I work, all nurses working in the hospital (regardless of position) is being asked to step up and help. They are considering competency ect. but like other hospitals, staffing is at critical levels. They are careful about floating staff from high risk areas in and out of COVID units.
  3. J.Adderton

    COVID Partiers Play Dangerous Game

    On July 8th, an Alabama local news station reported COVID-19 hospitalizations increased by 40% within 24 hours. Officials provided multiple reasons for the dramatic increase, such as relaxed social distancing, not wearing masks and recent protests. However, an unthinkable new theory emerged as contributing to the state’s growing infection rates…. COVID parties. Is it Positive? Tuscaloosa is a well-known college town and home of the University of Alabama. In 2019, over 38,000 students were enrolled at the University. Recently county officials began receiving reports of students intentionally becoming infected with COVID-19. The reports came from doctor offices and emergency department staff throughout the county that treated COVID positive students and teens. What was being reported? Unbelievably, some students tested for COVID 19 were thrilled when they received a positive test result. Just Rumor? In a briefing , Tuscaloosa Fire Chief Randy Smith said, “The one thing we have seen over the last few weeks is parties going on throughout the county...at several locations, where students or kids would come in with known positives.” Officials first thought the parties were only rumors. However, doctor offices and state information confirmed COVID parties were being thrown. Inside the Party So, what really goes on at COVID parties? Tuscaloosa City Councilor Sandra McKinstry told news outlets that people known to be infected with COVID were intentionally invited to the gatherings. There are reports of some hosts actually having a confirmed COVID-19 test. Partiers pool their money in one pot then compete to become the first person to test positive for the virus. The winner not only gets infected, but also takes home the pool of money. Disturbing Trend Dangerous COVID parties are being reported outside of Alabama. San Antonio, Texas Unfortunately, Alabama is not the only state seeing this disturbing trend. On July 12th, a 30-year old patient died of COVID in a Texas hospital after attending a "COVID Party". The patient told their nurse that he mistakenly thought the pandemic was a hoax. Dr. Jane Appleby, chief medical officer for Methodist Healthcare in San Antonio, reported attendees go to see “if the virus is real and if anyone gets infected.” The hospital is currently treating COVID patients in their 20s and 30s, with some potentially needing intensive care. The reported death came as federal medical teams from the U.S Department of Defense and U.S. Department of Health and Services were deployed across Texas to help overwhelmed local hospitals deal with a growing number of COVID patients. Kentucky At a press conference in late March, Kentucky Governor Andy Breshears reported a person tested positive for COVID after attending a “coronavirus party” thrown for people in their 20s. Gov. Breshears did not elaborate on how many people attended the party, which he called a “callous” act that could put lives in jeopardy. University Response According to an issued statement, University of Alabama has been unable to identify any students who have participated in COVID parties. However, the university will continue to follow-up on any information received and continue educating students and staff. If on-campus activities resume, the college expects students to “safeguard their personal health and safety and that of everyone at the University and in our city.” Are They Aware? As nurses, the consequences of COVID parties immediate play out in our head. It’s not just the students at risk for COVID and related complications, it is their family, co-workers, peers and any other paths they cross. Many of us are living out the trickle down effect of pandemic on our own jobs, personal health and finances. What do you think? Are COVID partiers aware their actions can have serious, even fatal, consequences. Or, are they simply filling a need to socialize?
  4. J.Adderton

    FDA Approves Nasal Metoclopramide

    The Food and Drug Administration (FDA) recently announced the approval of a nasal spray that relieves the symptoms of diabetic gastroparesis. The metoclopramide spray, GIMOTI, is the first new drug treatment for gastroparesis in decades. This non-oral treatment provides another option for people whose symptoms haven't been relieved with traditional oral medications. GIMOTI requires a prescription and is generally used for 2 to 8 weeks. What is Diabetic Gastroparesis? An estimated 50% of diabetics experience some degree of gastroparesis in their lifetime. The disorder causes delayed gastric emptying of food from the stomach into the small intestines. The symptoms can develop slowly, but eventually, they can impact your daily activities and quality of life. Cause Diabetic gastroparesis usually develops when a person’s blood sugar is poorly controlled over a long period of time. A complication of high blood sugar is nerve damage, which can occur anywhere in the body. The vagus nerve controls the muscles in your stomach wall and is the main culprit in diabetic gastroparesis. When the vagus nerve is damaged, the stomach walls do not contract properly and food doesn't move into the small intestines. Symptoms The symptoms of gastroparesis are caused by food remaining in the stomach because of slowed digestion. Common symptoms include: Heartburn or reflux Feeling full, even with small amounts of food Constipation alternating with diarrhea Feeling bloated Nausea Vomiting undigested food Unintended weight loss Lack of appetite Stomach cramps or spasms High or low blood sugars Oral Treatments Oral medications, such as metoclopramide, are used to treat symptoms of gastroparesis. These medications help your stomach muscle move food and liquids to your intestines faster. They may also aid in better digestion of food. However, because of slowed gastric emptying and vomiting with gastroparesis, the absorption of oral medications is not always reliable. Better Predictability In an Evoke Pharma press release, Dr. Henry Parker, Director at Temple University School of Medicine’s Gastroenterology Motility Laboratory, stated, “These patients often have erratic absorption of orally administered drugs due to delayed gastric emptying”. Dr. Parker further explains that the GI tract is bypassed since GIMOTI is administered nasally, stating this allows “the drug to enter the bloodstream directly and therefore may provide predictable delivery of the therapy”. Potential Side Effects The side effects of GIMOTI are similar to oral metoclopramide. The most common side effects (<5%) include: Altered sense of taste Headache Fatigue Tardive dyskinesia (TD) is a serious adverse reaction and the risk of TD increases with the length of treatment and cumulative dosage. TD is serious and is a movement disorder that can be permanent. However, the symptoms of TD may lessen or even go away once metoclopramide is stopped. Symptoms of TD include uncontrolled movements, such as Lip-smacking, chewing or pursed lips Frowned face Sticking tongue out Blinking and eye movements Shaking of arms and legs Find full prescribing information including a complete list of side effects. Limitations of Use GIMOTI is not recommended for use in: Pediatrics patients due to risk of TD and extrapyramidal symptoms Moderate or severe hepatic impairment Patients using strong CYP2D6 inhibitors GIMOTI is contraindicated in patients with the following: History of tardive dyskinesia GI motility might be dangerous (e.g. GI hemorrhage, mechanical obstruction, perforation) History of dystonic reaction to metoclopramide Pheochromocytoma or catecholamine-releasing paragangliomas Diagnosis of epilepsy Hypersensitivity to metoclopramide Dosing GIMOTI is available in a 9.8 ml bottle with 1 spray proving 15 mg of metoclopramide. Common adult dosing is one spray in 1 nostril before each meal and at bedtime. Are you experiencing diabetic gastroparesis? If so, what pros and cons do you see in nasal administration of metoclopramide?
  5. J.Adderton

    Fact or Fiction?  Masking and CO2 Dangers

    I agree... very frustrating. So many untested theories. It's surprising there is not more research on masking since COVID-19 is not the first widespread contagious respiratory virus.
  6. As the COVID-19 pandemic unfolds, health experts continue to urge the public to wear face masks for protection. Sound advice, right? Well.. if you spend any time on social media it’s likely you’ve read warnings about the dangers of wearing a mask for long periods of time. Specifically, the risk of carbon dioxide (CO2) becoming trapped under your mask, causing unsafe levels to build up in the body (hypercapnia). So, let’s take a closer look to see if wearing a mask can lead to someone passing out or worse. A Possible Catalyst One April incident added fuel to the “masking causing carbon dioxide poisoning” theory. On April 25, 2020, a New Jersey woman crashed her car into a power pole and was taken to a nearby hospital. The local police department posted to facebook that the woman had been wearing an N95 mask for several hours and passed out. The department believed wearing the N95 mask contributed to the crash by causing a buildup of carbon dioxide and resulting in the driver fainting. The facebook post was shared thousands of times and received hundreds of comments. The story was also reported on major news outlets. The Basics Let’s first review the characteristics of protective masks as we look for the truth. There are two main types of masks used in healthcare, N95 respirators and surgical masks. Surgical These masks are fluid resistant, fit loosely and protect you from large droplets, splashes or sprays of body or hazardous fluids. They also protect others from your own respiratory and body secretions. However, there are limits to protection surgical masks provide, including: Does not provide reliable protection from small airborne particles Are not considered respiratory protection Leakage occurs around the edge of the mask when you inhale Designed for single use N95 Respirators The N95 respirator is tight-fitting and requires a fit test to make you have a good seal around the mask. It protects you against small particle aerosols and large droplets. In fact, it filters out at least 95% of small and large airborne particles. If properly fitted, minimal leakage occurs around the edges when you inhale. N95 masks also have limitations, including: Ideally, N95 masks should be discarded after each patient encounter Is ineffective if a good seal is not maintained Breathing can become difficult The Verdict A CDC representative told Reuters that CO2 will build up in face masks over time, however, the level of CO2 trapped is tolerable for most of us. Protective masks are designed to trap droplets, which are much larger than CO2 particles. Therefore, CO2 will escape through or around the edges of surgical, cloth and even N95 masks. If CO2 levels do rise high enough to cause symptoms, we would most likely remove the mask. Healthcare workers, who wear masks for extended periods of time, could potentially experience symptoms of elevated CO2 levels (I.e. headaches and dizziness). Caveat: Preexisting Conditions People with respiratory conditions (such as COPD) that cause hypercapnia may experience breathing difficulties. Therefore, the CDC does not recommend face masks for anyone having breathing difficulties or other conditions that will increase the risk of hypercapnia. Have you experienced any other “myths” or “truths” related to masking during the pandemic? References Driver in crash may have passed out from wearing N95 mask too long: Police Killer COVID-19 Masks? The Truth About Trapped Carbon Dioxide
  7. Coronavirus data coming around from around the globe confirm that males are more likely to be hospitalized with the virus. In general, researchers have found the more male hormones (androgens) a person has, the easier it is for SARS-CoV-2 to enter the body. In a recent letter appearing in the American Academy of Dermatology, a group of researchers presented additional evidence that male hormone sensitivity may be associated with severe COVID-19 symptoms leading up to hospitalization. Risk Higher for Men Research has shown men to be more vulnerable than women to COVID-19. While the prevalence between men and women is similar, men are twice as likely to die of the virus. A small retrospective study, published in PLOS Pathogens, found that older men with underlying diseases are more likely to contract COVID-10 and have poorer outcomes than women. Link to Baldness Male pattern baldness, or androgenetic alopecia (AGA), affects more than 50% of all men by the age of 50. Genetics and androgenic hormones, such as testosterone and dihydrotestosterone (DHT) play a major role in AGA. In men who are balding, these hormone levels are present in the body at a higher level. Study Method The study was led by Dr. CG Wambier, a researcher at Brown University and was conducted from March 23, 2020, to April 12, 2020. The study pulled data from 122 male COVID-19 patients admitted to three tertiary hospitals in Madrid, Spain. Study Participants The participants were randomly examined by dermatologists and assessed for alopecia using the Hamilton-Norwood scale. The dermatologists were assisting with the overwhelming amount of hospital admissions due to the coronavirus pandemic. What They found The researchers found androgenetic alopecia (AGA) to be present in 79% of male COVID-19 patients, with a median age of 62.5. It was concluded that a substantial amount of patients hospitalized for severe COVID-19 have AGA. Lead author, Dr. C. Wambier, told The Telegraph, “We think androgens or male hormones are definitely the gateway for the virus to enter our cells. We really think baldness is a perfect predictor of severity.” The "Gabrin" Sign" In Dr. Wambier’s letter to the American Academy of Dermatology, he proposes the term “Gabrin sign” be used to visually identify patients at higher risk for severe COVID-19 symptoms. Dr. Frank Gabrin, a New York doctor, became the first U.S. ER physician to die from coronavirus. He was also balding. A New Treatment Direction The possibility that androgens are linked to COVID-19 raises the question “could anti-androgens effectively prevent and treat COVID-19?” Anti-androgens have already been approved for the treatment of other conditions, such as baldness and some cancers. In Italy, a study of men hospitalized with COVID-19 found the rate of infection was 4X lower in prostate cancer patients being treated with androgen deprivation therapy than in untreated cancer patients. Several androgen-suppressing drugs are already in clinical trials to see if they lower the risk of COVID-19 complications among men. However, more research is needed to support the use of these drugs in the treatment of coronavirus.
  8. J.Adderton

    No Alcohol, More Activity for Cancer Prevention

    I remember my dad telling me "go ahead and get sunburned... then you won't burn the rest of the Summer". I am like you and slather sunscreen for any outdoor activities now. Unfortunately, many many age spots.
  9. On June 9th, the American Cancer Society (ACS) released updates to its diet and activity guideline for cancer prevention. Since 1991, the ACS has published nutritional and physical activity guidelines to inform the public, policy makers and health professionals on diet and activity behaviors that reduce the risk of cancer. Also addressed is what communities can do to facilitate healthy nutrition and physician activity among its residents. These recommendations are updated as new scientific data and screening technologies become available. Experts Weigh In When new evidence on diet, physical activity and cancer risks emerge, a diverse committee of volunteer experts reviews the information. They also look at what policy or system changes can be made to reduce barriers in the public’s ability to maintain a healthy lifestyle. The committee also considers recommendations from the International Agency on Cancer Research, the World Cancer Research Fund, the American Institute for Cancer Research and the U.S. Departments of Agriculture and Health and Human Services. Key Changes There are key differences in the updated guideline, with a focus on alcohol, physical activity, and diet. Let’s take a closer look. Alcohol 2012 Recommendations Limit alcohol consumption to no more than 1 drink per day for women and 2 per day for men. 2020 Update It is best not to drink alcohol. For people who choose to drink, consumption should be limited to no more than 1 drink per day for women and 2 drinks per day for men. Diet 2012 Recommendations Consume a healthy diet: Choose foods and beverages in amounts that help achieve and maintain a healthy body weight Limit the consumption of red and processed meat Eat 2.5 cups of vegetables and fruits daily Choose whole grains instead of refined grains 2020 Updates Follow a healthy eating pattern at all ages: A healthy eating pattern includes: High nutrient foods in amounts that help achieve and maintain a healthy weight. A variety of vegetables (dark greens, red and orange, fiber-rich beans, and peas) Fruits (whole fruits recommended) with a variety of colors Whole grains instead of refined grains. A healthy eating pattern does not include: Read and processed meats Sugar-sweetened beverages Highly processed foods and refined grain products Physical Activity 2012 Recommendations Adults should engage in at least 150 minutes of moderate intensity or 75 minutes of vigorous intensity of physical activity each week. 2020 Updates Adults should engage in 150-300 minutes of moderate intensity or 75-150 minutes of vigorous intensity physical activity per week; achieving or exceeding 300 minutes is optimal. Community Action 2012 Recommendations Public, private and community organizations should work collaboratively at national, state, and local levels to implement policy and environmental changes that: Increase access to affordable, healthy foods in communities, worksites, and schools, and decrease access to and marketing of foods and beverages of low nutritional value, particularly to youth. Provide safe, enjoyable, and accessible environments for physical activity in schools and worksites, and for transportation and recreation in communities. 2020 Updates Public, private, and community organizations should work collaboratively at national, state, and local levels to develop, advocate for, and implement policy and environmental changes that increase access to affordable, nutritious foods; provide safe, enjoyable, and accessible opportunities for physical activity; and limit access to alcoholic beverages for all individuals. Big Picture Lifestyle risk factors, such as being overweight, lack of activity, unhealthy diet and drinking alcohol, play a part in almost 1 in 5 U.S. cancers. The changes made to the updated guidelines focus in on these modifiable risk factors, with the message: Pass on these unhealthy food choices: Red and processed meat Sugary drinks Highly processed food Skip the alcohol Amp up your activity Sit less, move more The ACS also recommends community involvement to support people in making healthy lifestyle choices. Community initiatives, such as promoting access to affordable healthy foods and providing safe opportunities for activity, also help reduce the public’s risk of cancer. Let’s Hear from You What barriers have you encountered in trying to reduce your cancer risk? References American Cancer Society guideline for diet and physical activity for cancer prevention Exercise, Diet, Alcohol: New guidelines detail best ways to reduce cancer
  10. J.Adderton

    Tips For Online Class Success

    With the COVID-19 pandemic, many students are having to leave behind in-person classes for online. Although online courses are not new, students often feel they’re not getting what they need. It’s true, these courses can be challenging, but there are effective strategies you can use to be successful. Treat It Like A Traditional Course Online courses require discipline and a good strategy is treating them just as you would an in-person class. Without discipline, it is easy to put off coursework until later, adding unnecessary stress. Be Persistent You will meet challenges in on-line classes, such as: Technical difficulties Time management issues Feeling isolated from your classmates Persistence is a big key to online success. When you’re faced with a problem, keep trying, ask for help and persist through the challenges. Be Accountable Students are routinely given reminders for assignment due dates and exams during in-person classes. But in on-line courses, it is up to you to know due dates and allow yourself enough time to complete assignments. It may help to have an “accountability partner” you check in with to stay organized and proactive with coursework. Manage Your Time Unlike in-person classes, online courses aren't taught in real-time and don’t have set class times. This flexibility is what draws many students to online learning, but it’s a drawback for procrastinators. Without time management, you will find yourself cramming for exams and turning in incomplete assignments. Let’s look at some valuable tips for improving your time management skills. Make a master calendar of major assignment due dates and plot out your exams. Factor in scheduling conflicts (other classes, family life, etc) so you can allow enough time for study and coursework. It helps to create a weekly calendar and plot out time for reading, lecture videos, forum participation, studying, and completion of assignments. Give yourself a “heads up” by setting reminders to complete weekly tasks. Self check throughout the semester by asking yourself ... Am I dedicating enough time for coursework? Am I cramming before exams? Do I often underestimate the amount of time I need to complete coursework? Create A Good Study Place Having a regular study place will help you to establish a routine, stay organized and limit distractions. You can do this by: Having all your course materials (books etc) in your study place. Choosing a place that is quiet and away from family, roommates, televisions, games, and anything else that will draw your attention away. Avoiding internet surfing during study. It will steal chunks of your valuable time. Make your space comfortable (lighting, seating, etc). Be A Good Communicator There will be times when you’ll need to ask for clarification or help in your online classes. Be persistent in communicating with your instructor and keep in mind- they don't know you need help unless you reach out. There are several ways you can do this: E-mail During office hours Discussion groups and forums Telephone Be sure to read the course syllabus and make note of the instructor’s preferred method of communication. Be An Active Participant Participating in your online class is key to success. There are several ways you can actively participate, including: Check in frequently, at least every day, to stay updated on announcements and discussion board responses. Engage with other classmates on discussion boards or forums (ask questions, seek clarification. Try creating a “virtual” study group with class peers. Want More Tips? Many colleges have great tips and strategies for online success available on their websites. Here are a few to get you started: Walden University - Online Classes 101 Minnesota State - What Makes A Successful Online Learner? Rasmussen College - What I Wish Someone Had Told Me BEFORE Taking Online Courses Forbes Online - 9 Tips For People Taking Online Classes Share Your Strategy What tips or advice do you have to help others adjust to online learning?
  11. The first day of Summer 2020 is just around the corner and many of us are just itching to spend time outdoors. Sunscreen and protecting our skin from the sun’s harmful effects is fast becoming a health priority. According to the Skin Cancer Foundation, 1 in 5 Americans will be diagnosed with skin cancer by the age of 70, with 2 deaths from skin cancer occurring every hour. If detected early, the 5-year survival rate for skin cancer is 99%. Learning what to look for empowers you to detect skin changes early when it is easiest to cure. Popular Apps Smartphone apps have been created over the past few years to help with monitoring moles and lesions for early detection of skin cancer at home. Let’s take a look at several popular apps: UMSkinCheck This free app, developed by The University of Michigan, guides users through a full home skin check. Features include: Walks user through the steps of a skin cancer self-exam, including completion and storage of a full body photographic survey Tracks skin lesions and moles for changes over time Provides reminders and notifications to perform self-exams routinely Stores baseline photos that can be used for comparison during follow-up self-exams Provides videos and literature on healthy skin, cancer prevention and a skin cancer risk calculator Locates skin specialists in your geographical area Mole Mapper This free app was originally developed by a cancer biologist to help his wife, who is high risk for melanoma. You can watch his video story here: The Oregon Health & Science University funded and further developed this app as part of the fight against skin cancer. Allows users to take photos of any moles on their body Documents measurements of moles or other skin lesions to track for changes over time Maps the moles on your body in smaller “skin zones” to make the app user friendly Provides monthly reminders for self-exams Miiskin This app, endorsed by the Skin Health Alliance, offers free basic features and a 30-day free trial for those wanting premium features. Both features photograph and document measurements of moles and skin lesions for tracking over time. Free basic features Keeps track of 3 moles or marks Provides a side-by-side comparison Sets reminders for recheck Paid premium features Free 30-day trial Tracks unlimited number of existing moles or marks Wide area photos for detecting new moles Side-by-side comparison on tablets and computers Automatic skin mapping Photos protected with PIN MoleScope This app uses teledermatology and requires a smartphone attachment that provides a detailed view of your skin through magnification and special lighting. You can track and monitor moles and skin marks over time for changes. You can also connect a specialist from your own home and share high-quality images from your dermoscopy for assessment or evaluation. The dermoscopy attachment for your phone costs $299.00. Features also include Management of mole and skin images 3D body map for tracking over time Educational self-guide check Scheduling and reminders for self-checks Dermatology A to Z Available from Google App Store, this evidence-based app, from the American Academy of Dermatologists, is free for iPhones and ipads through the apple app store. It is designed to provide consumers with information about skin health and conditions. Features include Provides peak time UV index based on your phone’s GPS Latest updates on medical and cosmetic skin treatments Provides links to dermatologists in your area How Effective? We all can benefit from reminders to regularly check our skin and have photographs to help track changes. While the technology is promising, there is limited research to support smartphone apps to accurately detect skin cancers. Researchers recently conducted a systematic review of nine studies that examined the accuracy of apps used to assess risk of skin cancer in suspicious skin lesions. The results, published in the British Medical Journal, showed smartphone apps shouldn’t be relied on to detect all cases of skin cancers. These apps are also not regulated and monitored by the U.S. Food and Drug Association like other medical devices. Use With Caution Many skin specialists and dermatologists raise concerns that apps will take the place of a trip to the doctor. Or, app inaccuracy could lead to misdiagnosis or late detection of skin cancers. Bottom line, don’t replace a trained physician with a skin assessment app. Tips for Choosing An App If you want to take advantage of the reminders and other benefits of skin apps, it is important to: Know who developed the app and are they an expert on skin health Avoid apps that claim to make an accurate diagnosis without a physician’s involvement. Choose apps with information that is backed by experts, such as board-certified dermatologists. Tell Us What You Think What are the benefits and risks you see in apps for skin cancer detection?
  12. J.Adderton

    VDAP Testing Cost Heads Up

    I partipate in VDAP and had not been tested since early March due to COVID-19. Selected for testing today- Hair- at a cost of 176.00 plus collection fee. Just a "heads up" for other VDAP nurses since it is a significant amount of money in one hit. I expect Alabama nurses in monitoring or VDAP will be tested aggressively this month.
  13. J.Adderton

    If Truth Be Told...

    I appreciate the opportunity to hear about experience in other parts of the world. So refreshing that you are asked about practicality prior to decisions being made. Thanks for sharing.
  14. J.Adderton

    If Truth Be Told...

    This makes a great quote!
  15. J.Adderton

    Executives Receive Bonus, Staff Asked to Sacrifice

    I agree, the timing wasn't thought through very well.
  16. J.Adderton

    Age vs Years Nursing

    50 and 26 years nursing

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