http://www.www.heatinc.ca/Health Education and TrainingEnFri, 17 Feb 2012 14:57:33 -0500Fri, 17 Feb 2012 14:57:33 -0500http://www.www.heatinc.ca/press-releases-heat-inc-announces-launch-of-new-website/ FOR IMMEDIATE RELEASE: AUGUST 23, 2010 HEAT INC. ANNOUNCES THE LAUNCH OF ITS NEW WEBSITE Toronto, Ontario, August 23, 2010 HEAT Inc., a leader in Healthcare Education and Training, is pleased to announce the launch of our new website, www.heatinc.ca . We are excited to offer new programs and products online in addition to some exciting new features that will ensure an excellent customer experience! HEAT Inc., specializes in distributing educational healthcare products. Some product features include: An extensive library of over 2000 DVD titles ,all of which are available online Video PREVIEWS available online through HEAT Inc., "YouTube channel. Simply subscribe to the HEAT Inc, channel and receive updates when new titles are available for preview Also available are Innovative Medical Devices, Health & Wellness Programs, and products such as LowBlueLights Simple Online Shopping experience In addition to our vast library of programs, HEAT Inc., also specializes in the development of custom education and training programs and custom solutions. We have worked with a large number of Pharmaceutical companies, Pharmacy Chains and Healthcare Associations to deliver quality educational materials for patients, physicians, nurses, pharmacists, pharmacy technicians and other healthcare professionals. Please visit our website at www.heatinc.ca to view a complete list of our services some of which include: Development of and delivery of Clinics Custom Software Development for Healthcare Online Learning Counseling and Adherence Programs Newsletters Patient Education Programs and much more HEAT Incs goal is to ensure that our customers experience superior and consistent customer service. With that in mind, www.heatinc.ca was developed with the customer in mind. Please follow us on Twitter, Facebook and Youtube to receive the latest news from HEAT Inc. Contact Information: HEAT INC 15 Atlantic Ave, Toronto, Ontario M6K 3E7 416-538-9898 www.heatinc.ca ### Mon, 23 Aug 2010 12:00:00 EDThttp://www.www.heatinc.ca/press-releases-heat-inc-announces-launch-of-new-website/http://www.www.heatinc.ca/heat-inc-launches-the-new-low-blue-light-protector-for-the-ipad/ We are excited to launch two new products for the IPad LowBlue Zzz Filter for iPad Screen Protector for iPad This new screen protector is held in place on the iPad using a non-adhesive frame made of cling vinyl which is easily applied and removed.  All of the touch screen controls continue to function normally. Contact Information: Kelghe D'cruz HEAT INC 15 Atlantic Ave, Toronto, Ontario M6K 3E7 416-538-9898 www.heatinc.ca Wed, 15 Sep 2010 12:00:00 EDThttp://www.www.heatinc.ca/heat-inc-launches-the-new-low-blue-light-protector-for-the-ipad/http://www.www.heatinc.ca/one-in-10-adults-worldwide-will-have-diabetes-by-2030/ Report: One in 10 adults worldwide will have diabetes by 2030 (Ref: Marketwire, RTE News, CTV News, IDF, Xinhua, Stock Markets Review, MarketWatch, Bloomberg, Yahoo!Health, Washington Examiner, BusinessWeek)November 14th, 2011 By: Lianne Dane TagIn a report released Monday, the International Diabetes Federation (IDF) said that one in 10 adults will develop diabetes by 2030 unless action is taken to curb the epidemic. According to the report, approximately 552 million people will have diabetes by 2030, up from about 366 million now, based on an aging population, an uptick in obesity and other demographic changes. Moreover, as many as 183 million people currently have the condition and have not yet been diagnosed.Sales of diabetes therapies climbed 12 percent last year to approximately $34 billion, but reports suggest that this figure could rise to as much as $48 billion by 2015, driven by increased demand for treatment in countries such as China, India, Mexico and Brazil. Diabetes drugs are currently the fourth-biggest therapeutic class by sales worldwide, behind medicines for cancer, cholesterol, and respiratory disorders.According to the IDF report, China continues to have the highest global diabetes figure with 90 million people living with the condition, followed by India with 61.3 million cases. In North America and the Caribbean, new data indicate that approximately 37.7 million people currently have diabetes, a figure that is expected to increase by more than a third by 2030. The IDF also estimates that 52.8 million adults in Europe will have diabetes by the end of the year and approximately 64.2 million will have the disease by 2030. According to the report, Europe accounts for one third of the total global spending on diabetes care.However, the World Health Organization noted that more than 80 percent of deaths from diabetes occur in developing countries and the agency projects diabetes deaths will double by 2030. Commenting on the IDF's report, the WHO said the predictions were possible, with Gojka Roglic, head of the organisation's diabetes unit noting that "it's a credible figure. But whether or not it's correct, we can't say." Tue, 15 Nov 2011 12:00:00 ESThttp://www.www.heatinc.ca/one-in-10-adults-worldwide-will-have-diabetes-by-2030/http://www.www.heatinc.ca/new-website-to-support-families-living-with-dementia/ A new website has been launched to help teens and their healthy parent cope with unresolved tragedy after early-onset dementia strikes the other parent. Dr. Tiffany Chow is the driving force behind When Dementia is in the House. An expert in diagnosing and treating early-onset dementias in the Sam and Ida Ross Memory Clinic at Baycrest in Toronto, she has built expertise counseling families after they are shocked by this harrowing diagnosis. Dr. Chow saw that children of patients had no resources dedicated to their education and support, and was inspired to fill that gap by creating a website that addresses teen caregivers feelings of anger and frustration, and their need for empowerment to effectively and confidently deal with their new reality inside the home and outside with friends. "Ive been working in research for frontotemporal dementia since 1997, but I think my greatest direct contribution to families will have been the creation of this website to support the children who become collateral damage to dementia. I am always inspired in my talks with child caregivers who have shown tremendous courage and open hearts. They feel they cant do enough for their parents, and I have felt that the medical team cant do enough to help these kids, said Dr. Chow. "Teens caught in this nightmare not only lose the parent struck down with dementia, but also time and attention from the well parent consumed with caregiving and financial responsibilities. Kids are forced to grow up really fast in these situations, added Dr. Chow, who teamed up with Hawaii-based writer Katherine Nichols to produce the content for the website. Nichols and her children have firsthand experience with the tragic diagnosis of an early-onset dementia ."My children were 10 and 12 when my former husband was diagnosed with frontotemporal dementia. The painful time leading up to this assessment and the traumatic years that followed inspired me to write and speak publicly about the effects of dementia on families and colleagues, said Nichols who published a poignant article in the New York Times Magazine and also wrote about her experience for the San Francisco Chronicle Magazine.  "My good fortune has included learning from and collaborating with Dr. Tiffany Chow since 2006. I am particularly honored to participate in the creation of this website which I hope will help families and adolescents feel less isolated in their loss. During the projects research phase, Nichols led focus groups with teenaged children who were living with a parent suffering from dementia to ensure the content would connect with them, their psychosocial needs, and their interpretation of a disrupted life at home. The new online resource is hosted and managed by the Halifax-based Canadian Dementia Knowledge Translation Network (CDKTN) and can be accessed at www.lifeandminds.ca/whendementiaisinthehouse. Dr. Chow is a primary contributor and editor of the websites content. When visitors arrive on the homepage, they can choose one of two portals to enter. One portal takes teen visitors to educational and caregiver materials about early-onset dementia in a parent; the other provides similar information but is tailored for the well parent who needs guidance about how to discuss dementia with younger children, and how to continue parenting when overwhelmed with full-time caregiving. Dr. Chow and Nichols hope the website will help all family members learn strategies for managing the odd and unpredictable behaviours associated with an early-onset dementia in their loved one, and find ways to create special moments where they can still enjoy some quality time together as a family.Project partners. When Dementia is in the House is a collaboration among Dr. Chow, the CDKTN and Dalhousie University in Nova Scotia. It is supported by grants from the CDKTN (a network funded by the Canadian Institutes of Health Research / Institute of Aging) and the Ontario Ministry of Health and Long Term Cares Alternate Funding Program. Other partners supporting the project include the Niagara-based Young Carers Initiative, a not-for-profit organization that promotes awareness of young caregivers who must take on adult caregiver roles at an early age; the Gilbrea Centre for Studies in Aging at McMaster University, which teaches informal caregiving to children who have an ill parent, based on the Montessori method; and the National Initiative for the Care of the Elderly at the University of Toronto, which will print a hard copy of the parent information from the new website. Dr. Chow says an application for phase two funding is underway to expand the websites content beyond early-stage dementias that afflict middle-aged adults to more common dementias such as Alzheimers disease that strike in later life. The additional funding would also support the creation of an educational booklet for young children who have a grandparent living in their home with dementia, and add interactive features to the website. ARTICLE BY: Kelly Connelly Submitted by : Awareness & Networking Around Disordered Eating and the Children's & Women's Health Centre of BC. Tue, 22 Nov 2011 12:00:00 ESThttp://www.www.heatinc.ca/new-website-to-support-families-living-with-dementia/http://www.www.heatinc.ca/ottawa-and-provinces-to-formally-begin-talks-for-post-2014-health-deal/ Talks will define fiscal, social-policy relationship between Ottawa and provinces for years to come. WRITTEN BY THE CANADIAN PRESS ON NOVEMBER 22, 2011 FOR THE CANADIAN PRESS OTTAWA | The federal government will officially begin discussions on the next healthcare accord this weektalks that will define the fiscal and social-policy relationship between Ottawa and the provinces for years to come. Health Minister Leona Aglukkaq is to meet her provincial counterparts in Halifax on Friday for their first formal talks on how to reform and pay for health care after the current agreement expires in 2014.Many analysts and health-care stakeholders have been sounding the alarm: Canadas health system is unsustainable. "This will be an opportunity to talk about whats working and begin to talk about what principles will guide upcoming decisions about health care, said Steve Outhouse, a spokesman for Aglukkaq. Billions of dollars and the quality of hospitals, medical treatment and prevention measures are at stake, as is the very nature of Prime Minister Stephen Harpers relationship with the provinces.The federal government is providing $27 billion to the provinces for health care this fiscal year, an amount that is set to rise by six per cent a year for the next four years even as Ottawa struggles to balance its books. But the provinces provide the bulk of the fundingoften at the expense of other programs and their general fiscal health. They are desperate to find ways to wrestle down costs and that process is well underway in many provinces. Ontario, for example, has pledged to hold health-care increases to just one per cent a year. And other provinces are poised to cut outright. "How do we, facing the challenges that we face now as a country, ensure that we dont break the bank, but that we continue to have a system which ensures healthier Canadians? asked health-law expert Maureen McTeer, who leads a Canadian Nurses Association task force .McTeer says the federal and provincial ministers need to find a way to preserve an acceptable acute-care system based in hospitals and complement it with much better and more efficient primary care based in communities. But the formal beginning of the health-care talks this week is a soft launch. The ministers are only devoting an hour to the topic during their meetings. "There are still more than two years until the health accord expires and its important to point out that work is underway on a number of topics that affect the health of Canadians, said Outhouse. "These initial discussions will be one of several agenda items this Friday. The health ministers dont plan to tackle the thorny issue of who will pay for the mounting costs. That will be left to finance ministers. Critics fear the fiscal squeeze will mean cuts to health care or privatization and they plan to make their concerns known loudly from the margins of the meetings. But the tough decisions are still a ways off. The recent round of provincial elections means most of the provincial health ministers are new to their jobs, and not yet ready to plunge into serious negotiations. And Ottawa has taken off some of the heat by promising to continue six-per-cent annual increases in funding for two years beyond the expiry of the current accord in 2014. Wed, 23 Nov 2011 12:00:00 ESThttp://www.www.heatinc.ca/ottawa-and-provinces-to-formally-begin-talks-for-post-2014-health-deal/http://www.www.heatinc.ca/did-you-know-as-you-get-older-your-risk-of-type-2-diabetes-increases/The Public Health Agency of Canada says........... Diabetes is a serious chronic disease and uncontrolled diabetes can lead to heart disease, kidney disease and other conditions. While you can't change SOME factors such as age, gender, family history, and etho-cultural background, other risk factors for diabetes may respond to lifestyle changes. These include weight, physical activity, diet, and smoking. If your BMI result is 25 or higher, lowering your weight may help you reduce your risk of developing type 2 diabetes.  Even a small change in body weight or physical activity can reduce your risk. Take the The Canadian Diabetes Risk Questionnaire NOW Thu, 24 Nov 2011 12:00:00 ESThttp://www.www.heatinc.ca/did-you-know-as-you-get-older-your-risk-of-type-2-diabetes-increases/http://www.www.heatinc.ca/canada-approves-first-low-risk-alcohol-drinking-guidelines/ Ann Dowsett Johnston  Special to the Toronto Star   Canadas first national low-risk alcohol drinking guidelines have been given the green light by provincial ministers at a meeting in Halifax. More than two years in the shaping, the guidelines approved on Friday have received the blessing of the Canadian Public Health Association, the Canadian Medical Association, the liquor industry and more. According to the new guidelines, women should consume no more than two drinks most days, up to 10 a week, and men should consume no more than three drinks most days, up to 15 a week. All should plan for non-drinking days, ensuring that they arent developing a habit. Beyond the weekly limits, the guidelines also make reference to special occasion drinking: "Reduce your risk of injury by drinking no more than three drinks (for women) or four drinks (for men) on any single occasion. "That we have all agreed on what the guidelines should look like government, the alcohol industry and public health is unique to Canada, says Michel Perron, CEO of the Canadian Centre on Substance Abuse (CCSA), which oversaw the shaping of the guidelines. "You will not find another country that has this level of congruence. The guidelines are long overdue. Like most G8 countries, Canada has witnessed an uptick in risky drinking. Canadians consume 8.2 litres of pure alcohol on an annual basis more than 50 per cent above the world average. "Its not that we drink, says Rob Strang, chief medical officer of Nova Scotia, "but how we drink. And how we drink causes a lot of alcohol-related harm. "If a country has a $14-billion a year problem, says Perron, "and much of it stems from the use of a legal product, the first step is to explain how the product can be used, and how to decrease that avoidable cost. Much of that cost is preventable. What is significant about the guidelines is that they were the first priority of the National Alcohol Strategy, an intelligent and comprehensive blueprint which has yet to be fully endorsed by the federal government. The strategy was shaped in 2007 by an expert working group convened by the CCSA, Health Canada and what was then known as the Alberta Alcohol and Drug Abuse Commission. This group, together with representatives from public health agencies, alcohol manufacturers, treatment agencies and alcohol control boards, produced "Reducing Alcohol-Related Harm in Canada: Towards a Culture of Moderation. This was a milestone effort, presenting 41 recommendations. These new guidelines wont change the drinking culture overnight, but they will establish an important benchmark for Canadians. "Up until now, the fun factor has been different, depending on which province you lived in, says Perron, referring to the fact that Canada has had four different sets of guidelines. What is most remarkable is that the guidelines have industrys approval. At several junctures, it looked like industry might walk from the table. "It nearly went off the rails many times, says one insider. They stayed. "They certainly dont want to be caught out like the tobacco people were, says Peter Butt, who chaired the expert review committee. Clinically, these guidelines are important for the medical community, key to screening and brief intervention a tool known to be effective for helping problem drinkers. The next step? Broad circulation and promotion of the new guidelines. Ideally, the liquor monopolies will play a major role. "One of the advantages we have in Canada is the monopolies, says Perron. "Social responsibility is the primary justification through which the LCBO can maintain their monopolistic advantage. And social responsibility is not something you do its how you do things. After that: standard drink labelling on all alcoholic beverages, articulating how many standard drinks are in each container. "Without them, its like having a 100-kilometre speed limit and no speedometer on your car, says Perron. "How do you gauge consumption if you dont know how much you are drinking. Strang agrees: "Industry loves to say theyre all about responsible drinking, but how does their marketing and labelling portray responsibility? This could be a sticky point with the alcohol industry. Says Andrew Murie, CEO of MADD Canada: "I am not sure that the beverage industry is going to come singing Kumbaya on this one. But like tobacco, its a product where you need to warn the public. These guidelines represent a healthy limit. But drinking to optimize health? Thats another matter. "One drink a dayand thats a fairly unusual consumption pattern, says Tim Stockwell, executive director of the Centre for Addictions Research of B.C. Still, he points out, a daily drink is where "the risk of cancer starts. If Stockwell had his way, Canada would move to warning labels: "If you can do this for tanning salons, why not alcohol? What other product do we protect when there is scientific evidence that use causes cancer? In this country, billions of dollars are made by governments on alcohol, and it causes the deaths of 10,000 or more each year. Consumers have a right to know. Of course, the alcohol producers might have trouble with this. Fri, 25 Nov 2011 12:00:00 ESThttp://www.www.heatinc.ca/canada-approves-first-low-risk-alcohol-drinking-guidelines/http://www.www.heatinc.ca/cyber-monday-nurse-education-deals/ Happy Cyber Monday from HEAT Inc!! We are in the process of updating over 100 Nursing titles to meet the 2011/2012 standards. As we progress along we are offering 20% off these titles Through to Friday December the 2nd.   Cardiac Medications and Nursing The series focuses on the medications used to treat conditions of the cardiovascular system.  It begins with an overview of the anatomy and physiology of the heart, followed by an explanation of the affects of chronotropic and inotropic agents.  Drug classes used for the treatment of cardiac disorders are discussed as they relate to specific conditions and uses, including angina, hypertension, anticoagulation, heart failure, hyperlipidemia, and arrhythmias.  Indications, contraindications, and possible adverse reactions are included.  The segment on antiarrhythmics begins with an overview of the electrophysiologic properties of the heart.  Patient teaching regarding the medications as well as signs and symptoms of cardiac disease and adverse drug reactions are covered. Content throughout is enhanced with animated graphics and realistic patient care scenarios. Anatomy Review and Antianginals This Program covers the following:1. Describe the basic physiology of the cardiovascular system.2. List the factors which affect the hearts ability to pump blood.3. Discuss the role of inotropic and chronotropic medications in supporting the hearts ability to effectively pump blood.4. Give the symptoms and causes of angina.5. State actions, indications, and contraindications for drugs in the following categories related to angina: nitrates, beta blockers, and calcium channel blockers.6. Outline patient teaching for individuals being treated for angina. Antihypertensives and anticoagulantsThis Program covers the following:1. Describe how hypertension leads to other forms of heart disease.2. List four conditions that often lead to a diagnosis of hypertension.3. State actions, indications, and contraindications for drugs in the following categories related to hypertension:  ACE inhibitors and ARBs, beta blockers, calcium channel blockers, and central adrenergic inhibitors.4. Outline patient teaching for individuals taking antihypertensives.5. State actions, indications, and contraindications for the following anticoagulants: warfarin, heparin, and antiplatelet agents. Heart failure meds & cholesterol-lowering agentsThis Program covers the following:1. State actions, indications, and contraindications for the use of digoxin.2. Outline patient teaching for individuals taking digoxin.3. Define heart failure and list its effects.4. Discuss the role of diuretics in patients with congestive failure and hypertension.5. Name, compare and contrast the three categories of diuretics.6. Describe nursing care related to the care of a person receiving diuretics.7. State actions, indications, and possible serious adverse reactions for drugs used to lower cholesterol. Antiarrhythmic agents- part 1This Program covers the following:1. List and define the four electrophysiologic properties of the heart.2. Describe the polarization-depolarization-repolarization cycle of a cardiac cell.3. Compare and contrast the pacemaker function of the SA node, the AV node, and the Purkinje fibers.4. Discuss the phenomenon known as "reentry. Antiarrhythmic Agents- Part 2 This Program covers the following: 1. Compare and contrast the four categories of antiarrhythmic medications in the Vaughn-Williams Classification. 2. List at least two drugs from each of the Vaughan-Williams classifications. 3. Define "pro-arrhythmic effect. 4. Outline the potential side effects related to the drug amiodarone. 5. Describe the effects and administration of adenosine in the treatment of paroxysmal supraventricular tachycardia (PAT).Mon, 28 Nov 2011 12:00:00 ESThttp://www.www.heatinc.ca/cyber-monday-nurse-education-deals/http://www.www.heatinc.ca/x-plain-patient-education-programs/- X-Plain Interactive Patient Education Programs provide users with the most relevant and updated content in the field.   X-Plain provides instant access to over 800 high quality, patient education programs. Since 1995, many leading healthcare institutions have relied on the X-Plain to ensure patients use, complete, and understand the patient information and instructions they are given.  Leading healthcare organizations have also used our interactive multimedia software to verify through interactive questions that patients understand the information and to document patient education. Most hospitals are currently using  X-Plain as their content choice for patient education and here are a few reasons why: Has the most up to date relevant content relating to almost every therapeutic area Simplifies information based on theories of learning and behaviour modification Uses graphics, animations and audio to engage the patient; and Asks questions and gives feedback to verify understanding.   What X-Plain can do for your organization and your patients... Provide Web-based, intuitive print-on-demand application Provide access to thousands of patient education handouts Highly illustrated, plain language patient education By choosing X-Plain your patients will have access to: Over 800 programs.  For a complete list of our current programs, please click here! Health topics that include medical conditions, disease management, medical procedures. Click here for a complete list of therapeutic areas Patient handouts for each program that further explains the condition and/procedures X-Plain helps healthcare organizations with Compliance and Adherence in the following ways: Ensure that their patients use, complete, and understand the health information they receive Verify through interactive questions that that patients understand the information maximize the chance of patients acting based on the presented health information in order to make informed health decisions, learn self-care skills and change behaviour toward healthier living habits. X-Plain is also available in DVD format, which for some organizations is the more convenient and affordable option.  Please see our Patient Education Programs for more information!   Free previews are also available on the website! Contact HEAT Inc., for information on how X-Plain will work for your healthcare organization and your patients.    We envision consumers playing an active role in their healthcare, and healthcare providers relying on evidence-based educational materials to inform their patients, verify comprehension and evaluate outcomes. Our mission is to empower patients and healthcare providers through evidence-based patient education software that is engaging, effective and ready to integrate with evolving clinical systems.   Tue, 29 Nov 2011 12:00:00 ESThttp://www.www.heatinc.ca/x-plain-patient-education-programs/http://www.www.heatinc.ca/patient-education-in-the-hospital/Anne T. Nettles, MSN, CS, RN   Abstract In Brief Recent concern about the optimum management of hyperglycemia for hospital patients has heightened awareness of necessary standards of care. Publications have confirmed that diabetes is not diagnosed or treated when detected in acute care settings, and opportunities for education are missed. Hospitalization presents an opportunity to address patients' unique urgent learning needs. In centers where quality diabetes management is a priority, education is readily available, roles are clear, and quality is monitored, evidence supports the notion that inpatient education is related to earlier discharge and improved outcomes following discharge. From the 1950s (and even earlier) to the 1970s, patients with newly diagnosed type 2 diabetes and certainly those with type 1 diabetes were admitted to the hospital for initiation of medication and nutrition therapy, as well as comprehensive patient education. Given a long stay, nurses and sometimes nurse specialists, along with inpatient dietitians, provided one-to-one instruction with multiple opportunities for patient practice. Group classes were rare in this setting, and outpatient programs were not usually available. Patients were expected to be able to provide "return demonstrations of concepts and psychomotor skills before discharge. Pre- and post-instruction knowledge tests were the norm. The curriculum was long and detailed, and information was provided through discussions, videotapes, or booklets written for patients.1 Yet incidences of last-minute medication instruction occurred then just as they do today.2Much of the literature on inpatient diabetes education then focused on the knowledge deficiencies of hospital staff and what to teach newly diagnosed patients.37 Continuing education for nurses in the hospital was important. Nurses agreed, and some believed patients were more knowledgeable than they were themselves. more... Mon, 05 Dec 2011 12:00:00 ESThttp://www.www.heatinc.ca/patient-education-in-the-hospital/http://www.www.heatinc.ca/importance-of-diabetes-foot-screening/ Diabetic foot ulcers occur as a result of various factors all of which occur with higher frequency and intensity in the diabetic population.   These diabetic foot lesions are responsible for more hospitalizations than any other complication of diabetes.  Diabetes is the leading cause of non-traumatic lower extremity amputations in the United States, with approximately 5% of diabetic developing foot ulcers each year and 1% requiring amputation.   It is very important for Diabetes Patients to routinely visit a foot clinic, which are often held in Pharmacy Chains in Canada for proper screening.   Early detection of foot ulcers can make a difference in the complications that can occur from Diabetic Neuropathy. At HEAT Inc., we understand the importance of patient education and screening to prevent certain diabetic complications from occurring.    We have developed Diabetes Foot Screening Clinics for the Pharmacy Setting taking into consideration the entire continuum of care including the Pharmacist, the Foot Nurse, The doctor and most importantly the patient!   We are proud to announce that we are now carrying the NC-STAT, which is a fast accurate and quantitative test that may be used to evaluate neuropathies such as Diabetic Peripheral Neuropathy (DPN).  This screening device is great for pharmacists and other healthcare providers to use with patients in any clinical setting. Tue, 06 Dec 2011 12:00:00 ESThttp://www.www.heatinc.ca/importance-of-diabetes-foot-screening/http://www.www.heatinc.ca/new-programs-from-heat-inc/ A complete list of all new and updated Programs from HEAT Inc.  Please click on the programs that are of interest for a full description of the series and the programs that are included in the series! CLP001 Anatomy & Physiology Series CLP002 The Circulatory System CLP003 The Digestive System CLP004 The Nervous System CLP005 The Respiratory System CLP006 The Skeletal System CLP007 The Muscular System CLP008 The Reproductive System CLP009 The Urinary System CLP010 The Integumentary System CLP011 The Endocrine System CLP100 Obstetrical Nursing Series CLP101 Caring for the Antepartum Patient CLP102 Electronic Fetal Monitoring CLP103 Labor and Delivery CLP104 Pain Control CLP105 Assisted Delivery and Cesarean Section CLP106 Newborn Stabilization and Care CLP107 Caring for the Postpartum Patient CLP064The Chemically Dependent Nurse © 1995, 2011 CLP065 The Nurse's Story (22 min.) CLP066 Identification and Response (29 min.) CLP067 Nurse to Nurse: From Addiction to Recovery (20 min.)   CLP086Medication Issues in Mental Health © 1995, 2011 CLP087 Preventing Adverse Drug Reactions (24 min.) CLP088 Understanding Movement Disorders (26 min.) CP046 Cardiac Medications and Nursing© 2011 CLP047 Anatomy Review and Antianginals CLP048 Antihypertensives and Anticoagulants CLP049 Heart Failure Meds & Cholesterol-Lowering Agents CLP050 Antiarrhythmic Agents - Part 1 CLP051 Antiarrhythmic Agents - Part 2 CLP034 Pharmacology and the Healthcare Professional© 2012 CLP035 Pharmacology and the Healthcare Process CLP036 Principles of Pharmacology CLP037 Pharmcokinetics: What the Body Does to a Drug CLP038 Pharmacodynamics: What a Drug does to a Body CLP040 Coronary Artery Disease, A Nursing Perspective © 1998, 2011 CLP041 Assessment & Care of Patients with Angina  CLP042 Coronary Angiogram & Non-Surgical Interventions CLP043 Bypass Surgery: DOS & Postoperative Care CLP044 Cardiac Rehab & Lifestyle Management    CLP059 Caring for the Dying Patient © 1997, 2011 CLP060Physical Care CLP061Team Approach to Comprehensive Care CLP062Bereavement Issues   CLP069 Legal Aspects of Nursing Practice © 2002, 2011 CLP070Avoiding Charges of Negligence CLP071 Documentation: The Best Defense   CLP025 Caring for Patients with Special Needs © 2003, 2011 CLP026 Cognitive Impairments CLP027 Visual Impairments CLP028 Hearing Impairments   CLP073 Medication Administration and Errors © 2004, 2011 CLP074 The Six Rights CLP075 Error Prevention   CLP077 Preventing Nursing Negligence © 2007, 2011 CLP078 Preventing Nursing Negligence in the 21st Century CLP079Preventing Nursing Negligence in Your Practice   CLP081Cultural Awareness in Healthcare © 2007, 2011 CLP082Understanding the Need CLP083 An Action Plan CLP084Your Practice   CLP053 EKG Interpretation and Response © 2009, 2011 CLP054Reading an EKG  CLP055 Sinus Dysrhythmias CLP056 Atrial and Junctional Dysrhythmias and Heart Block CLP057Ventricular Dysrhythmias and Patient Care CLP030Procedural Sedation © 2011 CLP021Patient Assessment and Monitoring CLP022Preventing & Managing Complications; Sedation in Children   CLP110 Anti-Infective Medication Therapy © 2010, 2011 CLP111Assessment of an Infection CLP112Nursing Implications CLP113Sulfonamides and Penicillins CLP114 Cephalosporin, Aminoglycosides, Macrolides and Quinolones CLP115 Antifungal and Antiviral Agents CLP116 Antitubercular Agents   CLP012 Aseptic Nursing Technique at the Bedside © 2011 CLP013Transmission of Infection CLP014Standard Precautions CLP015Transmission-Based Precautions CLP016The Sterile Field   CLP095 Aseptic Nursing Technique in the OR © 2011 CLP096Principles of Sterile Technique CLP097Surgical Hand Scrub CLP098Gowning, Gloving and Surgical Skin Prep CLP099Creating and Maintaining a Sterile Field Tue, 20 Dec 2011 12:00:00 ESThttp://www.www.heatinc.ca/new-programs-from-heat-inc/http://www.www.heatinc.ca/sleep-deprivation-linked-to-amyloid-pathology/ February 14, 2012 Poor-quality sleep is associated with increased amyloid pathology in patients who are cognitively normal, early results of a new study suggest. Although the results are preliminary and do not account for potential confounders, "in general, this should be a reminder to everyone that sleep is very important and we need to prioritize sleep," said lead researcher Yo-el Ju, MD, Assistant Professor in the Department of Neurology at Washington University in St. Louis, Missouri. Dr. Yo-el Ju The study results were released February 14, ahead of presentation at the American Academy of Neurology (AAN) 64th Annual Meeting, to be held April 21 to 28, 2012, in New Orleans, Louisiana. Familial Adult Children Study The study included 100 participants aged 45 to 80 years who were recruited from the Familial Adult Children Study (FACS). Half of the participants in the study conducted by Dr. Yu and colleagues are offspring of patients with Alzheimer's disease (AD). As part of the FACS, participants had already undergone positron emission tomography (PET) scanning using Pittsburgh compound B as well as lumbar puncture to measure amyloid-beta-42 (A-42) levels in spinal fluid. In addition, they had completed a variety of assessments of thinking and memory. Testing had determined that participants in this current study were cognitively normal. "They had absolutely no symptoms," said Dr. Ju. For 14 consecutive days and nights, the participants wore an actigraph, a pedometer-like wristband device that measures movement and helps indicate sleep efficiency, defined as the amount of time spent asleep in relation to the amount of time spent in bed. For example, if someone spends 8 hours in bed but sleeps for only 6 hours, their sleep efficiency is 75%. In this study, the median sleep efficiency was 85%; one half of the participants had higher sleep efficiency, and one half had lower efficiency. Participants also kept sleep diaries, which researchers used to "confirm and clarify" the actigraphy data. They also completed questionnaires that inquired about current and past sleep habits and possible causes for changes in sleep patterns, said Dr. Ju. The researchers found that 25% of the study participants had preclinical AD, indicated by abnormal levels of A-42 in cerebrospinal fluid and/or increased retention of Pittsburgh compound B during PET amyloid imaging. Participants with frequent awakenings, defined as more than 5 per hour, were more likely to have these abnormal biomarkers of amyloid pathology. A greater proportion of participants with low sleep efficiency had preclinical AD compared with those with high sleep efficiency. "There was a definite difference; however, the exact, absolute difference is likely going to change by the time we finish the study," Dr. Ju noted. She pointed out that people with AD, even those with early disease, have sleeping abnormalities. "They tend to have poor-quality sleep; they have trouble maintaining long periods of sleep, and their timing of sleep is a little off, so they may sleep more in the day and less at night, and that impacts their quality of life." Nontoxic Low-Risk Approach Although the study does not determine whether sleep disruption causes amyloid plaques, experiments on mice bred to build up amyloid plaque, carried out by one of this study's coauthors, David Holtzman, MD, support this theory, said Dr. Ju. "The researchers found that if the mice were chronically sleep deprived, they built up a lot more of these plaques and a lot earlier in life, and if they were given a substance to sleep longer, they actually had a lot less amyloid plaques built up." If this proves to be true in humans, it could open the door to a nontoxic, low-risk approach to preventing or slowing cognitive decline. "If we can find a link between quality of sleep and risk of AD pathology, then that would give us a lot of support for trying to improve people's sleep to see if that affects their AD risk," said Dr. Ju. The study goal is to recruit 200 patients; 160 have been enrolled to date. Researchers hope to present the final results, which will likely be adjusted for sex, family history, age, and other potential confounders, at the upcoming AAN meeting, said Dr. Ju. Study "Intriguing" Approached for comment, David Kuhlmann, MD, medical director of sleep medicine from the Bothwell Regional Health Center in Sedalia, Missouri, and a member of the American Academy of Sleep Medicine, said he found the research intriguing. "It's fascinating that sleep could possibly be associated with A dynamics and that in this study, sleep disruption was associated with the 25% of patients who had elevated levels of the A," he toldMedscape Medical News. However, because the study is preliminary, some details are understandably vague, said Dr. Kuhlmann. He noted that although sleep diaries and actigraphy are effective at documenting sleep disruption, they do not necessarily uncover some sleep disorders, such as apneas. "The researchers were just determining sleep disruption, but it would be interesting for further study if they were to use an ambulatory sleep test to see if obstructive sleep apnea might have been the cause of sleep disruption," said Dr. Khulman. He questioned whether oxidative stress from apneas or hypopneas might be adding to the pathogenesis. "Or it could be just the sleep disruption itself; there are certain hormones that are not even released unless you sleep." The study was supported by the Ellison Foundation and the National Institutes of Health.Dr. Ju has disclosed no relevant financial relationships. 64th American Academy of Neurology Annual Meeting. Abstract #703. Wed, 15 Feb 2012 12:00:00 ESThttp://www.www.heatinc.ca/sleep-deprivation-linked-to-amyloid-pathology/http://www.www.heatinc.ca/health-risk-assessment-tools-go-digital/ Kevin Wildenhaus, Ph.D., is director of science and innovation at Wellness & Prevention, Inc., a Johnson & Johnson company. Dr. Wildenhaus is a clinical psychologist specializing in health behavior change and practical, effective health intervention programs. Health risk assessment (HRA) is continually evolving to meet the ever-changing demands of the health care industry. It began humbly as a simple data collection tool, but evolved to become a predictor of an individuals health perceptions, attitudes and motivations. The new generation of HRAs is poised to help transform the way we do business. Soon HRAs will not only be delivered more efficiently, but theyll provide users with fresh, relevant feedback. Sound hard to believe? A brief look at the evolution of HRAs explains why many organizations now view the HRA through a new, more strategic lens, and how todays innovative companies plan to leverage this powerful tool. History of Health Risk Assessment The concept of the HRA dates back to the 1940s, when Dr. Lewis C. Robbins came up with the idea that a patients health risks might guide the physician in preventative treatments. In 1980 the Centers for Disease Control and Prevention released a public version, and thus recognized the many benefits that health risk awareness, education and prevention could have on the population. Businesses, employers and health plans took notice of the value too. The history of the HRA can be summarized in two distinct generations. First Generation Classical Epidemiology (1970 1995): HRAs identified health risks in order to reduce the occurrence of illness, injury and premature death. Individual reports focused on a "risk age, an assigned age for the participant based on his health risks and conditions, which used data all the way back from the 1948 Framingham study. Second Generation Motivation and Self-Efficacy (1995 2010): As the HRA and its data became more sophisticated, the ability to create behavior change became a significant challenge. During this generation, behavioral science models like the Transtheoretical Model and Motivational Interviewing helped motivate the individual and build self-confidence. Todays HRAs Todays HRAs use digital technology to individually tailor health assessments, findings and feedback. And advances in behavioral science are unlocking the secrets to motivation and sustained behavior change. Research shows that tailoring interventions to the individuals motivations and readiness to change are the most effective ways to create behavior change (Burbank et al., 2000). Evolving computer algorithms are improving HRA feedback by incorporating various behavior change models. As a result, todays HRAs focus more on the individuals motivation, self-efficacy, attitudes and beliefs about health. Consequently, HRA feedback now incorporates proven clinical strategies to increase the individuals perceived control over his behavior, provides action plans to address risks, and reinforces the fact that behavior change is ultimately up to the individual. These evolving algorithms prompt interactive or "smart questionnaires that adapt based on the individuals previous answers, and thereby create a more personalized, efficient and relevant plan of action. Online assessment has many benefits, including lower administration cost and an enhanced sense of privacy, confidentiality and anonymity. Evidence shows that online HRAs are associated with greater response honesty and accuracy when compared to face-to-face, telephone or traditional pen-and-paper administration. This medium also allows for a more open evaluation of the individuals behaviors and permits feedback in a neutral and non-judgmental manner (Pealer et al., 2001). Online technology also allows for real-time HRA feedback, providing an individual with immediate and personalized support, information and access to tailored online interventions that have been clinically proven to change behavior and lower risk. Further, digital technology allows for greater scalability and improved health access for the broader population. Individuals can complete assessments and receive feedback at their convenience, with 24/7 access to information, tools and resources. Family members and dependents can also participate, exponentially increasing the reach of the program. Individuals can access online resources about a specific condition or behavior, as well as track programs that aid behavior change (e.g. food and pain diaries). The web is a natural conduit to online digital health coaching programs that help the participant address lifestyle, behavioral health and/or chronic condition risk factors identified in the HRA. Participants can receive reminder or follow-up emails and tailored text messages that encourage and support them to implement or continue behavior change. Ongoing evaluation of the efficacy of a health and wellness solution can be completed conveniently via the web. The Future of HRAs In the future, well see increased access to HRAs via the Internet and mobile devices. Next generation HRAs will include: Stronger ability to forge a connection between good health and achieving an individuals life missions. Better use of quick, effective sessions or interventions, especially with the increased use of video for todays YouTube generation. Mobile HRA delivery options, especially important for multinational employers and international populations. Increased use of health-related mobile applications that conduct real-time assessments, mini interventions and behavioral or habit-based action steps. Stronger data integration capabilities with care management systems, including delivery of key psychosocial information to health care providers. Ideally this communication will improve empathy, trust and rapport, as well as improve clinical efficiency. Where Do We Go from Here? Today, organizations realize that the HRA itself is more than a simple data collection instrument it has become a strategic tool to help support employee behavior change. Employers recognize the value of HRA aggregate data, and its ability to provide insights into the specific health issues and risks of employee populations. HRAs help employees make smart choices about how to allocate their limited resources for health and wellness. Health plans will utilize the rich data from HRAs (that traditional claims and lab data cant provide) to empower nurses, health coaches and clinicians to drive better health outcomes for their members. Employers today are seeing the value of HRAs, but sometimes are not sure how to evaluate these products. To help, I have listed 10 components necessary for effective health risk assessment. Multi-modal delivery capabilities that augment web-based delivery with print, telephone and IVR administration options to meet the needs of diverse employee populations in multiple locations. The National Committee for Quality Assurance (NCQA) certification to assure the purchaser that the HRA meets industry standards. Individually tailored action plans to aid each unique employee in his pursuit of health and wellness. Biometric uploading and pre-population of data for seamless integration, improved accuracy and employee convenience. Assessment of productivity impairment to help employers determine key health barriers that would lead to absenteeism, and thus, affect the bottom line. Focus on assessing behavioral health issues like insomnia, stress and depression, which are often under the radar, yet cause significant health care costs, disability claims and productivity impairment. Cutting edge participation and engagement strategies to improve employee involvement and help them get the most bang for their buck. Annual population health comparison reports to evaluate the impact of your health and wellness initiatives over time, and to identify key issues for strategic health initiatives. Immediate linkage from HRA to health coaching programs that immediately connect employees to proven interventions for healthy lifestyle, behavioral health and chronic conditions. Strong science with peer-reviewed publications that demonstrates the value and impact to employers that implement these HRAs and associated health and wellness solutions. In summary, the HRA is in the national spotlight. A new generation of HRAs now offers better technology, science, comprehensiveness and employee access. So, determine whether your organization is ready to take advantages of these advances. How are you using HRAs today? Do they meet the criteria demanded by todays competitive business world and health care climate?http://mashable.com/2012/02/06/health-risk-assessments-digital/   Fri, 17 Feb 2012 12:00:00 ESThttp://www.www.heatinc.ca/health-risk-assessment-tools-go-digital/http://www.www.heatinc.ca/year-end-promo-for-all-nurse-education-programs/HEAT Inc., is offering a budget year end promotion to all Nursing Schools on our Nurse Education Programs.  Orders over $500 until April 1 will receive free shipping! Please contact us to place your order - info@heatinc.ca  Fri, 17 Feb 2012 12:00:00 ESThttp://www.www.heatinc.ca/year-end-promo-for-all-nurse-education-programs/