Patient Safety, Practices & Tips

Exercising During the COVID-19 Pandemic

Editor’s note: Keeping physically active has a great many benefits and, during the current COVID-19 situation, physical activity is recommended for emotional and mental health, as well as to boost your immune system. However, as everyone’s different, please speak with your doctor about finding the right level of fitness activity for you. 

By Michael Wong (Founder/Executive Director, Physician-Patient Alliance for Health & Safety), Lynn Razzano, Lynn G. Razzano, RN, MSN, ONC, CMSRN (Clinical Nurse Consultant, PPAHS), and Thereza B. Ayad, RN, MSN, DNP, CNOR (Clinical Nurse Consultant, PPAHS)

One of the questions we’ve received on the chat line and which we’d like to share the answer to is about exercising during the current COVID-19 pandemic. This is a question that many have probably asked themselves.

There are many benefits to staying physically active, particularly following surgery. However, during the current COVID-19 circumstances that require social distancing and have necessitated the closure of facilities – particularly gyms, pools, and parks – staying physically active can be especially challenging.

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Blood Clots, Patient Safety

FREE Patient-to-Nurse Chat Line

Virtual Patient Care is a free online service where patients can speak with experienced registered nurses and get personalized answers to their questions. 

In this video by Michael Wong, Founder and Executive Director of the Physician-Patient Alliance for Health & Safety explains what prompted the Physician-Patient Alliance and its cardiovascular partners – American Heart Association, AC Forum, Heart Rhythm Society, StopAfib.org, Mended Hearts, and Preventive Cardiovascular Nurses Association – to establish a nursing chat line:

“During the current COVID-19 conditions, patients face the burdens of social distancing and increased difficulty in reaching clinicians busy with emergencies. To meet the pressing needs of patients during this COVID pandemic, the Physician-Patient Alliance, with an unrestricted grant from the BMS-Pfizer Alliance, and our cardiovascular partners recently launched a free virtual patient care website and chat line.”

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Blood Clots, Patient Safety

Blood Clots in COVID Patients

Editor’s note: Blood clots are occurring in patients diagnosed with COVID-19. This article offers some of the key treatments and recommendations you may experience when admitted to hospital and then discharged home. As well, it discusses the interim clinical guidance from the Anticoagulation Forum.

By Michael Wong (Founder/Executive Director, Physician-Patient Alliance for Health & Safety)

An average of 274 people die from blood clots – which works out to about one death every six minutes. These statistics are pre-COVID statistics.

Because of the current COVID-19 pandemic, this may be changing. There have been reports about the development of venous thromboembolism (VTE) in patients with COVID-19. The International Society on Thrombosis and Haemostasis has collected a number of studies and case reports on thrombosis in COVID-19 patients, and the Journal of American College of Cardiology released a review of current understanding, citing many of the studies and case reports which are on the ISTH site. 

This COVID-19 pandemic is proving a challenge for clinicians to care for patients diagnosed with COVID-19. The interim clinical guidance from the Anticoagulation Forum (AC Interim Guidance) discusses the challenges of diagnosing a thrombotic event in COVID patients:

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Blood Clots, Patient Safety, Practices & Tips

COVID-19 Patients Are at a Greater Risk of Blood Clots

Editor’s note: Our understanding of COVID-19 symptomatology is evolving as the current pandemic unfolds. The International Society on Thrombosis and Haemostasis has collected a number of studies and case reports on thrombosis in COVID-19 patients. The Journal of American College of Cardiology released a review of current understanding, citing many of the studies and case reports which are on the ISTH site. This COVID-19 pandemic challenges us to use current knowledge and innovate new approaches to care for patients diagnosed with COVID-19. This article seeks to summarize some of the current knowledge about thrombosis in COVID-19 patients, knowing that future studies and case reports will undoubtedly refine the statements made below. However, this is science, continually evolving and improving based on current understanding. With that, this article offers some insights about VTE in patients admitted to the hospital who have been diagnosed with COVID-19.

By Michael Wong (Founder/Executive Director, Physician-Patient Alliance for Health & Safety), Laurie Paletz, BSN PHN RN BC SCRN (Manager, Stroke Program Department of Neurology, Cedars-Sinai), and Thereza B. Ayad, RN, MSN, DNP, CNOR (Assistant Professor, University of Massachusetts Medical School-Graduate School of Nursing; Surgical Services Clinical Staff Educator, North Shore Medical Center)

(reviewed by Sue Koob, MPA, Chief Executive Officer, Preventive Cardiovascular Nurses Association and Pat Salber, MD, MBA, Editor-in-Chief, DoctorWeighsIn)

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Patient Safety, Practices & Tips

Going to the Dentist in this COVID-19 Era

Editor’s note: As many states look to “re-open,” some of us may be looking to do what might have been put off during the last few weeks of COVID-19 isolation – such as, going to the dentist. T help Michael Wong, JD (Founder/Executive Director, Physician-Patient Alliance for Health & Safety) interviewed Bradley T. Truax, MD about what precautions dentists and their patients should consider.

By Michael Wong, JD (Founder/Executive Director, Physician-Patient Alliance for Health & Safety)

As many states look to “re-open,” some of us may be looking to do what might have been put off during the last few weeks of COVID-19 isolation – such as, going to the dentist.

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Patient Safety, Physician-Patient Relationship

Nursing the World to Health

Editor’s note: The theme for this year’s national nurses’ day could not be more appropriate given the current COVID-19 crisis “Nursing the World to Health.” The Physician-Patient Alliance for Health & Safety is proud that nurses are leading the virtual chat line that we launched to support cardiovascular and particularly patients with atrial fibrillation (Afib).

By Michael Wong, JD (Founder/Executive Director, Physician-Patient Alliance for Health & Safety)

The theme for this year’s national nurses’ day could not be more appropriate given the current COVID-19 crisis “Nursing the World to Health.”

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Blood Clots, Patient Safety, Practices & Tips

Great COVID-19 Advice and Resources from Our Cardiovascular Partners

If you have questions, the Physician-Patient Alliance for Health & Safety launched a free online service (the CV Virtual Clinic) where patients can speak with experienced registered nurses and get personalized answers to their questions. 

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Blood Clots, Patient Safety, Physician-Patient Relationship

Virtual Clinic to Help Atrial Fibrillation (Afib) Patients During COVID-19 Crisis

The Physician-Patient Alliance for Health and Safety (PPAHS) today announced the launch of a new, free virtual clinic and website, Virtual Patient Care, in response to the COVID-19 crisis, to meet the pressing needs of patients with atrial fibrillation (Afib), who are at the highest level of risk from stroke, and to help Afib patients cope with the difficulties imposed by COVID-19. 

“Under current COVID-19 conditions, patients face the burdens of social distancing and increased difficulty in reaching clinicians busy with emergencies. Telehealth has proven essential in addressing patients’ pressing health needs and ensuring good patient-to-clinician dialogue,” said Michael Wong, JD, Founder and Executive Director of the Physician-Patient Alliance for Health & Safety. “With today’s launch of Virtual Patient Care and the CV Virtual Clinic, vital telehealth benefits are now also extended to Afib patients in need.”

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Patient Safety, Practices & Tips

Malignant Hyperthermia Is Your Facility Prepared?

[Editor’s note: This poster was accepted for presentation at the 2020 AORN National Conference and Surgical Expo, which unfortunately has been canceled because of the current Covid-19 crisis. However, the information contained on the poster contains important information that all healthcare facilities should be aware of and implement to prevent Malignant Hyperthermia and to minimize patient harm and prevent patient mortality, so we asked the poster authors to discuss their findings here.]  

By Thereza  B. Ayad, RN, DNP, CNOR and Lynn Razzano, RN, MSN, ONC CMSRN

Malignant Hyperthermia (MH) complicates 1:100,000 adult surgical cases. MH is a severe reaction to a dose of anesthetics – infrequently, extreme exercise or a heat stroke can trigger MH in someone with a muscle abnormality where the individual’s muscle cells have an abnormal protein on their surfaces.

Although rare, MH can be fatal. 

MH symptoms/ manifestations include:

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Patient Safety, Practices & Tips

Coronavirus Brief for Caregivers

Editor’s notes: Rather than long-winded expressions of concern – which is what seems to be occurring regularly from airlines to grocery stores and everything in between, PPAHS will present coronavirus briefs. We hope that you find this brief on tips for caregivers to be useful and just long enough to be of interest.

The quandary for caregivers during the current Covid-19 crisis is the conflicting recommendations demanding social distancing and the need to make sure that the person that they are caring for is still receiving the attention and care that they need.

Here are 5 steps you can take as a caregiver:

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