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The other side of the 'dignified death' debate
The emerging narrative about “Do Not Resuscitate” (DNR) orders is that they are not utilized frequently enough. Doctors, it is said, are reluctant to have this discussion with patients, and patients are typically unlikely to initiate such a conversation with their physician. As a result, there are dreadful stories of dying patients who suffer excruciating, highly-medicalized deaths rather than one with the dignity the sufferers might have preferred. Such deaths, policy experts note, would also seem to constitute a regrettable waste of healthcare resources.
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Register Now: MARN Accredited Approver Unit Eastern Workshop
Applying the 2013 ANCC Criteria to Nursing Continuing Education
One Year Later: Lessons Learned

Friday, Jan. 10, 2014
9 a.m. – 12 p.m.
Symposium flyer, click here.
Register now, click here.
Wellesley Gateway Building
93 Worcester Street
Wellesley, MA 02481-9181
Registration deadline is Jan. 1, 2014.

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Call for Proposed Changes to the MARN Bylaws
Reminder from the MARN Bylaws Committee that any proposed changes to the MARN Bylaws must be submitted in writing using the MARN Bylaws Change form no later than Jan. 1, 2014.
MARN Bylaws, click here.
Proposed changes to Bylaws Form, click here.
Submit completed proposal to Bylaws Chair, Mary McKenzie at
Deadline: Jan. 1, 2014

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Authors Wanted for the MAssachusetts Report on Nursing (MARN Newsletter)
Needed: Articles for The Spring 2014 edition of the MAssachusetts Report on Nursing
Remember: The MARN newsletter is read by @ 110,000 RNs in the Commonwealth!
This is YOUR newsletter so we encourage YOU to make a contribution!
For 2013 we invite you to write about how nurses unite and work to improve healthcare.
Your ideas about features to include in future newsletters are always welcome. The more input, the better!!
We really look forward to your article.
Deadline date for submission is Jan. 10, 2014!
Your contribution can be sent to or mailed to MARN Newsletter, P. O. Box 285, Milton, MA 02186

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  When Physicians Need To Know More, They Trust OvidMD -Try It Free
OvidMD, the first clinical tool from Ovid, provides quick answers to a physician’s questions based on relevant, current full-text content from Ovid. OvidMD was designed from a clinical, evidence-based perspective to ensure results are meaningful to a practicing physician. Efficient and easy-to-use, OvidMD’s search is powered by sophisticated technology developed by the experts at Ovid. OvidMD puts research into practice.

Call for MARN Nominations for Loyal Service Award and Arthur L. Davis Publihsing Agency Scholarship
Loyal Service Award: This award is for a member who demonstrates loyal and dedicated service to the association. The candidate for this award may be self-nominated or nominated by a colleague. Must be a MARN member for at least 12 months. Award recipients are asked to serve on the selection committee for the next year’s awards. Deadline Jan. 1
Use this link to access the Loyal Service Award Application.
Arthur L. Davis Publishing Agency Scholarship:(Application deadline: March 15.) This scholarship is awarded yearly to a MARN member to pursue a further degree in nursing or to a child or significant other of a MARN member who has been accepted into a nursing education program.
Use this link to access the Arthur L. Davis Publishing Agency Scholarship Application.

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MARN Career Center
Check Out Great New Career Opportunities at the MARNCareerCenter here
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MARN 2013 Membership Survey
Please take a few minutes to complete our member survey so that we can better meet your member needs! Complete the survey and be entered into a drawing. We appreciate your time and your input!
Go to survey, click here.

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3 favorite nursing trends of 2013
HealthLeaders Media
Some nursing leadership trends emerged quietly this year, but are nonetheless provocative for how they force us to think about nursing and how they force nurses to think about themselves as caregivers and healthcare leaders. Nearly a year ago, Alexandra Wilson Pecci played fortune teller. With the help of ANA president Karen Daley, Pecci predicted the top nursing issues for 2013, forecasting that the safety of nurses, the rise of APRNs, advancing nurse education, and increasing emphasis on care coordination would dominate the consciousness of nurse leaders. Indeed, those topics were, and continue to be, among nursing's most important, overarching issues.
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Stress reaction gene linked to death, heart attacks
Medical Xpress
A genetic trait known to make some people especially sensitive to stress also appears to be responsible for a 38 percent increased risk of heart attack or death in patients with heart disease, scientists at Duke Medicine report. The finding outlines a new biological explanation for why many people are predisposed to cardiovascular disease and death, and suggests that behavior modification and drug therapies could reduce deaths and disability from heart attacks.
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Meaningful use shows promise in cutting adverse drug events
By Pamela Lewis Dolan
Hospitals that adopted electronic health record systems featuring all five of the meaningful use program's stage 1 medication management functions had fewer adverse drug events compared with hospitals that have not yet implemented those features, according to a recent study in the American Journal of Managed Care. The findings revealed that the advanced medication systems not only improved patient safety by 63 percent, but also helped save the hospitals $4,790 per each adverse drug event that was averted.
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Advice would put fewer Americans on blood pressure meds
USA Today
Fewer older Americans would take blood pressure medications under new guidelines published today in the Journal of the American Medical Association. High blood pressure, or hypertension, affects 78 million American adults. Only about half have their blood pressure under control. Current guidelines define high blood pressure as above 140/90 millimeters of mercury. Doctors now advise patients to take medications and make lifestyle changes — such as exercising, losing weight and consuming less salt — with the goal of getting their blood pressure under this level.
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  Degree & Certification Programs for Nurses

Rowan University offers programs in healthcare designed to accommodate your busy schedule including:

Combination Online & Face-to-face Classes
B.S. in Nursing for registered nurses
School Nursing Certification
M.S. in Nursing: Clinical Nurse Leader
  Online Classes
M.A. in Wellness and Lifestyle Management
Ed. D. in Educational Leadership: Nurse Educator track

Apply Now!

Nurse's small act of kindness was the best medicine for her elderly patient
The Huffington Post
The smallest acts of kindness can be the best medicine. That's what Lori Mesko, a registered nurse at Botsford Hospital in Farmington Hills, Mich., recently learned. She told The Huffington Post in an email that she's wanted to take care of others since she was a young girl. "Growing up with a older mother who was sick quite often made me realize I wanted to be a nurse," she said.
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Millions of Medicare beneficiaries receive free preventive care
More than 25.4 million people covered by Original Medicare received at least one preventive service at no cost to them during the first 11 months of 2013, according to new data released by the Centers for Medicare & Medicaid Services. “Thanks to [terms of] the Affordable Care Act, millions of seniors have been able to receive important preventive services and screenings such as an annual wellness visit, screening mammograms and colonoscopies, and smoking cessation at no cost to them,” CMS Administrator Marilyn Tavenner, RN, BSN, MHA, said in a news release.
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In era of health reform, retail clinics become part of the healthcare delivery system
Modern Healthcare
A contract between Detroit-based Henry Ford Health System and MinuteClinic, a division of CVS Caremark Corp., is one example of how retail clinics are becoming a larger part of the healthcare delivery system in Southeast Michigan to meet an expected increase in patient demand next year under the Patient Protection and Affordable Care Act.

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Mobile working: Why healthcare staff should be better connected
The Guardian
From allowing remote access to medical records, to helping professionals engage their patients, mobile working has revolutionized the way staff at the John Taylor Hospice provide care. For the community psychological therapies team at the Birmingham-based center, mobile devices act as communication aids that can capture the interest of otherwise hard-to-reach children.

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Study finds youth prefer and benefit more from rapid point-of-care HIV testing
Youth prefer, accept and receive HIV results more often when offered rapid finger prick or saliva swab tests rather than traditional blood tests according to a study by researchers at St. Michael’s Hospital. More than 50 per cent of youths who took part in 14 North American studies preferred the rapid point-of-care tests because they are less invasive and provide faster results, said family physician Dr. Suzanne Turner.

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Antibiotic use in infancy could increase risk of asthma
he number of people with Asthma has significantly increased over the last three decades. Different medical exposures during infancy may have something to do with the rising number. A recent study found that children who were given antibiotics during infancy were at higher risk of developing asthma, eczema and hay fever by mid-childhood, compared to children who did not take antibiotics during infancy. The researchers concluded that the risk was associated with the total amount of antibiotic cycles taken during the first two years of life.
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7 myths about the flu vaccine and why you should get it anyway
CNN (opinion)
Every year, it's the same battle. Every year, I urge my patients to get the influenza vaccine. And every year, they come up with a bucketful of excuses why they shouldn't. They're afraid, they say. It hurts, they say. It doesn't work, they say. It'll make me sick, they say. I understand the concerns, I really do. But the flu vaccine is safe and essential to nipping the seasonal bug in the bud.
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'Incidental findings' rare but significant events in pediatric CT scans
The largest study of computed tomographic (CT) scans taken in emergency departments across the country for children with head injuries describes the prevalence of “incidental findings” — results that were not expected from the injury — and categorizes them by urgency. The article, titled “Incidental findings in children with blunt head trauma evaluated with cranial CT scans,” was published in the issue of Pediatrics, and provides a context for doctors in emergency departments who encounter these situations.
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Missed last week's issue? See which articles your colleagues read most.

    New rules require veteran nurses to go back to college as RN-BSN programs flourish (The Star-Ledger)
Is there another way to solve the nursing shortage? (FierceHealthcare)
Clock is ticking: New acetaminophen combo limitations coming soon (By Jason Poquette)
Study casts doubt on whether extra vitamin D prevents disease (Reuters)

Don't be left behind. Click here to see what else you missed.


MARN Nursing Flash
Colby Horton, Vice President of Publishing, 469.420.2601
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Jessica Taylor, Medical Editor, 202.684.7169   
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