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2025 ISSUE 3
SUBJECT LINKS
OUTSIDE OF
BBPA
PATIENT SAFETY WEEK
MARCH 9-15, 2025

Barrybill Patient Advocate (BBPA) supports National Patient Safety Awareness Week (PSAW).

Everyone can participate! For example, spread awareness about how your community is avoiding harm to patients, recognize ongoing patient safety initiatives, or highlight important patient safety issues.

To help in this endeavor, the Center for Patient Safety has provide excellent flyers, posters, and two-folds that you may use to plan and promote your activities.

As an additional resource, the World Health Organization developed strategies on avoidable harm and patient safety. You can download the document by clicking on the link below.

The US Military Health Services (MHS) has been engaged in the PSAW campaign for many years. Each year, military hospitals and clinics host a variety of events for patients, families, and communities.

Sadly, past resources from the MHS are no longer available, but their spirit remains true to the cause. Everyone is encouraged to make a difference in their local communities by participating in PSAW. Resources are listed below.
Advertising TemplatesThe Center for Patient SafetyFOLLOW URL
Global Patient Safety Action Plan
Avoidable Harm
World Health OrganizationDOWNLOAD
RARE DISEASES (CHOLERA)

Rare Disease Day is celebrated around the world to bring awareness of the impact diseases have on a community. In a country or region where a disease has ben eradicated it may be referred to as rare; however, if a particular disease remains a public health burden it is not considered rare but prevalent. Cholera for most nations is rare but conflict, displace-

ment, and climate-related disasters are disrupting access to clean water and sanitation. Cholera outbreaks has become one of the most pressing global health emergencies.

The causative agent of Cholera, which can be found in contaminated water and shellfish, is the bacteria, Vibrio cholera. When ingested, the bacteria sticks to the walls of of the small intestine. There, they release toxins that can cause mild to severe watery diarrhea that can quickly lead to life-threatening dehydration.

If an infected person is unable to replenish fluids, cholera can be fatal. Access to clean water and toileting facilities can help prevent the spread of cholera. A historic look at cholera in the early to mid 1980's London reveals the tragic, yet avoidable, cholera outbreak in Great Britain. A selected news event can be accessed at https://www.lshtm.ac.uk/newsevents.




WORLD HEARING DAY
To hear for life, listen with care! World Hearing Day gives us a chance to focus on the importance of safe listening as a means of maintaining good hearing health for all ages. In 2021, WHO launched the World Report on hearing that highlighted the increasing number of people living with and/or at risk of hearing loss. It highlighted noise control as one of the key hearing interventions and stress the importance of mitigating exposure to loud sounds.
Burn Awareness Graphic
image courtesy of Shriner's Hospital
BURN AWARENESS WEEK

US National Burn Awareness Week, observed the first full week in February, and is an opportunity to educate our communities of burn avoidance and fire safety measures. The American Burn Association strives to bring awareness to the causes of devastating and costly injuries and encourages everyone to make environmental and behavioral changes that can save lives. For more information, click on the image above to visit the Shriner's Hospital fire and burn activities Web site.

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Volume XII
Issue 3
Showcase
Sepsis Alliane
NATIVE INDIAN HIV AWARENESS
RANDOM ACTS OF KINDNESS
TICKS
BURN PREVENTION
TUBERCULOSIS
THERAPEUTIC RECREATION
TUBERCULOSIS

A TICK'S LIFE
Taxonomy — courtesy of Theobald Smith and Howard T. Rickets, associates of Britannica:

Tick (suborder Ixodida), any of about 825 species of invertebrates in the order Parasitiformes (subclass Acari).

Hard ticks, such as the American dog tick (Dermacentor variabilis), attach to their hosts and feed continuously on blood for several days during each life stage. When an adult female has obtained a blood meal, she mates, drops from the host, and finds a suitable site where she lays her eggs in a mass and dies.

Six-legged larvae hatch from the eggs, move up on blades of grass, and wait for a suitable host (usually a mammal) to pass by. The odor of butyric acid, emanated by all mammals, stimulates the larvae to drop onto and attach to a host. After filling themselves with the host’s blood, the larvae detach and molt, becoming eight-legged nymphs.

Nymphs also wait for, and board, a suitable host in the same way as larvae. After they have found a host and engorged themselves, they also fall off, and then they molt into adult males or females. Adults may wait for a host for as long as three years. — end.

Before you go outdoors:
1.Know where to expect ticks
2.Walk in the center of trails
3.Wear protected clothing
4.Treat clothing and gear with products that are approved by your local food and drug administration and regional health departments. Always read the use instructions and instructions to follow when you expect human poisoning
When you come indoors from potentially tick-infested areas, including your own backyard:
1.Check your clothing for ticks. Ticks can ride into the home on clothing and pets, then attach to a person later, so carefully examine pets, coats, and backpacks
2.Any ticks that are found should be removed. Tumble dry clothes in a dryer on high heat for 10 minutes to kill ticks. If clothes are damp, additional time may be needed. If the clothes require washing first, hot water is recommended. Cold and medium temperature water will not kill ticks
3.Check your body for ticks. Conduct a full body, use a hand-held or full-length mirror to view all parts of your body. Check these parts of your body and your child’s body for ticks: a) under the arms; b) in and around the ears; c) inside belly button; d) back of knees; e) in and around hair; f) between legs; g) around waist.
RANDOM ACTS OF KINDNESS
Showing an act of kindness for a fellow human being has many benefits.

Taking the opportunity to be kind can help reduce stress and moves your focus off yourself, and opens a challenge to be aware of all humankind.

BBPA has created a list of ideas to get you started, and there are more resources at the link below.
  1. help an elder neighbor take out/in trash
  2. help a carer for a day
  3. signup to donate blood
  4. signup to be an organ donor
  5. volunteer at a local non-profit
  6. walk/run in a charity fundraiser
  7. learn CPR
  8. introduce yourself with your pronouns
  9. use social media for nice postings
  10. pick an awareness day to celebrate
  11. keep your word, it is simple
  12. help a friend practice self-care
  13. forgive someone
  14. leave a welcome not for a new neighbor
  15. pick up a piece of litter and throw it away
  16. be the best you can be
“Be kind whenever possible. It is always possible.” — Dalai Lama
EPILEPSY AWARENESS
It is estimated that more than 48 million people are living with epilepsy around the world. The word ‘epilepsy’ is derived from the Greek word meaning ‘to be seized', 'to be overwhelmed by surprise’. To have epilepsy is to have a tendency to have seizures. Anyone can have a seizure, if the brain is exposed to a strong enough stimulus.

Epilepsy is a paroxysmal disorder of cerebral function characterized by sudden brief attacks of altered consciousness, motor activity, or sensory phenomena. Convulsive seizures are the most common form of attacks, but any recurrent seizure pattern is considered epilepsy. Epilepsy is not necessarily a life-long diagnosis.

The brain is responsible for all the functions of your body. What happens to you during a seizure will depend on where in your brain the epileptic activity begins and how widely and quickly it spreads. For this reason, there are many different types of seizure, and each person will experience epilepsy in a way that is unique to them.
THE TUBERCULOSIS 411

Tuberculosis (tubercle bacillus) disease is commonly acquired from contact with an infected person or an infected cow or through drinking contaminated milk.

Tuberculosis (TB) most often affects the respiratory system but other parts of the body such as the gastrointestinal and genitourinary tracts, bones, joints, nervous system, lymph nodes, and skin may become infected. Fish, amphibians, birds, and mammals are all subject to the disease.

A tuberculin skin test will determine the presence of the TB disease but will not reveal if the disease is active or inactive. A positive test requires further diagnosis and treatment. Treatment various based on the progressiveness of the disease In early stages the disease can be arrested and eradicated; however, reinfection may occur. Current treatments consist of weekly doses of medication, and in severe cases hospitalization. There are guidelines and recommendations on who should have a TB test and how often. Doctors, nurses, (anyone in contact with patients), school teachers and firemen are among the occupations which need regular TB testing. It is recommended that caregivers be tested for TB even though many states do not require it.

Policies will vary from state to state and with local health departments so it is best to contact your local department of health to obtain the recommendations for your area. Get tested. Caregivers must be diligent in protecting the health of patients and themselves.

During the mid-1800s and the first-half of the 1900s TB sanitariums were built to provide patients with a place to rest with supervision and care. Sanitariums were typically built in dry areas such as southern California.

image courtesy of Los Angeles Library depository and
University of Southern California historic photograph collections

The photograph to the left is a picture of Pottenger Sanitarium, Monrovia, CA USA. Some sanitariums are still in existence, converted to hotels, hospitals, divided into individual residences or remained as historic sites.

Each brick below leads to Web sites which have resources for seniors and those who are victims of elder abuse. The first brick, eldercare locator, provides, among other things, a search engine to locate services in your area. The second brick, OVC, is a governmental (US) resource for those who are victims of financial fraud. And the third brick leads to an abundance of resources for caregivers and victims. Everyone should visit all three sites to gain an awareness of services that are available to seniors, seniors of abuse, caregivers, and families.

Elder Care GraphicOVC Stop Fraud Hotline GraphicNCEA Elder Abuse Graphic

RESOURCES FOR CAREGIVERS
  1. Caregiver Action Network
  2. Family Caregiver Alliance
  3. AARP Caregiver Resources
  4. Rosalynn Carter Institute for Caregiving
  5. Infant and Toddler Resource Guide
  6. La Bella Vita Hospice
  7. Health and Human Services
All patients in home health care, hospice or hospital need a Patient Health Care Plan. The plan (sometimes referred to as a treatment plan) is focused on the patient and is individualized and customized by the patient and the patient's healthcare team so that all available and relevant resources are utilized. Descriptors and Examples
The link below will take you to a Web site where you have access to resources for personalized care, home health aides, social services, bereavement support, inpatient care, and more!
Agape image
image property of Agapé
If you need
answers to questions like, “how do I set up hospice services?” or “how do I choose my hospice provider?”HG foundation image
or perhaps “How long do services last?” Answers to these and other questions can be found at the HG Foundation, just a click away.
A Patient's Guide to Managing Hyperglycemia
in the Hospital and in the ICU.hyperglycemia image