Bold Voices - December 2011 - (Page 9)

AT THE BEDSIDE In-Hospital Mobility Benefits Older Patients Capable older patients who walk around the unit during hospitalization can shorten their stay, and the sooner they start, the better, a study fi nds. “In-Hospital Mobility and Length of Stay,” in Archives of Internal Medicine, shows that older patients who “increased their walking by at least 600 steps from the first to second 24-hour day were discharged 1.7 days earlier than those who did not.” According to a related article, “Older patients might mistakenly believe that when they are hospitalized they must stay in bed,” but studies show that because the “reserve capacity” of muscles in older patients can decompose quickly, the opposite is true. Stroke-related Hospitalizations Rise During and After Pregnancy Stroke-related hospitalizations among U.S. women increased 47 percent during pregnancy and 83 percent postpartum from 1994 to 1995 and 2006 to 2007, fi nds a study published online by Stroke. “Trends in Pregnancy Hospitalizations That Included a Stroke in the United States From 1994 to 2007” looked at other factors affecting hospitalization. Researchers found that approximately 32 percent of antenatal and 53 percent of postpartum stroke hospitalizations “had concurrent hypertensive disorders or heart disease.” Hospitalized older patients might mistakenly believe they must stay in bed. According to the article, the study authors recommend “simple intervention to encourage walking in geriatric inpatient units” to shorten length of stay. “Given the overoccupancy of many hospitals, this fi nding can be of great importance,” they conclude. Weigh in. How do you improve mobility in your unit’s older patients? Tell us at, or post a comment on our wall at Can a Drug That Treats Crohn’s Disease Prevent Epileptic Seizures and Resulting Tumor Growth? A study by the University of Alabama at Birmingham (UAB), pinpointing the relationship between primary brain tumors and the onset of epileptic seizures, fi nds that sulfasalazine (SAS), used to treat Crohn’s disease, inhibits those seizures and may slow a tumor’s growth, UAB reports. After human-derived glioma cells were implanted into severe combined immunodeficient mice, “Glutamate Release by Primary Brain Tumors Induces Epileptic Activity,” a recent article in Nature Medicine, noted that “acute administration of SAS at concentrations equivalent to those used to treat Crohn’s disease in humans” reduced the frequency of epileptic events in tumor-bearing mice. It recommends considering SAS “as an adjuvant treatment to ameliorate peritumoral seizures associated with glioma in humans.” Harald Sontheimer, professor of neurobiology at UAB and lead investigator, says, “The drug might be especially valuable in the early stages of the glioma, when the tumor is small, potentially to slow the progression of the disease and provide for a better quality of life,” UAB adds. He also notes that a clinical trial of SAS in humans is warranted. AACN Resources to Improve Patient Mobility • “Progressive Mobility in the Critically Ill” — Critical Care Nurse supplement • The Beach Chair Position in ICU: An Evaluation of Outcomes — Poster presentation • Sedation in the ICU: Time to Liberate and Animate — PowerPoint presentation You’ll find direct links to these and other resources in this issue’s digital edition at AACN BOLD VOICES DECEMBER 2011 9

Table of Contents for the Digital Edition of Bold Voices - December 2011

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
Dec. 19 Deadline: National Awards Recognize Excellence, Leadership in HAI Prevention
Box Office Hit 'Contagion' Raises Questions About Virus
New Privacy Recommendations for Storing Newborn Screening Specimens
Motor Training Can Advance Social Development in Infants With Autism
In-Hospital Mobility Benefits Older Patients
NSAIDs May Harm Patients with Heart Disease, Hypertension
Pain Code' Encourages Use of Maximum Dosage
FDA's Treatment Recommendations for Simvastatin 80
Study Identifies Predictors of Sudden Cardiac Death Versus Surviving Heart Attack
Study Seeks Initiator of Post-Trauma Intestinal Cell Damage
Australian Study: 'How Dangerous is a Day in Hospital'
In Our Journals
ICU Staff Composition May Decrease Burnout
Use of Manikins May Improve Emergency Care
Celebrate Certification
AACN Financials
From the President

Bold Voices - December 2011