Weight Loss: Why Doesn’t Knowledge Translate into Action?

When I worked in primary care I was always frustrated by orders to give patients a handout on low-fat diets (and two minutes of explanation) and send them on their way. Once, a patient came in with back pain; she’d fallen out of a chair that broke when she sat on it. While her eyes glazed over, I spent a few minutes going over the diet the doctor ordered for her. At the end of this painfully futile exchange I asked her if she had any questions. She responded, “Have you ever thought of cutting your hair short?” Something tells me she didn’t run right out to buy vegetables and join a gym.

Of Interest on the Web – June 2, 2009

By DeclanTM, via Flickr.

The most recent “Change of Shift,” a regular nursing blogosphere roundup (“the carnival dedicated to nurses and nursing”), is up over at Code Blog. We appreciate the mention of our recent post about virtual nurses in a virtual ICU.

How can we have health care reform without first controlling costs? In this week’s New Yorker, Atul Gawande undertakes a fascinating and in-depth comparison of the very different health care approaches of two American towns. Leave your preconceptions at the door.

Speaking of quality control, here’s Health News Review’s analysis of a recent story in the Washington Post about screening and treatment of major depressive disorder in teens (the story gets a 4 out of a possible 10).

And, for those of you in the mood, here’s one nurse’s blunt message to new interns. A brief excerpt:

I worked as a neurosurgical nurse many years ago at a teaching hospital in the Midwest, and twice a year a new crop of interns descended upon our unit. It was the best show in town. The spectacle began with the chief of neurosurgery, Dr. Holier Than Thou, strutting on to the unit with his entourage marching behind him.

Virtual Nurses in a Virtual ICU – Will Technology Trump Staffing?

Virtual Reality Headset Prototype (circa 1968). Photo by Pargon, via Flickr.

If you want to know what the ICU of the future will be like, think of an extremely ill patient connected to myriad tubes and monitors; watched by cameras; every sigh, snore, or change in breath sound picked up by an audio feed.

Then remove the patient, leaving just monitors, speakers, and video screens. […]

Assessing the News About Health – Notes from a Conversation with Gary Schwitzer

Asked what the major issues in health care reporting are right now, Schwitzer said that, after analyzing 780 stories from the major newspapers and networks that feed Americans their news on health care, he and his colleagues have found that "72% of stories fail to adequately address costs." "71% fail to adequately quantify benefits."

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