Paula Erwin-Toth

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Affordable Care Act

by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

As we embark on our journey into 2017, many are concerned about the road ahead. A new President and GOP dominated Congress have promised to make health care reform a priority. There have been numerous articles and opinion pieces written about the path these changes will take and what they will mean to patients, caregivers, and clinicians alike

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nursing issues and being a family caregiver

by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

November marks the beginning of National Family Caregiver Month. Many of us are not only health care providers, but we are also family caregiver; some of us are part of the so-called sandwich generation. Caring for aging parents along with raising children can leave you feeling squeezed in the middle.

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high touch patient care

by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

My last blog discussed the need to be high touch in a high-tech environment. This generated a lot of discussion among readers. Everyone agreed 'high touch' is important, but wondered what can we do to actually create that environment in all clinical settings?

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Wound Management Technology

by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

What's the best approach to wound management: use of the latest advanced technology or "back to basics" treatment methods? How many times have you, the experienced wound clinician, been asked this question? It is only natural for people (especially patients and their families) to gravitate to a solution that seems to offer a quick fix for a very complex problem.

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Caregiver and Client

by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

Fall is in full swing. The leaves in Ohio are just past their full glory, the Cleveland Browns are having another disappointing season and the debate about health care reform goes on. In other words, not much has changed from the past several years. Our clients with chronic wounds may feel the same: different day, different year, same problems with no end in sight. One wound may have healed only to recur or another erupt in a different location.

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Patient and Provider

by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

As summer gives way to fall, one of the first thoughts most of us have is back to school. Patients and caregivers often feel as though every day is the first day of school and they are being asked to take the final exam before they have learned anything. Learner readiness is the cornerstone of an effective teaching/learning process.

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Resolution List

by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN
Several years ago I made a New Year's resolution to stop making New Year's resolutions. Like most New Year's resolutions I have not had much success in keeping it. Therefore I am sharing a few resolutions.

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Caregiver

by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

This November marks the second annual National Family Caregivers Month. Family caregivers are the unsung, unpaid giants of health care. Some are suddenly thrust into the role; others take on caregiver duties more gradually. In fact many people do not even self-identify with the term 'caregiver'. They think of themselves as husband, wife, son or daughter doing what they want and need to do for their loved one.

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by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

The signs of summer winding down are everywhere. Leaves are beginning to look 'tired', fall clothes fill the stores and 'back to school' ads are everywhere—to the chagrin of kids and joy of parents everywhere.

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by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

Health care professionals recognize there seem to be 'seasons' for certain diseases and conditions. Spring and fall see a rise in flare ups of gastrointestinal disorders, such as inflammatory bowel diseases and seasonal allergies. Summer months bring an increase in traumatic events such as drownings, gunshot wounds and automobile accidents. Development of pressure ulcers does not follow a seasonal pattern—they occur at a higher than acceptable frequency throughout the year.