Items filtered by date: September 2019

Avoiding Prednisone Withdrawal

Published in NJ Heart and Lung News

Doctors prescribe prednisone, a corticosteroid, to treat a variety of conditions that involve swelling and inflammation. These conditions include breathing difficulties such as asthma; skin conditions that cause swelling and itching, such as poison ivy; arthritis; allergies; digestive problems; kidney problems; multiple sclerosis (MS) episodes; and lupus.

Although, prednisone is generally prescribed for short-term use, the dose is usually reduced slowly over several days. This is because if prednisone therapy is stopped abruptly, the patient may experience prednisone withdrawal.

Symptoms of prednisone withdrawal include nausea, severe fatigue, weakness, loss of appetite, lightheadedness, weakness, joint pain, mood swings, and body aches.

The longer the prescribed course of prednisone, and the higher the dose, the more severe withdrawal symptoms would be, and the longer they would last.

Given the risks of prednisone withdrawal, why would anyone stop prednisone abruptly? We see the same thing happen with people who are prescribed antibiotics. Just 24 hours on antibiotics can make someone with a bacterial infection feel much better. So, too, one day of prednisone can greatly alleviate the symptoms of the condition for which it was prescribed.

But simply feeling relief from symptoms is not the same as being well and no longer requiring medication. In the case of antibiotics, the infection has not yet been eradicated; in fact, stopping a course of antibiotics in the middle can cause it to return with extra strength — and often resistant to the original antibiotic. With prednisone, the body’s hormonal system — in particular, the adrenal gland — is disrupted when taking the drug, and it takes to return to normal. Until it does, the person still needs prednisone, though in ever-smaller quantities.

What is the best way to avoid prednisone withdrawal? Follow your doctor’s instructions to the letter. The dosages, including the tapered dosages, are prescribed in a way to make the weaning process go smoothly. A person on prednisone should never stop their course of treatment suddenly. They should also not take more medication than prescribed, or alter the schedule of tapered doses.

In addition, when being weaning off prednisone, it can be helpful to make certain lifestyle changes to help ease the return to normal adrenal function. These changes include abstaining from alcohol and caffeine, getting enough sleep, and avoiding stress.

Regency Jewish Heritage has partnered with the area's leading cardiologists and pulmonologists to form The NJ Heart and Lung Center™

Our program:

  • Reduces hospital readmissions and patient length of stay
  • Maximizes ability for patient to regain ADL skills and independence
  • Offers 24/7/365 physician coverage through on-site staff and advanced telemedicine program
  • Has an on-site sleep study program to unlock Medicare benefit for Bipap utilization upon discharge
  • Offers STAT availability of Labs, X-Ray and other diagnostic tools

 

Our Outcomes & Capabilities include:

  • Cardiologist and pulmonologist on site daily for immediate intervention
  • Specialized rehab & nursing protocols developed in partnership with leading cardiologists & pulmonologists
  • A plan proven to prevent readmission to the hospital and improve patient independence and functionality
  • Regular Communication Between Patient, Family, Staff & Physicians
  • Collaborative care planning with other physician & therapy specialists
  • Advanced staff education & training
  • Transitional care nurse & enhanced discharge-to-home process
  • Follow-up home visit within 24-48 hours
  • Educational material provided to patients & families

We offer the very best of care in a patient-centered environment. This means always listening to our residents and patients and respecting their capabilities, while helping them to achieve maximum functionality and independence. And always maintaining the highest professional and quality standards in our staff and our facilities. Our 25 years of excellent care have led to us being awarded a Best Nursing Homes award by US News & World Today, a 5-Star rating by USA Today, and an A+ rating by the Better Business Bureau, among many other awards.

Contact us by clicking here.

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Cardiac Rehabilitation Following a Pacemaker

Published in NJ Heart and Lung News

If you suffer from arrhythmias, such as bradycardia (a slower than normal heartbeat); heart block (a problem that disrupts electrical signals to the heart), or heart failure, your doctor may recommend insertion of a pacemaker. Pacemakers use electrical stimulation to prompt the heart to beat at a normal rate.

Pacemaker insertion is an inpatient procedure, usually performed under local anesthesia. Typically, if you receive a pacemaker, you will be allowed to go home within a day or two; in some cases, you may even be allowed to leave the same day.

Being discharged from the hospital does not mean that you are ready to go back to your regular activities, however. Not only do you need time to recover from the procedure, your best chances for full recovery involve enrolling in a cardiac rehabilitation program. Medicare and most private healthcare insurance companies cover the cost of cardiac rehabilitation after pacemaker procedures.

Cardiac rehabilitation involves not only tending to the implant site and making sure it remains infection-free, but also gives you instruction on how to take care of the device. A team of therapists will help you increase your activity safely and gradually. In addition to exercise training, cardiac rehabilitation programs include instruction on lifestyle changes, including diet and nutrition; and emotional support, in individual or group settings. The best cardiac rehab programs offer a multidisciplinary approach, with an individualized treatment plan for each patient, and continuous contact with your personal doctor to make sure you meet the goals they have set for you.

A study published in The Monaldi Archives for Chest Disease found that people who participated in cardiac rehabilitation after having a pacemaker inserted had an increase in quality of life, mental health, general health, and an increase in exercise capacity of 14 to 25%.

When you have cardiac rehabilitation at the NJ Heart and Lung Center™ of Regency Jewish Heritage, you will get an individualized plan, proven to prevent readmission to the hospital, and to improve your independence.  

Regency Jewish has partnered with the area's leading cardiologists and pulmonologists to create a program that:   

  • Reduces hospital readmissions and patient length of stay
  • Maximizes ability for patient to regain ADL skills and independence
  • Offers 24/7/365 physician coverage through on-site staff and advanced telemedicine program
  • Has an on-site sleep study program to unlock Medicare benefit for Bipap utilization upon discharge
  • Offers STAT availability of Labs, X-Ray and other diagnostic tools

Our Outcomes & Capabilities include: 

  • Cardiologist and pulmonologist on site daily for immediate intervention
  • Specialized rehab & nursing protocols developed in partnership with leading cardiologists & pulmonologists
  • A plan proven to prevent readmission to the hospital and improve patient independence and functionality
  • Regular Communication Between Patient, Family, Staff & Physicians
  • Collaborative care planning with other physician & therapy specialists
  • Advanced staff education & training
  • Transitional care nurse & enhanced discharge-to-home process
  • Follow-up home visit within 24-48 hours
  • Educational material provided to patients & families

Regency prides itself on offering the very best of care in a patient-centered environment. This means always listening to our residents and patients and respecting their capabilities, while helping them to achieve maximum functionality and independence. And always maintaining the highest professional and quality standards in our staff and our facilities. Our 25 years of excellent care have led to us being awarded a Best Nursing Homes award by US News & World Today, a 5-Star rating by USA Today, and an A+ rating by the Better Business Bureau, among many other awards.   Contact us by clicking here.

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Are you interested in The NJ Heart and Lung Center for yourself or someone you love? A member of our team will be happy to answer your questions and schedule an on-site tour. Of course, you can also call us anytime.

The NJ Heart and Lung Center at Regency Jewish Heritage
380 DeMott Lane, Somerset, NJ 08873
(732) 873-2000
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The NJ Heart and Lung Center at Regency Gardens
296 Hamburg Turnpike, Wayne, NJ 07470
(973) 790-5800
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