1 Disability Evaluation Under Social Security Revised Medical Criteria for Evaluating Endocrine Disorders Effective June 7, 2011
2 Why a Revision? Social Security revisions reflect: SSA s adjudicative experience. Advances in medical knowledge. Methods of evaluating and treating endocrine disorders. Information from medical experts. Public comments received in response to a Notice of Proposed Rulemaking (NPRM).
3 Why a Revision? (cont) The last comprehensive revision to the Endocrine Listings was on December 6, Specific listing revisions were made in 1993, 1999, and 2002, however, these revisions were not comprehensive These final rules will remain in effect 5 years after the effective date unless: SSA extends the effective date or SSA chooses to revise the rules before the end of the 5 year period
4 Rule Making The Advanced Notice of Proposed Rulemaking (ANPRM) was published in the Federal Register on April 11, A NPRM (Notice of Proposed Rulemaking) was made on December 14, 2009 allowing public commentary until February 12, Clarity of these Proposed Rules: In addition to inviting public substantive comments, SSA invites commentary on how to make the rules easier to understand. For example they asked: Have we (SSA) organized the material to suit your needs? Are the requirements in the rules clearly stated? Do the rules contain technical language or jargon that is not clear?
5 The Revisions Revise and expand the introductory text to the endocrine body system Remove all of the current adult listings in the endocrine body system, which include: 9.02 Thyroid Disorders 9.03 Hyperparathyroidism 9.04 Hypoparathyroidism 9.05 Neurohypophyseal Insufficiency (Diabetes Insipidus) 9.06 Hyperfunction of the Adrenal Cortex 9.08 Diabetes Mellitus
6 When will we use these final rules? We will use these final rules beginning on their effective date, June 7, We will continue to use the current listings until the date these final rules become effective. We will apply the final rules to new applications filed on or after the effective date of the final rules and to claims that are pending on and after the effective date. This means that we will use these final rules on and after their effective date in any case in which we make a determination or decision.
7 What are the listings and how do we use them? Listings describe medical conditions that are so severe that we presume any person who has a medical condition(s) that satisfies the criteria of a listing is unable to perform any gainful activity and, therefore, is disabled. The inability to work must also have lasted or be expected to last for at least 12 continuous months or be expected to result in death. Thus, the listings are special rules that provide us with a mechanism to identify claims that should clearly be allowed [approved].
8 Why the Revisions? SSA is revising the listings for endocrine disorders because: Medical science has made significant advances in detecting endocrine disorders at earlier stages and Newer treatments have resulted in better management of these conditions since the last comprehensive revisions were made in 1985
9 Why the Revisions? (cont) Consequently, most endocrine disorders do not reach listing-level severity because: they do not become sufficiently severe or do not remain at a sufficient level of severity long enough to meet the 12-month duration requirement
10 Why the Revisions? (cont) Many of the current listings in the endocrine system are reference listings listings that are met by satisfying the criteria of other listings. SSA has been removing reference listings from all of the body systems as they have been revised and these changes are consistent with that approach Therefore SSA has determined that there will no longer be listings in section 9.00 based on endocrine disorders alone.
11 Future Plan Social Security is planning to publish a Social Security Ruling (SSR) with more detailed information about specific endocrine disorders, including DM, the types of impairments and limitations that result from these disorders, and how SSA determines whether individuals who have these disorders are disabled. The SSR will address some of the symptoms and signs of DM that are not covered by listings in other body systems.
12 New Introductory Text 9.00 Endocrine Disorders
13 What is an endocrine disorder? An endocrine disorder is a medical condition that causes a hormonal imbalance. When an endocrine gland functions abnormally, producing either too much of a specific hormone (hyperfunction) or too little (hypofunction), the hormone imbalance can cause various complications in the body.
14 Major Glands of the Endocrine System Pituitary Thyroid Parathyroid Adrenal Pancreas
15 How do we evaluate the effects of endocrine disorders? We evaluate impairments that result from endocrine disorders under the listings for other body systems. The following slides will provide reviewers with some examples.
16 The Pituitary Gland Pituitary gland disorders disrupt hormone production and normal functioning in other endocrine glands and in many body systems. The effects of pituitary gland disorders vary depending on which hormones are involved. For example, when pituitary hypofunction affects water and electrolyte balance in the kidney and leads to diabetes insipidus: Evaluate the effects of recurrent dehydration under 6.00
17 The Thyroid Gland Thyroid gland disorders affect the sympathetic nervous system and normal metabolism.
18 Evaluate thyroid related: The Thyroid Gland (cont) Changes in blood pressure and heart rate that cause arrhythmias or other cardiac dysfunction under 4.00 Weight loss under 5.00 Hypertensive cerebrovascular accidents (strokes) under Cognitive limitations, mood disorders, and anxiety under 12.00
19 The Parathyroid Gland Parathyroid gland disorders affect calcium levels in bone, blood, nerves, muscle, and other body tissues.
20 Evaluate parathyroid-related: The Parathyroid Gland (cont) Osteoporosis and fractures under 1.00 Abnormally elevated calcium levels in the blood (hypercalcemia) that lead to cataracts under 2.00 Kidney failure under 6.00 Recurrent abnormally low blood calcium levels (hypocalcemia) that lead to increased excitability of nerves and muscles, such as tetany and muscle spasms, under 11.00
21 The Adrenal Gland Adrenal gland disorders affect bone calcium levels, blood pressure, metabolism, and mental status.
22 Evaluate adrenal-related: The Adrenal Gland (cont) Osteoporosis with fractures that compromises the ability to walk or to use the upper extremities under 1.00 Hypertension that worsens heart failure or causes recurrent arrhythmias under 4.00 Weight loss under 5.00 Mood disorders under 12.00
23 Diabetes Mellitus Diabetes mellitus and other pancreatic gland disorders disrupt the production of several hormones, including insulin, that regulate metabolism and digestion. Insulin is essential to the absorption of glucose from the bloodstream into body cells for conversion into cellular energy.
24 Diabetes Mellitus (cont) The most common pancreatic gland disorder is diabetes mellitus (DM). There are two major types of DM: Type 1 and Type 2 Both type 1 and type 2 are chronic disorders that can have serious disabling complications that meet the duration requirement.
25 Diabetes Mellitus (cont) Type 1 DM previously known as juvenile diabetes or insulin-dependent diabetes mellitus (IDDM) is an absolute deficiency of insulin production that commonly begins in childhood and continues throughout adulthood. Treatment of type 1 DM always requires lifelong daily insulin.
26 Diabetes Mellitus (cont) With type 2 DM previously known as adult-onset diabetes mellitus or non-insulin-dependent diabetes mellitus (NIDDM) the body s cells resist the effects of insulin, impairing glucose absorption and metabolism. Treatment of type 2 DM: Generally requires lifestyle changes, such as increased exercise and dietary modification Sometimes insulin in addition to other medications
27 Diabetes Mellitus (cont) While both type 1 and type 2 DM are usually controlled, some persons do not achieve good control for a variety of reasons including, but not limited to: Hypoglycemia unawareness Other disorders that effect blood glucose levels Inability to manage DM due to a mental disorder Inadequate treatment
28 What is Hypoglycemia Unawareness? Hypoglycemia unawareness is when you lose consciousness without ever knowing your blood glucose levels were dropping or that you were showing other symptoms of hypoglycemia. It tends to happen to people who have had diabetes for many years, but it doesn't happen to everyone.
29 Hyperglycemia Both types of DM cause hyperglycemia, which is an abnormally high level of blood glucose that may produce acute and long-term complications. Acute complications of hyperglycemia include diabetic ketoacidosis Long-term complications of chronic hyperglycemia include many conditions that can affect various body systems
30 Diabetic Ketoacidosis (DKA) Diabetic ketoacidosis is an acute, potentially lifethreatening complication of DM in which the chemical balance of the body becomes dangerously hyperglycemic and acidic. It results from a severe insulin deficiency, which can occur: Due to missed or inadequate daily insulin therapy In association with acute illness
31 Diabetic Ketoacidosis (cont) Diabetic ketoacidosis usually requires hospital treatment to correct the acute complications of: Dehydration Electrolyte imbalance Insulin deficiency
32 Diabetic Ketoacidosis (cont) Serious complications may result from treatment. For example, evaluate: Cardiac arrhythmias under 4.00 Intestinal necrosis under 5.00 Cerebral edema and seizures under Recurrent episodes of DKA may result from mood or eating disorders, evaluate under 12.00
33 Chronic Hyperglycemia Chronic hyperglycemia, which is longstanding abnormally high levels of blood glucose, leads to long-term diabetic complications by disrupting nerve and blood vessel functioning.
34 Chronic Hyperglycemia (cont) This disruption can have many different effects in other body systems. For example evaluate: Diabetic peripheral neurovascular disease that leads to gangrene and subsequent amputation of an extremity under 1.00 Diabetic retinopathy under 2.00 Coronary artery disease and peripheral vascular disease under 4.00 Diabetic gastroparesis that results in abnormal gastrointestinal motility under 5.00
35 Chronic Hyperglycemia (cont) For example, evaluate: Diabetic nephropathy under 6.00 Poorly healing bacterial and fungal skin infections under 8.00 Diabetic peripheral and sensory neuropathies under Cognitive impairments, depression, and anxiety under 12.00
36 Hypoglycemia Persons with DM may experience episodes of hypoglycemia, which is an abnormally low level of blood glucose. Most adults recognize the symptoms of hypoglycemia and reverse them by consuming substances containing glucose; however, some do not take this step because of hypoglycemia unawareness.
37 Hypoglycemia (cont) Severe hypoglycemia can lead to complications. For example, evaluate: Seizures or loss of consciousness under Altered mental status and cognitive deficits under 12.00
38 New Introductory Text 9.00C How do we evaluate endocrine disorders that do not have effects that meet or medically equal the criteria of any listing in other body systems?
39 New Introductory Text 9.00C (cont) If your impairment(s) does not meet or medically equal a listing in another body system, you may or may not have the residual functional capacity to engage in substantial gainful activity. In this situation, proceed to the fourth and, if necessary, the fifth steps of the sequential evaluation process.
40 Ability to Sustain Work
41 Guidelines in Evaluating the Ability to Sustain Work Consider how the following could adversely impact the ability to sustain work: Effects of signs/symptoms on the client s ability to perform daily activities (pain, fatigue, incontinence, dizziness etc.) The location, duration, frequency, and intensity of symptoms Any precipitating or aggravating factors The type, dosage, effectiveness, and side effects of any medications Treatment, and other measures to relieve symptoms Other factors concerning functional limitations and restrictions
42 Guidelines in Evaluating the Ability to Sustain Work (cont) Ultimate Consideration: If the client is not capable of performing past relevant work, would the client be capable of working without significant accommodation(s) or special considerations?
43 How will DR s document Endocrine Disorders that do not effect another body system? To be consistent with DES current practice for impairments that do not have a corresponding SSI Listing, document the endocrine disorder on the bottom of another listing (for a physical impairment).
44 Documentation of Endocrine Disorders that do not effect another body system (cont) An example: If you are documenting on 1.04 for back pain, under OBJECTIVE MEDICAL EVIDENCE AND OTHER ADDITIONAL INFORMATION an example for DM might say: IDDM (no SSI Listing) diabetes for past 10 yrs. Blood sugars in good control. HgbA1C = 5. Vision 23/30 corrected. No evidence that diabetes is adversely effecting another body system.
45 How will DR s document when an endocrine disorder is the only impairment? Pituitary: 6.02 Thyroid: 4.05 Parathyroid: 1.02 Adrenal: 1.02 Pancreas: 11.14
Diabetes Definition Diabetes is a chronic (lifelong) disease marked by high levels of sugar in the blood. Causes Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused
LESSON TWO: COMPARE AND CONTRAST TYPE 1 AND TYPE 2 DIABETES FOCUS: Students will be given information on the two major types of diabetes, and they will analyze how the two types compare and contrast. OBJECTIVES:
Diabetes Mellitus Type 2 What is it? Diabetes is a common health problem in the U.S. and the world. In diabetes, the body does not use the food it digests well. It is hard for the body to use carbohydrates
Statistics of Type 2 Diabetes Of the 17 million Americans with diabetes, 90 percent to 95 percent have type 2 diabetes. Of these, half are unaware they have the disease. People with type 2 diabetes often
1 Nutrition Type 2 Diabetes: A Growing Challenge in the Healthcare Setting NAME OF STUDENT 2 Type 2 Diabetes: A Growing Challenge in the Healthcare Setting Introduction and background of type 2 diabetes:
DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY First Edition September 17, 1997 Kevin King R.N., B.S., C.C.R.N. Gregg Kunder R.N., B.S.N., C.C.T.C. 77-120 CHS UCLA Medical Center
DIABETES MELLITUS By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria What is Diabetes Diabetes Mellitus (commonly referred to as diabetes ) is a chronic medical
1333 Plaza Blvd, Suite E, Central Point, OR 97502 * www.mountainviewvet.net Diabetes Mellitus (in cats) Diabetes, sugar Affected Animals: Most diabetic cats are older than 10 years of age when they are
Department Of Biochemistry Subject: Diabetes Mellitus Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage. Diabetes mellitus : Type 1 & Type 2 What is diabestes mellitus?
Other Noninfectious Diseases Chapter 31 Lesson 3 Diabetes Diabetes- a chronic disease that affects the way body cells convert food into energy. Diabetes is the seventh leading cause of death by disease
HOW TO CARE FOR A PATIENT WITH DIABETES INTRODUCTION Diabetes is one of the most common diseases in the United States, and diabetes is a disease that affects the way the body handles blood sugar. Approximately
Cardiovascular Disease Risk Factors Part XII By James L. Holly, MD Your Life Your Health The Examiner September 15, 2005 As we approach the end of our extended series on cardiovascular disease risk factors,
Diabetes mellitus Lecture Outline I. Diagnosis II. Epidemiology III. Causes of diabetes IV. Health Problems and Diabetes V. Treating Diabetes VI. Physical activity and diabetes 1 Diabetes Disorder characterized
Markham Stouffville Hospital Adult Diabetes Education Frequently Asked Questions What is diabetes? Diabetes is a disease in which blood glucose levels are above normal. Most of the food we eat is turned
X-Plain Hypoglycemia Reference Summary Introduction Hypoglycemia is a condition that causes blood sugar level to drop dangerously low. It mostly shows up in diabetic patients who take insulin. When recognized
Lesson 4: The Biology of Diabetes Inquiry Focus: Who can have diabetes? Student Learning Objectives: By the end of the lesson, students will be able to do the following: Describe diabetes as a disorder
2. What Should Advocates Know About Diabetes? O ften a school district s failure to properly address the needs of a student with diabetes is due not to bad faith, but to ignorance or a lack of accurate
DIABETES MELLITUS DEFINITION It is a common, chronic, metabolic syndrome characterized by hyperglycemia as a cardinal biochemical feature. Resulting from absolute lack of insulin. Abnormal metabolism of
Causes, incidence, and risk factors Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both. To understand diabetes,
ARTICLE #1 PLEASE RETURN AT THE END OF THE HOUR Alcoholism By Mayo Clinic staff Original Article: http://www.mayoclinic.com/health/alcoholism/ds00340 Definition Alcoholism is a chronic and often progressive
Diabetes and the Workplace Table of Contents Diabetes and the Workplace... 1 Diabetes Mellitus and the Workplace... 1 What Is Diabetes?... 1 Diabetes in the Body... 3 Types of Diabetes... 4 Complications
Diabetes Mellitus: Type 1 What is type 1 diabetes mellitus? Type 1 diabetes is a disorder that happens when your body produces little or no insulin. The lack of insulin causes the level of sugar in your
1. Introduction/ Getting to know our Seniors a. Identify common concepts and key terms used when discussing geriatrics b. Distinguish between different venues of senior residence c. Advocate the necessity
DIABETES A chronic, debilitating and often deadly disease Diabetes is a chronic condition that arises when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin
Pennington Nutrition Series Healthier lives through education in nutrition and preventive medicine Pub No. 32 Type 1 Diabetes Overview Type 1 Diabetes (DM) is usually diagnosed in children and young adults.
PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY 12a FOCUS ON Your Risk for Diabetes Your Risk for Diabetes! Since 1980,Diabetes has increased by 50 %. Diabetes has increased by 70 percent
X-Plain Diabetes - Introduction Reference Summary Introduction Diabetes is a disease that affects millions of Americans every year. Your doctor may have informed you that you have diabetes. Although there
1 PATIENT INFORMATION HUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100) WARNINGS Do not share your syringes with other people, even if the needle has been changed. You
DISCOVERY HEALTH MATTERS Diabetes - a growing problem Vol 13 2013 Discovery Health Matters Discovery Health Matters is a layman s guide to important, but often misunderstood topics in healthcare. The information
The Family Library Understanding Diabetes What is Diabetes? Diabetes is caused when the body has a problem in making or using insulin. Insulin is a hormone secreted by the pancreas and is needed for the
Employment Considerations for People who have Diabetes What is Diabetes? Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert
CME Test for AMDA Clinical Practice Guideline Diabetes Mellitus Part I: 1. Which one of the following statements about type 2 diabetes is not accurate? a. Diabetics are at increased risk of experiencing
Is Insulin Effecting Your Weight Loss and Your Health? Teressa Alexander, M.D., FACOG Women s Healthcare Associates www.rushcopley.com/whca 630-978-6886 Obesity is Epidemic in the US 2/3rds of U.S. adults
Diabetes Fundamentals Prevalence of Diabetes in the U.S. Undiagnosed 10.7% of all people 20+ 23.1% of all people 60+ (12.2 million) Slide provided by Roche Diagnostics Sources: ADA, WHO statistics Prevalence
Revised: Fall 2015 DNH 120 Management of Emergencies COURSE OUTLINE Prerequisites: None Course Description: Studies the various medical emergencies and techniques for managing emergencies in the dental
Seattle-King County EMS Seattle-King County Emergency Medical Services Division Public Health - Seattle/King County 401 5th Avenue, Suite 1200 Seattle, WA 98104 (206) 296-4693 January 2009 CBT/OTEP 450
Managing Diabetes in the Athletic Population Michael Prybicien, LA, ATC, CSCS, CES, PES Athletic Trainer, Passaic High School Overlook Medical Center & Adjunct Faculty, William Paterson University Dedicated
N E B R A S K A JAIL BULLETIN NUMBER 102 OCTOBER 1993 The Jail Bulletin is a monthly feature of the Crime Commission Update. The Bulletin may be used as a supplement to your jail in-service training program
Diabetes : Foot Education Dr. Naushira Pandya, M.D., CMD, Sweta Tewary, PhD, MSW Department of Geriatrics Nova Southeastern University Florida Coastal Geriatric Resources, Education, and Training Center
Diabetic Emergencies David Hill, D.O. Class Outline Diabetic emergency/glucometer training Identify the different signs of insulin shock Diabetic coma, and HHNK Participants will understand the treatment
Page 1 of 5 Type 2 Diabetes Type 2 diabetes occurs mainly in people aged over 40. The 'first-line' treatment is diet, weight control and physical activity. If the blood glucose level remains high despite
Baskets of Care Diabetes Subcommittee Disclaimer: This background information is not intended to be a comprehensive scientific discussion of the topic, but rather an attempt to provide a baseline level
How to Get and Stay Healthy with Diabetes Target Audience: People with diabetes Objectives: Participants will be able to: 1. Recognize and treat high and low blood glucose levels. 2. Better control wide
Kansas Behavioral Health Risk Bulletin Kansas Department of Health and Environment November 7, 1995 Bureau of Chronic Disease and Health Promotion Vol. 1 No. 12 Diabetes Mellitus in Kansas Diabetes mellitus
Type 1 diabetes Definition Type 1 diabetes is a chronic (lifelong) disease that occurs when the pancreas does not produce enough insulin to properly control blood sugar levels. Causes There are several
DIABETES ICD-9 CM ICD-9 CM Volume 1 - Diagnosis Description ICD-10 CM - Diagnosis Code ICD-10 CM - Diagnosis Description 250.00 Diabetes mellitus without mention of complication, type II or unspecified
ICD 10 Resource: Diabetes Mellitus in ICD 10 CM The diabetes mellitus codes are expanded in ICD 10 CM. The codes for diabetes mellitus are located in chapter 4, Endocrine, Nutritional, and Metabolic Diseases,
Testosterone Therapy for Women The Facts You Need Contents 2 INTRODUCTION: The Facts You Need... 3-4 CHAPTER 1: Testosterone and Women... 5-9 CHAPTER 2: Testosterone Therapy for Women... 10-14 CONCLUSION:
TERMS FOR UNDERSTANDING YOUR TYPE 2 DIABETES Definitions for Common Terms Related to Type 2 Diabetes TYPE 2 DIABETES AND BLOOD SUGAR 1-3 This list of terms may help you beter understand type 2 diabetes,
The Burden Of Diabetes And The Promise Of Biomedical Research Presented by John Anderson, MD Incoming Chair, ADA s National Advocacy Committee; Frist Clinic, Nashville, TN Type 1 Diabetes Usually diagnosed
National Diabetes Statistics What is diabetes? Diabetes mellitus is a group of diseases characterized by high levels of blood glucose resulting from defects in insulin production, insulin action, or both.
DCCT and EDIC: The Diabetes Control and Complications Trial and Follow-up Study National Diabetes Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What
Supporting Disabled Members in the Workplace Diabetes This short factsheet has been developed to help reps who are supporting members with diabetes. Someone with diabetes may be entitled to the protection
Understanding Diabetes What is diabetes? Diabetes is a condition where there is too much glucose (a type of sugar) in your blood. Your blood glucose level is regulated with the help of insulin, a hormone
E08.621 Diabetes mellitus due to underlying condition with foot ulcer E09.621 Drug or chemical induced diabetes mellitus with foot ulcer E10.10 Type 1 diabetes mellitus with ketoacidosis without coma E10.11
Insulin-Treated Diabetes Guidelines for assessment of fitness to work as Cabin Crew General Considerations As with all medical guidelines it is important that each individual case is assessed on its own
Post-Transplant Diabetes: What Every Patient Needs to Know International Transplant Nurses Society What is Diabetes? Diabetes is an illness that effects how your body makes and uses a hormone called insulin.
Diabetes and Heart Disease Diabetes and Heart Disease According to the American Heart Association, diabetes is one of the six major risk factors of cardiovascular disease. Affecting more than 7% of the
YOUR GUIDE TO DIABETES b What is diabetes? b Type 2 diabetes prevention b Prevention checklist b Living with diabetes b Complications b Terms to know b Resources To promote and protect the health of Canadians
Diabetes Mellitus PLAN Move through DM case study using algorithms and Iggy charts, teach about DM mgmt., Medications & insulin therapy using IHS handout and other resources, Discuss complications of DM.
See, Think, and Act! Diabetes California After School Resource Center (CASRC) Administered for the California Department of Education (C.D.E.) Hello. My name is Joan Edelstein. I am a health trainer for
What Each Vitamin & Mineral Does In Your Body Vitamin A Prevents skin disorders, such as acne, wrinkling and age spots. Enhances the immune system protects against colds, flu, and infections to kidney,
Teacher Workshop Curriculum UNDERSTANDING AND LEARNING ABOUT STUDENT HEALTH Written by Meg Sullivan, MD with help from Marina Catallozzi, MD, Pam Haller MDiv, MPH, and Erica Gibson, MD UNDERSTANDING AND
Rehabilitation Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: Reason for Admission to Inpatient Rehab CVA Deficits Fractures Secondary
NATIONAL DIABETES INFORMATION CLEARINGHOUSE Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes U.S. Department of Health and Human Services National Institutes of Health
Your healthcare provider has ordered a Boston Heart Cardiac Risk Assessment What does that mean for you? Your healthcare provider has determined that you may be at risk for cardiovascular disease (CVD).
1 Key Medical Terms Associated with the Endocrine System Gynecomastia: Excessive development of mammary glands in a male, sometimes caused by a tumor of the adrenal gland. Hirsutism (HER-soo-tizm): Presence
Mind the Gap: Navigating the Underground World of DKA Christina Canfield, MSN, RN, ACNS-BC, CCRN Clinical Nurse Specialist Cleveland Clinic Respiratory Institute Objectives Upon completion of this activity
ICD-9-CM 250.00 Diabetes mellitus w/o mention of complication, type II or unspecified type, not stated as 250.01 Diabetes mellitus w/o mention of complication, type I (juvenile type), not stated as 250.02
Chapter 2 What Is Diabetes? TYPE 1 (INSULIN-DEPENDENT) DIABETES Type 1 (also known as insulin-dependent diabetes mellitus [IDDM] or juvenile or childhood) diabetes is the most common type found in children
Type 2 Diabetes What is Type 2 Diabetes? Diabetes is a condition where there is too much glucose in the blood. Our pancreas produces a hormone called insulin. Insulin works to regulate our blood glucose
1 of 6 I. The Musculoskeletal System Medical Surgical Nursing (Elsevier) 1. Med/Surg: Musculoskeletal System: The Comprehensive Health History 2. Med/Surg: Musculoskeletal System: A Nursing Approach to
Hormonal Cycles Directions: a. Click the Contents button. b. Open the Endocrine System File. c. Click Animations. d. Click Hormonal Cycles. 1. Briefly describe each component of an endocrine feedback loop:
I. General Info Integration and Coordination of the Human Body A. Both the and system are responsible for maintaining 1. Homeostasis is the process by which organisms keep internal conditions despite changes
Introduction Diabetes is a chronic disease that affects the body s ability to metabolize food. The body converts much of the food we eat into glucose, the body s main source of energy. Glucose is carried
Republic Polytechnic Continuing Education & Training Course Structure: Anatomy & Physiology Module Anatomy and Physiology Description This module introduces the basic human anatomical organization, tissue
Talking diabetes No.42 what is diabetes? Diabetes is the name given to a group of different conditions in which there is too much glucose in the blood. The pancreas either cannot make insulin or the insulin
Diabetes Brief What is Diabetes? Diabetes mellitus is a disease of abnormal carbohydrate metabolism in which the level of blood glucose, or blood sugar, is above normal. The disease occurs when the body
Basic ICD-10-CM Documentation and Coding Effective date: October 1, 2015 Presented by: Jenna Glenn, CPC May 6, 2015 1 Objectives Overview on what is ICD-10-CM Changes from ICD-9-CM to ICD-10-CM Importance
Section 504 Plan (pg 1 of 8) of Birth School Today s Section 504 Plan for: Disability: Diabetes School Year: Grade: Homeroom Teacher: Bus Number: Background Objectives The student has type diabetes. Diabetes
1 has been in the news frequently this past year, including an article in The New York Times on November 16, 2009. So what is this vitamin? Why is it important? Most people have heard that vitamin D is
Type 1 Diabetes W ( Juvenile Diabetes) hat is Type 1 Diabetes? Type 1 diabetes, also known as juvenile-onset diabetes, is one of the three main forms of diabetes affecting millions of people worldwide.
THE PRAKASAM DISTRICT DIABETES PREVENTION PROGRAM Booklet on Diabetes Supported by World Diabetes Foundation Implemented by International Center for Advancement of Rural Eye Care (ICARE) L V Prasad Eye