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    • Eileen Konieczny RN, BCPA
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  • THE SCIENCE
  • NURSES NOTES
    • Eileen Konieczny RN, BCPA

Highlighting the importance of consistent, evidence-based training

12/26/2016

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A  new report finds that most dispensary employees have very little training when it comes to linking sick people with the right form of cannabis.  Based on the study, it appears that a meaningful number of dispensary staff are providing recommendations for cannabinoids that have either not been shown to be effective for a given condition, or could actually worsen a patient’s condition.  This study highlights the importance of consistent, evidence-based training of those providing specific recommendations of cannabis strains or cannabinoid concentrations for a given patient condition (e.g., physicians, nurses, dispensary staff).

Photo Credit: Ilovegrowingmarijuana.com
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link to study
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Waiting for guidance on self administration while waiting to go to the hospital

12/26/2016

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Medical Marijuana in New York state
The state Department of Health on Dec. 1 decided to expand the allowable uses of medical marijuana to include chronic pain. Other qualifying conditions include cancer, HIV infections or AIDS, amyotrophic lateral sclerosis (ALS), Parkinson's disease, multiple sclerosis, inflammatory bowel disease, neuropathies, spinal cord damage with intractable spasticity, and Huntington's disease.
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Nurse practitioners have been allowed to certify patients for medical marijuana therapies since Nov. 30 after they registered with the state and completed an online cannabis education course.

​As of Dec. 19 there were 790 medical professionals registered with the state program. The health department had 11,596 patients registered, also as of Dec. 19.

Hospitals are still waiting on guidance from the DOH for implementing policies that would allow for the use of medical cannabis while admitted.  The DOH said, "We are developing proposed regulatory amendments, that would make it easier for hospitals to create policies and procedures to allow certified patients to self-administer approved medical marijuana products."

Read more here
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Pharma going after alternative markets -

12/26/2016

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With the upcoming changes coming into effect regarding limiting opioid painkiller prescriptions and encouraging suggestions to offer patients non-opiod alternatives...it looks like pharmaceutical manufacuters will be setting their sites abroad.  Here is a link to Mundiphara network... The Mundipharma network of independent associated companies has a proven track record of bringing pain innovations to market, successfully launching Palladon®, MST ®, Targin®, BuTrans® and OxyContin®. But we believe that for people living in pain, and for those treating and caring for them, the job is far from done. Collaborating with our partners, and the people who make treatment decisions, we are working to identify remaining unmet needs. By building on our heritage we can aspire to bring something different for people in pain.

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December 25th, 2016

12/25/2016

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the University of Colorado haS designed and built a mobile laboratory that will allow them to study the effects of dabs — doses of high-potency, concentrated cannabis — with a three-year, $839,500 grant from the Colorado Department of Public Health and Environment.
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Because CU receives federal funding and marijuana remains illegal under federal law, the researchers in CU's Institute of Cognitive Science can't handle cannabis or provide it to study participants. Though voters approved legalized marijuana in 2012, the researchers also can't be in the same room as their research subjects while they consume cannabis products.
But, in the name of science, the researchers came up with a workaround.
​http://www.timescall.com/weather/ci_30681595/cu-researchers-study-effects-dabs-839k-state-grant


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Medical Cannabis Researchers chime in on concerns of a new adminstration

12/24/2016

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​Medical marijuana research has begun in Connecticut, but the election of a new president highlights the conflicting relationship the state's medical cannabis program has with federal law.
Connecticut, the District of Columbia and the 27 other states where marijuana is legal for medical purposes are operating with an understanding from the U.S. Department of Justice, which said it wouldn't enforce federal restrictions on marijuana where it's allowed under state law.
READ MORE HERE
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Welcome Janna

12/23/2016

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It is with great pleasure that Green Health Consultants welcomes Janna Champagne, RN, BSN to the team.

Janna is a registered nurse in Oregon focused on holistic treatment, natural alternatives to pharmaceuticals (including cannabis therapy), and epigenetic screening with nutrigenomic interventions.  “Nurse Janna” has significant experience treating autoimmune, inflammatory/chronic pain, neurological, gastrointestinal, and mental health conditions whereby she guides clients through the process of weaning off harmful pharmaceuticals in exchange for effective and safe natural regimens.   Through her extensive research of underlying causation models in chronic illness, Nurse Janna used a system to holistically re-balance the synergy between systems to support comprehensive healing of many disease states.to GH. She specializes in pediatrics- autism and seizures as well as Lyme’s disease. 
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News from Canada ~

12/23/2016

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A Winnipeg doctor has been censured after charging patients for authorization paperwork in order to get medical marijuana.  On Dec. 9, the College of Physicians and Surgeons of Manitoba censured Dr. Roman Chubaty for charging patients between $200 and $300 to complete paperwork around medical marijuana, a violation of the college's standards and conduct.
Click here to read more

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Medical and non-medical use of cannabis -

12/21/2016

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Substance abuse and public health experts took a joint look at differences between medical and nonmedical users of marijuana in America, where approximately one-half of states allow medicinal consumption.
Click here for the original article@ Pharmacist.com
Substance abuse and public health experts took a joint look at differences between medical and nonmedical users of marijuana in America, where approximately one-half of states allow medicinal consumption. Using 2013–14 data from 96,100 adult respondents to the National Survey on Drug Use and Health, the researchers found that 12.9% had used marijuana in the previous year. The vast majority, 90.2%, reported just recreational use, while the other 9.8% reported medical use—exclusively or in combination with recreational use. Medical-only users accounted for 6.2% and primarily lived in states that have legalized medical marijuana, but the practice also occurred in jurisdictions that have not. Marijuana users who cited both personal and medical reasons made up the smallest share of the past-year user population, at 3.6%. With few exceptions, prevalence trends were similar across all three groups; however, there were notable differences between medical-only and nonmedical-only use. Specifically, residence in a legalized state, disability, older age, initiation to marijuana use at an older age, Medicaid status, stroke diagnosis, anxiety order, frequent marijuana use, and poor self-rated health were all directly linked to exclusive medical use. These associations suggest that users are turning to medical marijuana for viable health reasons; however, similarities in correlates of medical and nonmedical users—like concomitant psychiatric conditions and other substance abuse—indicate that some users of medical marijuana are accessing it without medical need.

Journal of the American Medical Association (12/19/16) Compton, Wilson M.; Han, Beth; Hughes, Arthur; et al.
http://jamanetwork.com/journals/jama/fullarticle/2594399
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PA announces medical marijuana permit locations

12/21/2016

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Geographical diversity and easy access for patients is one of the most important aspects of implementing a successful medical cannabis program.  In total, the state plans to issue 27 dispensary permits during its first phase of the program's rollout. State law authorizes up to 50 dispensary permits, which translates to 150 dispensaries with secondary locations.

Read more here
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Connecticut taking great strides in medical cannabis

12/21/2016

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Connecticut’s Medical Marijuana Program have begun accepting applications for research proposals on medicinal use of cannabis!  Eligible applicants include licensed medical marijuana producers and dispensaries, as well as hospitals, health-care facilities, and universities, according to their website.

So far  Saint Francis Hospital and Medical Center & The Connecticut Hospice, Inc. have been approved.
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    Eileen Konieczny has been nursing since 1992.

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