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4th Thursday
eNews
March/April 2015
Volume 9 - Issue 3
Orlando, Florida.
www.centralfloridacmsa.org
Message from the Board
By Cheryl Gulasa, President
Dear Members and friends of CMSA Central Florida,
Happy Spring to you all!
Even though we do not live in a true winter area, I am always excited
with the coming of spring.
1
President’s Message
2
Meeting Information
3
Government News
4
Bulletin Board
5
Contact Information
6
Legislative Update
Spring is when you
feel like whistling even
with a shoe full of
slush.
~Doug Larson
“Another transitional season, spring is a time of phenomenal
renewal. The earth reawakens from her slumber, and explodes
with new life. In our own lives, Spring can be symbolic of
starting new projects, sewing new seeds and coming forth with
new ideas. This is also a time to contemplate health and
physical well-being too. Be refreshed and prepare for your
soulful debut!” Symbolic Meaning of Seasons
The Central Florida CMSA chapter has a number of new initiatives we
have been working on. Our new website is up and being used. We are
also looking into the electronic submission of CEU’s to help us do our
part to save some trees.
We have the privilege of hosting our National Conference here in
Orlando this June. We will be looking for volunteers to help us show the
true hospitality of Central Florida.
Enjoy this season, try some of the recommendations from the quote and
rejuvenate!
Your 2015 President,
Cheryl Gulasa
Central Florida Chapter President
4th
Thursday
is a monthly newsletter published by the Board of CMSA-CF
Page 2
4th Thursday eNews
ThismonthSponsor
Topic:
ChronicPain
Management
Speaker: Dr.JenniferChang
Sponsor: JRLPainMedicine LivingSmart – Pathway to Better Health through Self‐
Management Strategies By Linda Royer, RN, MPH, MSN, PhD.
Founder of Framework Health, Inc. and LivingSmart
In response to a growing body of literature expressing concerns about the self-care
management needs of an aging population and the burden of care expected to
overwhelm the health care system because of gaps in and disparity of services,
LivingSmart was conceived. Nutrition health, meal-planning and preparation, foodshopping, and home food inventory are challenges we are all aware of in this
population. Add to that food safety/security, activity/exercise requirements, and
monitoring personal needs and it becomes a daunting task for many to practice a
healthy lifestyle and avoid disease and chronic conditions.
Those adults in the 50-65 year age range, now termed midlife, are of particular
interest to health leaders because of the pace of their lives impacted by needy
generations on either side of that age spectrum, maintaining a job and planning for
retirement, stress-induced unhealthy lifestyle practices, and the specter of growing
older. They are now called the Emerging Risk Population (Adam and Neal Kaufman
of DPS Health). Case Managers can reach them with tools to enable them to
change health behavior and better manage their lives at their most receptive
moments—when they are getting instructions and resources from you.


4thThursdayofEvery
Month
Educationaloffering
withCEU&CCM
Location:
WinterParkTowers
1111SouthLakemontAvenue
WinterPark,FL32792
407‐647‐4083
RSVP:
Member–free
Non‐member‐$15
Non‐RSVP:
Member–$10
Non‐member‐$20
FirstTimeGuest‐FREE
You are creating bridges to the medical/health home, often from acute care. And
that is where LivingSmart comes in… a bridge of service which brings an asset-rich
website of self-management tools for wellness assessments, planning and tracking
of progress, developing and maintaining an activity regimen, and managing nutrition
needs… and a health library to boot. At the other end of the bridge are the primary
care practices who are recognizing the need and benefit of addressing health
behaviors and are staffing up to provide various education and counseling as
necessary to the patient visit. And it is possible, with the patient/client’s permission,
to obtain periodic progress or tracking reports on the health behavior changes within
HIPAA compliance.
While the focus of our marketing is on mid-lifers and the aging seniors because of
the societal crisis we face, LivingSmart is applicable to younger individuals above 18
years as well. It is accessible on both IOS and Android platforms on mobile devices.
It is a membership plan of modest cost. Training in its use is provided from the
website and by phone. Two primary features are provided: Medikeeper’s wellness
assessment and tracking package and Vitabot’s nutrition management suite of tools.
A robust Reminder system app is under development.
Visit the website – www.live-smart.org – view the slide show (bottom of home page).
The first 3 tabs are open to the public. The remaining tabs are secure. Your
questions, comments, and suggestions are invited. A phone call would be welcome
at 407.637.0292. RSVPviawebsiteat
www.centralfloridacmsa.org

1111 South Lakemont Avenue, Winter Park 32792  407-691-5540  [email protected]
Page 3
4th Thursday eNews
Government
News
_____________________________________________________________
PAHO and WHO urge countries to reduce sugar consumption among
adults and children
New WHO guidelines recommend reducing intake of "free sugars" to less than 10% of daily calories, or less than
5% for even more health benefits
Washington, D.C., 4 March 2015 (PAHO/WHO) — New guidelines from the World Health Organization (WHO) recommend that
adults and children reduce their daily intake of "free sugars" to less than 10% of total calories. A further reduction to below
5%—or roughly 6 teaspoons per day in a typical 2,000-calorie diet—would provide additional health benefits, the guidelines
say.
The guidelines, published today, were developed according to WHO's rigorous process for guideline development and are
based on the latest scientific evidence, with input from leading scientists from around the world and feedback through an
open global consultative process.
"Sugar is not an essential nutrient, and solid evidence shows that it can actually be harmful by contributing to overweight,
obesity and tooth decay," said Dr. Enrique Jacoby, advisor on healthy eating and active living at the Pan American Health
Organization (PAHO), WHO's Regional Office for the Americas. "These guidelines will help countries develop policies and
actions to reduce consumption of sugars to improve people's health."
"Free sugars" refer to monosaccharides (such as glucose and fructose) and disaccharides (such as sucrose or table sugar) that
are added to foods and drinks by the manufacturer, cook or consumer, as well as sugars that are naturally present in honey,
syrups, fruit juices and fruit juice concentrates. The guidelines do not refer to sugars in fresh fruits and vegetables or sugars
naturally present in milk, because there is no reported evidence of adverse effects of consuming these sugars.
The guidelines are based on recent scientific evidence showing that adults who consume less sugars have lower body weight
and that increasing the amount of sugars in the diet is associated with a weight increase. Research also shows that children
with the highest intakes of sugar-sweetened drinks are more likely to be overweight or obese than children with low intake of
sugar-sweetened drinks.
Other studies show that rates of dental caries (tooth decay) are higher when free sugars intake is more than 10% of total
calories, compared with intake of below 10%. The recommendation of less than 5% free sugars intake is based on populationbased ecological studies that showed a reduction in dental caries in countries where the availability of sugars dropped
dramatically.
Processed food consumption rising in Latin America
Much of the sugars consumed today are "hidden" in processed foods that consumers do not view as sweets. For example, 1
tablespoon of ketchup contains around 4 grams (about 1 teaspoon) of free sugars. A single can of sugar-sweetened soda has
up to 40 grams (about 10 teaspoons) of free sugars.
A recent PAHO/WHO study of 12 Latin American countries shows that their consumption of ultra-processed food and sugarsweetened drinks increased by nearly one-third on average between 1999 and 2013, and in three of the countries (Bolivia,
Peru and Uruguay), consumption more than doubled. The study also showed that body mass index (BMI) increased in all 12
countries during the same period, and the BMI increases were positively correlated with increases in per-capita annual sales
of ultra-processed products.
To reverse these trends, PAHO/WHO member countries in 2014 adopted a regional Plan of Action for the Prevention of
Obesity in Children and Adolescents, which calls for measures including restrictions on marketing of ultra-processed food and
drink products to children, increasing the costs of these foods through taxation, increasing production and accessibility of
wholesome fresh foods, and developing new guidelines for preschool and school meal programs and for foods and beverages
sold in schools
"These new WHO guidelines will help countries develop their own dietary guidelines as part of their implementation of the plan
of action on child obesity," said Jacoby. "The idea is to reduce consumption of overprocessed foods and hidden sugars while
also promoting local foods and cooking traditions."
The new guidelines are part of PAHO and WHO's ongoing efforts to promote prevention of noncommunicable diseases (NCDs),
such as cardiovascular disease, cancer, and diabetes. These efforts are framed by the WHO Global Action Plan for NCDs 20132020, which calls for halting the rise in diabetes and obesity and reducing the burden of premature deaths due to NCDs by
25% by 2025.
________
PAHO, founded in 1902, is the oldest international public health organization in the world. It works with its member countries
to improve the health and the quality of life of the people of the Americas. It also serves as the Regional Office for the
Americas of WHO.
This article and others can be found at www.who.int
1111 South Lakemont Avenue, Winter Park 32792  407-691-5540  [email protected]
Page 4
4th Thursday eNews
BULLETIN BOARD
SAVETHEDATES
2015MeetingSchedule
April 23, 2015
Treasurer Report
May 28, 2015
June 25, 2015
July 23, 2015
August 27, 2015
September 24, 2015
October 22, 2015
Income: $805.00
Expenses: $374.93
Current Balance:
$18,636.70
JOB OPPORTUNITIES
Role: Care Navigator - Clinical Advisor, LPN
Assignment: Humana Management Services
Organization (MSO)
Location: Daytona/Orlando
For additional information please visit:
https://humana.taleo.net/careersection/externalus/jobdetail.ftl
Role: Part-time Case Manager (bilingual/English/Spanish)
Assignment: Shepherd’s Hope
Location: Diebel Health Center
For additional information please visit:
http://shepherdshope.org/careers/
CMSA’s 25th
Conference and Expo
June 23-26, 2015
Rosen Shingle Creek
9939 Universal Blvd.
Orlando, Florida 32819
Reservations: http://ow.ly/AChOI
www.cmsa.org/conference
1111 South Lakemont Avenue, Winter Park 32792  407-691-5540  [email protected]
Page 5
4th Thursday eNews
Committee Office/Chair Phone Email Address Past President Kelly Webb 407‐928‐6082 [email protected] President Cheryl Gulasa 407‐949‐3100 cheryl.gulasa@amerisys‐info.com Vice President Jackie Snook 407‐810‐6794 [email protected] Secretary Debra Jacoby 407‐852‐2734 [email protected] Treasurer Jackie Snook 407‐810‐6794 [email protected] Programs Patti Dorrell 407‐791‐1999 [email protected]
CEU’s / CCM’s Teresa Gulino 407‐975‐1641 [email protected] Legislative chair Darlene Armstrong 386‐956‐5593 [email protected] Legislative chair Jackie Snook 407‐810‐6794 [email protected] Membership Chair Darlene Armstrong 386‐956‐5593 [email protected] Nominations Chair Marsha Stein 407‐200‐2368 [email protected] Technology / Website Lisa Bloder 407‐839‐5050 [email protected] Historian Victor Sargent 321‐720‐1153 [email protected] Newsletter Chair Cheryl Gulasa 407‐949‐3100 cheryl.gulasa@amerisys‐info.com BECOME A MEMBER
National CMSA Office
8201 Cantrell Rd. Suite 230.
Little Rock, AR. 72227.
501-225-2229
Fax 501-221-9068
Website: www.cmsa.org
1111 South Lakemont Avenue, Winter Park 32792  407-691-5540  [email protected]
Page 6
4th Thursday eNews
LEGISLATIVE UPDATE
The March 2015 legislative update call was very timely and contained excellent news for those impacted by the nurse multi‐state license issue. Jim Puente with NCSBN (National Council of State Boards of Nursing) presented information about their activities and success in moving forward with all states passing the nurse Compaq. There is a meeting scheduled for 05/04 for all state boards of nursing to accept legislative language that for many states have precluded the Compaq from passing in the state legislature. Included in the language addressing the main sticking point of criminal background checks, if the person has been convicted of a felony, she/he will not be issued a license, misdemeanors are on a case by case basis. Currently 12 states do not do background checks. As for loss of revenue by the states, this has been researched and states will lose some review, but will be over a period of time and not all at once. The only real loser will be Washington DC since they employ a majority of their nurses from surrounding areas and will lose 85% of their income if they pass the Compaq. Montana joined the Compaq and will be effective 10/01. Washington, Oregon, Wyoming, Oklahoma, Illinois, Louisiana, Massachusetts all have bills pending in one form or another. California, New Jersey, Minnesota, and Massachusetts have push back from nursing unions. However, Montana has a strong union and they supported the legislation. The challenge is that with new legislative language, each state that has currently passed the legislation will need to go back and pass new legislation so the Compaq has the same language across state lines. Included in the legislative language is a repeal of the old Compaq and approval of new language so only one vote will be needed to move this forward in the legislature. The old Compaq language (if Compaq state) will remain on the books until new language is passed. The hope is to pass the legislation in all states prior to the end of the 2016 legislative year. What this means to the Florida nurse: Florida Board of Nursing (FBN) is not allowed to initiate legislation, so this is a grass roots initiative and each of us need to talk with our legislatures to support and approve the legislation. FBN has indicated they will not take a stance and will not stand in the way of passage. This is a major step forward. If you are interested in helping with this important initiative please contact Darlene Armstrong or Jackie Snook. Be sure to be on the lookout for information about CMSA Day on the Hill scheduled for 09/17 in Washington DC. This is a great opportunity to witness our national legislative process in action. Bills to watch for include: R3077 Tele Med Act, RH 379 Sets up Office of National Nurse under the Department of Public Health. There are letter templates at CMSA.org to send to your congressman/senator in support of the legislation. Respectfully submitted, Darlene Armstrong
Legislative chair 1111 South Lakemont Avenue, Winter Park 32792  407-691-5540  [email protected]