Page 23 - CANNABIS NEWS FLORIDA JUNE 2022
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P.O. Box 19268          Plantation       FL        33318
                                                                                       954-964-1660



           A message from our President

                                                                                                            2020 to 2030. Employment opportunities for
                                                                                                            nurses are projected to grow at a faster rate (9%)
                  Technology Can’t Care                                                                     than all other occupations from 2016 through
                                                                                                            2026.” In looking at the source documents on the
                        for Patients Alone                                                                  U.S. Bureau of Labor Statistics website, over the
                                                                                                            next decade it is projected that there will be
                                                                                                            194,500 job openings per year for registered
              I think the response to the COVID-19 pandemic has opened many eyes to what                    nurses. I dare say that the pandemic has probably
            has been predicted for more than 30 years. That is, our current processes, work                 affected that number as greater numbers of expe-
            environment, educational system, you name it, will not close the gap between the                rienced registered nurses have chosen to retire or
            future demand for healthcare practitioners and the supply. Moreover, while tech-                to make a career change moving from direct
            nology might be a wonderful assistant, it can’t empathetically hold a patient’s                 patient care to administration.
            hand!                                                                       Jaime Caldwell        So, what is the plan for meeting the need for
              Where have we gone wrong? In the 1980’s while I worked for the Florida                        additional healthcare professionals? While the
            Department of Health and Rehabilitative Services (now the Florida Department   statistics for nursing are more readily available, all health professions were
            of Health and others), I worked in the Office of Comprehensive Health Planning   impacted by the pandemic. It isn’t only more registered nurses we are seeking,
            and one of our responsibilities was to evaluate and make recommendations about   but all healthcare practitioners.
            Florida’s supply of healthcare practitioners. Yes, now almost 40 years ago, we   Some things are being done to attempt to correct the situation. Florida has
            knew back then that we were going to need more doctors and nurses. Our grow-  recently appropriated $125 million to help with nursing education. While this
            ing population, our aging population all spelled out for us that we weren’t doing   one time investment will help, everyone needs to be thinking about longer-term
            enough to keep up.                                                    solutions. The challenges associated with healthcare staffing aren’t going to be
              The pandemic brought those issues into clear focus. We managed through the   solved in one day, one month, one year, or with one legislative appropriation but,
            first round of COVID and by the time we got to the Delta strain, there was no   rather, it is going to take long-term effort to make a difference.
            more hiding what was so obvious … the tenuous staffing situation had gone crit-  Over the next few years, the SFHHA will be working with our community part-
            ical.                                                                 ners to explore the challenges and to construct sustainable solutions that will
              “According to an article in the  Nursing Times, the U.S. Bureau of Labor   allow us to narrow the future gap between the supply and demand of healthcare
            Statistics projects that more than 275,000 additional nurses are needed from   practitioners.





                                              Cover Story:  Feeding Baby When Formula Is Hard to Come By


                                              Continued from page 1                                 from overseas are not regulated by U.S. standards and may not
                                              formulas mimic human milk, so every nutrient, vitamin, min-  be completely hypoallergenic. Furthermore, most use metric
                                              eral, protein, and carbohydrate is measured for optimal growth   measurements, making them trickier to prepare. I will consider
                                              and brain development. Diluted formulas can lead to malnutri-  an overseas formula for my patients but may need to verify the
                                              tion, electrolyte abnormalities, and other serious complica-  ingredients and modify the recipe for an individual infant.
                                              tions.
                                               Cans of formula that are past their “best before” date should   Shortage May End Soon – Things Are Looking Up
                                              not be used either. The product could be at risk for contamina-  I see a light at the end of the tunnel since President Biden
                                              tion and protein disintegration, which can cause complica-  invoked the Defense Production Act, which requires suppliers
                                              tions.                                                to direct resources to formula manufacturers before other cus-
                                                                                                    tomers. A second government program, “Operation Fly
                                              Homemade Formulas and                                 Formula,” is using aircraft to import formulas that meet U.S.
                                              Other Commercial Products                             standards.
                                               The FDA, CDC, and the Academy of Pediatrics (AAP) rec-  Abbott’s Sturgis plant is set to reopen, although it will take
                                              ommend against homemade formulas since they may lack   time for the new products to hit the shelves. For now, Abbott
                                              essential nutrients for proper infant growth. For example,   is importing formula from its FDA-registered facility in Ireland.
                                              some recipes call for unpasteurized cow or goat’s milk, which   In the meantime, it’s important for parents and caregivers to
                                              are not fit for consumption. And homemade formulas may not   communicate openly with their doctor, who can guide them to
                                              be prepared or stored in a sterile manner, resulting in a high   the best option for their baby. The North American Society for
                                              risk of bacterial contamination.                      Pediatric Gastroenterology, Hepatology & Nutrition issued a
                                               Unfortunately, toddler formulas are not an appropriate alter-  chart listing several formulas that are comparable to the
                                              native because, unlike products made for infants, they vary   recalled brands. While the list doesn’t include every formula on
                                              quite a bit in nutritional composition and may not meet an   the market, it serves as a good starting point to research alter-
                                              infant’s needs.                                       natives.
                                               Almond milk, oat milk, and similar products are beverages   Parents may also be able to find formula locally by:
                                              and not milk. Most do not have an adequate amount of nutri-  • Contacting their nearest Community Action Agency.
                                              ents, vitamins, carbohydrates, and fats, and some could cause   • Calling 2-1-1 for municipal referrals to non-profits that are
                                              other problems. For example, 10 to 20% of children allergic to   providing supplies.
                                              cow milk are also allergic to soy milk. Almond milk should not   • Reaching out to Mother’s Milk Bank of Florida which has
                                              be given because of nut allergies. Oat milk contains phytic   depots throughout the state (milkbankofflorida.org).
                                              acid, which prevents the body from absorbing iron, zinc, and   Finally, while online research is helpful, it’s essential to first
                                              calcium.                                              speak with the baby’s doctor before making any decisions
                                               Although popular in some cultures, goat milk is deficient in   about your child’s nutritional needs.
                                              vitamin B12 and folate and is very high in protein, which puts
                                              extra pressure on the baby’s kidneys to eliminate. This should
                                              be avoided under 12 months of age.                                    Dr. Aniruddh Setya is a board-certified Pediatric
                                               Purchasing formula from overseas is a gray area. Formulas            Gastroenterologist with KIDZ Medical Services.



         10                        June 2022                                                                southfloridahospitalnews.com                                                                       South Florida Hospital News
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