Patient Advocates Here to Help You and Your Family Navigate the HealthCare System

University of Arizona College of Nursing

RN Patient Advocates is the only nationally recognized Patient Advocacy education program created specifically for qualified RNs endorsed by a leading College of Nursing: The University of Arizona.



Reduce Your Risk of Medical Error

iRNPA Patient Support Medication Support


iRNPA Patient Support MediKey

RNPA Intensive - Learning Experience

“In a year’s time after taking the RNPA Learning Intensive, my career, my health, my family, my very life has been transformed. I am forever grateful” — Karen DiMarco, RN, iRNPA

“The way of the future of absolute must if you want to make and be the difference in righting the wrongs of healthcare. Kare is a wonderful mentor who has put her soul into this program. Passion, Vision, Perseverance.” — Lana Benton, RN, iRNPA

“The forethought, experience, openness, philosophy and preparation provides all the tools, thought process, and confidence to begin and succeed as an iRNPA.” — Leta Gill, RN, iRNPA

“My experience attending the iRNPA program was a refreshing one, to say the least. This program was packed with life changing information that is not readily taught or available to RN's. This program equipped me with the tools I need to be an iRNPA!  If you are ready for a change after working for many years in the clinical setting, and are driven to help patients and families, this is the program for you!  Karen is a wealth of knowledge that is unmatched in the advocacy process.” — Jamie Long

“Thank you so much for putting together such an incredible RN PA intensive course!  It is truly intensive but so worth it!  I learned a lot and will be using the Medical Time Line and lab spreadsheet with as many clients as i can.  All great information and can’t wait to get my speaking engagements lined up now that I have your fantastic power points!” —  Nan Wetherhorn, Health Care Advisor,

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Cholesterol: want the whole picture? Order the whole test! What?


LDL_cholesterol_blueStandard cholesterol testing measures only a fraction of the indicators of cardiac risk.  Remember that half of the people who suffer heart attacks have normal cholesterol!

So what is the rest of the picture?  There are many subtypes of both HDL and LDL particles, each carrying different degrees of risk. 

Size matters.  Particle size is extraordinarily important; research shows that small dense lpp_heartLDL cholesterol is inflammatory and toxic to blood vessels.  Large particles – HDL – are protective while the small particles –LDL – increase your cardiac risk.

The test to measure the real risks in your lipid profile?  The LPP – Lipoprotein Particle Profile.  Ask your physician.  Get the facts about your risk.  You can learn more here . . .


Summer is here. Get out your sunscreen, right? There is no proof that sunscreens prevent most skin cancers. Can this be true? Are there good sunscreens?



Despite heavy sunscreen use, the rate of melanoma has tripled over the last 35 years. The Environmental Working Group has published a list of 9 surprising facts about sunscreens and how to pick the best ones.

1. FDA’s sunscreen rules have changed but products haven’t improved.

2. The common sunscreen additive vitamin A may speed development of skin cancer.

 3. Don’t be fooled by high SPF. High-SPF products tempt people to apply too little sunscreen and stay in the sun too long.

4. European sunscreens offer superior protection from UVA rays.  They are allowed to use 7 UVA blockers while US manufacturers can use only 3.

5. Some sunscreen ingredients disrupt hormones and cause skin allergies. 

There are good sunscreens, but it’s helpful to learn about ingredients.  Learn more here. . .

Question: Is there more than one cause for low thyroid function? Yes. Is it critical to understand which cause affects your own low thyroid function? Absolutely.


thyroidThe most common cause of hypothyroidism is called Hashimoto’s Thyroiditis, is an autoimmune illness(immune system attacking the body itself).  Affecting 2-7% of the population, only about 10% are accurately diagnosed.  

The problem:  if the cause of your low thyroid condition is Hashimoto’s, then the medication treatment you may be receiving may not work well or actually make it worse.

Mary Ackerley, MD, explains: “Typically Hashimotos patients have been identified by standard testing as being deficient in thyroid. This is not because the thyroid is not producing enough hormones. It is because the thyroid tissue is actively being attacked and destroyed by its own immune system. However they are being treated as if the problem was simply that they need more thyroid hormone. Typically they are put on thyroid replacement and sent away. Yet they experience no symptom relief and continue to remain tired, sluggish, cold, constipated, depressed and have difficulty losing weight.”

Could this be affecting you or someone you love?  Read more here. . . 

RN Patient Advocates, PLLC

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RN Patient Advocates, PLLC

3400 West Goret Road
Tucson, AZ 85754
Phone: 520-743-7008

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