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,

Importance of Observation

                           News You Can Use                           

Research Our Full Library of Articles

RN Patient Advocates FaceBook     RN Patient Advocates LinkedIn    RN Patient Advocates Twitter

Leading Edge Cardiac Risk Predictor! What if your doctor could tell you what your risk was for heart disease and stroke, without using needles or blood work, and that no invasive or expensive testing was required?


This is possible with the Endo Pat 2000.

endopatHeart attacks occur when the linings of your arteries  - the endothelium – are damaged.  For many reasons, they can become inflamed, have fatty deposits and “hardening of the arteries” - atherosclerosis.  This is actually an ongoing inflammatory, damaging process which can lead to the formation of a type of clot called a “thrombus”.  Heart attacks are the result.

Thus, measuring the health of this arterial lining is critical as a means of determining real cardiac risk.  It is much more accurate than just measuring your cholesterol and triglycerides and much less invasive/expensive than a heart catheterization.

The Endo Pat 2000 is FDA approved and takes only about 15 minutes in the office of a physician who has this available.  Ask your physician.

Want to learn more?


Gluten Sensitivity: What is the real issue? 1 in 20 Americans has some degree of gluten sensitivity – most undiagnosed – and the health effects are wide-ranging. Could this be you?


caution_breadSymptoms are far-reaching:  Dr. Mary Ackerley explains “Here is where it gets interesting. Gluten sensitivity is not just a disease of the gut. It is a multi organ, multi symptom disease. The antibodies gluten releases can cause a lot of harm by increasing inflammation and autoimmune reactions. The long term consequences of having a gluten allergy can be devastating. Autoimmune disorders shown to be adversely affected by gluten include insulin dependent diabetes, rheumatoid arthritis, irritable bowel and hypothyroidism. Women with osteoporosis have a much higher tendency to have gluten allergies and even full blown Celiac Disease. 

Other far ranging effects of gluten sensitivity include depression, low energy, fatigue, brain fog, skin rashes, numbness in the extremities, fibromyalgia, osteoporosis, muscle and joint pain — even problems with coordination.”  

The solution is simple:  avoid gluten.  This is much simpler than it used to be as there is now a wide range of gluten free breads and foods available.  

Learn more here. . .


Are you losing bone? Have osteopenia or osteoporosis? Wonder if your treatment is working? Options. Always helpful to have options.


bonesAlthough they appear quite solid, bones are constantly breaking down and rebuilding in a process called remodeling.  When more bone cells are being discarded than are being created, the first condition that occurs is osteopenia, the precursor of osteoporosis. DEXA Scans are very helpful to determine how much bone mass you have the day of the test.  However, you wait another year or two until the next DEXA to see the effect of your therapy.

When bones remodel, there are chemical byproducts.  One of them is called deoxypyridinoline or Dpd.  There is a test to measure this - a simple urine test that most insurance covers.  It is called the Pyrilinks D. You can learn right away how fast your bones are breaking down or whether they are building at the right rate to maintain bone mass. This can be repeated in three month intervals to evaluate the therapy you are currently using.  

The DEXA plus the Pyrilinks D will give a much more complete  clinical picture than just the DEXA alone.  Ask your physician if the Pyrilinks D is indicated for you.

You can learn more here. . .


RN Patient Advocates, PLLC

Contact us!

RN Patient Advocates, PLLC

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

Copyright 2017 RN Patient Advocates, PLLC. All rights reserved.