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Only tamoxifen has enough evidence to recommend it for the prevention of breast cancer, and its use is limited to very high-risk women with a low risk of side effects.
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Postmenopausal estrogen-progestin therapy increased the risk of breast cancer in a population-based cohort in Sweden, and estrogen-only did not.
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Warfarin Effectively Prevents Venous Thromboembolism; Vitamin D Reduces Osteoporotic Fractures; Adefovir Effective for Hepatitis B Treatment; Ibuprofen/Aspirin Study Revisited; ACE Inhibitors Favored in Cardiovascular Care; Digoxin Dosing and Heart Failure
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When a teen-ager came to Childrens Hospital Medical Center in Cincinnati with a sunburn-like rash, a life-threatening cause was identified by an emergency department (ED) nurse.
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Its no longer enough for case managers to know where patients are going after discharge. Now they have to know each patients benefits as soon after admission as possible and be aware of what the benefits will and wont cover.
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The days are long past when there were few limits to what a hospital case manager could recommend for a patients discharge plan.
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When physicians write discharge orders for patients, they leave the arrangements for the case managers to make.
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If youre a hospital case manager with a catastrophically ill or injured patient, part of your job as advocate for the patient should be to find out who may be at risk financially for the patients care in addition to his or her health insurance coverage, says Joann C. Milne, RN, BSN, CRRN, PHN.
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Case managers frequently are involved in projects intended to identify optimal uses for health care resources. There are clear limits to what types of health care services can be provided, and this means that clinicians have to make choices about diagnostic tests and treatments.
