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The American College of Physicians (ACP) has issued a position paper to guide ethical relationships among patients, physicians, and caregivers.
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A study by Spanish researchers presents new information for palliative care teams that administer sedation to patients at home.
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What am I doing? I'm a nurse. What do I know about building a hospice facility?
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One of the biggest challenges encountered by hospice administrators and board members who want to build an inpatient facility is funding the project, says Jim Faulkner, AIA, NCARB, LEED AP, president of Dayton, OH-based Matrix Architects, an architectural firm that specializes in hospice.
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"It should look like Grandma's house."
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Most physicians reported in a national survey that they would discuss end-of-life options with a terminally ill patient only when there were no more treatments to offer that patient, not when the patient still was feeling well, according to a study published online in CANCER, a peer-reviewed journal of the American Cancer Society.
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The real culprit for why physician conversations with patients about end-of-life care occur later rather than sooner is that physicians in medical schools primarily are trained to treat rather than talk, but that appears to be changing.
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End-of-life discussions can begin when someone is diagnosed with a life-limiting illness, says James A. Tulsky, MD, director of the Palliative Care Center at Duke University Medical Center, in Durham, NC.
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Ensuring employee safety requires more than a set of policies and procedures. It requires immediate action and thorough investigation once an employee reports an unsafe situation, says Robert W. Markette Jr., an attorney with Gilliland & Markette in Indianapolis.
