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An added challenge to changing a patient's pain medication due to a shortage of a specific drug is the resistance of many patients and family members to using opioid medications.
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Although hospices and drug manufacturers are finding solutions and alternatives to pain medications to address the current drug shortage, the more critical challenge is the Food and Drug Administration's (FDA) close look at drugs that are typically considered drugs of abuse, says Phyllis Grauer, PharmD, CGP, RPh, clinical consultant at Palliative Care Consulting Group, a Dublin, OH-based division of HospiScript Services.
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Due to the altruistic nature of most health care providers, members of the giving professions often put their own needs last, often to the detriment of themselves, their colleagues, their personal lives and sometimes their patients.
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About 12 years ago, Cynda Hylton Rushton, PhD, RN, FAAN, and others at Johns Hopkins University set about to examine the issue of nurse self-care and the quality of care being delivered in pediatric palliative care.
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The three primary characteristics of burnout are: emotional and physical exhaustion; depersonalization, or feelings of cynicism and detachment from one's job; and sense of lack of personal accomplishment, according to Christina Maslach, PhD, professor in the Psychology Department, University of California, Berkeley.
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People with special medical needs need to plan their evacuation before a hurricane hits.
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Although physicians play a key role in providing end-of-life care, they do not receive training specific to palliative care in residency programs.
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Although hospice providers say hospice enrollments of less than two weeks are inadequate for symptom control and counseling support for the family, patients' families don't view short enrollments in the same way.
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One of the most prevalent components of most disease management programs is telehealth. Not only does the technology improve staff efficiency, quality of ongoing monitoring of patients, and patient compliance, but it also gives clinicians additional information to help them help their patients.
