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While there are uncomplicated patient cases where physician-patient communication is fairly straightforward, such communication also can range to the other end of the continuum involving end-of-life care and related decision-making.
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It's not unusual for a patient to express a desire to go home when facing the end of life, say two experts interviewed by Medical Ethics Advisor. But the decision-making to allow this can be fraught with complexity, depending on the patient's medical condition and needs.
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While not every physician or nurse makes a decision to deviate from standard medical practice or rules and regulations governing that practice, it certainly does happen, according to John D. Banja, PhD, professor, department of rehabilitation medicine and medical ethicist, Center for Ethics at Emory University School of Medicine in Atlanta.
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The United States Conference of Catholic Bishops (USCCB) Secretariat of Pro-Life Activities, Richard Doerflinger, suggests that following the passage of health care reform, "there's still a number of deficiencies in conscience protection."
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Four founding partners in a public-private collaboration to advance performance measurement in behavioral health on July 21 applauded The Joint Commission's (TJC) announcement of the next phase of the "Hospital-Based Inpatient Psychiatric Hospitals" (HBIPS) core measures initiative.
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In the past decade, rapid response teams (RRTs) were broadly implemented to identify and treat patients on medical and surgical wards at risk for catastrophic deterioration and thus prevent death.
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This issue deals with two key topics in the ongoing discussion about how critical care should be organized: rapid response systems (also called medical emergency teams or rapid response teams) for identifying patients not in ICUs who are at risk for life-threatening deterioration, and around-the-clock intensivist staffing in the ICU.
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The use of a rapid response system (RRS), or medical emergency team (MET), has become established as a patient safety measure to ensure early detection of patient compromise.
