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I've been doing this since January 1990 and in many ways it seems like yesterday. When I share this information with others I can't decide if their body language and comments are motivated by shock or they are simply impressed with someone surviving that long. Most days I don't ask for clarification.
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Kathy Warye, CEO of the Association for Professionals in Infection Control and Epidemiology (APIC), is something of a quick study. Facing what she recalls as "a steep learning curve" six years ago when she joined APIC as executive director, Warye is now being recognized as one of the top leaders in health care.
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Palliative care refers to patient- and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering. Palliative care throughout the continuum of illness involves addressing physical, intellectual, emotional, social, and spiritual needs and facilitating patient autonomy, access to information, and choice.
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In light of "substantial attention in both professional and popular literature" regarding ethical oversight of quality improvement initiatives, researchers at Johns Hopkins University sought systematic data on this topic and they believe that's what they found.
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The chair of the task force responsible for the fifth edition of Diagnostic and Statistical Manual of Mental Disorders, David J. Kupfer, MD, and Darrel A. Regier, co-authors of a recent commentary in JAMA, suggested their perspective in the commentary title: "Why All of Medicine Should Care About DMS-5."
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Sue Dill Calloway, RN, Esq., BSN, MSN, JD, a nurse attorney and medical legal consultant in Columbus, OH,has had considerable experience in dealing with informed consent. Calloway recently presented an audio conference on "Informed Consent 2010: The Latest in CMS and Joint Commission Consent Requirements" for AHC Media, publisher of Medical Ethics Advisor.
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"I think most of us who take care of patients didn't get a very good education in excellent symptom management, so [many] people don't know how to take care of pain and dyspnea and anxiety and delirium and all these symptoms that truly, truly cause physical suffering," Mahon tells Medical Ethics Advisor.
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In a May 20 letter to Congress, the chairman of the U.S. Bishops' Committee on Pro-Life Activities called on Congress to remedy what he characterized asthe abortion and conscience flaws in the Patient Protection and Affordable Act (PPACA), according to a news release from the United States Conference of Catholic Bishops in Washington, DC.
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Healthcare providers have been constantly amazed at the variation in response to infection with HIV-1. In our clinic, we now routinely see elderly patients who have been on various antiretroviral regimens over the years but still persist with high CD4 counts and low viral loads.
