Articles Tagged With:
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Palliative Care Widely Misunderstood by Patients and Professionals
In one study, 60% of adults self-reported as knowledgeable about palliative care have at least one misperception. In another similar study, researchers found that 70% of respondents had never heard of palliative care. Perhaps most concerning, a third study revealed 55% of caregivers have never heard of palliative care.
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Policies Ensure Ethical Care for Marginalized, At-Risk, Unrepresented Patients
Adults who have lost (or perhaps never had) decision-making capacity and do not have either an advance directive or an identifiable, capable, and willing surrogate may be the most vulnerable patients.
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Overly Aggressive Collection Risks Violating Several Ethical Principles
To ensure ethical care, transparency and shared decision-making is needed across all aspects of patient care interactions, including billing and collections.
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Ethics Involved as Proposed Hospital ‘Conscience’ Policies Examined Closer
"We are apparently entering the age of religious exemptions for all manner of hard-to-understand positions." -
Program Directors Want More Ethics Education, Limited Resources Constrain Goals
The desire for more ethics training is not unique to plastic surgery. Researchers also administered the survey to program directors in anesthesiology, pediatrics, and general surgery, with similar findings.
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Size Matters Regarding Left Heart Valve Vegetations
An international registry study of left-sided valvular infective endocarditis patients revealed that large vegetations (> 10 mm) are associated with increased mortality at six months, but not if early surgery is performed.
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Blood Pressure Targets in the Elderly
The authors of a large population study found that reducing blood pressure to < 140/90 mmHg is associated with increased mortality, and mortality was highest in those with previous cardiovascular events and age > 80 years.
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Is There a Role for Surgery in Isolated Severe Tricuspid Regurgitation?
A retrospective single-center analysis of patients with isolated severe tricuspid regurgitation revealed no survival benefit from tricuspid surgery.
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Is It Safe to Stop Digoxin for Heart Failure?
In a large older patient heart failure with reduced ejection fraction hospitalizations database, the outcome of withdrawing digoxin vs. continuing digoxin was examined at 30 days and up to four years of follow-up. Withdrawing preadmission digoxin in hospital resulted in higher mortality at 30 days and more readmissions at six months, one year, and four years.
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Complete Revascularization After STEMI: Do We Finally Know the Answer?
In this largest trial to date, patients who were randomized to complete revascularization by percutaneous coronary intervention (PCI) following successful intervention at the time of ST-elevation myocardial infarction (STEMI) had a lower risk of cardiovascular death, myocardial infarction, and ischemia-driven revascularization vs. patients who underwent culprit lesion-only PCI.