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While hospice use steadily increased and deaths in the hospital declined, intensive care unit care in the last month of life increased, according to two recent studies.
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There is a need for bioethicists to educate patients and providers at extended care homes on end-of-life issues.
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Regularly scheduled peer review, surveys of stakeholders, and demonstration of continuous improvement of policies are some approaches to improve ethics consults.
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Some bioethicists are expanding their role beyond case consultation into organizational ethics, but may encounter barriers such as lack of support from leadership.
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More data are being collected at the point of care with the goal of improving quality, but there is widespread uncertainty as to what kind of oversight quality improvement research requires.
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More than half of rheumatologists who responded to a 2013 survey reported the high cost of treatment for their patients as an ethical concern.
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Approximately 62 million Americans speak a language other than English at home, and 25 million have limited English proficiency (LEP).
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Advance directives covering dementia care are complex, according to Rebecca Dresser, JD, Daniel Noyes Kirby Professor of Law and Professor of Ethics in Medicine at Washington University in St. Louis, MO.
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Preclinical diagnosis of Alzheimers disease shares some of the same controversies surrounding preclinical states of other diseases such as cardiovascular disease, osteoporosis, and diabetes.
