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  • Comfort Pack reduces anxiety, improves care

    An overnight delivery of pain medication that took four days and a charge of $125 for eight pills from a hospital pharmacy are two of the reasons that the staff at Hospice of the Hills in Rapid City, SD, started looking for a new way to help patients with emergency needs.
  • Communicate clearly when closing a service

    Closing a home health agency branch office or an entire service line is more than just a business decision. The action affects a wide range of people with whom close relationships have developed over the years, so the timing and type of communication is important.
  • How many "sacred cows" are still in your pasture?

    This is the second article of a two-part series on how to reduce the risk of infection for patients with indwelling bladder catheters.
  • Case management starts at ICU, goes through discharge

    Anna Gibson, RN, CDMS, a case manager specializing in catastrophic injuries and rehabilitation, typically gets a call when a catastrophically injured worker has just arrived at an acute care hospital and has been admitted to the intensive care unit.
  • News Briefs

    The Centers for Medicare & Medicaid Services (CMS) released proposed changes to the Medi-are hospice wage index for FY 2009.
  • Full August 1, 2008 Issue in PDF

  • Pneumococcal Vaccine has Changed the Epidemiology of Pneumococcal Meningitis

    The impact of 7-valent pneumococcal conjugate vaccine (PCV7) was studied using the Nationwide Inpatient Sample, which is the largest source of inpatient data in the United States and drawn from about 1000 community hospitals.
  • Excluding Bacteremia in Children with Central Venous Catheters

    A retrospective, cohort study of 200 episodes randomly selected from 315 episodes, during 2000-2003, at Children's Hospital of Philadelphia, of laboratory-confirmed bloodstream infections among out-patient children with central venous catheters was performed to determine the optimum duration of antibiotic therapy before infection could be reliably excluded.
  • Pseudo Fever Due to Mucositis

    In this study, 100 consecutive patients, who were receiving several different cytotoxic chemotherapy regimens for a variety of cancers, were self-referred on the basis of perception of mucositis, elevated temperature at home, malaise, or were referred by a nurse based on assessment of potential infection or mucositis.
  • Whither PANDAS?

    A blinded, prospective, case-control study of 40 children meeting all of the DSM-IV criteria for PANDAS matched with 40 children with obsessive-compulsive disorder and/or a chronic tic disorder was conducted with periodic intensive laboratory testing for group A streptococcus for 2 years, especially with clinical exacerbations or acute illness.