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An elderly or frail yet competent patient refuses treatment and insists on returning home, where he or she lives alone or with an equally elderly or frail relative.
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Much of America heard about the "Ashley treatment" in late 2006, upon publication of an article detailing the growth-attenuation measures taken in 2004 in the case of a then-6-year-old, severely developmentally disabled Seattle-area girl whose parents sought medical help that might ensure that she could be comfortable and that they could care for her as she grew older.
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Full disclosure of information to patients about their illnesses and treatment is considered the cornerstone of patient autonomy; patients capable of making their own health care decisions can only do so if they have enough information to weigh the risks and benefits of treatment.
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North Carolina's governor, state agencies, and courts were forced to examine the state's capital punishment laws following the release of a position paper from the North Carolina Medical Board (NCMB) in January that effectively prevents physicians from actively participating in executions.
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Intense feelings of anxiety and humiliation, not to mention fears of being sued or professionally censured, are extremely common. Not surprisingly, the appearance of defensive and self-protective strategies that urge concealment are common as well.
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Should your program waive charges after a serious adverse event occurs? The Washington, DC-based Leapfrog Group and the Chicago-based Midwest Business Group on Health, both of which represent employers, have called on hospitals to take this stand.
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Coordinating operating rooms, surgical equipment, and staff to come up with a surgery schedule that has no cancellations, few delays, and happy surgeons is a challenge.
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There are plenty of medications from which to choose for patients with acid reflux disease, but the medications don't work for all patients, while other patients want to eliminate the need to take daily medication.