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Study: COPD Symptom Burden Often Goes Unrecognized
Patients with chronic obstructive pulmonary disease often experience symptom burden and social isolation that is underappreciated by clinicians, are much more likely than lung cancer patients to die in hospital than at home, and they often lack palliative care, found a recent study.
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‘We Want Everything Possible Done for Mom’
Joanne Lynn, MD, a Washington, DC-based geriatrician and director of the Center for Elder Care and Advanced Illness at Altarum Institute, has dedicated her career to finding ways to improve health and healthcare at a sustainable cost. Lynn tells Medical Ethics Advisor how hospitals can achieve ethical end-of-life care.
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New Resuscitation Policy: It’s Not Offered Unless Clinically Indicated
Ethicists at University of Virginia helped develop a new resuscitation policy stating that patients or surrogates can accept or refuse offered treatment, and that the healthcare team should not offer treatments unless clinically indicated.
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Patients Who Refuse Discharge Are ‘Disaster in the Making’
Patients refusing to leave the hospital for weeks, or even months — despite being medically cleared for discharge — are a growing problem, according to ethicists.
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HCV: Is It Better to Test and Treat Than Try PEP?
Despite – or perhaps because of -- the incredible cure rates being achieved by new drugs for hepatitis C virus, experts say post-exposure prophylaxsis for exposed healthcare workers is not the path to pursue. Given a host of undermining variables, it is better to repeatedly test a worker who suffers a needlestick, ready to treat as soon as a seroconversion occurs, experts concur.
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For Everything There Is a Season – Including SSIs?
While it is way too early to advise patients to have elective surgery in the dead of winter, researchers are unraveling some telling indications that surgical site infections are much more likely to occur in the hottest months of the year.
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The Joint Commission Citing for Sterilization
Hospitals are continuing to run afoul of The Joint Commission accreditation inspectors for equipment that has been improperly sterilized or subjected to insufficient high-level disinfection.
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Think Outside of the [Recessed] Box
A common feature in hemodialysis units – recessed wall boxes to hook up water and other lines – can become a reservoir for pathogens if not subjected to routine cleaning and infection control measures, a Centers for Disease Control and Prevention investigator reports.
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Are You Ready for Next Infectious Disease Event?
IPs and hospital epidemiologists who are not well-positioned within their organization and connected to key collaborators during routine operations will be severely challenged when an infectious disease emergency strikes, warns Stephen Weber, MD, an epidemiologist and chief medical officer at the University of Chicago.
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Heart of Darkness: Ebola Vaccine in Congo
While the world holds its breath, there are signs an outbreak of Ebola in the Democratic Republic of the Congo may be fading back. However, given the devastation and some 11,000 deaths caused by the 2014 outbreak in West Africa, the last thing the World Health Organization is going to do is take this deadly hemorrhagic fever lightly.