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  • Limits, disclosure avoid misunderstandings

    Hospice nurses, aides, and therapists do a wonderful job caring for their patients, so it is natural that the patients and families want to thank them with gifts. Unfortunately, the size and type of gift can put the employee and agency into the uncomfortable position of being accused of theft if strict guidelines are not developed and followed.
  • Doctors' legal questions might result in patient pain

    When treatment options dwindle or are exhausted, terminally ill patients often opt for pain management and comfort over life-extending therapies. However, researchers report that a lack of thorough understanding about the laws governing end-of-life care might leave providers with an ethical dilemma and cause some terminally ill patients considerable, unnecessary pain.
  • Patient-controlled pain med can increase risk of errors

    Intravenous patient-controlled analgesia (PCA) allows patients to control their own pain medication, but a new study published in the December 2008 issue of The Joint Commission Journal on Quality and Patient Safety shows that errors related to this practice are four times more likely to result in patient harm than errors that occur with other medications.
  • Advanced certification created for social workers

    The National Association of Social Workers (NASW) and the National Hospice and Palliative Care Organization (NHPCO) have created the advanced certified hospice and palliative social worker credential (ACHP-SW).
  • Hospital discharges to post-acute care on rise

    The annual number of patients discharged from U.S. community hospitals to home health care rose 53% between 1997 and 2006, while the number discharged to long-term care and other facilities rose 30%, according to a new report from the Agency for Healthcare Research and Quality (AHRQ).
  • Medicare issues home health PPS notice

    The Centers for Medicare & Medicaid Services (CMS) issued a notice to update the Home Health Prospective Payment System (HH PPS) for calendar year 2009.
  • CD4+ Recovery in HIV-1 Infected Patients is Independent of Class of Antiretroviral Therapy

    Patients enrolled in the swiss hiv cohort study, initiating their first cART regimen between 1996 and early 2007, who had baseline and follow up CD4+ count and HIV RNA data available, were included in the analysis.
  • Carbapenem-resistant Klebsiella pneumoniae

    Most of us microbiologists were rudely awakened to the insufficiency of our susceptibility testing methods last year when the College of American Pathologists (CAP) sent out a carbapenemase-producing Klebsiella pneumoniae as an unknown proficiency testing sample. My laboratory, like most others in the United States, incorrectly reported the isolate as susceptible to imipenem and meropenem.
  • Updates by Carol Kemper, MD, FACP

    An outbreak of 140 human cases of West Nile Virus in Kern County, California (better known for its increased risk of coccidioidomycosis), during the summer of 2007, prompted Reisen et al to look for possible causes.
  • Clinical Briefs in Primary Care supplement