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This background on cerebral palsy and summary of the new findings was provided by the American College of Obstetricians and Gynecologists.
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Whether a bite or sting results in an anaphylactic reaction, impressive
local effects, or a life-threatening systemic reaction, the emergency
physician must be able to institute appropriate and effective
treatment. Emergency physicians also must be able to recognize clinical
envenomation patterns, since some critically ill patients may not be
able to convey the details of the attack. Since all areas of the
country are represented in the envenomation statistics, all emergency
physicians should be familiar with identification and stabilization of
envenomated patients and know what resources are available locally for
further management of these often complicated patients.
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Ramipril (Altace) is a long-acting oral angiotensin-converting enzyme (ACE) inhibitor indicated for the treatment of patients with essential hypertension or congestive heart failure after myocardial infarction. Ramipril also is indicated in cardiovascular risk reduction.
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Another study about how palliative care fails minorities was recently released, adding to what seems like mounting evidence that hospice and others involved in end-of-life care are failing to meet the needs of African-Americans, including understanding the cultural factors that play a role in patients perception of pain.
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The number of terminally ill patients enrolled in Americas hospices continues to rise, now topping 700,000 per year. But growth in patient enrollment has been counterbalanced in recent years by declining lengths of stay. The net result for many hospices has been stagnating average daily census, a more telling measure of actual growth.
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Like two trains steaming full-speed toward each other, the growing aging population and the continuing shortage of nurses and other providers threaten to come crashing together, derailing whatever progress hospices make toward increasing access to their services.
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Paying attention to a myriad of small signs in both the caregivers and the patients behavior can alert the home health nurse to a need for intervention to prevent caregiver burnout.