Articles Tagged With:
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Should Ethicists Hide Consult Notes from Patients?
Ethics consults often are accompanied by conflict, intense emotions, sensitive or controversial topics, and disagreements about values. Ethics notes tend to incorporate more narrative and explicit analysis than other clinical notes. For the sake of transparency, instead of shielding notes, consider excluding details that are likely to cause harm.
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Making More Protected Time for Clinical Ethics Work
To make a good case for investing in protected time, ethicists can engage with department heads to identify the unmet needs of healthcare providers. Testimonials from providers who have benefitted from ethics consultation demonstrate direct benefit to patient care.
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Ethical Problems with Rural Cancer Patients’ Access to Care
Patients and clinicians should discuss any available data regarding differences in care delivered at potential treatment sites, potential accompanying outcomes differences, and the costs and benefits of pursuing treatment at each site. Rural patient navigators should be involved in this discussion, considering the complexity of care coordination for patients with cancer.
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Remote Mental Healthcare Facing Ethical, Legal Pushback
Patients might assume they are talking with a licensed therapist, when they actually are speaking with an unlicensed therapist or a mental health coach. That is an ethical violation.
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Physicians Should Educate Patients About Cannabis-Impaired Driving
Primary care providers should discuss frequency of use, dosage, tolerance levels, and withdrawal symptoms. Also, inform patients of the harms, risks, and legal consequences of cannabis-impaired driving.
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Cutting Total Calorie Intake Is More Effective for Weight Loss
Researchers found monitoring total caloric intake may be more effective for losing weight than intermittent fasting.
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Can a Blood-Based Test Serve as a Biomarker for Parkinson’s Disease?
The authors of this proof-of-concept study proposed that a noninvasive assay detecting pathology-associated α-synuclein extracted from blood may reveal a reliable biomarker for Parkinson’s disease.
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Does Surviving an ECMO Stay Put Patients at Greater Risk for Mental Health Problems?
Survivors of extracorporeal membrane oxygenation (ECMO) demonstrated a modest increase in risk of new mental health diagnoses after discharge vs. ICU survivors who do not undergo ECMO.
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Daprodustat (Jesduvroq)
Daprodustat can be prescribed to treat anemia caused by chronic kidney disease in adults who have been receiving dialysis for at least four months.
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Asymptomatic with Inverted T Waves
The ECG in the figure is from a healthy young adult without symptoms. Clinicians recorded this tracing as part of the patient’s employment physical exam. Is the T wave inversion likely to be a normal variant?