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Hospice directors and staff sometimes find that its difficult to change a prevailing attitude about death and dying when that attitude involves an entire community. This is where the Rallying Points program, designed to build community coalitions to support end-of-life care, can be a solution.
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Drug therapy for pain management and end-of-life care traditionally has not been a formal priority in medical education, so hospices often run into obstacles when trying to obtain the most effective and efficient pain medications, experts suggest.
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Hospices too often find that no single health care professional is coordinating a dying patients pharmaceutical needs, including both adequate pain treatment and drugs to alleviate other conditions and symptoms.
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A Microsporidia species, never previously isolated from deep tissues of humans, was the cause of fatal myositis in a patient with diabetes and rheumatoid arthritis, who was being treated with infliximab.
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The great majority of typhoid fever cases diagnosed in the United States occur in patients who have visited friends and relatives overseas, especially travelers returning from South-central and Southeast Asia, including short-term travelers. Among other precautions, typhoid fever vaccine should be recommended to these high-risk travelers.
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The evaluation of a febrile child is an extremely common scenario in most emergency departments. Emergency physicians must decide which children require a work-up, the nature of that work-up, and the need for antibiotics with or without hospitalization. This process often is in the context of evaluating many febrile children, with only subtle clues as to which child truly may be ill. Unfortunately, it is common for inadvertent errors in judgment to end up in the courtroom as a subject of malpractice lawsuits. This months issue focuses on some of the risks and controversies in the evaluation of the febrile child.
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It has been a long, hard struggle for wellness proponents to prove the ultimate value of health promotion programming in terms of employee health and well-being. As the 90s unfolded, more evidence came forward demonstrating that wellness did, in fact, contribute to a reduction in health insurance costs/claims, helping to move wellness into the need to have category for a growing number of companies.
