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Cancer patients who die in the hospital or an intensive care unit (ICU) have worse quality of life at the end-of-life, compared to patients who die at home with hospice services, and their caregivers are at higher risk for developing psychiatric illnesses during bereavement, according to a study by researchers at Dana-Farber Cancer Institute in Boston.
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In addressing spiritual care for their patients at the end of life, physicians often face the challenge of how to mesh the spiritual concerns with objective science, which is a challenge that sometimes results in a "significant disconnect" with patients, said Rabbi Barry M. Kinzbrunner, MD.
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Twenty-one months after quality assessment and performance improvement (QAPI) requirements became part of the Hospice Conditions of Participation, quality improvement managers are reporting that the transition has gone smoothly when electronic medical records (EMRs) and staff education are integrated.
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Working outside the box to provide services that don't always fit the definition of home health or hospice is a trademark of Kansas City Hospice and Palliative Care in Kansas City, MO. The hospice's innovative approach to meeting community needs is one of the reasons it was one of three program honored with a 2010 American Hospital Association Circle of Life Award.
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Jeanne S. Twohig, MPA, senior advisor, Duke Institute on Care at the End of Life, unabashedly asserted that there is a crisis in our country as to the quality of the vision for our health care futures.
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It's not unusual for soldiers who have returned from war never to discuss the war with their families or friends, which creates an aura of mystery or a sense that their loved ones somehow cannot fully understand them now that they have returned to civilian life.
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When the leadership team at Gilchrist Hospice Care in Hunt Valley, MD, decided to have all field clinicians document their visits electronically, several types of technology were evaluated.
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A woman underwent reconstructive breast surgery following breast cancer treatment. While in recovery, the woman suffered a morphine overdose that ultimately led to the woman suffering a brain injury.
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Focusing more on personal interactions can defuse potentially violent situations, says Sean Ahrens, CPP, BSCP, CSC, senior security consultant with Schirmer Engineering in Glenview, IL.