Articles Tagged With: communication
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Ethics Issues for Young Adults Vary Depending on Setting
As a medical student at the University of Michigan, Samantha Lyons, MD, HEC-C, regularly attended both pediatric and adult ethics committee meetings. Lyons noticed that for young adults, different approaches were used based on whether the patient presented to the pediatric or adult setting. In general, pediatric care was more family-oriented, whereas adult care placed more emphasis on patients being autonomous and independent.
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QI Initiative Increases Goals of Care Conversations
Many hospitalized patients lack goals of care conversations, causing ethical conflicts at the end of life.
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Ethical Obligations if Patients Have Limited English Proficiency
As a nurse and clinical bioethicist, Melissa Kurtz Uveges, PhD, MA, RN, had a strong desire to facilitate communication with patients with Limited English Proficiency and to provide information in their preferred language.
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Ethical Considerations for Patient, Family, and Staff if LVAD Is Deactivated
An estimated 2,500 heart failure patients have left ventricular assist devices (LVADs) implanted each year. In some cases, the burdens of the LVAD outweigh the benefits, so a decision is made to deactivate the device in the hospital setting.
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Communication Is Major Contributing Factor to ED Malpractice Claims
Emergency department (ED) malpractice claims frequently contain allegations that delayed diagnoses led to poor outcomes or death. “Many times, the primary contributing factor is lack of communication,” according to Jacqueline Ross, RN, PhD, coding director in the department of patient safety and risk management at The Doctors Company.
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Patient and Family Complaints Require Careful Response
Healthcare organizations should have processes for responding to complaints from patients and families. The nature and seriousness of the complaint will dictate how much of a response is required.
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Is Diagnosis Uncertain in the ED? Clear Communication Is Needed
Patients likely expect to leave the emergency department with a definite understanding of what is wrong. Yet many patients are discharged or admitted with an uncertain diagnosis.
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Care Transitions Break Down Due to Information Delays and Workflow Issues
An impediment to care transition occurs when primary care providers refer patients to specialty consultants and do not send enough information, the authors of a recent study found.
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Navigating Elder Care and Long-Term Care
Elder care in the United States is increasingly a “major source of moral distress in the hospital case management and social work world,” according to Lisa Bednarz, LCSW, CMAC, ACM-SW, ASW-G, regional director of case management for Robert Wood Johnson Barnabas Health.
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‘Payvider’ Model Is a New Trend for Care Coordination and Addressing Social Needs
Case management and care coordination often are seen as ways to improve patient care outcomes, reduce readmissions, and make hospital-to-community care more efficient. However, resources remain limited in care coordination efforts because of the payment disincentive. A solution that is gaining steam is the “payvider” model.