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For physicians to explain to patients that there are alternatives at the end of life that can be more valuable than chemotherapy, they first must believe it themselves, says Larry Cripe, MD, an oncologist who teaches hematology/oncology at Indiana University School of Medicine in Indianapolis. Then, they have to develop the communication skills to get that message across, he says.
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Patient care providers should take care to let patients express what their hopes are and to reframe those hopes, gently, with truth, says Vincent Guss Jr., MDiv, chaplain at Falcons Landing Air Force Retired Officers Community in Potomac Falls, VA.
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At what price is cure a goal? And what price does hope carry?
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Your information technology emergency plan needs to address the types of problems you are most likely to encounter
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Hospice managers and staff members have become accustomed to looking for ways to streamline services and lower costs, but the proposed three-year reductions in the wage index planned by the Centers for Medicare & Medicaid Services (CMS) will add an extra challenge for managers.
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When 78 million baby boomers reach age 65 in 2011, they will depend upon a health care work force that is too small and unprepared to meet their needs, according to a report from the Institute of Medicine.
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When the hospice nurses' laptops at the St. John Home Health and Hospice in Tulsa, OK, stopped synchronizing with the agency's server, agency management and the software vendor worked through the weekend to identify and solve the problem.
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The 22 laptops were working fine. Data were being entered, nurses were visiting patients, and everyone was thrilled with the newly installed electronic health record system. At least that's what everyone believed until nurses started to report that data they transmitted the night before weren't showing up in the records.
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