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While it might seem that physician lectures to patients about the dangers of smoking are falling on deaf ears, experts in the United States and England say doctors who take a few minutes to talk with patients about their smoking really do make a difference when it comes to helping them quit successfully.
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"If a mass casualty critical care event were to occur tomorrow, many people with clinical conditions that are survivable under usual health care system conditions may have to forgo life-sustaining interventions owing to deficiencies in supply or staffing."
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Palliative care is an obligation owed every patient with critical disease, and not just those for whom curative options have been exhausted, according to a national medical society.
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One individual in the UK, who happens to be on the Salford City Council in Great Britain, has introduced what is being called the "right-to-die card" in that country and has set off a controversy among those in the Christian pro-life movement and those who choose it as a way to make their wishes known in the event they are incapacitated due to sudden injury or illness.
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There's no doubt that physicians are the linchpin of the healthcare system. And when it comes to patient education and counsel regarding diagnoses, prognoses and possible death, they also bear the leadership role.
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So noted Barbara Chanko, RN, a health care ethicist who was one of the speakers in a Veterans Health Administration national ethics teleconference in late May.
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Few sounds or smells in the emergency department (ED) get our attention as easily as vomiting. In response, we might reflexively order our "one-size-fits-all" standard antiemetic and begin by assuming that this is probably just another case of "gastroenteritis." There are, however, several antiemetics to choose from, each with its own advantages and disadvantages, as well as a myriad of diagnostic possibilities to consider.
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