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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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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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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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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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In proposed rules published on May 18, 2004, the Centers for Medicare & Medicaid Services (CMS) proposes to incorporate certain provisions of the Balanced Budget Act of 1997 into Conditions of Participation applicable to hospitals and to extend these requirements to skilled nursing facilities.
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The September issue of Hospice Management Advisor included articles focusing on hospice client satisfaction. In this issue, hospice officials offer tips on how to improve client satisfaction
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An elderly woman presents with a chief complaint of constipation, with few symptoms of acute abdomen. Would you suspect appendicitis in this patient? You may find a misleadingly benign physical assessment in older patients, despite the presence of a potentially lethal illness.
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Living wills dont work; furthermore, its a waste of time to promote them to patients, according to researchers at the University of Michigan in Ann Arbor.
