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Preoperative Screening Can Save a Life — If Staff Ask the Right Questions
A physician or nurse might save a life by asking probing questions that cause patients to go deeper in their answers.
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Ethical Considerations for Complex Discharges
What will you do if a patient refuses prescribed treatment? If the patient does not follow doctor’s orders, how will you advise them? If adult children will not let you tell the patient his diagnosis, what will you do? These are common situations in healthcare. Each raises an ethical dilemma for hospital case managers.
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Case Management Leaders Should Identify Sustainable Solutions
Hospital case management leaders have found their departments evolving in recent years, often to include practices and models that focus on population health goals. As care coordinators and case managers move toward transitions that incorporate these goals, one challenge is sustainability. New research provides a model for sustaining a collaborative practice model that advances population health.
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Mandates for Discharging Homeless Patients Take Effect in California
California recently enacted a law that addresses this issue by requiring hospitals to follow a prescribed plan for identifying and safely discharging homeless patients. SB 1152 outlines specific discharge planning measures for homeless patients in acute care hospitals.
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Plan of Care Rounds Improve Communication
Collaborative care teams can use interdisciplinary plan of care rounds to improve communication and facilitate smooth transitions. The plan of care round team can give patients a brief overview and answer patients’ questions or concerns.
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Ticagrelor Added to Aspirin Reduces Long-Term Risk of Recurrent Stroke or Death After Ischemic Stroke or TIAs
The Acute Stroke or Transient Ischemic Attack Treated with Ticagrelor and ASA for Prevention of Stroke and Death (THALES) study was designed to test the hypothesis that 30-day treatment with ticagrelor and aspirin would be superior to aspirin alone in reducing the risk of subsequent stroke or death in patients who had a non-cardioembolic ischemic stroke or transient ischemic attack.
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COVID-19 Infection Increases Stroke Risk by Almost Eight Times the Stroke Risk with Influenza
It is well documented that influenza epidemics are associated with an increased risk of ischemic stroke and myocardial infarction, as are all systemic inflammatory disorders. Investigators at Weill Cornell Medicine wanted to determine if coronavirus infection induced a higher risk of ischemic stroke than other viral infections, such as influenza.
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Mobile Stroke Units: What Is the Best Way to Use Them?
A recent advance in ischemic stroke treatment is the mobile stroke unit, an ambulance outfitted with specialized equipment, computed tomography for brain imaging, and a specialized team with a stroke neurologist available either onboard or via telemedicine. Intravenous thrombolytics can be administered at the scene with the patient on the ambulance.
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Should Patients with Ischemic Stroke and Large Vessel Occlusions Go Directly to Endovascular Thrombectomy?
Endovascular mechanical thrombectomy has become the standard treatment for patients with acute ischemic stroke caused by large vessel occlusion in both the anterior and posterior circulations. This is predicated on the ability to perform the procedure in a timely fashion or based on a mismatch between the size of infarction and brain perfusion.