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REM Behavior Disorder, Dementia, and Parkinson’s Disease
In this well-designed prospective cohort study of patients with REM behavior disorder, the investigators reported that 73.5% of patients developed a neurodegenerative disorder after a 12-year follow-up.
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MRI Investigation of Brain Abnormalities in Friedreich’s Ataxia
Friedreich’s ataxia (FRDA) is characterized by progressive weakness, sensory loss, ataxia, and dysarthria starting in childhood. The authors of this MRI-based study demonstrated that structural damage is limited to the spinal cord, red nucleus, and cerebellar peduncles in young FRDA patients, but progresses to widespread cerebral damage in adult FRDA patients.
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Volume Overload: Acute Decompensated Heart Failure in the Emergency Department
This article will focus primarily on the important aspects of acute decompensated heart failure in the emergency setting. The authors will include a brief synopsis of noncardiogenic pulmonary edema to highlight key principles in the diagnosis and management.
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Oregon POLST Being Completed More Often and Earlier
Of Oregonians who died between 2015 and 2016, 45% had POLST forms in the registry, compared with about 31% between 2010 and 2011.
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Chaplains Can Have ‘Huge Impact’ on Patient Care — If They Are Called
Critical care nurses need to incorporate board-certified chaplains’ contributions into the patient plan of care during bedside report, the authors of a recent paper argued.
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Dementia Program Linked to High Hospice Use, Low Acute Care Utilization
Patients participating in a comprehensive dementia care co-management program were highly involved in advance care planning, high rates of hospice use, and lower acute care visits near the end of life, according to a recent study.
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Assumptions on Correct Surrogate Are Legally, Ethically Problematic
Generally speaking, ethicists consider three things: Who has had regular contact? Who has shown care and concern? And who knows the patient’s wishes best?
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Social Media Research Presents Many Unresolved Ethical Issues
The authors of a recent paper propose steps the scientific community can take to ensure social media data are used ethically.
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New Efforts Help Emergency Medicine Residents Gain Hospice, Palliative Medicine Skills
Emergency medicine residents have very little time to learn hospice and palliative medicine skills. This includes symptom management and effective communication. There currently is no nationally defined hospice and palliative medicine curriculum for resident training.
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The Immediate and Downstream Benefits of Ethics Rounds
Regular rounding by ethicists builds trust with clinicians and gets issues resolved earlier with a preventive ethics approach.