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Primary Headaches: Look, Listen, and Diagnose Rather Than Image
The diagnosis of primary headache disorders by a computerized and clinical paradigm can predict a baseline prevalence of intracranial abnormalities on brain imaging. Some historical “red flags” in children with headaches, including morning headaches and occipital pain, are not associated with increased intracranial abnormalities.
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Code Status Conversations Often Lacking: Ethics ‘Great Resource’
Patients routinely are asked about code status upon admission, yet communication breakdowns too often occur. Expecting ethicists to sort out this important issue with every patient is, of course, unrealistic.
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Conflicts on Discharge Decision: Home or Skilled Nursing Facility?
Discharge to a skilled nursing facility is sometimes recommended in order to ensure continued independent community living for frail patients. Conflicting views as to what’s best for the patient sometimes raise ethical concerns.
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Prophylactic Antibiotics for Acute Aspiration
Researchers compared outcomes in patients with aspiration pneumonitis who received prophylactic antibiotics during the first two days after macroaspiration to patients who received only supportive care during this time. Among 200 patients meeting the acute aspiration pneumonitis case definition, antimicrobial prophylaxis was not associated with improvement in mortality.
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Students Unable to Identify Ethical Dilemmas
Faculty members in the Doctor of Nursing Practice program at the University of Portland noticed a concerning pattern: Graduate students were not able to identify ethical dilemmas.
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Infections Associated With Travel to the United States
Infectious illness is common in travelers from other countries visiting the United States. Skin and soft tissue infections, respiratory infections, and gastrointestinal illness are most likely, but specific geographic illnesses such as Lyme disease also occur.
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Advance Care Planning Video Feasible for Safety-net Settings
Using a video on advance care planning for diverse adults in safety-net, primary care settings is feasible, a recent study concluded.
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‘Can You Get the Patient to Consent?’ Ethics Role Misunderstood
This common scenario stems from a mistaken belief: That the primary role of ethicists is to convince patients, families, or surrogates to follow a recommendation.
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Long-term Opioid Use in Palliative Care: ‘Much Concern and Consternation’
Palliative care providers caring for patients suffering a heavy pain burden are torn between their calling to relieve suffering and the risk of opioid addiction.
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Data on Hospital Use at End of Life Suggest Less Burdensome Care
ICU use in the last 30 days of life remains high but is not increasing, according to a recent study.