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Shared Decision-making Is ‘Moral Imperative’ Despite Challenges in ED
Shared decision-making is an important concept for patient autonomy, but how does it play out in the unique ED setting?
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Study: Less Money Spent on End-of-Life Care for Rural Medicare Patients
Medicare expenditures are lower for rural beneficiaries with cancer than urban beneficiaries, found a recent study.
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Nurses Report Barriers to Involving Family Caregivers
Patient care demands, the professional practice environment, and lack of resources hindered nursing family caregiver involvement, found a recent survey of 374 critical care nurses.
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Education Needs Still Unmet for Family Presence During Resuscitation
Critical care nurses’ needs for education on family presence during resuscitation are not being met, found a recent survey of 395 critical care nurses.
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Novel Training Program Pairs Clinicians With Chaplains
Patients’ spiritual needs often go unaddressed due to providers’ lack of prioritization, time, and training. A novel training program pairs clinicians and chaplains.
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Proposed Model Ethics Curriculum Developed for Dermatology Residency
Standardized methods to teach ethics skills in dermatology residencies are currently unavailable. A recent paper offers a model curriculum.
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Ethics Services Report Unprecedented Surge in Demand for Consultations
At the same time ethics consultation services are seeing a surge in demand, cases are increasing in complexity.
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A Contemporary Review of Hypertension
Hypertension is a common and serious condition that contributes to an estimated 40% of deaths from coronary heart disease and stroke, and is the second leading cause of end-stage renal disease. Because of the importance and frequency of hypertension in primary care practices, we are devoting two issues to the subject. This issue focuses on the definition of blood pressure and current guidelines, risk factors, relationship to cardiovascular disease, blood pressure measurement, patient evaluation, and secondary causes. The next issue will cover treatments (pharmacological and non-pharmacological), initial therapy, relationship to various disease conditions (diabetes, ischemic heart disease, heart failure, chronic kidney disease, cerebrovascular disease, ischemic stroke, stroke prevention, atrial fibrillation, valvular heart disease, aortic regurgitation, sexual dysfunction), resistant hypertension, hypertensive crises and emergencies, preoperative management, and adherence strategies.
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Untangling the Factors Governing Huntington’s Disease Progression
In a study of more than 3,000 subjects, CAG-repeat-dependent factors affecting age at onset also influenced rates of progression of cognitive, motor, and functional impairments, providing optimism that developing interventions, such as gene silencing therapies, could provide benefit.
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Predicting Future Dementia With Retinal Optical Coherence Tomography
Optical coherence tomography (OCT) is an innovative imaging device that measures thickness of retinal nerve fiber layers and ganglion cells. Thinning of these layers is associated with current and future risk of dementia.