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Almost all (96%) of 173 oncology nurses surveyed reported concerns about system barriers in their efforts to help patients prepare for the end of life, according to a 2014 study.
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Physicians often provide high-intensity care for patients at the end of life, even when the physicians would not choose this for themselves.
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Preclinical diagnosis of Alzheimers disease shares some of the same controversies surrounding preclinical states of other diseases such as cardiovascular disease, osteoporosis, and diabetes.
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Advance directives covering dementia care are complex, according to Rebecca Dresser, JD, Daniel Noyes Kirby Professor of Law and Professor of Ethics in Medicine at Washington University in St. Louis, MO.
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Approximately 62 million Americans speak a language other than English at home, and 25 million have limited English proficiency (LEP).
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Prolapse occurs along a spectrum from early and asymptomatic to advanced and symptomatic. The authors define anatomic cutoffs that are likely to result in symptomatic and clinically significant prolapse.
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Barriers to guideline-adherent care for advanced ovarian cancer are impacted by geographic proximity to a high-volume hospital and travel distance. However, these geographic barriers disproportionately affect racial minorities and women of lower socioeconomic status.
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In this prospective cohort study of 161 nulligravid women, there was no reliable threshold of uterine length or flexion angle measurements that were predictive of painful or difficult insertions. History of severe dysmenorrhea was the only predictor of insertion pain.