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For the clinician, the area of sports concussions and mild traumatic brain injury can be confusing due to the relative paucity of scientific evidence to support the clinical decision-making process in the emergency department and beyond. Good scientific research in this area has been hampered by an inconsistent definition of concussion, widely divergent injury mechanisms, poor means of measuring cognitive deficits, and inconsistent return to play guidelines.
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The nonsequential rhythm strips shown in the Figure were obtained from a 71-year-old man with a history of congestive cardiomyopathy and renal insufficiency. The patient was admitted for an exacerbation of heart failure. Digoxin was among the many medications he was taking. Assessment of the bottom rhythm strip was 2:1 AV block, Mobitz Type II. Do you agree?
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Stroke is the third leading cause of death in the United States, surpassed only by heart diseases and malignant neoplasms. Part 1 of this series will cover the differential diagnosis of stroke, stroke mimics, and risk factors and prevention. Part II will cover the physical examination, laboratory investigations, imaging, and treatment of stroke.
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Beaumont makes patients partners in safety efforts; OSHA delays enforcement of TB standard to July
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Your nurses teach patients how to administer their medications, check their blood sugars, use their oxygen, care for their wounds, and in general, take care of themselves as they deal with their illness or condition. Your nurses also review the safety of the home environment, but how well are they protecting your patients from the risks of fire?
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Helping your diabetic patient stabilize blood sugar levels and improve control of the disease doesnt necessarily mean new medications, significant weight loss, or a major change in their lifestyle, according to experts interviewed by Hospital Home Health.
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This column addresses specific questions related to Health Insurance Portability and Accountability Act (HIPAA) implementation.
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One of the most common dilemmas faced by home care staff occurs when patients refuse transfer to a nursing home. A careful review of this issue from an ethical point of view should include examination of three principles: autonomy, justice, and beneficence/nonbeneficence.
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Its easy to look at the Family and Medical Leave Act (FMLA) as just one more federal law, a jumble of complex compliance requirements that must be adhered to by responsible employers. But it also can offer a valuable opportunity to improve your absence management program, argues Noreen F. Orbach, PhD, a private psychological consultant in the Chicago metro area.
