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CDC Guidance for Use of Facemasks During Crisis
The CDC’s recommendation for optimizing the supply of facemasks include “contingency” and “crisis” capacity. These are steps hospitals can take if they are no longer at “conventional” capacity, when standard measures remain in effect. The CDC defines contingency capacity as practices that may be used temporarily during periods of expected facemask shortages. Crisis capacity may call for stopgap measures “that are not commensurate with U.S. standards of care."
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Crossing the Fine Line Between Fear and Courage
A truism that has been observed in various forms is the only time one can show courage is when one acts in the face of fear. This is what healthcare workers responding to the coronavirus pandemic are essentially doing, one expert says.
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CDC Guidelines for Reuse of N95 Respirators
With reuse of N95 respirators in effect at many hospitals, the CDC has issued recommendations that begin with the caveat “there is no way of determining the maximum possible number of safe reuses for an N95 respirator as a generic number to be applied in all cases.”
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Spring of Fear: ED Staff Face Surging Coronavirus
Emergency physicians and other frontline clinicians are trying to hold the line against an accelerating coronavirus pandemic in the United States, even as they fear for their own safety and that of their families and colleagues. A shortage of personal protective equipment — particularly N95 respirators — ratcheted up the anxiety, as did the accumulating media reports of healthcare worker deaths, illness, and home quarantine.
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Contraceptive Access Issues Require a Different Kind of Understanding
Contraceptive access initiatives often have focused on long-acting contraceptive methods, such as intrauterine devices and implants. These initiatives analyzed provider-level and financial access barriers to contraceptive methods. But this way of thinking has changed. Family planning experts now are examining access issues within a person-centered contraceptive care framework. This framework conceptualizes access according to what individual women want in contraceptives — not just around what they can afford and what is available.
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Title X Final Rule Is Troubling for Providers
The recent Title X changes enacted by the Trump administration are creating major ethical dilemmas and operational challenges for family planning and reproductive health clinics nationwide.
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Title X Problems Worsen with Recent Court Decision
The recent Title X changes have proven devastating to women depending on family planning centers for their reproductive healthcare needs. The 9th U.S. Circuit Court of Appeals ruling upheld the Trump administration’s gag rule that prohibits Title X providers from referring patients for abortion care or even answering questions about abortion.
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How Providers Can Weather the Pandemic
As pandemic messaging moves from containment to mitigation to recovery, national experts are giving healthcare providers tips on how to weather the storm.
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COVID-19 Shuts Down Nation; Family Planning Need Not Stop
The COVID-19 pandemic has affected every aspect of American life, including nonemergency doctor visits. But from a family reproductive health point of view, the consequences of weeks of social distancing and quarantines can present new challenges.
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ICU to Long-Term Acute Care: Seamless Transition, Fewer Readmissions
When a seriously ill patient has not stabilized in the ICU, the next step may be a long-term acute care hospital like Spaulding Hospital Cambridge — which often is a difficult transition. Six years ago, Spaulding joined nearby Brigham and Women’s Hospital in creating the Integrated Patient Centered Care in Chronic Critical Illness program to provide a seamless transition of care for these patients and their families.