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Eldery Mexican-Americans have higher rates of chronic illness than their non-Latino counterparts, but many don't receive the care they need because they and their caregivers resist home care services, says Janice Crist, RN, PhD, associate professor at the University of Arizona College of Nursing.
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Increasingly, health plans and provider organizations are taking steps to understand the beliefs and values in the populations they serve and help gear their treatment plan to accommodate them.
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In an increasingly diverse society, case managers must be aware of the cultural beliefs and practices of the people they serve in order to effectively coordinate their care and help patients or clients adhere to their treatment plan, says Catherine M. Mullahy, RN, BS, CRRN, CCM, president and founder of Mullahy & Associates, a case management training and consulting company.
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Calling it "a significant turning point in American society's evolution to empower terminally ill patients with information and choices about how they will die," an article by the director of legal affairs for Compassion & Choices points to four medical professional and health policy organizations that have adopted policy to support physician-assisted suicide.
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In an effort to improve the physician-patient dialogue for patients diagnosed with Alzheimer's disease, the Alzheimer's Association suggests that physicians keep in mind its Principles for a Dignified Diagnosis.
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The American Medical Association's policy in Opinion 2.035 on Futile Care clearly states: "Physicians are not ethically obligated to deliver care that, in their best professional judgment, will not have a reasonable chance of benefiting their patients. Patients should not be given treatments simply because they demand them. . . ."
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The Joint Commission (TJC) is launching a national campaign to help parents make a difference in their children's lives by being actively engaged when their children receive health care.
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In an unusual pairing, Beth Israel Medical Center in New York City has teamed with the New York Zen Center for Contemplative Care to apply the approaches of its Zen Buddhist chaplains to the anxieties and pains spiritual or physical of hospital patients.
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According to a recent survey of neurologists, "clinicians vary greatly in the education and support they provide or recommend for people with MCI [mild cognitive impairment], suggesting that there is a need for practice guidelines in this area."
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A recent jury verdict in Florida may provide support for hospitals considering sending long-term, high-cost patients back to their home countries.
