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At the end of life, there often comes a point when there's nothing more, clinically, that can be done. That's when the music starts for some patients.
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Some doctors are prescribing the off-label use of antipsychotic medications approved to treat schizophrenia and bipolar disorder without strong evidence that they are effective when prescribed instead for dementia, depression, and other psychiatric disorders, according to a government analysis.
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A large, national review of patients presenting to emergency departments with chest pain surprised researchers with what it revealed about disparities in how chest pain patients are evaluated.
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An elderly or frail yet competent patient refuses treatment and insists on returning home, where he or she lives alone or with an equally elderly or frail relative.
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Much of America heard about the "Ashley treatment" in late 2006, upon publication of an article detailing the growth-attenuation measures taken in 2004 in the case of a then-6-year-old, severely developmentally disabled Seattle-area girl whose parents sought medical help that might ensure that she could be comfortable and that they could care for her as she grew older.
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Full disclosure of information to patients about their illnesses and treatment is considered the cornerstone of patient autonomy; patients capable of making their own health care decisions can only do so if they have enough information to weigh the risks and benefits of treatment.
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North Carolina's governor, state agencies, and courts were forced to examine the state's capital punishment laws following the release of a position paper from the North Carolina Medical Board (NCMB) in January that effectively prevents physicians from actively participating in executions.
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Intense feelings of anxiety and humiliation, not to mention fears of being sued or professionally censured, are extremely common. Not surprisingly, the appearance of defensive and self-protective strategies that urge concealment are common as well.
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Parents of children who died in pediatric intensive care units want doctors and nurses to know that they respect and appreciate care providers' technical skills, but what they need more of is a personal, emotional connection with their children's medical providers.
