Medical Ethics Advisor
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ED nurses ID barriers to ethical end-of-life care
Researchers surveyed 1,879 nurses and held focus groups with 17 nurses about care of end-of-life patients, educational needs, availability of resources, and barriers to safe and effective care.
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Growing focus on end-of-life and palliative care in ED setting
Multiple studies demonstrate that screening and referral for palliative care consultation is feasible in the emergency department setting.
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Were study’s findings misleading?
The “slanting” of data published in the scientific literature was recently spotlighted after an independent analysis suggested a psychiatric drug did not show efficacy, contradicting a previous study’s conclusions.
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Growing evidence that teleconsultation can support palliative care provision
There is growing evidence that telepalliative care consultation is an effective approach, but fee-for-service systems and lack of reimbursement are obstacles.
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Surprising data on nursing homes and “culture change”
Some nursing homes that rely heavily on Medicaid funding have implemented “culture change” or palliative care, a recent study found.
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Access to mental healthcare is “question of social justice”
Access to equal benefits and qualified providers remains difficult for many insured Americans, despite the Mental Health Parity and Addiction Equity Act of 2008, according to a recent health policy brief.
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Many oncologists being asked to solicit donations from patients
About one-third of oncologists had been asked to directly solicit a donation from their patients for their institutions, according to a recent study - and half declined to do so.
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Ethical approaches to disclose errors made by other clinicians
Physicians face a number of personal and ethical challenges in disclosing medical errors made by a colleague.
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The Challenge of Advance Care Planning Billing
Providers can now bill Medicare for advance care planning, eliminating one important barrier to end-of-life conversations.
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Families say nursing care is key support for end-of-life care
Vigilance in the provision of nursing care, communication of even slight changes in the patient’s condition, and validation of the family’s decision-making increase family members’ comfort during the dying process, a recent qualitative study suggests.