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Primary Care/Hospitalist

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  • CDC report identifies health disparities

    Americans' differences in income, race/ethnicity, gender, and other social attributes make a difference in how likely they are to be healthy, sick, or die prematurely, according to a news release issued on a report by the Centers for Disease Control and Prevention (CDC).
  • Caregivers continue to experience distress

    Caregivers of the chronically critically ill report restrictions on personal and social aspects of their lives, they continue to be distressed by problematic patient behaviors, and they are most distressed by their loved ones' continued reports of pain and discomfort up to 6 months post-ICU discharge.
  • Palliative care model fits biomed ethics principles

    Some of the core principles of medical ethics are patient determination, doing good for patients, and doing justice. These also are some of the chief attributes of palliative care, experts say.
  • Can ethics and economics share common ground?

    Hospital ethics committees sometimes find they are drawn into local cases that reflect national debates over health care costs and policies. These debates might surface when there are conflicts between family and hospital providers over continuing life-sustaining treatment, including nutritional support and ventilator care. But adding health care costs to the mix can make the situation more complicated.
  • Old dogs teach new tricks at this hospice

    Dogs are a natural addition to a kid's camp, especially a grief camp offered by a hospice.
  • A good balancing act reduces risk

    Balancing your case-mix to avoid hospice cap deficits doesn't mean discharging patients or admitting patients who don't meet hospice criteria, warns Kyle Terry, MBA, consultant and principal at Hospice CAP Consultants in Owasso, OK. "Although a balance of short- and long-term patients is the best strategy to minimize your risk of receiving a repayment demand letter from CMS based upon the hospice cap, it is important to follow admission criteria guidelines issued by CMS," he says.
  • Where the nation stands on end-of-life care

    The National Hospice and Palliative Care Organization (NHPCO) has published a report about end-of-life care, emphasizing the importance of more personal and private discussions about the topic.
  • Use behavior not vital signs to assess pain

    How is your pain today? On a scale of 1 to 10, how would you rate your pain? Are you comfortable today? Did the medication lessen your pain?
  • CRP in Acute Pericarditis

    High sensitivity C-reactive protein may be useful in acute viral or idiopathic pericarditis for establishing the diagnosis, determining the duration of therapy, and suggesting when to escalate therapy.
  • Leptospirosis in Florida: Recreational Exposures Reveal New Serovar

    Forty-four (23%) of 192 adventure race participants in a 2005 Florida event developed suspected leptospirosis, with confirmatory serologic testing positive in 45% of the tested individuals. A unique serovar (related to species Leptospira noguchii) was isolated from 1 patient.