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Given its lack of benefit, possible harms, and expense, magnesium sulfate should not be used for tocolysis.
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Clostridium difficile diarrhea and colitis have now emerged as common nosocomial infections in hospitals throughout the developed world. Alarmingly, recent epidemiological studies in ambulatory settings have documented C. difficile infection in both adults and children who lack the usual risk factors of prior antibiotic use or hospitalization.
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California has always been a state with high managed care penetration, but home health agencies throughout the country are seeing the need to understand how to negotiate managed care contracts as managed care organizations become more predominant.
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New Orleans-area hospices continue to struggle more than a year after Hurricanes Katrina and Rita devastated the Gulf Coast area.
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The right of competent, informed patients to reject lifesaving therapies has been affirmed by courts at every level, but a group of ethicists at the University of Pennsylvania wondered whether the line is as clear when it comes to supplemental oxygen.
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Historically, courts generally have concluded that providers are liable for the actions of their employees but not for the actions of independent contractors.
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Although contract negotiations differ from agency to agency and from one managed care organization to another, there are some very common "gotchas" for which agency managers need to look.
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When staff at the Hospice of Chattanooga in Tennessee, provide wound care, they work to help the patient recover a sense of wholeness.
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The initial meeting with families and patients can lay the groundwork for an end-of-life experience that is rewarding to all involved, or it can build obstacles to a hospice referral and obstruct true understanding between the family, physician, and hospice staff.