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Safety issues for administering medications to children are different from those for adults.
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Cultural diversity impacts patient education in many ways. Staff must be taught about the differences between cultures so that they provide appropriate teaching.
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Arthur Kleinman, a medical anthropologist from Harvard University [Cambridge, MA] has simplified the process of negotiating communications between health care provider and patient in the health setting.
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All written materials at Childrens Healthcare of Atlanta are in English and Spanish. That is because Hispanic families are about 10% of the patient population, says Kathy Ordelt, RN, patient & family education coordinator.
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When a Somali man found wandering the streets of Columbus, OH, was brought to Doctors Hospital, medical staff determined that he had quite a few medical problems. He had a stroke and new diabetes was identified. The man spoke very little English, so interpreters were used for the assessment of his condition.
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In compliance with the Houston-based M.D. Anderson Cancer Center Patient-Family Education Policy, the patient education office receives approval from the pharmacy division on each medication information sheet before it is added to the on-line patient education database and distributed to patients.
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When working with school-age children in a medical situation, it is important to tell the children what will happen providing concrete information, says April Elwood, CCLS, a child life specialist in the Cardiology Department at Childrens Healthcare of Atlanta.
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To alleviate the problem of social admissions from the emergency department, Northeast Medical Center in Concord, NC, established an ED case management staff and made arrangement with local assisted living facilities to admit patients directly from the ED.
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Before Thomas Hospital in Fairhope, AL, redesigned its case management program, nurses from two separate departments social services and utilization review performed case management-type functions. In 2002, the hospital hired a division director to redesign its case management program and oversee the social work, discharge planning, and utilization review functions.
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The Joint Commission on Accreditation of Healthcare Organizations has slashed the number of standards in the 2004 hospital accreditation program from 508 to 225 as part of the agencys Shared Visions, New Pathways initiative.