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Medical management

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26-12-2012 | Geriatrics | Article

Make palliative care available to Parkinson's patients

A modified version of the Edmonton Symptom Assessment System Scale is quick and effective at assessing patients with late-stage Parkinson's disease, and reveals that they have similar levels of symptoms as their peers with metastatic cancer, show study results from Canada.

23-12-2012 | Legal medicine | Article

Key to at-home geriatric care lies in reliability

Older individuals who live at home but are dependent on healthcare services perceive their care delivery system to be effective when it involves supportive and reliable services, indicate UK study results.

20-12-2012 | Legal medicine | Article

Nurse behavior makes patients feel safe

Hospitalized patients over the age of 65 years feel safe in hospital when their nurses can anticipate and provide attentive care, are predictable and responsive, interact on a personal level, and advocate or intervene on their behalf, indicate study results.

18-12-2012 | Legal medicine | Article

Dedicated palliative care consults improve outcomes

Data from a long-term care facility in the USA indicate that a dedicated palliative care consult service results in a more favorable course of treatment and clinical outcomes for residents.

17-12-2012 | Legal medicine | Article

Patient-managed weight-loss program works

Adding use of a personal digital assistant to an intensive weight-loss program results in significantly greater weight loss, as well as enabling patients to take charge of their own weight management, report US researchers.

16-12-2012 | Cardiology | Article

Health systems must be more ‘adherence-friendly’

Heath system strategies must be appropriately designed to help narrow persistent racial/ethnic gaps in the use of antihypertensive therapy, say researchers.

13-12-2012 | Pharmacology | Article

Definitions, responsibilities are crucial to medication reconciliation

To implement effective medication reconciliation, a definition of what the term means, as well as identification of who is responsible for the process, is necessary, show the results of a focus group-based study.

11-12-2012 | Hospice medicine | Article

Hospice use driven by finance rather than patient eligibility

Barriers to hospice care in the USA could be more to do with individual hospices' enrollment policies than with patients’ true eligibility, indicate study findings.

10-12-2012 | Cardiology | Article

Telestroke networks benefit hospital bank balances

Telestroke networks can increase the number of patients successfully discharged home while saving money for all hospitals involved, show US study results.

10-12-2012 | Cardiology | Article

Chest-compression-only CPR ‘should be standard’ for bystander resuscitation

Cardiopulmonary resuscitation with chest compressions only seems to be the most effective form of resuscitation when delivered by lay bystanders along with public-access automated external defibrillation, research suggests.

09-12-2012 | Geriatrics | Article

Meals on wheels reduces nursing home strain

US states that have invested in community-based service networks, particularly home-delivered meals, have proportionally fewer nursing home residents with low-care needs, report researchers.

06-12-2012 | General practice | Article

Pay for performance may have reduced UK mortality rates

The introduction in 2008 of a US-based “pay-for-performance” scheme into National Health Service hospitals in the northwest of the UK resulted in a significant decrease in mortality rates, particularly for pneumonia, study findings show.

05-12-2012 | General practice | Article

Targeted therapy as common as chemotherapy at end of life

Targeted therapies are used as often as chemotherapy at the end of advanced cancer patients' lives, according to study results using US data.

03-12-2012 | Emergency medicine | Article

Talk is cheap for tackling wasteful emergency diagnostics

An intervention as simple as a staff discussion during a general meeting results in a large reduction in the number of unnecessary diagnostic tests ordered by emergency physicians, say Brazilian researchers.

03-12-2012 | Hospice medicine | Article

Resolving conflict over treatment decisions sometimes impossible

Disputes between healthcare professionals and patients and/or their families about whether medical treatment is futile can be resolved through collaborative efforts and communication, say experts.

02-12-2012 | Medical management | Article

Administrative data quantify hospital infection risk

Administrative hospital data can successfully quantify the incidence of healthcare-associated urinary tract infection, indicating the data's potential use for risk monitoring and surveillance of this frequent occurrence, show systematic review results.

29-11-2012 | Legal medicine | Article

Phone, letter prompts improve statin uptake

Telephoning and writing to individuals who have not filled their new prescription for statin medication significantly improves rates of prescription uptake, show US study results.

26-11-2012 | Legal medicine | Article

Patients with online records access will see doctor more

Contrary to previous study findings, patients who have online access to their medical records and to medical services including appointment scheduling use more clinical services than their counterparts without access, show US research results.

25-11-2012 | Legal medicine | Article

ICU use, outcomes vary globally

Intensive care unit use varies significantly between the USA and Europe, raising important questions about approaches to the critical care of patients with severe sepsis and septic shock, say researchers.

22-11-2012 | Legal medicine | Article

Using supplemental nurses is not bad for patients

The use of supplemental registered nurses to cover staffing shortages has no adverse effects on patient outcomes including in-hospital mortality, medication errors, falls, pressure ulcers, and patient satisfaction with nurses, show US study results.