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March 13, 2013
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News for physicians caring for the seriously ill

  Top Story 
  • Timely palliative consults affect end-of-life care, costs
    Women with gynecologic cancers who had earlier palliative consultations had less aggressive care and lower health care costs in the final 30 days of life, researchers from the Albert Einstein College of Medicine in New York City reported at a Society of Gynecologic Oncology conference. Among the factors evaluated were hospital and ICU admissions, death in an acute care setting and admission to hospice less than three days prior to death. MedPage Today (free registration) (3/10) LinkedInFacebookTwitterEmail this Story
  Palliative & Hospice Care Update  
  • Study: Noninvasive ventilation is helpful palliative tool
    Noninvasive ventilation is better than using oxygen therapy to reduce dyspnea in end-stage cancer patients, and not using an endotracheal tube reduces the use of morphine as well, researchers in Italy reported in Lancet Oncology. Dr. Stefano Nava of the University of Bologna said he hopes the study will raise awareness among clinicians that NIV is a palliative tool for reducing dyspnea and in some cases "buying extra time to do the last things in life, like saying goodbye to loved ones." Medscape (free registration) (3/7) LinkedInFacebookTwitterEmail this Story
  • Other News
  Patient & Family Perspective  
  • Other News
  Medical Research  
  • Research finds inappropriate colonoscopies in older patients
    Twenty-three percent of colonoscopies performed in patients age 70 and older may be inappropriate, according to a study of Texas patients reported in JAMA Internal Medicine, and among those 76 to 85, up to 39% were considered inappropriate. Researchers also found more than 40% of tests performed by some physicians involved patients who likely did not need the screening. "There's very limited data for any cancer test that it leads to any benefit for older adults," said Dr. Mara Schonberg. Reuters (3/11) LinkedInFacebookTwitterEmail this Story
  • Sleep disturbances may precede Alzheimer's symptoms
    The sleep quality of adults aged 45 and older with molecular markers of presymptomatic Alzheimer's was worse than that of those without such markers, according to a study in the journal JAMA Neurology. The findings could guide further studies on the relationship between sleep and amyloid deposition, researchers said. MedPage Today (free registration) (3/11) LinkedInFacebookTwitterEmail this Story
  Health Policy & Practice  
  • Lawmakers from both parties offer 10-year spending plans
    Rep. Paul Ryan, R-Wis., the House Budget Committee chairman, on Tuesday offered a 10-year budget plan that would partially privatize Medicare and repeal the Affordable Care Act. Senate Budget Committee Chairwoman Patty Murray, D-Wash., said a competing 10-year spending plan to be announced today would raise taxes by almost $1 trillion and put almost $100 billion toward creating jobs. The Washington Post (3/12) LinkedInFacebookTwitterEmail this Story
  Trends & Technology  
  • Poll finds decreasing satisfaction among EHR users
    The number of EHR users who said they are satisfied with the technology dropped 12% between 2010 and 2012, according to an analysis of multiple surveys involving 4,279 respondents by the American College of Physicians and AmericanEHR Partners. Issues tied to ease of use, workflows and patient care enhancement were cited as the biggest concerns surrounding EHRs. Healthcare Informatics online (3/11) LinkedInFacebookTwitterEmail this Story
  • Other News
  AAHPM News  
  • Are you up-to-date with the changes in the hospice environment?
    AAHPM has designed products to advance your competence and confidence in the clinical, administrative, and regulatory aspects of your work as a hospice medical director. These AAHPM products include The Hospice Medical Director Manual, the go-to, easy reference book, and the Hospice Medical Director Course recordings from the 2011 course. Learn more. LinkedInFacebookTwitterEmail this Story
  • Looking for a foundational resource in hospice and palliative care?
    This ever popular, comprehensive study program provides a critical foundation for healthcare providers who want to incorporate the principles of hospice and palliative medicine into their daily practice. The UNIPAC, 4th edition, is a 9-volume set that has been thoroughly reviewed and updated by experts in the field to include the latest evidence and best practices. New to this edition is the online amplifire™ module. Visit www.unipacs.org to purchase your copy. LinkedInFacebookTwitterEmail this Story
  SmartQuote  
Humor is just another defense against the universe."
--Mel Brooks,
American actor and film director


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