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    patients who took a second dose of IVIG and patients who used a corticosteroid (after they were found resistant to the initial dose of IVIG). One study showed that the patients given the corticosteroid had a shorter duration of symptoms and their medical costs were significantly lower than patients who received a second dose of

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    Wit Sparknotes

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    diagnosis of a terminal illness often has devastating effects on one’s mental health, quality of life and independence, along with the struggle of accepting death. By understanding these conditions one can better prepare for the inevitable, while medical professionals can provide more appropriate support and care. A terminal illness, such as cancer, will often have detrimental effects on one’s physical and emotional independence. Meaning, as one gets sicker, there will be a loss of function to some

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    Have you ever thought about assisted suicide being legalized? The good and the bad that it’d cause? Assisted suicide should be legalized, because people should be able to make the decision if they want to live until the terminal illness kills them, or if they fought enough and feel like it is time for them to go. I don’t think suicide is ok at all, but when someone has a terminal illness, and given 6 months to live, and they just get worse and worse and suffer, I think they should be able to say

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    centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety and informatics (Potter, Perry, Stockert, & Hall, 2013). In 2012, more than a decade after the IOM report inspired nationwide initiatives for remediation, medical errors were the third leading cause of death in the United States (Hospital Safety Score, 2013). Today, QSEN employs an enhanced approach and expanded outreach (Dolansky & Moore, 2013). The QSEN initiative shows promise, but to achieve measurable

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    Discharge Planning

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    of hospital care, but the process varies and is not entirely evidenced based. A Cochrane review analysed 11 randomised controlled trials looking at discharge planning in over 5000 patients and failed to show a reduction in mortality among elderly medical patients, lower readmission rates, or a shorter length of hospital stay.1 However, two

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    with an aim to improve quality of care outcomes and reduce cost. Different care models have been implemented to meet these goals for example Continuity or Continuum of care, Nurse managed Health Clinics, Accountable Care Organizations (ACO), and Medical homes. The author discusses the different concepts of care and how they are influencing or will influence the shift of care from acute hospital care to community settings. The author will discuss input from colleagues in relation to this topic and

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    went to Portsmouth Regional Hospital emergency room where a CT scan was done because there was evidence for vertebral dissection and stroke. She was sent to Massachusetts General Hospital. Records from Wentworth Douglas Hospital, White Mountain Medical Center and Massachusetts General Hospital were reviewed. The CAT scan at Wentworth Douglas Hospital did reveal a subacute left PCA infarct and bilateral cerebellar infarcts. At Massachusetts General Hospital, her neurological exam was normal, except

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    initially unresponsive, and over the course of a week, slowly improved to her baseline. She initially would give a blank stare and could not speak. Later she when she was able to speak, she was disoriented to person and place. She had poor short-term memory. Again, she slowly improved over one to two weeks. She was not seen by a neurologist during that admission. She did have a CAT scan of the brain, however ,which revealed a significant small vessel

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    A terminal disease diagnosis changes the outlook on life, leaving the choice of either living life to an inevitably painful death or ending the suffering by seeking a different medical option. A person who is terminally ill requires rigorous treatments to slow down the process of death, but there is an alternative option. Physician-assisted suicide continues to gain attention and is being legalized across the world. The process in the United States is slower, yet a few states have already authorized

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    The rest of review of systems were reviewed and are negative. Social History He is a smoker. He is divorced. Retired from the shipyard. Family History Abdominal aortic aneurysm, CHF. Past Medical History Coronary artery disease with a stent, which thrombosed and was re-stented, hypertension, hypercholesterolemia, diabetes type 2, poorly controlled, tubular adenoma of the colon, low B12 noncompliant with B12 replacement, adrenal mass, status

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