Rabu, 04 Agustus 2010

Team B

We had a scary team member who we were happy to have leave.  We had a house burn down! We had a flat tire and two broken wrists in one class. We were sad to lose a very wonderful team member. We had a team member accosted at her field site. 


Looking to a future of good luck and good times!


Team B

Team A

We have had the chance to get pregnant. We have kicked off a manager from a job site. We have also had a crazy team member and threatened us.We have gained two sisters.
Team A

Blog Purpose

This blog is for students at University of Phoenix taking BSHS/351 Course to start blogging their thoughts, ideas, or other information as it pertains to the course topic.
Instructor

Lundberg: Death Is Not the Enemy

Dr. George D. Lundberg is a former Editor in Chief of JAMA , 10 AMA specialty journals, AMA News, Medscape, The Medscape Journal and e-Medicine from Web MD.makes  He makes the case for palliative medicine and hospice on MedPage Today.



Senin, 02 Agustus 2010

Expensive Patient? Ship Her Out of State.

Over the past few years a number of hospitals, for example in Chicago and Florida, have deported expensive patients without insurance.  They took illegal immigrant patients, put them on a plane, and flew them back to their home country.  Now, Hawaii is considering putting its homeless on flights back to the continental U.S.  With Medicaid costs devouring gigantic portions of global state budgets, will more and more states start bribing the expensive patients to move? 



Families' optimism often at odds with physicians' prognoses

 Today's American Medical News reports on a new study pre-published in the American Journal of Respiratory and Critical Care Medicine.  Family members of intensive care patients are likely to be more optimistic about their loved ones' chances of survival, regardless of how a physician presents a grim prognosis.  





"Surrogates on average estimated the patient was more than twice as likely to survive than the physician did."  "The most important is that it likely will lead to families requesting ongoing life-sustaining treatment, when a palliative pathway might be more appropriate."  "The other thing that could come up is conflict between doctors and families."



Sabtu, 31 Juli 2010

No Longer Beneficial Treatment (NLBT)

At the Seattle Children's bioethics conference, Marcia Levetown made a good case for not using the term "non-beneficial treatment."  Many have used this instead of the far more controversial (and misleading) "futile treatment."  But Dr. Levetown suggests using "no longer beneficial treatment."  





After all, treatment are usually started with at least a hope that they will be beneficial.  It is only after the passage of some time that the lack of benefit becomes clear (or clearer or sufficiently clear).  I like this term and plan to use it.  I may abbreviate it as NLBT and use it instead of the LSMT (life sustaining medical treatment) that I usually use.