Search results for "Palliative Care"

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Discussing prognosis: The topic that patients and doctors dread

Physicians may try to overcome their discomfort in talking about death by delivering an overly optimistic prognosis. But the eventual, inevitable decline may actually make the patient feel much worse. An effective strategy incorporates the patient's expectations.
1 Jun 2011

MKSAP Quiz: progressive exertional fatigue and dyspnea

A 77-year-old man with a 5-year history of idiopathic cardiomyopathy is evaluated for progressive exertional fatigue and dyspnea. He has recently stopped carrying groceries in from the car because of his exertional dyspnea. He had an implantable cardioverter-defibrillator placed 3 years ago. Medical history is also significant for hypertension. Medications are lisinopril, 40 mg/d; metoprolol succinate, 25 mg/d; furosemide, 40 mg/d; and spironolactone, 25 mg/d. Following a physical exam and electrocardiogram, what is the most appropriate next step in management?
31 Jan 2017

States aim to limit opioid prescriptions

In an effort to curb the nation's opioid crisis, state legislators are pursuing laws to limit prescribing, resulting in pushback from some doctors worried about the clinical implications, or in some cases physicians backing off from treating chronic pain patients.
1 Oct 2016

ACP reaffirms opposition to physician-assisted suicide

A position paper noted that although there are arguments on both sides, the arguments against legalization of physician-assisted suicide “remain the most compelling.”
19 Sep 2017

Top 10 medical myths, busted

Ten medical myths persist despite all the evidence.
1 Jun 2019

Frailty assessments may help predict outcomes after cardiac surgery in older adults

Frailty status as assessed by mobility, disability, and nutritional status may predict death at 6 months or more after major cardiac surgery and functional decline after minimally invasive cardiac surgery.
23 Aug 2016

Textbook edition reflects evolution of hospital medicine

The first update of “Principles and Practice of Hospital Medicine” exemplifies how hospital medicine has evolved and the skills that hospitalists need to have.
1 Feb 2017

CDC proposes 12 draft recommendations for prescribing opioids

The agency is accepting public comment until Jan. 13.
22 Dec 2015

IM residency applications increased during pandemic

There are now more medical school applicants than ever, and internal medicine underwent its largest Match in history. Experts weigh in on what's driving the sudden surge.
1 Jul 2021

Doctors with disability reflect on challenges

Physicians with disabilities who applied to and eventually completed medical school reflect on the progress and accomplishments offered by the Americans with Disabilities Act during the past 30 years.
1 Feb 2020

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