Public Health, Policy, and Training
The New England Journal of Medicine: Search Results in Geriatrics\Aging
The New England Journal of Medicine (NEJM) RSS feed -- Search Results in Geriatrics\Aging. NEJM (http://www.nejm.org) is a weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics of importance to biomedical science and clinical practice.
Who Decides When a Patient Can?t? Statutes on Alternate Decision Makers
31/12/69 - Many patients cannot make their own medical decisions, having lost what is called decisional capacity. The estimated prevalence of decisional incapacity approaches 40% among adult medical inpatients and residential hospice patients and exceeds 90% among adults in some intensive care units. Patients…
Short-Course Radiation plus Temozolomide in Elderly Patients with Glioblastoma
31/12/69 - Glioblastoma is a fatal illness that is associated with a median survival of less than 2 years. Population studies of glioblastoma have shown that survival declines with increasing age, and the incidence of glioblastoma is increasing, especially among the elderly. Older patients have been…
Lessons from Oregon in Embracing Complexity in End-of-Life Care
31/12/69 - Under the incentives of fee-for-service Medicare, the utilization trends among persons with chronic progressive medical illness include more care in the intensive care unit (ICU), more hospitalizations, and often late or no referrals to hospice care (Figure 1). These utilization patterns are…
Learning to Drive ? Early Exposure to End-of-Life Conversations in Medical Training
31/12/69 - As I drove to Carol?s home, I couldn?t help but notice that even her location seemed terminal: it was the last exit off the freeway, at the end of a winding village road, in the bulb of a quiet cul-de-sac. This was the first of three home visits I would make to Carol, part of an assignment for my…
Screening for Colorectal Neoplasia
31/12/69 - Foreword. This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author?s clinical recommendations. Stage. A 79-year-old…
Supporting Family Caregivers of Older Americans
31/12/69 - Every day, millions of older Americans (those 65 years of age or older) manage basic health and functioning needs with the help of family caregivers. These family caregivers (defined as relatives, partners, friends, or neighbors who provide help because of a personal relationship rather than…
Hemothorax after Thoracentesis
31/12/69 - Figure 1.
Days Spent at Home ? A Patient-Centered Goal and Outcome
31/12/69 - Most measures of the quality of health care delivery focus on what health care providers do, not what patients want. If "high-value, patient-centered care" is to be more than rhetoric, health care organizations need to measure outcomes that matter to patients. Only when they do so will care be…
Romosozumab Treatment in Postmenopausal Women with Osteoporosis
31/12/69 - Osteoporosis can lead to fragility fractures, which result in clinical burden and increased mortality. Even after a fracture, fewer than 25% of patients receive pharmacologic treatment for osteoporosis. After the discovery that sclerostin deficiency causes rare genetic conditions that are…
Building Better Bones with Biologics ? A New Approach to Osteoporosis?
31/12/69 - There is currently a major crisis in osteoporosis therapy. Despite effective treatments to prevent fractures, too few patients receive therapy. Furthermore, those who do get treated often stop taking medication prematurely. To understand this paradox and the potential importance of the article by…
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