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Doctor insights on: Current Trends In Nursing Management

Good for you: this isn't a question, so I cant answer. ...Read more

No: Standards of care refer to the normal & usual treatment of a medical condition in a community. Protocols by ahqr provide studies to streamline therapy for a specific disease in a large population. The latter may be used to justify or deny treatments which are expensive. ...Read more

Aspects of healthcar: In health care, you are delivering advice, examining and questioning others with intentful Listening and treating accordingly. The jobs offer a chance to help others and make a difference. We now live In a digital world of record and diversity which with more regulations, can be a challenge, but still rewarding ...Read more

See below: 20 yrs ago, seniors and their families had few options to turn to for long term assistance and support other than expensive, institutional-like nursing homes. Obamacare and other tweaks in the healthcare laws may allow seniors greater access to resident-centered options/in a facility that seems more like a residence than a hospital. ...Read more

COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more

Annual meetings: Annual meetings of national groups such as the american diabetes association, the endocrine society, and the american association of clinical endocrinologists provide many seminars for reviewing current practice and learning about new treatments in the pipeline. ...Read more

No: Nothing new for many years now. Singulair (montelukast) is probably the newest good thing and it is not for exacerbations, but for maintenance. ...Read more

Milliman guidelines: Many use the milliman criteria.

Better success: The success of total knee arthroplasty (tka) over the past two decades of use has resulted in the implantation of tka into younger patients who have increased functional requirements and demand increased implant longevity. Improved functional performance requires enhanced range of motion, increased motor performance, and creation of kinematic patterns that more closely resemble the normal knee. ...Read more

Team approach: Turning the patient every 2 hours like clockwork, and getting the pressure off the wound is step 1. Good nutrition, and proper wound care is next. Make sure the wound is not constantly soiled with urine or feces. Get a wound care team involved. ...Read more

Nursing: I do not entirely feel qualified to judge. There are many great programs. The best seam to have medical school and hospital associated. But I have had the pleasure to work with a number of outstanding nurses over the last thirty years many trained in community programs. Much like being a doc its what's in your heart. Are you about the patient or is it just a job. ...Read more

Yes: Try googling it to see what other folks are saying who tried it. ...Read more

Difficult to find: Try and ask this one. Well-qualified. http://www.drrichardson.com/about-us ...Read more

Complex answer. : Call hospital infection control coordinator for specifics. ...Read more

Different titles: Different hospitals and health care organizations use different specialists (ie nurses, internists, surgeons, etc.,) and different titles for this position. At our hospital it is a surgeon, and his title is Director for Patient Safety and Quality Initiatives. ...Read more

Africa: My votes would be, in no particular order: rampant HIV infection throughout africa, lack of access to female contraception allowing women control over family size, and lack of availability/cost/cultural barriers to prenatal care for pregnant women. ...Read more

Significant: Most antipsychotics now prescribed (atypicals) carry large risks of wt gain and cholesterol problems. This means most patients I prescribe these drugs to will gain weight and have dyslipidemia. Eat and exercise accordingly. ...Read more

Patient demand. : When patients aren't getting better using current or conventional therapies, good doctors look for alternatives. And, correspondingly, patients urge their doctors to look for alternatives. ...Read more

Usually the trial: Most clinical trials are arranged by the sponsor of the trial (usually a pharma company or device maker) who wants to satisfy fda requirements for approval. In most cases, the fees are paid by the company. Some even pay you for participation. In some cases such as cancer therapy, insurance will add some payment. If you have some illness, you can google it and trials to see if you are eligible. ...Read more

Yes: If well trained, caring, thoughtful, & beholden to his/her expertise can bring doctor's concerns to insurance company & get case moved along. Unfortunately, as I have observed, such nurses sometimes get fired for not adhering to common insurance company posture of knee-jerk denials and cost savings. In any case the nurse enlarges target for the doctor's advocacy. So yes, get one. ...Read more