Nursefriendly.com: New England Journal of Medicine

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Thursday, May 5, 2011

Asthma Pill As Effective As Inhalers And Easier To Use

Leukotriene receptor antagonist (LTRA) pills are just as effective as inhalers in managing asthma symptoms, and are much easier to use, researchers from the University of East Anglia, England reported in NEJM (New England Journal of Medicine).
LTRAs are infrequently prescribed as an alternative to inhalers because some people believed them to be less effective. This latest study shows they are effective.
Examples of LTRAs include Singulair (montelukast) and Accolate (zafirlukast). In the United Kingdom guidelines recommend LTRAs as a third step in asthma management.
Prof David Price and team monitored 650 asthma patients for 24 months. There was clear evidence that LTRAs are not only just as effective as inhalers, they are also much more user-friendly.

via medicalnewstoday.com

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Saturday, March 26, 2011

Palliative care can lead to higher quality of live and longer survival

by John Schumann, MD
Every once in awhile amidst the weekly deluge of medical articles comes a show-stopper that has the potential to change the way we practice.
Rarer yet is the article that not only changes how we practice, but calls into question why we do what we do.
This recent article from the New England Journal of Medicine is just such an article. Before you bolt, let me simplify it for you.
Here’s the quick take.
The authors enrolled 150 patients with advanced lung cancer and split them up between usual care, which included chemotherapy, and an intervention arm, in which they received the same standard of care treatment plus early enrollment in palliative care.

via kevinmd.com

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See also: http://www.nursefriendly.com/hospice/

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Monday, March 21, 2011

When Nurse Staffing Drops, Mortality Rates Rise: Study

When nurse staffing levels fell below target levels in a large hospital, more patients died, a new study discovered.

The finding may provide guidance in an era of nursing shortages and cost-cutting, in that the focus should shift from cost to patient safety, said the authors of the research, appearing in the March 17 issue of the New England Journal of Medicine.

"Hospitals need to know what their nursing needs are for their patients, and they need to bring staffing into line," said study senior author Jack Needleman, a professor of health services at the School of Public Health of the University of California Los Angeles.

"Patients are entitled to be safe in the hospital and to have care delivered reliably and to have nurses with enough time to make sure they aren't developing avoidable complications with permanent consequences," Needleman said.

via businessweek.com

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Thursday, May 5, 2011

Asthma Pill As Effective As Inhalers And Easier To Use

Saturday, March 26, 2011

Palliative care can lead to higher quality of live and longer survival

Monday, March 21, 2011

When Nurse Staffing Drops, Mortality Rates Rise: Study

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