Nursefriendly.com: quality of life issues

Showing posts with label quality of life issues. Show all posts

Sunday, April 24, 2011

Medicare Hospital Compare Quality of Care (Thanks @TheresaBrown)

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In the future, Hospital Compare will have new information about Hospital Acquired Conditions.
Medicare releases new data on Hospital Acquired Conditions. Click here for more information.

You can now visit Medicare's Hospital Value Based Purchasing Program page and learn more about potential future measures.

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Download the Hospital Compare Database - Opens in a new window (Data Last Updated: April 11, 2011)

Data Last Updated: April 11, 2011

via hospitalcompare.hhs.gov

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Monday, April 18, 2011

Patients with do-not-resuscitate orders fare worse | Reuters

A new study could help people with a do-not-resuscitate order make better decisions about what surgeries they are willing to undergo.

About seven in 10 Americans die with such an order, which instructs healthcare workers not to use life-prolonging treatment if a patient's heart or breathing stops.
But other situations that aren't necessarily covered in the do-not-resuscitate, or DNR, orders may also be worth considering, researchers say.
The new report, out Monday in the Archives of Surgery, shows DNR patients have a higher chance of dying following surgery, although not with all kinds of procedures.

via reuters.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

Click on the "via" link for the rest of the article.

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

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Saturday, March 19, 2011

Slowing health costs requires answering 3 simple questions

by Donald H. Taylor, Jr., PhD
If we ever slow health care cost inflation to a sustainable pace, it will be because we learn how to ask 3 simple questions when thinking about a medical treatment.
Does it improve quality of life for the patient?
Does it extend the patient’s life?
How much does it cost?
Asking the questions are of course much simpler than figuring out the answer, and far far simpler than deciding what to do with the answer.
The first step is not demonizing even the asking of the questions. This would represent a profound shift in our culture

via kevinmd.com

Click on the "via" link for the rest of the article.

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Wednesday, January 5, 2011

Phys Ed: If You Are Fit, You Can Take It Easy - NYTimes.com

New Year’s resolutions tend to war with wintertime malaise. Resolution urges you to work out. Malaise suggests that you linger in bed. But there’s good news for those of us torn between these impulses. A number of newly published studies offer compelling reasons to get out and exercise on the one hand, as well as new estimates of just how little we can do and still benefit on the other.

The most sobering of the recent studies, published last month in The British Journal of Sports Medicine, looked at a large group of retired elite male athletes, most now in their 50s. Some had remained physically active, although they were no longer competing. Others had taken fully to sloth, avoiding almost all exercise. When the researchers examined the health profiles of the two groups, they found, to no one’s surprise, that the sedentary ex-athletes had a much higher risk of metabolic abnormalities, including insulin resistance, than their more active counterparts. Training hard and often in their youth had not conferred lifelong health benefits on the athletes as they aged, not if they now sat around all day.

Similarly, although in a more compressed time frame, a study published earlier this year found that when a group of world-class kayakers completely quit training (at the end of a competitive season), they rapidly lost strength and endurance. After only five weeks of not training, according to one measure of strength, they’d sloughed off about 9 percent of their muscular power and 11 percent of their aerobic capacity.

via well.blogs.nytimes.com

To read the complete article click on the above link:
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Wednesday, December 15, 2010

Why Your Back Hurts: The Surprising Causes of Low Back Pain - Chronic Pain - Health.com

content provided by Healthwise
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Most low back pain is triggered by some combination of overuse, muscle strain, and injury to the muscles, ligaments, and discs that support the spine. Many experts believe that over time muscle strain can lead to an overall imbalance in the spinal structure. This leads to a constant tension on the muscles, ligaments, bones, and discs, making the back more prone to injury or reinjury.

The causes of pain in the low back, or lumbosacral region, tend to add on to one another. For example, after straining muscles, you are likely to walk or move in different ways to avoid pain or to use muscles that aren't sore. That can cause you to strain other muscles that don't usually move that way.

The most common causes of low back pain are:

Injury or overuse of muscles, ligaments, facet joints, and the sacroiliac joints.

Pressure on nerve roots in the spinal canal. Nerve root compression can be caused by:
A herniated disc, often brought on by repeated vibration or motion (as during machine use or sport activity, or when lifting improperly), or by a sudden heavy strain or increased pressure to the lower back.

Osteoarthritis (joint degeneration), which typically develops with age. When osteoarthritis affects the small facet joints in the spine, it can lead to back pain. Osteoarthritis in other joints, such as the hips, can cause you to limp or to change the way you walk. This can also lead to back pain.

Spondylolysis and spondylolisthesis, vertebra defects that can allow a vertebra to slide over another when aggravated by certain activities.

Spinal stenosis, or narrowing of the spinal canal, which typically develops with age.

Fractures of the vertebrae caused by significant force, such as from an auto or bicycle accident, a direct blow to the spine, or compressing the spine by falling onto the buttocks or head.

Spinal deformities, including curvature problems such as severe scoliosis or kyphosis.

Compression fractures. Compression fractures are more common among postmenopausal women with osteoporosis, or in men or women after long-term corticosteroid use. In a person with osteoporosis, even a small amount of force put on the spine, as from a sneeze, may cause a compression fracture.

via health.com

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Sunday, April 24, 2011

Medicare Hospital Compare Quality of Care (Thanks @TheresaBrown)

Hospital Compare

Where do you want to find a hospital?

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Hospital Spotlight

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Monday, April 18, 2011

Patients with do-not-resuscitate orders fare worse | Reuters

Saturday, March 26, 2011

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

Saturday, March 19, 2011

Slowing health costs requires answering 3 simple questions

Wednesday, January 5, 2011

Phys Ed: If You Are Fit, You Can Take It Easy - NYTimes.com

Wednesday, December 15, 2010

Why Your Back Hurts: The Surprising Causes of Low Back Pain - Chronic Pain - Health.com

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