This innovative model has helped reduce falls and pressure ulcers, and RN turnover rates have dropped as well.
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Gerontology
To make drug use safer in older adults, nurses must take complete medication histories, report suspected reactions to the FDA, and take a holistic view of our patients’…
A new study finds that ED diversion is associated with increased mortality.
Increase your ability to recognize aortic aneurysms and provide postop care.
Ruby Jacobs, age 84, arrives at the emergency department with a headache, which she says has gotten worse over the past week despite taking acetaminophen. Her past medical…
Nurses come to the profession to provide care for individuals and, in some cases, populations. It is what we do best and for most of us, what we…
JAMA has published “2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC…
The second annual International Home Care Nurses Organization Conference, Sept. 23-26 in Singapore, has released a call for abstracts. Deadline is April 1. Read more.
For homeless people, chronic illnesses can be hard to manage. Here’s what you should know about assessing these patients and developing a practical discharge plan.
This progressive degenerative spine condition is commonly mistaken for arthritis. This article covers assessment and management, including preop and postop care.
Leonard McGram, age 89, arrives at the emergency department (ED) with Marissa, his daughter. As you help him out of her car, he looks at her and asks,…
Make sure your care of patients with community-acquired pneumonia is evidence-based and up-to-date.
In older adults with arthritis, opioid use increases the risk of fractures and safety events requiring hospitalization, compared to nonselective NSAIDs (nsNSAIDs) and selective cyclooxygenase 2 inhibitors (coxibs),…
When a dehydrated patient falls into a stupor and her vital signs head south, a rapid response team can help unit nurses stabilize her quickly – and avoid…
Don’t assume depression is a normal finding in elderly patients.
A patient who collapsed at home arrives at the hospital with a blood glucose level off the charts, plus extreme thirst and polyuria. Think his diagnosis is cut…
Read up on the latest evidence-based best practices in pain management.
The U.S. Food and Drug Administration has approved Tykerb (lapatinib) in combination with Femara (letrozole) to treat hormone positive and HER2-positive advanced breast cancer in postmenopausal women for…
An update of drug news, including alerts, approvals, and removals.
An update of drug news, including alerts, approvals, and removals.
Web Exclusive! An update of drug news, including alerts, approvals, and removals at www.AmericanNurseToday.com/journal.
Alzheimer’s disease afflicts not just the person who has it but everyone in that person’s orbit. Learn how to help family members caring for patients with this nursing…
The U.S. Food and Drug Administration (FDA) has approved the Boostrix vaccine to prevent tetanus, diphtheria, and pertussis in people 65 years and older. Read more.
The U.S. Food and Drug Administration (FDA) has approved the use of Prevnar 13, a pneumococcal 13-valent conjugate vaccine, in people 50 years and older. Read More.
On June 1, the U.S. Food and Drug Administration (FDA) approved Prolia (denosumab), an injectable treatment for postmenopausal women with osteoporosis who are at high risk of fractures.…
On March 20, the U.S. Food and Drug Administration (FDA) approved the first implantable device for people 18 and older with severe or profound sensorineural hearing loss of…
On Feb. 26, 2013, the U.S. Food and Drug Administration (FDA) approved Osphena (ospemifene) to treat women with moderate to severe dyspareunia (pain during sexual intercourse), a symptom…
Fran Covington, age 82, has a history of cardiovascular disease, chronic diastolic heart failure, type 2 diabetes, and chronic obstructive pulmonary disease (COPD). She lives at home with her husband and enjoys gardening and visiting with…
How to assess the integumentary and musculoskeletal systems, head, neck, face, and functional status
Despite its link to overall health, older adults often do not get the proper oral health care they need. “Affordable, accessible preventive care, including oral health care, is…
The U.S. Preventive Services Task Force has released recommendations on screening for abdominal aortic aneurysm. One of the recommendations is one-time screening by ultrasonography in men ages 65…
The more you know about menopause, the more you can help patients understand and cope with symptoms.
This rare and sometimes hard-to-detect condition can jeopardize your patient’s life and limb.
Quantum nursing demands that nurses honor each person’s humanity, promote independence and autonomy, and offer the opportunity for individuals to redefine for themselves who they are and how…
A study in the Canadian Medical Association Journal reports that among people aged 85 or older, elevated erythropoietin levels were associated with an increased risk of death. Read…
One evening while making rounds in the geriatric psychiatry unit, a nurse manager heard a patient crying in a little girl’s voice and pleading for her mother and…
Innovative information technology tools help ensure patients get the right care at the right time.
The author provides tips for preventing falls.
How to use auscultation to distiguish sinus bradycardia from complete heart block in geriatric patients.
For chronically ill older adults who take multiple medications, a hospital stay can result in various medication-related changes. Nurses administer their medications to them. Their medication schedules may…
Discusses the problem of when it’s unsafe for an older person to drive.
Novice nurses: Leading the way against nurse abuse In the informative and timely article “No more nurse abuse” (July), John Murray points out that novice nurses are more…
An international group of scientists performed a comprehensive analysis and found that most genes that increase lifespan when overexpressed or mutated, as well as genetic and epigenetic mechanisms…
Chronic pain has widespread effects on older adults. This article describes how to help patients manage it.
Lawrence Jeffries, age 78, is admitted to the hospital for an arthroplasty of the left hip. A retired roofer, he lives with his wife and son in a…
The risk of developing dysphagia (difficulty swallowing) increases with age and exposure to aging-related diseases and conditions. Roughly 7% to 10% of adults older than age 50 have…
A degenerative joint disease, osteoarthritis (OA) is marked by cartilage erosion, osteophyte formation, joint hypertrophy, and subchondral sclerosis. A leading cause of disability in older adults, it affects…
The July 13 issue of the New England Journal of Medicine includes an insightful review of public polling on Medicare and how public opinion has contributed to the…
A new report from the Department of Health and Human Services says an estimated 13.5% of Medicare patients experience adverse events during their hospital stays. Read more here.
Visit a new one-stop resource for managing pain in the elderly at www.geriatricpain.org. Sections of the site include pain assessment, pain management, education, quality improvement, resources, and FAQs.…
The AARP Public Policy Institute and the United Hospital Fund have released the report “Home Alone: Family Caregivers Providing Complex Chronic Care,” a survey of 1,677 family caregivers.…
Nitroglycerin ointment applied at bedtime for 2 years slightly increased bone mineral density in postmenopausal women states a study in JAMA. Read more at http://jama.ama-assn.org/content/305/8/800.abstract.
An often-missed diagnosis, this condition may mimic certain types of dementia.
The National Institute of Nursing Research is studying ways to promote better outcomes for patients with chronic pain.
More than half of clinical trials exclude older adults according to a study in the Journal of General Internal Medicine. Read more here.
Most elderly men don’t know they are at risk for osteoporosis-and they probably won’t find out until a nurse tells them.
Pain, arthritis, fractures, and skeletal deformities are calling cards of Paget’s disease. A new one-dose drug therapy can produce extended remission.
Starting Oct. 1, the Centers for Medicare & Medicaid Services began withholding hospital’s Medicare reimbursement based on their quality performance; 30% of the decision is derived from how…
It’s no surprise to nurses who choose to work with older adults that many of their current or future colleagues would rather focus on caring for those at…
Polypharmacy refers to the effects of taking multiple medications concurrently to manage coexisting health problems, such as diabetes and hypertension. Too often, polypharmacy becomes problematic, such as when…
Roughly half of adults ages 65 and older drink alcohol. Although experts continue to debate the possible health benefits of alcohol when consumed in minimal daily amounts, alcohol’s…
Men 65 years or older are more likely to be hospitalized within 30 days after a prostate biopsy than men of the same age range who did not…
Stool consistency and form are significant aspects of a GI assessment, providing valuable information about the patient’s bowel motility. Properly identifying and describing these components can help prevent…
Author Leah Curtin analyzes the ethics of a case of confusion and restraints.
Ready or not, we’re on the brink of a senior healthcare crisis.
Half of Americans older than 65 have some degree of age-related cataract formation, making cataracts the leading cause of vision impairment in the United States. As a nurse,…
These six drug profiles, along with the six in the March issue of American Nurse Today, bring you up to date on significant advances in drug therapy.
A study published in the Journal of Public Health Policy found that Americans over the age of 65 experienced steep declines in the rate of mortality in the…
Learn how to identify elder abuse and what to do if you suspect abuse.
Osteoporosis and low bone mass affect about 44 million Americans. Women account for 80% of that number. And each year, more than 1.5 million Americans suffer osteoporotic fractures.
An update on risk factors, prevention, and treatment.
According to a study published by JAMA, older adults with hearing loss are more likely than peers with normal hearing to require hospitalization and suffer from periods of…
Diuretics, angiotensin-1 receptor blockers, and angiotensin-converting enzyme inhibitors seemed to reduce the risk of Alzheimer disease (AD), according to a study, published in Neurology, of adults at least…
One month of drinking two cups of hot chocolate a day improved neurovascular coupling and cognitive function, according to a double-blind clinical trial of 60 older people published…
Grandmothers who care for their grandchildren fulltime need help for depression and family strains, according to researchers from the Case Western Reserve University’s Frances Payne Bolton School of…
Handgrip strength corresponds to other markers of aging such as people’s future mortality, disability, cognitive decline and ability to recover from hospital, according to a study in PLOS…
A study published in Neurology has found that among patients with mild cognitive impairment, self-reported head trauma with at least momentary loss of consciousness or memory was associated…
A study published in JAMA Psychiatry has found that common methods of assessing mental or physical disorders may consistently underestimate the prevalence of mental disorders among middle-aged and…
A study published in Osteoporosis International reports that older men who have low levels of vitamin B12 have a higher risk of fractures. Read more.
According to a study in Psychoneuroendocrinology, a positive self-esteem can buffer adults older than 60 years against health threats. Researchers found that if an individual’s self-esteem decreased, cortisol…
A study in the Journal of Physical Activity & Health reports that sedentary behavior in adults aged 60 years and older is a risk factor for disabilities in…
A high percentage of Medicare patients who are discharged from skilled nursing facilities (SNFs) will return to the hospital or the ED within 30 days, according a study…
“Effect of Vitamin E and memantine on functional decline in Alzheimer disease,” a study published in JAMA, reports that 2,000 units of vitamin E, compared to placebo, slowed…
Good news for younger women taking estrogen Estrogen therapy may have cardioprotective effects for women who start taking it in their 50s. A study from the Women’s Health…
A monthly round up of clinical, practice, and career news, updates, and alerts.
American Diabetes Association releases food guidelines for specific medical categories “When you’re talking about diabetes, there is no ‘one size fits all’ diet,” said Ann Albright, PhD, RD,…
People older than age 50 account for at least 10% of HIV/AIDS cases in this country. Yet myths about older adults' behavior can blind us to the possibility…
Overall, Physician Orders for Life-Sustaining Treatment (POLST) were consistent with treatment provided to 870 nursing facility residents aged 65 and older, making it a useful tool for ensuring…
Medicare’s prescription drug program recuperates from its rocky debut; ANA endorses the Medicare Quality Enhancement Act.
What happens to patients once they reach the maximum benefit of traditional curative treatment? For many, hospice should be considered. A point on the healthcare continuum, hospice offers…
A geriatric family-centered care model for hospitalized elders
This innovative model has helped reduce falls and pressure ulcers, and RN turnover rates have dropped as well.
Adverse drug reactions in the elderly: Can we stem the tide?
To make drug use safer in older adults, nurses must take complete medication histories, report suspected reactions to the FDA, and take a holistic…
Ambulance diversions increase mortality
A new study finds that ED diversion is associated with increased mortality.
Aortic aneurysm: Causes, clues, and treatment options
Increase your ability to recognize aortic aneurysms and provide postop care.
Assessing and managing patients with chronic subdural hematoma
Ruby Jacobs, age 84, arrives at the emergency department with a headache, which she says has gotten worse over the past week despite taking…
Being a nurse, but also a daughter or son to our aging parents
Nurses come to the profession to provide care for individuals and, in some cases, populations. It is what we do best and for most…
Blood pressure management guideline released
JAMA has published “2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth…
Call for abstracts for home care conference
The second annual International Home Care Nurses Organization Conference, Sept. 23-26 in Singapore, has released a call for abstracts. Deadline is April 1. Read…
Caring for a homeless adult with a chronic disease
For homeless people, chronic illnesses can be hard to manage. Here’s what you should know about assessing these patients and developing a practical discharge…
Cervical spondylosis with myelopathy: Painful and sometimes paralyzing
This progressive degenerative spine condition is commonly mistaken for arthritis. This article covers assessment and management, including preop and postop care.
Closing in on the cause of agitation
Leonard McGram, age 89, arrives at the emergency department (ED) with Marissa, his daughter. As you help him out of her car, he looks…
Community-acquired pneumonia: Follow the guidelines to better outcomes
Make sure your care of patients with community-acquired pneumonia is evidence-based and up-to-date.
Compared to nsNSAIDs and coxibs, opioid use in older adults with arthritis increases risk of safety events
In older adults with arthritis, opioid use increases the risk of fractures and safety events requiring hospitalization, compared to nonselective NSAIDs (nsNSAIDs) and selective…
Derailing potentially deadly dehydration
When a dehydrated patient falls into a stupor and her vital signs head south, a rapid response team can help unit nurses stabilize her…
Detecting and screening for depression in older adults
Don’t assume depression is a normal finding in elderly patients.
Differentiating diabetes complications: What’s your call?
A patient who collapsed at home arrives at the hospital with a blood glucose level off the charts, plus extreme thirst and polyuria. Think…
Drug approval for breast cancer
The U.S. Food and Drug Administration has approved Tykerb (lapatinib) in combination with Femara (letrozole) to treat hormone positive and HER2-positive advanced breast cancer…
Drugs Today – November 2008
Web Exclusive! An update of drug news, including alerts, approvals, and removals at www.AmericanNurseToday.com/journal.
Easing the anguish of Alzheimer’s disease
Alzheimer’s disease afflicts not just the person who has it but everyone in that person’s orbit. Learn how to help family members caring for…
FDA approves Boostrix for older people
The U.S. Food and Drug Administration (FDA) has approved the Boostrix vaccine to prevent tetanus, diphtheria, and pertussis in people 65 years and older.…
FDA approves expanded use of Prevnar vaccine
The U.S. Food and Drug Administration (FDA) has approved the use of Prevnar 13, a pneumococcal 13-valent conjugate vaccine, in people 50 years and…
FDA approves new drug for osteoporosis
On June 1, the U.S. Food and Drug Administration (FDA) approved Prolia (denosumab), an injectable treatment for postmenopausal women with osteoporosis who are at…
FDA approves new implantable hearing device
On March 20, the U.S. Food and Drug Administration (FDA) approved the first implantable device for people 18 and older with severe or profound…
FDA approves Osphena for postmenopausal women with dyspareunia
On Feb. 26, 2013, the U.S. Food and Drug Administration (FDA) approved Osphena (ospemifene) to treat women with moderate to severe dyspareunia (pain during…
Frailty syndrome: A weakly addressed problem
Fran Covington, age 82, has a history of cardiovascular disease, chronic diastolic heart failure, type 2 diabetes, and chronic obstructive pulmonary disease (COPD). She lives at home with her husband and…
Geriatric assessment: Essential skills for nurses
How to assess the integumentary and musculoskeletal systems, head, neck, face, and functional status
Getting the message out: Older adults need oral care
Despite its link to overall health, older adults often do not get the proper oral health care they need. “Affordable, accessible preventive care, including…
Guidelines for abdominal aortic aneurysm screening released
The U.S. Preventive Services Task Force has released recommendations on screening for abdominal aortic aneurysm. One of the recommendations is one-time screening by ultrasonography…
Guiding your patients through menopause
The more you know about menopause, the more you can help patients understand and cope with symptoms.
Halting heparin-induced thrombocytopenia
This rare and sometimes hard-to-detect condition can jeopardize your patient’s life and limb.
Healing the wounds: Quantum nursing V
Quantum nursing demands that nurses honor each person’s humanity, promote independence and autonomy, and offer the opportunity for individuals to redefine for themselves who…
High erythropoietin levels in people 85 or older associated with higher mortality risk
A study in the Canadian Medical Association Journal reports that among people aged 85 or older, elevated erythropoietin levels were associated with an increased…
How dolls can help patients with dementia
One evening while making rounds in the geriatric psychiatry unit, a nurse manager heard a patient crying in a little girl’s voice and pleading…
How electronic health records are improving health care for elderly patients
Innovative information technology tools help ensure patients get the right care at the right time.
How to prevent falls among older adults in outpatient settings
The author provides tips for preventing falls.
Identifying complete heart block in elderly patients
How to use auscultation to distiguish sinus bradycardia from complete heart block in geriatric patients.
Improving posthospital medication management for chronically ill older adults
For chronically ill older adults who take multiple medications, a hospital stay can result in various medication-related changes. Nurses administer their medications to them.…
Letters to the Editor – October 2008
Novice nurses: Leading the way against nurse abuse In the informative and timely article “No more nurse abuse” (July), John Murray points out that…
Longevity genes interconnected
An international group of scientists performed a comprehensive analysis and found that most genes that increase lifespan when overexpressed or mutated, as well as…
Managing chronic pain in the elderly
Chronic pain has widespread effects on older adults. This article describes how to help patients manage it.
Managing delirium in hospitalized older adults
Lawrence Jeffries, age 78, is admitted to the hospital for an arthroplasty of the left hip. A retired roofer, he lives with his wife…
Managing dysphagia in elderly patients
The risk of developing dysphagia (difficulty swallowing) increases with age and exposure to aging-related diseases and conditions. Roughly 7% to 10% of adults older…
Managing knee osteoarthritis in older adults
A degenerative joint disease, osteoarthritis (OA) is marked by cartilage erosion, osteophyte formation, joint hypertrophy, and subchondral sclerosis. A leading cause of disability in…
NEJM: Public views on Medicare and the budget deficit
The July 13 issue of the New England Journal of Medicine includes an insightful review of public polling on Medicare and how public opinion…
New report says more than 13% of Medicare patients experience adverse events during hospital stay
A new report from the Department of Health and Human Services says an estimated 13.5% of Medicare patients experience adverse events during their hospital…
New resource for pain management in the elderly
Visit a new one-stop resource for managing pain in the elderly at www.geriatricpain.org. Sections of the site include pain assessment, pain management, education, quality…
New survey on family caregivers released
The AARP Public Policy Institute and the United Hospital Fund have released the report “Home Alone: Family Caregivers Providing Complex Chronic Care,” a survey…
Nitroglycerin ointment slightly increases bone mineral density in postmenopausal women
Nitroglycerin ointment applied at bedtime for 2 years slightly increased bone mineral density in postmenopausal women states a study in JAMA. Read more at…
Normal-pressure hydrocephalus: The “wet, wobbly, and wacky” triad
An often-missed diagnosis, this condition may mimic certain types of dementia.
Nursing research takes aim at chronic pain
The National Institute of Nursing Research is studying ways to promote better outcomes for patients with chronic pain.
Older adults often closed out of clinical trials
More than half of clinical trials exclude older adults according to a study in the Journal of General Internal Medicine. Read more here.
Osteoporosis-not just for women
Most elderly men don’t know they are at risk for osteoporosis-and they probably won’t find out until a nurse tells them.
Paget’s disease: A therapy update
Pain, arthritis, fractures, and skeletal deformities are calling cards of Paget’s disease. A new one-dose drug therapy can produce extended remission.
Patient satisfaction now factors into Medicare reimbursement
Starting Oct. 1, the Centers for Medicare & Medicaid Services began withholding hospital’s Medicare reimbursement based on their quality performance; 30% of the decision…
Piquing new nurses’ interest in gerontologic nursing
It’s no surprise to nurses who choose to work with older adults that many of their current or future colleagues would rather focus on…
Preventing polypharmacy in older adults
Polypharmacy refers to the effects of taking multiple medications concurrently to manage coexisting health problems, such as diabetes and hypertension. Too often, polypharmacy becomes…
Promoting nonhazardous alcohol use by older adults
Roughly half of adults ages 65 and older drink alcohol. Although experts continue to debate the possible health benefits of alcohol when consumed in…
Prostate biopsies can increase risk of hospitalization
Men 65 years or older are more likely to be hospitalized within 30 days after a prostate biopsy than men of the same age…
Refining stool consistency descriptors can help prevent adverse outcomes
Stool consistency and form are significant aspects of a GI assessment, providing valuable information about the patient’s bowel motility. Properly identifying and describing these…
Restraints, patient rights, and the confused patient
Author Leah Curtin analyzes the ethics of a case of confusion and restraints.
Senior care: Are we prepared for the impending healthcare crisis?
Ready or not, we’re on the brink of a senior healthcare crisis.
Setting your sights on aging eyes
Half of Americans older than 65 have some degree of age-related cataract formation, making cataracts the leading cause of vision impairment in the United…
Six more hot drugs for today and beyond
These six drug profiles, along with the six in the March issue of American Nurse Today, bring you up to date on significant advances…
Social Security improvements results in longer life spans
A study published in the Journal of Public Health Policy found that Americans over the age of 65 experienced steep declines in the rate…
Stop the silence of elder abuse
Learn how to identify elder abuse and what to do if you suspect abuse.
Stopping the silent progression of osteoporosis
Osteoporosis and low bone mass affect about 44 million Americans. Women account for 80% of that number. And each year, more than 1.5 million…
Stopping the silent progression of osteoporosis
An update on risk factors, prevention, and treatment.
Study: Older adults with hearing loss have more hospitalizations, poorer health
According to a study published by JAMA, older adults with hearing loss are more likely than peers with normal hearing to require hospitalization and…
Study: Antihypertensives decrease risk of Alzheimer disease
Diuretics, angiotensin-1 receptor blockers, and angiotensin-converting enzyme inhibitors seemed to reduce the risk of Alzheimer disease (AD), according to a study, published in Neurology,…
Study: Cocoa improves cognitive function in older adults
One month of drinking two cups of hot chocolate a day improved neurovascular coupling and cognitive function, according to a double-blind clinical trial of…
Study: Grandmothers raising grandchildren struggle with depression
Grandmothers who care for their grandchildren fulltime need help for depression and family strains, according to researchers from the Case Western Reserve University’s Frances…
Study: Handshake can indicate speed of aging
Handgrip strength corresponds to other markers of aging such as people’s future mortality, disability, cognitive decline and ability to recover from hospital, according to…
Study: Head trauma associated with Alzheimer disease changes
A study published in Neurology has found that among patients with mild cognitive impairment, self-reported head trauma with at least momentary loss of consciousness…
Study: Incidence of mental disorders in mid-life, older adulthood may be underestimated
A study published in JAMA Psychiatry has found that common methods of assessing mental or physical disorders may consistently underestimate the prevalence of mental…
Study: Low vitamin B12 increases fracture risk in older men
A study published in Osteoporosis International reports that older men who have low levels of vitamin B12 have a higher risk of fractures. Read…
Study: Positive self-esteem protects older adults from health problems
According to a study in Psychoneuroendocrinology, a positive self-esteem can buffer adults older than 60 years against health threats. Researchers found that if an…
Study: Sedentary behavior associated with disability
A study in the Journal of Physical Activity & Health reports that sedentary behavior in adults aged 60 years and older is a risk…
Study: SNFs have high readmission rates of Medicare patients
A high percentage of Medicare patients who are discharged from skilled nursing facilities (SNFs) will return to the hospital or the ED within 30…
Study: Vitamin E may slow decline from Alzheimer disease
“Effect of Vitamin E and memantine on functional decline in Alzheimer disease,” a study published in JAMA, reports that 2,000 units of vitamin E,…
Take Note – August 2007
Good news for younger women taking estrogen Estrogen therapy may have cardioprotective effects for women who start taking it in their 50s. A study…
Take Note – June 2007
A monthly round up of clinical, practice, and career news, updates, and alerts.
Take Note – November 2006
American Diabetes Association releases food guidelines for specific medical categories “When you’re talking about diabetes, there is no ‘one size fits all’ diet,” said…
The aging face of HIV/AIDS
People older than age 50 account for at least 10% of HIV/AIDS cases in this country. Yet myths about older adults' behavior can blind…
Treatment consistent with POLST orders in nursing facilities
Overall, Physician Orders for Life-Sustaining Treatment (POLST) were consistent with treatment provided to 870 nursing facility residents aged 65 and older, making it a…
Update on Medicare Part D prescription drug program
Medicare’s prescription drug program recuperates from its rocky debut; ANA endorses the Medicare Quality Enhancement Act.
When to refer patients for hospice care
What happens to patients once they reach the maximum benefit of traditional curative treatment? For many, hospice should be considered. A point on the…
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