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Assigning status to likely terminal patients. I received a great question last week and thought I’d share it with you, our readers. This case management manager wanted to know how to determine status for a patient who came into the ED and was deemed unlikely to live past 24 hours.…
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It is equally important to know both what disease ails the patient and where it is taking them. Keen skills in accurately discerning diagnoses is a critical clinical talent that is a source of personal pride for physicians and professional envy by their peers. Being acknowledged as a ‘good diagnostician’…
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Determining when and how to discharge adult patients can present some difficult dilemmas.  When I was a medical student (not that long ago,) my instructors emphasized a clear message over and over: decisions about patient care should never be tainted with consideration of cost. When I entered residency, however, things…
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“Admit as inpatient” are probably the most valuable words written or electronically entered by physicians. And to be honest, I think the Centers for Medicare & Medicaid Services (CMS) has a little too much psychological and physical dependence on these words. Is a patient any less a patient because those…