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“Code trauma. ETA 5 min.” The message flashed across my pager on a Wednesday during morning rounds. As I hustled downstairs to the trauma bay, I called ahead and asked, “What’s coming?”. “Mid 30s. Hanging. 10 minutes of CPR with ROSC. Intubated on the scene. Pupils fixed and dilated.”. “Damn,” I mumbled as I hung up. This was my third hanging in as many months.
With all that 2020 has brought, the Information Blocking Rule that came out of the Cures Act was under the radar of many hospices. Thankfully, HHS extended the compliance date for the Rule to April 5, 2021, from November 2, 2020. With this additional time, hospices need to evaluate how they will achieve compliance; what policies they need to update; the work they need to do with their EMR vendor; and their rollout to patients, families and staff.
Are miracles real or just wishful thinking when a good health prognosis is wanted? Healthcare worker have to be sensitive to patients' spirituality and religious beliefs regarding death journeys. As a hospice volunteer, I noticed that many patients held strong beliefs about miracles that were important to them when making decisions about their health care.
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