National Healthcare Decisions Day in the Era of COVID

by Emily Riegel (@emriegel)“Why did I keep stressing what was and was not normal, when nothing ... was?” -- Joan Didion,The Year of Magical Thinking“Certainty? In this world nothing is certain but death and taxes.” -- Benjamin FranklinIn normal times, under non-pandemic circumstances, yesterday being April 15 would have marked the United States ’ traditional Tax Day. With one certainty, taxes, already rescheduled, we know that we are not in certain or normal times. This year, the novel coronavirus pandemic elevates the immediacy of that other certainty: death.Since 2008, April 16 is designated as National Healthcare Decisions Day (NHDD). According toThe Conversation Project, “this day exists to inspire, educate and empower the public and providers about the importance of advance care planning.” It is a day that people are encouraged to think about things such as living wills, or advance directives, or durable power of attorney. It is also a day for people to simply begin the conversations about how they want life to look even in the face of death.It is in the particulars of the way that the novel coronavirus behaves, infects, and manifests in us that further raises the urgency to pay attention to advance care planning. By now, it has been widely reported that this virus can strike people of any age, and create a critical illness scenario in an unexpectedly short timeframe. People have heard about ventilators, life support, acute respi...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: advance care planning covid nhdd riegel Source Type: blogs

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ConclusionsThe study represents the much-needed, large-volume, epidemiological profile of HI from an LMIC, highlighting the suboptimal utilization of peripheral healthcare systems. Strengthening and integrating these facilities with the tertiary centers in a hub and enhanced spoke model, task sharing design, and efficient back-referrals promise effective neurotrauma care while avoiding overburden in the tertiary centers. Better implementation of road safety laws also has the potential to reduce the burden of HI.
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Source: Journal of Clinical Investigation - Category: Biomedical Science Authors: Source Type: research
The efficacy of COVID-19 mRNA vaccines is high, but breakthrough infections still occur. We compared the SARS-CoV-2 genomes of 76 breakthrough cases after full vaccination with BNT162b2 (Pfizer/BioNTech), mRNA-1273 (Moderna), or JNJ-78436735 (Janssen) to unvaccinated controls (February–April 2021) in metropolitan New York, including their phylogenetic relationship, distribution of variants, and full spike mutation profiles. The median age of patients in the study was 48 years; 7 required hospitalization and 1 died. Most breakthrough infections (57/76) occurred with B.1.1.7 (Alpha) or B.1.526 (Iota). Among the 7 hospi...
Source: Journal of Clinical Investigation - Category: Biomedical Science Authors: Source Type: research
The care sector faces catastrophic staff shortages unless unvaccinated workers get their Covid shot by midnight (Thursday) or the government listens to reason and abandons its draconian ‘no jab, no job’ policy, warns UNISON. Care workers must have their first vaccination today (Thursday) to beat the government’s deadline of 11 November to be double-jabbed or be banned from entering care homes in England. UNISON believes mandatory vaccination should be scrapped or thousands of people may lose out on the support they need. The care sector is already in the grip of a severe staffing crisis and...
Source: UNISON meat hygiene - Category: Food Science Authors: Tags: News Press release adult social care Mandatory vaccination Source Type: news
Sanctuary jurisdictions have existed in the United States since the 1980s. They have recently reentered U.S. politics and engendered contentious debates regarding their legality and influence on public safety. Critics argue that sanctuary jurisdictions cre...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
This study evaluated epidemiological trends and care among injured patients pre...
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This study examined the relative roles of perceived partner support and psychological aggression in two relationship...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Violence and Weapons Issues Source Type: news
This study aimed to analyze the impact of COVID-19 on oral and maxillofacial fracture in Daegu by comparing the demographic data in 2019 and 2020, retrospectively. We collected data from all patients having trauma who visited the emergency room...
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Allegheny County in August required unvaccinated workers to wear masks and take weekly Covid-19 tests, and also announced that any new hires would have to be vaccinated against the coronavirus.
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About 3000 Los Angeles Police Department employees are citing religious objections to try to get out of the required COVID-19 vaccination.Associated Press
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