The ten barriers to appropriate management of patients at the end of their life

In the article published in Intensive Care Medicine by Hillamn y Cardona-Morell, the main barriers that hinder an appropriate management of patients at the end of life are described. It is becoming more common the dilemma of admitting and treat in ICU certain patients that intensive medicine no longer can offer them what they really…

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“12 months, 12 gestures” spreading music in Hospitals

We give one step further within the initiative “12 months, 12 gestures” and focus on a word that represents the essence of the great work we do every day as health professionals: ACCOMPANYING Because we accompany our patients and their families every day. We accompany them since they are born until they die, often in…

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My First Lesson in Humility

I remember being more confident that most of my peers. The look of dread on my fellow interns face pre-call, and the fatigue post-call always seemed unnatural to me. Maybe it was on account of my life-long pursuit of medicine. I felt nothing but elation at the newly branded “M” and “D” that came after…

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What’s Happening To Health Care, A Damn Shame?

I understand that there is a difference between perception and reality. I also get that the kind of people one meets on a tropical vacation in the middle of March are of a certain economic and sociopolitical status. Nonetheless, I am amazed at how history seems to repeat itself. Year after year, while sitting in…

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Burned Out

Walter was far older than his chronological age. A mere thirteen years, he kept company with a much older crew. Doctors, nurses, and CNA’s were his constant companions. The other kids on his floor were either too sick to interact, or came and left within a matter of days. But not Walter. His heart was…

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Decalogue of the Ministry of Health for children admitted to the Hospital  

Hola a tod@s, my dear Friends. On June of 2013 the next document was published by Spanish Ministry of Health, Social Services and Equality: PROMOTING AND HARMONIZING THE HUMANIZATION OF ASSISTANCE IN PAEDIATRIC AND NEWBORN INTENSIVE CARE UNITS OF THE NATIONAL SYSTEM OF HEALTH. It is the agreement of the Interterritorial Council to establish quality criteria…

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I am your Doctor and this is my Humble Opinion

What is it like to be your primary care physician? How do day-to-day pressures, concerns and unfolding developments impact the one who looks after your health and wellbeing? What does your doctor feel about the responsibilities and nagging questions that are an integral part of every waking hour? What is it like to know that…

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Health care at the end of life: Trending Topic

Articles of opinion, research studies or reports of Scientific Societies in relation to care for the patients at the end of life have been numerous in recent months. It is an issue which is of concern to citizens and health professionals. Health institutions and services have not succeeded in producing processes that, based on scientific…

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Getting Started With a Health Blog  

Hola a tod@s, my dear friends. We would like to share today the article published on February 3 in the HealthManagement.org blog that will come out in paper in the next issue of ICU Management, the journal whose Editor in Chief is nothing more and nothing less than the Professor Jean-Louis Vincent, head of the…

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Doctor on Doctor Crime

Her heart was failing; her ejection fraction was unmeasurable. Her hip was broken, and she developed a pulmonary embolism post-operatively. She was painfully close to death. Yet at some point, the hospital finished, and spit her out at the nursing home. She was confused. I tried to take the best history that I could. Her…

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